2011-08-15T11:06:01-05:00 2010-09-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2009-10-01 741100555 Texas Children's Hospital TEXA 8328242982 6621 Fannin St Houston TX 77030 BENJAMIN MELSON 2011-08-12 7137501500 2009 2016-02-24 21:20:13Z Mark Wallace 6621 Fannin St Houston TX 77030 1115511643 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 LOCALLY, NATIONALLY & INTERNATIONALLY. 22 21 6486 1398 1403310 -115325 63775098 42024779 917736195 913697000 1224298 10312700 18423201 19657814 1001158792 985692293 6159043 5344146 0 0 460374137 471272238 2144142 2535595 10638471 489293158 489547557 957970480 968699536 43188312 16992757 3032945619 3233542290 994307643 1032861337 2038637976 2200680953 SEE SCHEDULE O false false 537293255 4986186 901044754 PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-CARE PEDIATRIC HOSPITAL LOCATED IN THE TEXAS MEDICAL CENTER IN HOUSTON. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, DURING 2010 THE HOSPITAL OPERATED 463 INPATIENT BEDS, MORE THAN 40 AMBULATORY SPECIALITY CLINICS SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 1,550 BOARD-CERTIFIED, PEDIATRIC SUBSPECIALISTS AND DENTISTS; AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 6,000. 25838059 140135 11067644 EDUCATION: THE HOSPITAL IS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE, OUR LONG TERM ACADEMIC PARTNER. 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 50+ SUBSPECIALTY CARE OFFERINGS. DURING 2010, THE HOSPITAL INVESTED MORE THAN $25 MILLION IN THE TRAINING OF OVER 880 TRAINEES IN 75 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. 26808064 217825 12243529 RESEARCH: DURING 2010, TEXAS CHILDREN'S INVESTED MORE THAN $39.1 MILLION IN OVER 1,000 CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S HEALTH ISSSUES. IN ADDITION, THE HOSPITAL HAS COMPLETED CONSTRUCTION OF THE TEXAS CHILDREN'S NEUROLOGICAL RESEARCH INSTITUTE (NRI), A 345,000 SQUARE FEET 13-STORY FIRST-OF-ITS-KIND INSTITUTE DEDICATED TO PEDIATRIC NEUROLOGICAL DISORDERS. THE NRI OPENED IN DECEMBER OF 2010. 589939378 true true false true false false false false true true false true false false false false false true true false true true false true true false false false false false false false true false true true false false false false true true false false true 940 0 true 6486 true true true true CJ false false false true true false false false 22 21 true false true false false false false true true false true true true true true true true true true true false X RACHEL SHUPE 8328242951 1919 Braeswood Blvd Houston TX 77030 WILLIE J ALEXANDER 1.0 X 0 0 0 MERRELL A ATHON 1.0 X 0 0 0 FREDA WILKERSON BASS 1.0 X 0 0 0 JAMES A ELKINS III 1.0 X 0 0 0 NANCY R GORDON 1.0 X 0 0 0 JOHN B HOWENSTINE 1.0 X 0 0 0 RONALD C HULME 1.0 X 0 0 0 JODIE LEE JILES 1.0 X 0 0 0 KEVIN C KING 1.0 X 0 0 0 ANN LENTS 1.0 X 0 0 0 BARRY H MARGOLIS 1.0 X 0 0 0 WILLIAM N MATHIS 1.0 X 0 0 0 BEN B McANdrew iii 1.0 X 0 0 0 ROBERT E MEADOWS 1.0 X 0 0 0 DAVID L MENDEZ 1.0 X 0 0 0 ANTHONY G PETRELLO 1.0 X 0 0 0 GARY L ROSENTHAL 1.0 X 0 0 0 JOEL V STAFF 1.0 X 0 0 0 Y PING SUN 1.0 X 0 0 0 BRAD TUCKER 1.0 X 0 0 0 PETER S WAREING 1.0 X 0 0 0 MARK A WALLACE 40.0 X X 983669 0 1789692 BENJAMIN MELSON 40.0 X 931858 0 490305 RANDY WRIGHT 40.0 X 912002 0 522001 ANN STERN 40.0 X 734067 0 366172 SUSAN MACDONALD 35.0 X 579488 0 243984 SANDRA M MCELLIGOTT 40.0 X 292205 0 147912 TABITHA RICE 40.0 X 305142 0 147451 JOHN SCALES 40.0 X 765034 0 16009 LINDA ALDRED 40.0 X 499087 0 246309 SUSAN M DISTEFANO 40.0 X 694418 0 292436 PETER R DAWSON 40.0 X 590248 0 202470 HOWARD W HARPSTER 40.0 X 460911 0 235420 DAVID S FINN 0.0 X 411839 0 13487 8159968 0 4713648 1069 true true false TELLEPSEN BUILDERS LP 777 BENMAR DRIVE 400 HOUSTON TX 770603607 CONSTRUCTION SVCS 116035415 WS BELLOWS PO BOX 2132 HOUSTON TX 772522132 FACIL. PLANNING/DEV 57967778 MORRIS DICKSON PO BOX 51367 SHREVEPORT LA 711351367 PHARMACEUTICAL PROD. 35776645 TEXAS MEDICAL CENTER PO BOX 203449 HOUSTON TX 772163449 PARKING MGMT FEE 18420579 BAYLOR COLLEGE OF MEDICINE PO BOX 4832 HOUSTON TX 772104832 PHYSCN & FACULTY SVC 17188768 498 1500196 12084522 28440061 118698 42024779 Net Inpatient/Outpatient Revenue 621500 855187271 854112944 1074327 Dispro Revenue 622110 26289211 26289211 Vended Services 811000 21031955 20782037 249918 Upper Payment Limit 900099 11188563 11188563 913697000 5467623 5467623 1487840 1487840 0 2532236 2005803 526433 526433 526433 128350466 0 124724509 268720 3625957 -268720 3357237 3357237 246246 1500196 665356 -419110 -419110 0 4734448 2154962 2579486 2579486 PARKING GARAGE REVENUE 812930 4908768 4908768 PATHOLOGY FEES 621511 4148996 4148996 VENDOR DRUG REVENUE 900099 3563770 3563770 4349471 4270406 79065 16971005 985692293 924355927 1403310 17908277 5344146 5344146 0 0 0 6171536 6171536 0 368895709 254649963 110277697 3968049 12186278 33193 12153085 56821186 31567363 24734090 519733 27197529 17772061 9147587 277881 0 2057334 57 2057277 486053 486053 401022 400925 97 2535595 2535595 145890 145890 27876606 5947447 21286935 642224 5099714 38709 2921491 2139514 138903062 107904187 30909850 89025 2508291 13775 2494516 0 26916554 3397760 23518794 1301338 402309 844181 54848 0 2676180 758875 1782828 134477 3984061 3984061 0 74708230 24931915 49718624 57691 8720697 8720697 PROFESSIONAL FEES - MEDICAL 143394490 131984798 11394496 15196 Bad Debt 27433538 27433538 Swap Valuation 6598499 6598499 Vended Services 2623492 538626 2058866 26000 Collection Expense 1459779 1459779 12252727 4654194 7420392 178141 968699536 589939378 368121687 10638471 3804959 -790675 33548254 32115965 89386300 73973696 101147932 90965894 8547909 8385327 21156683 18816350 1775970284 543677603 975768845 1232292681 1682117149 1638949037 60697746 63863058 56769842 74970957 3032945619 3233542290 200419290 248826051 3016318 1896914 733963456 722971355 33247799 29909143 23660780 29257874 994307643 1032861337 X 1774788100 1917780057 184143322 193263313 79706554 89637583 2038637976 2200680953 3032945619 3233542290 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 50 false true 256352 true 104 false true 144516 401022 false Lobbying Schedule C, Part II-B 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 health care 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. 79706554 435229 11161933 1666133 89637583 77544127 3674137 540963 2052673 79706554 0.04700 0.95300 0.00000 false false 62212885 62212885 379212345 142497344 236715001 20777363 9524926 11252437 660217085 390676533 269540552 653550606 978800 652571806 1232292681 125004 INTEREST RATE SWAP 23832984 DEFERRED COMPENSATION 5299886 29257874 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 DISCLOSURE SCHEDULE D, PART X, LINE 2 THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2010. 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6621 Fannin Houston TX 77030

X X X X X X Clinical Care Center

6701 Fannin Houston TX 77030

X X X X X Abercrombie Building

6621 Fannin Houston TX 77030

X X X X X Texas Children's Hospital uses Federal Poverty Guidelines to determine eligibility for financial assistance. Texas Children's grants charity to medically and financially indigent patients. The hospital does not consider assets when granting charity care. Texas Children's charity care application asks patients/families to disclose assets only for purposes of considering eligibility for government programs. 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 charity care policy (line 7a), Medicaid charges (line 7b), other means-tested charges (line 7c), 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 2010 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), subsidized health services (line 7g), and cash and in-kind contributions (line 7i). The indirect cost ratios computed from the 2010 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 2010 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 2010 Medicare cost report for research. The cost associated with industry-sponsored research activities has been excluded from line 7h. Texas Children's Hospital has included three hospital-based physician clinics (The Center for Childhood Obesity Clinic, 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 $9,842,961, offsetting revenue of $7,416,520, and net expenses of $2,426,441 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. Obesity Clinic - This clinic was developed to assist the community and providers in caring for patients with weight management challenges, severe obesity (> 95th percentile) and associated co-morbidities. The clinic focuses on understanding the physical and behavioral tendencies of the patients and tailoring a program to improve the patient's overall health. Renal Outpatient Services - Services started in 1980 in response to community needs for chronic hemodialysis for children. Approximately 70 chronic patients are seen annually by pediatric endocrinologists and hemodialized at the hospital or at home, to improve their health outcomes post-transplantation and maintain a child's normalcy of school and activities with friends. Mental Health Services - 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 3,000 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 up to the age of 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 two mobile clinic vans immunized 6,364 children and provided 2,147 well-child visits and illness evaluations to uninsured children. The clinics operate year round and in the summer focus exclusively on immunizing children so they'll be ready for the school year. In 2010, in July and August alone, the mobile outreach clinics vaccinated over 2,440 children at 73 scheduled events at local schools, churches, and community centers throughout underserved communities. Footnote describing Bad Debt on financial statements Uncollectible amounts from patients who do not meet the criteria under the Hospital charity care policy are included as operating expenses 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 payor mix, cash collections, write-offs, recoveries, and market dynamics. Costing methodology to determine bad debt expense at cost includes the application of 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 charity care 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 charity care policy or should be considered a community benefit. All uncollected charges attributable to patients eligible under the organization's charity care policy are included in line 7a (at cost). All Texas Children's Hospital's Medicare patients are either part of a subsidized outpatient healthcare service or are inpatient hospital services reimbursed according to TEFRA cost reimbursement, thus none of the Medicare shortfall in Part III, line 7 is treated as a community benefit. Texas Children's Hospital adopted a written debt collection policy on July 27, 2010, which was during the organization's fiscal year. The Hospital's debt collection policy directs hospital personnel to reference the procedures outlined in the Hospital's Financial Assistance/Charity care policy when the patients are suspected to qualify for assistance. Texas Children's Hospital operates five Health Centers, offering families convenient access to non-emergency pediatric subspecialty care in West Houston, Sugar Land, Clear Lake, The Woodlands and Cypress-Fairbanks. The centers offer high-quality pediatric and specialty care in neighborhood settings for services ranging from day surgery and asthma management to counseling and physical therapy. Staffed by pediatric specialists from Texas Children's Hospital and Baylor College of Medicine, the Health Centers' staff is trained to care for the physical and emotional needs of children and adolescents. Texas Children's Hospital assesses the healthcare needs in communities it serves through multiple approaches: 1) Texas Children's participated in a Greater Houston 2007 Community Health Needs Assessment. This study was sponsored by five health care networks encompassing 17 acute care hospitals and health care organizations within greater Houston; 2) Texas Children's routinely monitors various state and county reports that provide pediatric health status indicators; 3) Texas Children's assesses and discusses pediatric health with multiple stakeholders, suggesting the following health care priorities within the larger community: improving access to care and coverage; offering preventive approaches to community health and safety; partnering with community organizations to enhance health and well-being; and advancing medical education and research. The families of children who receive services at Texas Children's Hospital 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 charity care 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 charity care 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 in both english and spanish of its charity care 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 Outstationed 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. While it serves patients from around the world, Texas Children's Hospital has defined the following counties as its primary and secondary service areas: Harris, Brazoria, Chambers, Fort Bend, Galveston, Liberty, Montgomery and Waller. In Harris County alone, the U.S. Department of Health and Human Services Health Resources and Service Administration has identified 24 Medically Underserved Areas and Medically Underserved Populations (MUA/Ps). (Brazoria,3; Chambers, 1; Fort Bend, 1: Galveston, 3; Liberty,1; Montgomery, 2; and Walker, 1). Texas Children's Hospital's Community Benefit program makes its greatest impact through program support and health services offered to children and families of greater-Houston. Texas' population in 2010 was 25,145,561, a 20.6 percent increase from the state's population in 2000. Houston encompasses the third-youngest population and one of the fastest growing pediatric populations in the nation. In fact, the 2005-2009 American Community Survey estimates that 36.5 percent of households have one or more children under the age of 18 residing in this region. Despite Houston's diversified economy and relative stability in real estate values, the region is not immune to recent economic challenges facing the country. The median 2009 household income in Harris County was at $51,155, just below the U.S. average. Houston's unemployment rate nearly doubled between 2008 and 2009, rising to 8 percent. This shift, coupled with the high cost of private insurance premiums, and Texas' high percentage of low wage earners and low offer rate of employer-based insurance (42 percent and 68 percent, respectively, versus levels of 24 percent and 80 percent in Massachusetts) is resulting in increasing rates of uninsured children in Harris County, currently more than 30 percent. More than 11 percent of the population is living in poverty, exceeding the U.S. average. In 2009, an estimated 300,000 of the 1.4 million households in Harris County (22 percent) have an annual income of less than $25,000. Data from the Center for Public Policy and Priorities shows that the percentage of children in poverty has increased from 22.6 percent in 2008 to 24.9 percent in 2009. At 36 percent, Anglos represent a minority of Houston's population; Hispanics comprise 39.2 percent followed by African-Americans (17.9 percent) and Asians (6.7 percent). Projections indicate that Hispanics will represent 75 percent of Houston's population growth over the next 10 years. The city's evolving population will place further demands on the health care system. Texas Children's Hospital participates, via staffing and financial funding, in the Medical Information Center (MIC) which is located within the Mexican Consulate in Houston. The MIC was created by Texas Children's Hospital in response to the high rate of uninsured residents among the city's growing Hispanic population. The program helps Houston's Hispanic community make informed health care decisions. The Center's staff assists clients with enrollment in public insurance and other access programs; offers education on relevant health topics; and partners with organizations that provide medical resources to those in need. As a leader in pediatrics, 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) The hospital'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, comprising 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 $732,000 in 15 additional 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 2010. Although these trainees are not obligated to remain at Texas Children's upon certification, they gain valuable knowledge for their careers in pediatrics. In addition, Texas Children's Pediatric Intensive Care Unit (PICU) nursing staff trained colleagues from M. D. Anderson Cancer Center in the specialty of pediatric care. 7) The 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. 8) 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. 9) In response to community needs, both locally and nationally, Texas Children's continues to expand its health care services. In 2010, the hospital furthered its Vision 2010 expansion, which includes 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, scheduled to open in spring 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 will include an emergency center, operating rooms, intermediate and acute-care inpatient beds and outpatient services. The West Campus will allow people 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 around how the hospital can best serve the community. c.) Texas Children's Pavilion for Women, scheduled to begin outpatient services in fall 2011, will offer comprehensive care for expectant mothers and women at every stage of their lives. As high-risk births in both the region and the nation continue to rise, the center will offer a full range of obstetrics services for high-risk pregnancies. The center's Women's Advisory Council provides insight and counsel regarding the overall patient experience, as well as other initiatives relating 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. 10) Texas Children's Hospital is committed to local, regional and national advocacy efforts supporting access to quality health care for all children. In 2010, hospital representatives successfully supported statewide legislative efforts to create Pediatric Centers of Excellence for Child Abuse. Supplemental State Information Schedule H, Part VI, Line 8 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, 2010, the Hospital reported $123.1M 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 (-$20.5M) between the ASCBS reporting and the amounts recorded in Part I line 7 are due 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 2009 financial information - (25,470) ASCBS includes charity care from related organizations - (2,760) ASCBS includes the unreimbursed cost of community building activities - (705) ASCBS includes the unreimbursed cost of Medicare and Champus - (4,213) ASCBS reduces community benefit program cost by gift/grant income - 12,565 Total variance between Part I line 7 and ASCBS - (20,583) Texas Children's Hospital is affiliated with Texas Children's Pediatric Associates (TCPA, EIN 76-0460242) in promoting health care in the community served. TCPA is one of the nation's largest pediatric primary care networks. Comprising 44 practices throughout the greater Houston area, TCPA pediatricians serve approximately 20 percent of Houston's children, helping treat and prevent illnesses. Five TCPA 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 76-048626) 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 700 primary care physicians, 1,400 specialists and 40 hospitals are committed to providing excellent service and patient care to Texas Children's Health Plan members. Texas Children's 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. TX true AMERICAN HEART ASSOCIATION 10060 Buffalo Speedway HOUSTON TX 77054 135613797 501(C)(3) 45000 2010 MONTGOMERY HEART BALL and HOUSTON HEART BALL - 2009 AMERICAN NURSES CREDENTIALING CENTER 8515 Georgia Avenue No 400 SILVER SPRING MD 20910 431565726 501(C)(3) 5800 Sponsorship at the 2010 ANCC BAYLOR - ABBOTT FUND and BMS ONE BAYLOR PLAZA BCM 160 HOUSTON TX 77030 741613878 501(C)(3) 399151 BAYLOR-ABBOTT FUND and BMS BAYLOR INTERNATIONAL PEDIATRIC AIDS INI ONE BAYLOR PLAZA BCM 161 HOUSTON TX 77030 741613878 501(C)(3) 2742884 SUPPORT OF 501(C)(3) AFFILIATED MED SCHL BLUE BIRD CIRCLE Seven Village Oaks Ln HOUSTON TX 77055 741405134 501(C)(3) 21500 1 TABLE FOR TEN - 2010 LUNCHEON and 2 Tables for ten BOYS SCOUTS OF AMERICA PO Box 924528 HOUSTON TX 77292 760239833 501(C)(3) 9000 1 TABLE SILVER LEVEL FOR TEN RISE SCHOOL 8080 North Stadium Drive HOUSTON TX 77054 760606866 501(C)(3) 10000 DONATION, RISE, SHINE, AND SWING, SPONSHORSHIP CHILD LIFE COUNCIL INC PARK LAWN DRIVE STE 240 ROCKVILLE MD 20852 521799846 501(C)(3) 10000 SPONSORSHIP CHILDREN AT RISK INC 2900 WESLAYAN SUITE 400 HOUSTON TX 77027 760360533 501(C)(3) 7500 DONATION, TABLE FOR TEN - A BELIEVER EPILEPSY FOUNDATION OF SOUTHEAST TEXAS 2630 Fountain View Suite 210 HOUSTON TX 77057 742141084 501(C)(3) 5500 DONATION, TABLE FOR TEN-ZOO TO DO EVENT GOOD SAMARITAN FOUNDATION 5615 KIRBY DRIVE STE 308 HOUSTON TX 77005 741235398 501(C)(3) 12200 DONATION, SPONSORSHIP, 1 TABLE FOR 10 PEARL BALL 2010, HOLE PATRON - RIVER OAKS GREAT SOUTHWEST EQUESTRIAN CENTER LP PO Box 218688 HOUSTON TX 21868 741755067 501(C)(3) 50000 SPONSORSHIP GREATER HOUSTON PARTNERSHIP INC 1200 SMITH STREET STE 700 HOUSTON TX 77002 760267896 501(C)(3) 10000 FOURTH PAYMENT HOUSTON COMMUNITY COLLEGE 3100 Main Street HOUSTON TX 77002 741885205 501(C)(3) 7500 DONATION, TABLE FOR TEN - SPONSOR HOUSTON HARRIS COUNTY IMMUNIZATION PO Box 2709 CYPRESS TX 77410 760695612 501(C)(3) 15000 1 TABLE FOR 8 PRESENTING SPONSORS HOUSTON JUNIOR WOMANS CLUB CHARITABLE PO Box 19684 HOUSTON TX 77224 237157689 501(C)(3) 10000 HOLIDAY HAPPENING 2009 JEWISH INSTITUTE FOR NATIONAL SECURITY AFFAIRS 1779 Massachusets Avenue WASHINGTON DC 20036 521233686 501(C)(3) 15000 JINSA LEADERSHIP AWARD DINNER JUNIOR LEAGUE OF HOUSTON INC 1811 Briar Oaks Lane HOUSTON TX 77027 231907729 501(C)(3) 65000 SPONSORSHIP TABLE CASINO ROYAL, ABRACADABRA - 2010 GALA JUVENILE DIABETES RESEARCH FOUNDATION 2425 FOUNTAINVIEW SUITE 280 HOUSTON TX 77057 231907729 501(C)(3) 15000 DONATION, SPONSORSHIP - 2009 WALK LONE STAR CHAPTER OF NATIONAL HEMOPHILIA 10500 Northwest Freeway Suite 226 HOUSTON TX 77092 760661966 501(C)(3) 8000 DONATION, CASINO NIGHT GALA 2010, HEMOPHILIA WALK MARCH OF DIMES 3000 WESLAYAN SUITE 100 HOUSTON TX 77027 131846366 501(C)(3) 12500 MARCH FOR BABIES 2010 SPONSOR, 2009 SIGNATURE CHEFS, 2009 SIGNATURE CHEFS OF HOUSTON MUSCULAR DYSTROPHY ASSOCIATION 3300 East Sunrise Drive TUCSON TX 85718 131665552 501(C)(3) 6000 TABLE 2010 PASSPORT TO A CURE NATIONAL ASSOCIATION OF CHILDRENS HOSPITAL PO Box 79334 BALTIMORE TX 21279 582176067 501(c)(6) 75651 ADVOCACY CAMP 2010 PERIWINKLE FOUNDATION 3000 RICHMOND AVE SUITE 340 HOUSTON TX 77098 760093914 501(C)(3) 12321 1 TABLE FOR TEN, SPONSORSHIP-CYCLE FOR LIFE, NET PERIWINKLE RICE UNIVERSITY 6100 Main Street HOUSTON TX 77005 741109620 501(C)(3) 20000 DONATION, PLEDGE FOR HEALTHCARE MGMT SOCIETY FOR THE ARTS IN HEALTHCARE INC 2437 15th Street WASHINGTON DC 20009 020479949 501(C)(3) 15000 SUPPORT SPONSORSHIP CONFERENCE TEXAS HEART INSTITUTE P O BOX 297387 HOUSTON TX 77729 746053200 501(C)(3) 7000 1 EXTRA TABLE LEADERSHIP AWARD, 1 INDIVIDUAL SEAT, 1 TABLE PARTON FOR TEN, DONATION FOR AWARD DINNER UNITED CEREBRAL PALSY 1016 La Posada Drive Suite 145 AUSTIN TX 78752 741364723 501(C)(3) 5500 DONATION, TABLE SPONSOR UNITED WAY PO Box 200216 HOUSTON TX 77216 741167964 501(C)(3) 25000 DONATION - 2009 CAMPAIGN UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER PO Box 80036 HOUSTON TX 77226 741761309 501(C)(3) 25000 PLEDGE SUPPORT OF FLEMINE CENTER UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 7000 Fannin Suite 1200 HOUSTON TX 77030 741761309 501(C)(3) 90120 Accr UT Pledge Payment WORLD HEALTH & GOLF ASSOCIATION 2441 High Timbers 430 THE WOODLANDS TX 77380 311654247 501(C)(3) 6500 INTERNATIONAL GOLF CHAMPIONSHIP 31 1 Description of Organization's Procedures for Monitoring the Use of Grants Schedule I, Part I, Line 2 AFTER THE SPONSORSHIPS/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGEMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION. DESCRIPTION OF GRANT SELECTION CRITERIA SCHEDULE I 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. X true true X X X X true true false true true true true false false MARK A WALLACE 900102 0 30000 0 53567 0 1737118 0 55581 0 2776368 0 0 0 BENJAMIN MELSON 462417 0 424314 0 45127 0 463055 0 30257 0 1425170 0 73514 0 RANDY WRIGHT 462713 0 341250 0 108039 0 487990 0 37017 0 1437009 0 54930 0 ANN STERN 346960 0 334811 0 52296 0 353176 0 16002 0 1103245 0 113180 0 SUSAN MACDONALD 267251 0 264156 0 48081 0 232809 0 11175 0 823472 0 123064 0 SANDRA M MCELLIGOTT 163126 0 110350 0 18729 0 142538 0 12980 0 447723 0 0 0 TABITHA RICE 172703 0 112700 0 19739 0 140756 0 16866 0 462764 0 10100 0 JOHN SCALES 292693 0 362350 0 109991 0 7350 0 12116 0 784500 0 22750 0 LINDA ALDRED 250496 0 188200 0 60391 0 233728 0 24245 0 757060 0 45817 0 SUSAN M DISTEFANO 302300 0 346637 0 45481 0 259448 0 35993 0 989859 0 176296 0 PETER R DAWSON 183923 0 364914 0 41411 0 183787 0 21689 0 795724 0 0 0 HOWARD W HARPSTER 259518 0 174900 0 26493 0 205931 0 32495 0 699337 0 16150 0 DAVID S FINN 76415 0 93597 0 241828 0 11567 0 4658 0 428064 0 28193 0 Supplemental Compensation Information Description of Health or Social Club Dues Schedule J, Part I, Line 1 Texas Children's Hospital provides one social club membership to its President and Chief Executive Officer. The membership is used to promote philanthropy for the organization's mission and charitable purposes. DESCRIPTION OF SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A DAVID S FINN - PAID $222,115 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B SHORT-TERM INCENTIVE PLAN PAID/DEFERRED: MARK WALLACE - NONE/$279,150 BENJAMIN MELSON - $115,850/$78,450 RANDY WRIGHT - $78,450/$37,400 ANN STERN - $57,300/$22,750 SUSAN MACDONALD - $62,950/NONE SANDRA MCELLIGOTT - $31,500/NONE TABITHA RICE - $32,550/NONE JOHN SCALES - $71,950/NONE LINDA ALDRED - $62,950/NONE SUSAN DISTEFANO - $71,000/NONE PETER DAWSON - $36,110/$12,240 HOWARD HARPSTER - $49,750/NONE DAVID FINN - $14,400/NONE CAPITAL ACCUMULATION PAID/DEFERRED: MARK WALLACE - NONE/$197,287 BENJAMIN MELSON - NONE/$97,485 RANDY WRIGHT - $54,930/$90,582 ANN STERN - $18,919/$71,991 SUSAN MACDONALD - $25,408/$42,588 SANDRA MCELLIGOTT - NONE/$23,732 TABITHA RICE - NONE/$23,495 JOHN SCALES - $66,430/NONE LINDA ALDRED - $25,917/$41,821 SUSAN DISTEFANO - $22,109/$38,810 PETER DAWSON - NONE/$25,910 HOWARD HARPSTER - NONE/$32,519 DAVID FINN - $13,793/$3,363 SCHEDULE J, PART I, LINES 5A, 5B, 6A, & 6B LONG-TERM INCENTIVE PLAN PAID/DEFERRED: MARK WALLACE - NONE/$1,230,000 BENJAMIN MELSON - $308,761/$272,350 RANDY WRIGHT - $262,800/$262,800 ANN STERN - $277,511/$183,250 SUSAN MACDONALD - $201,206/$123,450 SANDRA MCELLIGOTT - $78,850/$78,850 TABITHA RICE - $80,150/$80,150 JOHN SCALES - $145,200/NONE LINDA ALDRED - $125,250/$125,250 SUSAN DISTEFANO - $275,637/$144,200 PETER DAWSON - $328,805/$95,300 HOWARD HARPSTER - $125,150/$125,150 FY - 2009 Capital Accumulation Account: The Compensation Committee of the Board of Trustees has established the Capital Accumulation Account ("CAA") program for the organization's executive leaders. CAA is a supplemental deferred compensation plan to allow executives to save for retirement, as their retirement benefits in broad-based plans covering all employees are capped and do not recognize their full salaries. Contingent Compensation FY 2007- 2009 EXECUTIVE LONG-TERM INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") ESTABLISHES THE SYSTEM-WIDE PERFORMANCE MEASURES FOR THE THREE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, HUMAN RESOURCES, AND PROGRESS TOWARDS NEW PROGRAMS AND CAPITAL PROJECTS. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE FOR THE FINANCIAL GOALS USE TOTAL OPERATING REVENUE AS A FACTOR IN DETERMINING SOME MEASURES ASSOCIATED WITH OPERATING CASH FLOWS. FY 2009 EXECUTIVE ANNUAL INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") ESTABLISHES THE PERFORMANCE MEASURES FOR THE ONE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. PERFORMANCE MEASURES AND GOALS ARE DEFINED FOR EACH ENTITY. THE INCENTIVE AWARDS ARE DETERMINED ON THE WEIGHTED BLEND OF ALL THE ENTITIES' PERFORMANCE. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, AND HUMAN RESOURCES. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE USE REVENUE AS A FACTOR IN DETERMINING SOME MEASURES FOR THE FINANCIAL TARGETS. THE PAYMENT OF ANNUAL INCENTIVES IS CONTINGENT ON ACHIEVING SYSTEM BUDGETED OPERATING MARGIN. Harris County Cultural Education Facilities Fin Co 760337885 414009DY3 2010-01-15 80078929 See Schedule O false false Harris County Cultural Education Facilities Fin Co 760337885 414009CG3 2009-06-17 198965284 BUILD HEALTH CARE FACILITIES false false Harris County Health Facilities Development Co 521284201 414152RW0 2008-04-30 300000000 See Schedule O false false 80078929 0 78800000 0 1278929 0 0 2011 true false false true 201970202 0 0 0 3311550 3004918 195653734 2011 false false false true 300053496 0 300000000 0 0 53496 0 2011 true false false true false false false false true true false false false false true 0.00000 0.00000 0.00000 true false true false false true 0.00400 0.00000 0.00400 true false false false false false true false false false false false true false true false false false true WJ ALEXANDER ASSOCIATES BOARD MEMBER 150000 SEE SCHEDULE O false MUSTANG CATERPILLAR BOARD MEMBER (CHAIRMAN) 132000 SEE SCHEDULE O false X 2222 118698 cost/selling price 0 false true false ORGANIZATION'S MISSION STATEMENT Form 990, Part III, Question 1 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. Description of Relationships Form 990, Part VI, Question 2 Texas Children's Hospital - Two trustees are business partners (private equity firm) - One trustee is an investor in a company that provides investment advisory and trust services and another trustee is chairman of that company - A trustee's husband is a business partner with another trustee - A trustee's CPA firm provides tax/consulting services to some executives (including one who is a trustee) - A trustee provides engineering consulting services to company that employs another trustee - A trustee is an investor in a real estate investment fund managed by company where another trustee is ceo/managing partner - A trustee is in a partnership in a passive investment with two other trustees - A trustee has a relationship with another trustee in his role as a stock broker - Several trustees are investors in investments controlled by another trustee - A trustee's business (drilling) works with a company owned by another trustee Description of Significant Changes to Organizing or Enabling Document Form 990, Part VI, Question 4 Revised bylaws to add the term "psychologist" throughout the medical staff section of the bylaws and to allow the board subcommittee the authority to approve any medical executive committee recommendations. - Revised authority of board subcommittee to have authority to approve all Medical Executive Committee recommendations (by the Board of Trustees at next regular meeting) Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 Texas Children's Hospital is the sole Member Corporation of Texas Children's Pediatric Associates, Texas Children's Health Plan, Texas Children's Women's Specialists, and Texas Children's Physician Group, Inc. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a Texas Children's Hospital, as the Member Corporation, has the authority to elect the Board of Directors of Texas Children's Pediatric Associates, Texas Children's Health Plan, Texas Children's Women's Specialists, and Texas Children's Physician Group, Inc. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b As the Member Corporation, Texas Children's Hospital has certain reserved powers over Texas Children's Pediatric Associates, Texas Children's Women's Specialists, and Texas Children's Physician Group, Inc.: - Approval of budgets - Incurrence or guarantee of debt by corporation or any subsidiary - Creation or sale of subsidiaries - Acquisition, sale, lease, mortgage, or other transfer of any real property or any personal property above certain monetary limits - Dissolution, merger, consolidation, sale or other modification of corporation or any subsidiary - Affiliation, joint venture, contract, employment, retention or other arrangements with any insurer, health maintenance organization, preferred provider organization, medical school, hospital, clinic, pharmacy, physician or other health-related providers (all service terms and compensation arrangements) - Establishment of any training or residency programs - Giving, seeking or receiving of grants - Selection of auditors and legal counsel - Compensation (including incentives) of officers of the corporation, physician employees and physicians contracted with the corporation - Indemnification rights, obligations, or agreements affecting the corporation - Purchase, adoption amendment, cancellation or replacement of insurance coverage - Commencement or settlement of litigation or other claims - Approval of fee schedules relating to patient services - Amend governing documents As the Member Corporation, Texas Children's Hospital has certain reserved powers over Texas Children's Health Plan: - Approve, interpret or change purpose of Corporation - Merger, dissolution or consolidation or reorganization of the corporation - Acquisition, sale, lease, transfer, or other alienation of property, other than in usual course of business, above specific financial levels established by Member - Approval of budgets - Debt incurred in excess of limits established by Member - Disposition of assets of corporation at time of its dissolution - Long-range financial or strategic plans - Amend governing documents Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11a Per a resolution approved by the board of trustees, the board's audit & compliance committee has the delegated authority to review the organization's completed Form 990 prior to filing. Following the committee's review, the completed Form 990 is distributed to the board of trustees prior to filing with the IRS. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c Texas Children's and its corporate affiliates seek to maintain the highest standards of business conduct and ethics. The Administrative Personnel shall be held to a strict standard of good faith, honesty, and fairness in all their dealings with, and on behalf of, the organization. Administrative Personnel may on occasion have, or appear to have, a direct or indirect interest in a transaction in which Texas Children's is or may become involved (an "Interested Transaction"). Interested Transactions may sometimes be perceived as a conflict of interest; therefore, Administrative Personnel shall promptly disclose all such interests, and shall conduct themselves in such a manner that all conflicts of interest, improprieties, or the appearance of the same, are eliminated. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Questions 15a & 15b The process for determining compensation include: - 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. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 All governing documents, conflict of interest policy, and financial statements are available to the public upon request. Hours worked for Related Organizations Part VII, Section A, Column B Susan MacDonald worked 35 hours per week for the hospital and 5 hours per week for Texas Children's Physician Services Organization. Description of Arrangement Re: Payment of Fees and Fundraising Expenses Schedule G, Part I, Question 2b, Column V All the money is paid directly to Texas Children's Hospital. Texas Children's Hospital pays all direct fees and for professional services to May Development Services. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Name: W.J Alexander & Associates, PC. Relationship: Board Member Amount: $ 150,000 Description: William Alexander is the founder and President of W.J. Alexander and Associates, PC. W.J Alexander & Associates is the agent for Texas Children's Hospital's life, AD&D, and disability coverage offered through the Employee Health and benefit plan. Name: Mustang Caterpillar Relationship: Board Member (Chairman of the Board) Amount: $ 132,000 Description: Brad Tucker has ownership interest in Mustang Caterpillar, which provides parts and service support to maintain standby generators for TCH. Mustang Caterpillar contributed $30,000 to TCH in FYE 2010. Tax-Exempt Bonds Supplemental Information Schedule K, Part I, Column F A) Issuer Name: Harris County Cultural Education Facilities Finance Corporation Issuer EIN: 76-0337885 Description of Purpose: Refund prior issues (1999B-2 Series Issued 07/20/99). C) Issuer Name: Harris County Health Facilities Development Corporation Issuer EIN: 52-1284201 Description of Purpose: Refund prior issues (2007 Series Issued 06/27/07). TEXAS CHILDREN'S WOMEN'S SPECIALISTS PO BOX 300630 HOUSTON TX 77230 261482195 HEALTH CARE TX 501(C)(3) 11 TYPE I NA TCH SYSTEM INC 1919 BRAESWOOD BLVD HOUSTON TX 77030 760461578 HEALTH CARE TX 501(C)(3) 11 TYPE I NA TEXAS CHILDREN'S PHYSICIAN GROUP INC 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(C)(3) 9 NA Texas Children's Pediatric Associates PO Box 300630 Houston TX 77230 760460242 HEALTH CARE TX 501(C)(3) 11 TYPE I NA Texas Children's Health Plan 2450 HOLCOMBE Houston TX 77021 760486264 HEALTH CARE TX 501(C)(3) 9 NA TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN ST HOUSTON TX 77030 202380599 SUPPORTNG ORG TX 501(C)(3) 11 TYPE 1 NA TCH Insurance Company LTD 23 Lime Tree Bay Avenue Grand Cayman, CJ CJ KY1-1102 Insurance CJ NA C CORP 18562484 74472305 1.00000 false false false false false false false false true true true true true true true true true false Texas Children's Health Plan j 714210 Texas Children's Health Plan k 2235342 Texas Children's Health Plan m 1010685 Texas Children's Women's Specialists k 110386 Texas Children's Health Plan l 176477 Texas Children's Pediatric Associates k 2000000 Texas Children's Pediatric Associates p 16766167 Texas Children's Health Plan p 9319131 Texas Children's Health Plan k 103173496 Texas Children's Physician Group Inc q 60372376 Texas Children's Physician Group Inc o 89013724 TCH Insurance Company Ltd p 3000000 TCH Insurance Company Ltd o 9776524