2019-07-10T16:18:25-05:00 2018-08-31 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2017-09-01 742577746 Driscoll Children's Hospital % GREGORY WARD DRIS 3616946126 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 GREGORY WARD VICE PRESIDENT 2019-07-09 true PATRICK SHIELDS P01508556 6023223000 164.57.159.253 75306120191915000007 2019-07-10 P 420840C79963FC5F0A2806F9AB26F59BDB514504 E94FFBFEF556666C2017410EF3F1708D338ADEDF 2017 2019-02-21 02:37:17Z ERIC HAMON 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 399077984 false X DRISCOLLCHILDRENS.ORG X 1953 TX REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS OUR MISSION TO OFFER HOPE & HEALING IN AN ENVIRONMENT OF TRUST, COMPASSION, & CARE. 20 16 1972 486 -627147 -612647 7550147 16113494 96771933 308865632 6417888 23679281 13500691 43260479 124240659 391918886 9228820 26143080 0 0 48374115 144774658 0 0 1628552 39065995 119684864 96668930 290602602 27571729 101316284 932892830 1617279601 83043259 83061540 849849571 1534218061 REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS OUR MISSION TO OFFER HOPE & HEALING IN AN ENVIRONMENT OF TRUST, COMPASSION, & CARE. false false 280918381 26143080 308865632 PROVISION OF HIGH QUALITY HOSPITAL, MEDICAL, AND NURSING SERVICES TO CHILDREN IN THE SURROUNDING SOUTH TEXAS REGION WITHOUT REGARD TO THE ABILITY TO PAY. CARE IS PERFORMED ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS. 280918381 true true false true false false false false false true true false false false true true false true false false true false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 388 0 true 1972 true false true CJ false false false false false false false false X 20 16 false false true false true false true true true false false true true true true true true true true false X GREGORY WARD 3616946126 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 STEVE WOERNER CEO/VICE CHAIR (THRU 4/6/18) 38.0 2.0 X X 590832 0 740591 ERIC HAMON EXECUTIVE VICE PRESIDENT & CFO 38.0 2.0 X X 573091 22000 249729 SAM L SUSSER CHAIR 1.0 4.0 X X 0 0 0 PAUL CHAPA VICE CHAIR 1.0 1.0 X X 0 0 0 S LOYD NEAL JR PAST CHAIR 1.0 3.0 X X 0 10000 0 MIKE CARRELL DIRECTOR/SECRETARY 1.0 1.0 X X 0 10000 0 STEPHEN ALMOND MD DIRECTOR 1.0 39.0 X 0 845611 52727 MURRAY BASS JR DIRECTOR 1.0 0.0 X 0 0 0 JULIE BUCKLEY DIRECTOR 1.0 1.0 X 0 0 0 REBA CARDENAS MCNAIR DIRECTOR 1.0 0.0 X 0 0 0 MARY CLARK DIRECTOR 1.0 3.0 X 0 0 0 JIM DEVLIN DIRECTOR 1.0 0.0 X 0 0 0 TOM DOBSON DIRECTOR 1.0 0.0 X 0 0 0 ROBERT FURGASON DIRECTOR 1.0 3.0 X 0 10000 0 LENORA KEAS DIRECTOR 1.0 0.0 X 0 0 0 ALEX KIRKLAND DIRECTOR 1.0 0.0 X 0 0 0 VAL LAMANTIA PEISEN DIRECTOR 1.0 0.0 X 0 0 0 ESTELA O'DANIEL MD DIRECTOR 1.0 0.0 X 0 0 0 BOB PARKER DIRECTOR 1.0 0.0 X 0 0 0 PHILIP RAMIREZ DIRECTOR 1.0 0.0 X 0 0 0 LEON SMITH-HARRISON MD DIRECTOR 1.0 39.0 X 0 530866 45496 MARY DALE PETERSON MD Pres. & CEO Health Plan 1.0 39.0 X 0 435456 142873 JEANENE R ANTHONY VP BUSINESS DVLPMNT & PLANNING 40.0 0.0 X 366567 0 53234 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 2.0 38.0 X 293817 0 104074 WILLIAM H LARSEN VICE PRESIDENT MED EDUCATION 39.0 1.0 X 350742 0 81768 KAREN C LONG VICE PRESIDENT & CPCO 39.0 1.0 X 373276 0 55252 DALE V OBERMUELLER VICE PRESIDENT CPSST 36.0 4.0 X 401844 0 72782 DONNA M QUINN VICE PRESIDENT OPERAT/QUALITY 39.0 1.0 X 445341 0 66091 GREGORY A WARD VICE PRESIDENT ADMINISTRATION 39.0 1.0 X 330449 0 62220 JENNIFER R HENDERSON GENERAL COUNSEL 39.0 1.0 X 480184 0 77022 TAMMY D WEAVER ASSISTANT VICE PRESIDENT 40.0 0.0 X 266710 0 29315 PATRICIA L CARR Associate Chief Nurse Exec. 40.0 0.0 X 211825 0 35317 EDUARDO GOMEZ ASSISTANT VICE PRES. ANALYTICS 40.0 0.0 X 230657 0 27248 KRISTIN R MILLET SENIOR DIRECTOR HUMAN RESOURCE 40.0 0.0 X 195211 0 39859 5110546 1863933 1935598 182 false true false FULTON CONSTRUCTION CORPCOASTCON C PO BOX 9486 CORPUS CHRISTI TX 78469 CONSTRUCTION 11315834 UNIVERSITY OF TEXAS MEDICAL BRANCH 301 UNIVERSITY BLVD GALVESTON TX 775550153 PHYSICIANS/TEACH/LAB 8003964 SODEXO SERVICES OF TEXAS LP PO BOX 360170 PITTSBURGH PA 152516170 MANAGEMENT 3315162 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 MEDICAL RECORDS 2224787 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 HEALTHCARE 1901239 72 0 14128757 1798117 186620 0 16113494 NET PATIENT SERVICE REVENUE 621110 308865632 308865632 0 0 308865632 24098008 -627147 24725155 0 0 1703468 1703468 0 1703468 1703468 6740371 7155768 3330 -415397 -3330 -418727 -418727 0 0 0 0 0 0 0 0 0 DELIVERY SYSTEM REFORM INCENTIVE PMTS 624410 34863826 0 0 34863826 MEDICAL EDUCATION 621110 1857612 0 0 1857612 CAFETERIA AND VENDING SALES 722320 1093617 0 0 1093617 3741956 0 0 3741956 41557011 391918886 308865632 -627147 67566907 X 26143080 26143080 0 0 0 0 0 0 4072800 132057 3940743 0 173377 173377 0 0 104849041 102893513 1150390 805138 7443078 7385819 0 57259 20568937 19666361 787113 115463 7667425 7253298 362513 51614 1595974 1595974 0 0 279118 180314 98804 0 247467 247467 0 0 274633 0 274633 0 0 0 0 0 0 0 32963812 32753552 209020 1240 2710562 2237651 12728 460183 6480049 6283912 96318 99819 8421880 8421845 35 0 0 0 0 0 5829735 5825849 3886 0 139766 105010 24501 10255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12610987 12605587 0 5400 5511481 4641963 869518 0 MEDICAL SUPPLIES 30219543 30219230 140 173 EQUIPMENT RENTAL/MAINTENANCE 9583758 9556395 6039 21324 ADMINISTRATIVE 2720124 2506980 213144 0 ALL OTHER EXPENSES 95975 89147 6144 684 290602602 280918381 8055669 1628552 0 7642167 8451703 19580362 53446415 785504 768751 38268417 34448212 0 0 0 0 17560792 12259436 1974546 1978673 5989703 5356267 362881354 221671680 116510914 141209674 705133465 1326115488 0 24084377 0 0 0 0 19446960 9160605 932892830 1617279601 41239779 46237437 0 0 0 55245 0 0 0 0 0 0 0 0 0 0 41803480 36768858 83043259 83061540 X 830171116 1520624165 7515455 13593896 12163000 0 849849571 1534218061 932892830 1617279601 X 101316284 64998289 1628552 0 0 516425365 X X false true X true true true X false false false 0 false 0 false 0 false false 0 false 0 true 274633 274633 false SCHEDULE C, PART II-B, LINE 1I GRANTS TO OTHER ORGANIZATIONS FOR OTHER ACTIVITIES PAYMENTS MADE TO VARIOUS ORGANIZATIONS FOR THE PURPOSE OF MEETING WITH AND CALLING GOVERNMENT OFFICIALS OR LEGISLATORS AND SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS AND LEGISLATORS REGARDING ISSUES THAT HAVE AN IMPACT ON THE EXEMPT PURPOSE OF THE HOSPITAL. DCH pays membership dues to hospital associations. A portion of these dues, $55,599, is attributable to lobbying expenses for healthcare issues and included in the amount reported on line 1I. 9725329 53525 770990 10549844 9351438 45576 328315 9725329 8074567 412169 864702 9351438 7641973 524276 -91682 8074567 6611029 640814 390130 7641973 0.00000 0.61180 0.38820 false true true 4415108 10141347 14556455 156862573 89630551 67232022 4246198 1966249 2279949 157158467 130074880 27083587 30057661 30057661 141209674 0 SELF INSURANCE CLAIMS PAYABLE 5694950 DUE TO THIRD PARTY PAYOR 31041908 EFT CLEARING 32000 36768858 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS DRISCOLL CHILDREN'S HOSPITAL INDIRECTLY HOLDS ENDOWMENT FUNDS THROUGH THE DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FOUNDATION. THE INTENDED USE OF THESE FUNDS IS TO FURTHER THE DEVELOPMENT FOUNDATION'S MISSION OF PROVIDING SERVICE TO CHILDREN AT DRISCOLL CHILDREN'S HOSPITAL. SCHEDULE D, PART X, LINE 2 THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAX ON UNRELATED BUSINESS INCOME AND FILES UNRELATED BUSINESS INCOME TAX AND OTHER INFORMATION RETURNS AS REQUIRED BY GOVERNMENT AUTHORITIES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET AS OF AUGUST 31, 2018 AND 2017. false Central America and the Caribbean 0 0 Program Services CAPTIVE INSURANCE 435913 0 0 0 0 435913 435913 true false true false false false true true X true X 300. true X true true true false true true 5535713 5535713 0.01900 186599370 171061655 15537715 0.05350 496951 301412 195539 0.00070 192632034 171363067 21268967 0.07320 1450996 1450996 0.00500 7842988 1857612 5985376 0.02060 50133205 50133205 0.17250 59427189 1857612 57569577 0.19810 252059223 173220679 78838544 0.27130 true 2210178 1547125 1526296 1227763 298533 X true true 1 1 Driscoll Children's Hospital 3533 South Alameda Street Corpus Christi TX 78411 driscollchildrens.org 000488 X X X X X DRISCOLL CHILDREN'S HOSPITAL 1 false false true X X X X X X X X X 17 true true false true X WWW.DRISCOLLCHILDRENS.ORG X WWW.COASTALBENDHEALTHFINDER.COM X true 17 true SEE SCHEDULE H, PART V, SECTION C false true X 300. 400. X X X X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SECION C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3e SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY The executive team reviews the community needs identified in the survey and determines which needs can be met by our hospital and our resources. The team considered existing plans and strategies, potential new actions, and which of those actions could make an impact on the community needs. Our final plan resulted from multiple meetings in this fashion. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS FOR CHNA INTERVIEW OF FOCUS GROUPS, INPUT FROM COMMUNITY GROUPS SUCH AS UNITED WAY AND SCHOOL DISTRICTS, SOCIAL SERVICE AND DEMOGRAPHIC DATA FROM THE PATIENT DATABASES OF EACH PARTICIPATING HOSPITAL; STATISTICS FROM GOVERNMENT DATABASES OBTAINED FOR THE ASSESSMENT BY TEXAS A&M UNIVERSITY AT CORPUS CHRISTI. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES CHRISTUS SPOHN HEALTH SYSTEM; CORPUS CHRISTI MEDICAL CENTER SCHEDULE H, PART V, SECTION C, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: www.driscollchildrens.org/wp/wp-content/uploads/2016/07/CHNA-Implementatio n-Strategy-FYEs-2015-2017-approval-signature-March-2014.pdf?ts=15474047931 78 SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED IN CHNA Driscoll Childrens Hospital identified the following needs through the 2016 Community Health Needs Assessment: 1. Some segments of the population have limited access to health care services 2. Some residents, including those with health insurance, use the Emergency Department for primary care 3. Some hospitalizations are preventable 4. Chronic and co-morbid conditions are prevalent 5. Obesity is still a major problem 6. Mental health issues are increasing 7. Many people lack health literacy 8. Respiratory conditions 9. womens health issues 10. Continued collaboration among health care and social service providers The needs described and defined in the assessment are too pervasive for any single hospital to address on its own due to limited resources. Limited resources prevented a comprehensive plan from being developed. Expanding the assessment stakeholders (such as including county health officers) will provide a better opportunity for a comprehensive plan to address this area's health needs. Driscoll has prioritized: (1) Access to health services, (2) Prevention and management of disease and (3) Collaboration. (1) Priority: Access to health Services A. STAR Kids STAR Kids is a comprehensive program for children with disabilities that provides nurses and social workers as care coordinators. These coordinators do extensive in-home assessments of these children and their families to create an individual service plan that could include help in getting a wheelchair ramp built, personal care services, private duty nurses, therapy and durable medical equipment services as well as coordinating doctor appointments. These service coordinators will help families get the services and supports needed so that their children can be in the least restrictive environment through person centered care. B. Urgent Care Driscoll intends to increase access to pediatric urgent care services in its service area. The Emergency Department (ED) is often the first contact many patients have with our hospital. Data suggest there is a high utilization of emergency room and acute care services by low-income pediatric patients who would be the target population for this initiative. Expanding pediatric primary care access and services in our non-emergent care clinics during After Hours is essential to improving overall health care delivery and health outcomes in the region and will help reduce unnecessary ED utilization. Driscoll plans to address these issues by expanding primary care services at Driscolls non-emergent care clinics during after-hours, providing residents an appropriate and convenient alternative source of care to the Emergency Room. When a patients pediatricians office is closed, Driscolls non-emergent care clinics are a low-cost, reliable source of care and an appropriate alternative to the emergency room for patients seeking treatment(s) for a minor illness or injury. C. Neonatal Intensive Care Unit Regionalization Telemedicine Driscoll Childrens Hospital will lead a full service telemedicine implementation with hospitals that have entered into partnership agreements with Driscoll in order to obtain NICU level of designation. The telemedicine services will allow access to pediatric subspecialists, surgical subspecialists and various ancillary services. The services will include provision of consultation, technical support, training and administration support. Driscoll will accept medically appropriate specialty referral appointments that are within Driscolls capability and capacity to safely and effectively treat and will make every effort to utilize telemedicine technology to minimize patient/family healthcare travel. D. Child and Adolescent Psychiatry Driscoll has a desire to improve access to pediatric specialists in the community. Driscoll Childrens has determined that a shortage exists in the community for psychiatric care of pediatric patients. Driscoll plans to add three board certified child and adolescent psychiatrists to the community. This strategy will be evaluated by monitoring the number of clinic visits at the Driscoll psychiatric offices. (2) Priority: Prevention and Management of Disease A. Asthma Management Driscoll Health System has employed Community Health Workers (CHWs) specifically trained in asthma management. These CHWs meet with families of children who have asthma, in their homes to provide guidance in reducing triggers as well as ensuring compliance with asthma medication preventers. B. Oral Health Services Driscoll intends to increase access to pediatric oral health services through the application of fluoride varnish treatments and education during pediatric well-visits. Oral Health services are a highly valuable initiative through the Driscoll service area in terms of cost avoidance, population served, and community benefit and need. In 2011, Medicaid spent $4.6 million at Driscoll Hospital on operating room (OR) and related follow up services to treat children with severe dental caries. Dental cases account for 30% of all OR cases at Driscoll hospital. A large share of these surgical procedures and costs could have been avoided if patients had access to appropriate preventive dental care. These preventative services will help reduce dental caries for children ages five and under. The application is applied to children every six months starting at six months of age until thirty six months of age. C. Solutions for Patient Safety Solution for Patient Safety (SPS) is an International Network of hospitals that implement prevention bundles for hospital acquired condition to reduce harm to patients. De-identified data is submitted monthly to SPS to track and trend our performance in reducing harm. The hospital acquired condition bundles that have or will be implemented are as follows: Central Line Associated Blood Stream Infections, Pressure Injuries, Surgical Site Infections, Continuous Associated Urinary Catheter Infections, Falls, Antimicrobial Stewardship, Readmissions, Adverse Drug Events, Peripheral Intravenous Vascular Infiltration Extravasation, Unplanned Extubations, Ventilator Associated Events and Vascular Thrombus Embolisms. As we implement and measure our compliance we will continue to teach and learn to further reduce harm for our patients. D. Readmission Rates Reduction Driscoll Childrens Hospital has partnered with Solution for Patient Safety (SPS) and Childrens Hospital Association of Texas (CHAT) to look at ways to further reduce our readmission rate. A prevention bundle has been implemented that includes identifying high risk populations, and a plan to help patients adhere to discharge planning. A readmission interview is done with patients and parents to include goal identification. Follow up calls are done within 72 hours for all patients to reinforce discharge instructions to family and patients. (3) PRIORITY: Collaboration A. Reduction in HbA1c Score for Diabetic patients According to the Centers for Disease Control, a total of 23.6 million people, or 7.8% of the population, have diabetes. More than 9% of the population in Nueces County is diagnosed with diabetes, and other Coastal Bend counties have rates of 8.3% to 8.9%. Uncontrolled diabetes can lead to several complications including loss of eye sight, hospitalization, kidney failure, nerve damage and more. A significant volume of patients seen in the Driscoll Diabetes and Endocrinology clinics are Driscoll Healthplan members. The Endocrinology and Diabetes providers and Driscoll Healthplan (DHP) will collaborate on the following initiatives: increase education to DHP community health workers and case managers, review the approval process of glucometer strips available to patients, completing home visits to DHP members, and continuing to assure patients have proper transportation services to clinic visits. Pertinent information obtained during home visits with DHP members will be provided to the Endocrinology and Diabetes clinic providers. B. Childrens Hospital Association of Texas Collaboratives Driscoll has partnered with the Children Hospital Association of Texas (CHAT) on two collaboratives; sepsis and bronchiolitis. The collaboratives span over eighteen months and focus on identifying and treating patients with sepsis and bronchiolitis. The collaboratives will cover three key areas; intervention, education and data collection. Protocols and Pathways will be developed and implemented to help identify and treat children with sepsis and bronchiolitis. The data will be shared with eight Texas hospitals to evaluate and implement methods to improve the care we provide to children with sepsis and bronchiolitis. C. Asthma Coalition Driscoll Childrens Hospital participates in the Healthy South Texas coalition offering support for the asthma population. Healthy South Texas, the pilot program of Healthy Texas, is an effort to reduce the highest impact diseases and their consequences throughout a 27-county region in South Te SCHEDULE H, PART V, SECTION B, LINE 13B PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B &16C THE FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.DRISCOLLCHILDRENS.ORG/PATIENT-SERVICES/CHARITY-CARE SCHEDULE H, PART V, SECTION B, LINE 16J OTHER MEASURES USED TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY THE WEBSITE PROVIDES PHONE NUMBERS FOR INQUIRIES ABOUT CHARITY AND DISCOUNTS. 6 Driscoll Specialty Ctr - Brownsville 5500 N Expressway 77 Brownsville TX 78526 pediatric care Driscoll Medical Plaza - McAllen 1120 E Ridge Road Ste 220 McAllen TX 78503 pediatric care Driscoll Children's Quick Care-Saratoga 5945 Saratoga Blvd Corpus Christi TX 78414 pediatric care Driscoll Specialty Center - Harlingen Medical Arts Paviliion Ste 600 Harlingen TX 78550 pediatric care Driscoll Specialty Center - Laredo 7210 McPherson Suite 104 Laredo TX 78041 pediatric care Driscoll Specialty Center - Victoria 115 Medical Drive ste 201 Victoria TX 779043173 pediatric care SCHEDULE H, PART I, LINE 3A DRISCOLL CHILDREN'S HOSPITAL USES A RANGE OF 0-300% IN DETERMINING WHAT IS THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE. SCHEDULE H, PART I, LINE 7 THE HOSPITAL USED A MODIFIED COST-TO-CHARGE RATIO WHERE APPLICABLE. FOR OTHER PROGRAMS, DIRECTLY ATTRIBUTABLE REVENUE AND EXPENSES WERE USED. SCHEDULE H, PART III, SECTION A, LINE 2 PART III, QUESTIONS: PATIENT ACCOUNTS RECEIVABLE: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHER. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COST METHODOLOGY USED WAS RATIO OF COST TO CHARGES. SCHEDULE H, PART III, SECTION A, LINE 3 PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COST METHODOLOGY USED WAS RATIO OF COST TO CHARGES. THE HOSPITAL SERVES A LARGE AREA THAT INCLUDES SOME OF THE LOWEST INCOME PER CAPITA COUNTIES IN THE UNITED STATES. A RELATIVELY SMALL NUMBER OF PATIENTS DO NOT QUALIFY FOR GOVERNMENT PROGRAMS AS WELL AS BEING UNINSURED OR UNDERINSURED. IF THE PATIENTS DO NOT QUALIFY FOR CHARITY UNDER HOSPITAL POLICY CRITERIA THEN THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 4 The Patient Accounts Receivable Footnote on the attached Financial statements appears on page 9 and describes the organization's bad debt expense. Approximately 70% of our total patient population is Medicaid and Low-Income. SCHEDULE H, PART III, SECTION B, LINE 8 Medicare is cost settled for this hospital and the cost shown were calculated on the Medicare cost report. The Cost methodology is Cost to Charge Ratio. SCHEDULE H, PART III, SECTION C, LINE 9B At any time, a patient may request financial assistance which includes up to 100% of the account balance. ADDITIONAL INFORMATION PERTAINING TO COLLECTION PRACTICES MAY BE FOUND IN THE POLICY. SCHEDULE H, PART VI, LINE 2 The needs described and defined in the assessment are too pervasive for any single hospital to address on its own due to limited resources. These needs include barriers to healthcare access; cultural influences on diabetes and obesity; poverty and poor education among others. Limited resources prevented a comprehensive plan from being developed. Expanding the assessment stakeholders (such as including county health officers) will provide a better opportunity for a comprehensive plan to address this area's health needs. SCHEDULE H, PART VI, LINE 3 Each Patient's family is provided with written material as well as personal instruction as to assistance that is available to them. State employees are on site to expedite the Medicaid enrollment process. Other third parties are engaged to assist patients with enrollment. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL PROVIDES ACCESS AND SERVICES TO CHILDREN WITHIN A 32 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER OF MEXICO. MOST OF THE COUNTIES IN SOUTH TEXAS HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. THE HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED IN THE CITY OF CORPUS CHRISTI, TEXAS AND NUECES COUNTY. DRISCOLL CHILDREN'S HOSPITAL PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT WHICH INCLUDED THE NUECES COUNTY AND SURROUNDING AREAS. THE DEMOGRAPHICS FOR NUECES COUNTY INCLUDES APPROXIMATELY 361,000 PEOPLE OF WHICH TWENTY-FIVE PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND SIXTY-FIVE PERCENT IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME IS $51,882 PER YEAR. APPROXIMATELY FIFTEEN PERCENT OF THE TOTAL NUECES COUNTY POPULATION IS OF POVERTY LEVEL AND EIGHTEEN PERCENT OF THE POPULATION DOES NOT HAVE HEALTH INSURANCE. OTHER COUNTY MARKETS SERVED BY DRISCOLL CHILDREN'S HOSPITAL IN SOUTH TEXAS INCLUDE: WEBB, HIDALGO, CAMERON, STAFF, JIM HOGG, MAVERICK, WILLACY, AND ZAPATA. THE OTHER SERVICES AREAS INCLUDE A TOTAL POPULATION OF OVER 1.5 MILLION WITH THIRTY-FIVE PERCENT UNDER THE AGE OF 18. OVER NINETY PERCENT OF THE POPULATION IN THESE AREAS IS HISPANIC OR LATINO. APPROXIMATELY THIRTY TO THIRTY-FIVE PERCENT LIVE BELOW THE FEDERAL POVERTY LINE. APPROXIMATELY SEVENTY PERCENT OF THE PATIENTS SERVED THROUGHOUT SOUTH TEXAS AT THE DRISCOLL CHILDREN'S HOSPITAL ARE ENROLLED IN A GOVERNMENT PROGRAM. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL SUBSIDIZES PEDIATRIC SPECIALISTS IN ORDER TO PROVIDE THESE SERVICES TO ITS SERVICE AREA. A SUBSTANTIAL AMOUNT OF HOSPITAL RESOURCES ARE USED TO PROVIDE SERVICES TO THE COMMUNITY IN THE FORM OF HEALTH EDUCATION, PREVENTION AND AWARENESS, AND HOSPITAL/CLINIC SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. SCHEDULE H, PART VI, LINE 6 THE HOSPITAL IS AFFILIATED WITH SEVERAL PHYSICIAN ORGANIZATIONS TO PROVIDE SUPPORT FOR PEDIATRICIANS AND PEDIATRIC SPECIALISTS TO SERVE AREAS OF SOUTH TEXAS THAT OTHERWISE WOULD NOT HAVE THESE SERVICES AVAILABLE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS true CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 501(c)(3) 26143080 0 PROGRAM SUPPORT 1 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANTS FUNDS IN THE UNITED STATES THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. X true true X X X X false true false false false false false true false STEVE WOERNER CEO/VICE CHAIR (THRU 4/6/18) 224518 0 316963 0 49351 0 716372 0 24219 0 1331423 0 0 0 ERIC HAMON EXECUTIVE VICE PRESIDENT & CFO 346796 22000 178604 0 47691 0 221473 0 28256 0 822820 22000 0 0 STEPHEN ALMOND MD DIRECTOR 0 820849 0 500 0 24262 0 26750 0 25977 0 898338 0 0 MARY DALE PETERSON MD Pres. & CEO Health Plan 0 302473 0 114983 0 18000 0 121001 0 21872 0 578329 0 0 LEON SMITH-HARRISON MD DIRECTOR 0 511271 0 0 19595 0 23375 0 22121 0 576362 0 0 JEANENE R ANTHONY VP BUSINESS DVLPMNT & PLANNING 190194 0 57219 0 119154 0 36543 0 16691 0 419801 0 0 0 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 196860 0 74497 0 22460 0 87208 0 16866 0 397891 0 0 0 WILLIAM H LARSEN VICE PRESIDENT MED EDUCATION 257626 0 85412 0 7704 0 53939 0 27829 0 432510 0 0 0 KAREN C LONG VICE PRESIDENT & CPCO 255639 0 75937 0 41700 0 45352 0 9900 0 428528 0 0 0 DALE V OBERMUELLER VICE PRESIDENT CPSST 287442 0 89726 0 24676 0 53090 0 19692 0 474626 0 0 0 DONNA M QUINN VICE PRESIDENT OPERAT/QUALITY 251563 0 74624 0 119154 0 48004 0 18087 0 511432 0 0 0 GREGORY A WARD VICE PRESIDENT ADMINISTRATION 236267 0 71722 0 22460 0 42117 0 20103 0 392669 0 0 0 JENNIFER R HENDERSON GENERAL COUNSEL 316703 0 100358 0 63123 0 72950 0 4072 0 557206 0 0 0 TAMMY D WEAVER ASSISTANT VICE PRESIDENT 208764 0 37204 0 20742 0 18625 0 10690 0 296025 0 0 0 PATRICIA L CARR Associate Chief Nurse Exec. 178053 0 32562 0 1210 0 16979 0 18338 0 247142 0 0 0 EDUARDO GOMEZ ASSISTANT VICE PRES. ANALYTICS 180931 0 32163 0 17563 0 16329 0 10919 0 257905 0 0 0 KRISTIN R MILLET SENIOR DIRECTOR HUMAN RESOURCE 157977 0 29468 0 7766 0 17655 0 22204 0 235070 0 0 0 SCHEDULE J, PART I, LINE 1A DUES AND CHARGES ARE PAID FOR DALE OBERMUELLER AND ERIC HAMON. ANY REIMBURSEMENTS FOR PERSONAL EXPENDITURES WERE INCLUDED IN EACH OF THEIR W-2'S. SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN/PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE NONQUALIFIED 457(F) PLAN COVERED THE EXECUTIVE LEADERSHIP TEAM WHICH TOTALED 12 EMPLOYEES DURING 2017. VESTING OCCURS WHEN EMPLOYEES MEET A PRESELECTED DATE THEY CHOOSE AT THE TIME OF ENROLLMENT. The following individuals received taxable distributions from the Plan during 2017. The amounts are included in column (b)(iii) as other compensation. DALE V. OBERMUELLER $89,624 DONNA M. QUINN $22,435 GREGORY A. WARD $50,272 KAREN C. LONG $34,652 SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS CERTAIN EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR DISCRETIONARY INCENTIVE BONUSES DETERMINED THROUGH A REVIEW OF SYSTEM ACCOMPLISHED GOALS. ALL BONUSES REQUIRE BOARD APPROVAL. ADAM S WOERNER SON OF CEO/VICE CHAIR STEVE WOERNER 66189 EMPLOYMENT false MICHELLE RAMIREZ SPOUSE OF DIRECTOR PHILIP RAMIREZ 107188 EMPLOYMENT false FORM 990, PART VI, SECTION A, LINE 1A DELEGATED BOARD AUTHORITY THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE ENTIRE BOARD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE POSITIONS INCLUDE: 1. CHAIR OF THE BOARD 2. PAST CHAIR OF THE BOARD 3. VICE-CHAIR OF THE BOARD 4. STANDING COMMITTEE CHAIRS: -QUALITY AND JOINT CONFERENCE COMMITTEE -COMPENSATION, GOVERNANCE AND NOMINATING COMMITTEE -FINANCE, AUDIT AND CORPORATE COMPLIANCE COMMITTEE -COMMUNICATIONS, DEVELOPMENT AND MARKETING COMMITTEE FORM 990, PART VI, SECTION A, LINE 4 CHANGES TO GOVERNING DOCUMENTS Driscoll Children's Hospital was established to carry out the purposes of the Robert Driscoll and Julia Driscoll and Robert Driscoll, Jr. Foundation. The Foundation was created by the Last Will and Testament of Clara Driscoll and was the sole member of the Hospital. The Foundation was dissolved on August 1, 2018, and all assets of the Foundation were transferred to the Hospital. As a result of the Foundation's dissolution, the Hospital's Bylaws and Articles were amended to remove the Foundation as sole member. The Hospital no longer has any members. FORM 990, PART VI, SECTION A, LINEs 6 and 7 The Hospital's sole member, the Robert Driscoll and Julia Driscoll and Robert Driscoll, Jr. Foundation, dissolved on August 1, 2018. The Hospital no longer has any members. Prior to dissolution the Member had to approve the board member elections. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S INTERNAL FINANCIAL TEAM, THE FINAL REPORT IS EMAILED TO THE GOVERNING BODY BY SENIOR MANAGEMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION HIRES AN EMPLOYEE TO LEAD COMPLIANCE EFFORTS AND REPORT COMPLIANCE ISSUES THAT MAY ARISE. IN ADDITION, THE BOARD COMMITTEE REVIEWS THOSE ISSUES AND REPORTS. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION USES MGMA AND SULLIVAN COTTER PERCENTILES TO SET BASE COMPENSATION AND SKILL LEVELS. IF COMPENSATION LEVELS EXCEED CERTAIN PERCENTILES, A THIRD OUTSIDE CONSULTING FIRM IS USED TO VALUE THE MARKET VALUE FOR SERVICES RENDERED AND FOR GROUP COVERAGE AGREEMENTS. FOR CERTAIN COVERAGE AGREEMENTS, A FOURTH CONSULTING FIRM ASSISTS IN DETERMINING MARKET VALUE. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY WITH THE DELIBERATION AND DECISION DOCUMENTED CONTEMPORANEOUSLY. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CHANGE IN BENEFICIAL INTEREST IN TRUST $ (12,163,000) EQUITY TRANSFERS (NET) $ (2,484,069) RELEASED FROM RESTRICTION $ (80,893) Transfer of Net Assets from FOUNDATION, as a result of dissolution $ 530,685,081 OTHER CHANGES NOT CLASSIFIED AS CONTRIBUTIONS $ 468,246 ------------- $ 516,425,365 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CONTRACTS TOTAL FEES:21438299 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:6098408 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:2307285 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:3119820 DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(c)(3) 3 DCH true DCH DEVELOPMENT FOUNDATION 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742358461 CHARITABLE TX 501(c)(3) 7 DCH true AUXILIARY TO DRISCOLL CHILDRENS HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 741260701 SUPPORT HOSP TX 501(c)(3) 12A-I NA false DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(c)(3) 12A-I DCH true DRISCOLL CHILDREN'S HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(c)(3) 10 DCH true ROBERT BELL PARRISH MEMORIAL TRUST 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 746416039 CHARITABLE TX 501(c)(3) 12A-I DFDN true ROBERT & JULIA & ROBERT JR DRISCOLL FDN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 741170270 CHARITABLE TX 501(c)(3) 12C-III NA false JACK & DORIS SMOTHERS MEDICAL FOUNDATION 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742750622 CHARITABLE TX 501(c)(3) 12A-I DFDN true CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL MATERNAL AND FETAL PHYS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(c)(3) 10 DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085GT WEST BAY ROAD Grand Cayman CJ KY1-1109 980704641 CAPTIVE INS. CJ DCH FOREIGN 7827487 41275988 1.00000 true true true true false false false false false false true false true false false true true true true true CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS a 384402 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS b 26143080 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION c 7371178 ACTUAL DRISCOLL PHYSICIANS GROUP o 227740 ACTUAL DRISCOLL HEALTHCARE SERVICES p 6255570 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS p 5415654 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP q 2510024 ACTUAL DRISCOLL PHYSICIANS GROUP p 5183441 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION q 1334031 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN q 95900000 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION s 1334031 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN s 55900000 ACTUAL ALLEGRA INSURANCE COMPANY r 435913 ACTUAL DRISCOLL PHYSICIANS GROUP a 127889 ACTUAL DRISCOLL VALLEY PHYSICIANS GROUP a 80592 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP a 95967 ACTUAL Robert & Julia and Robert Jr Driscoll Fdn C 6368000 ACTUAL Robert Bell Parish Memorial Trust C 324653 ACTUAL Jack and Doris Smothers Medical Foundation C 64926 ACTUAL