2018-03-14T08:19:04-04:00 2017-04-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2016-05-01 742577746 Driscoll Children's Hospital % GREGORY WARD DRIS 3616946126 3533 South Alameda Corpus Christi TX 78411 ERIC HAMON EXECUTIVE VP AND CFO 7134994600 2018-03-15 true Jana Kirksey P01261744 7134994600 167.68.126.162 76915820180735000005 2018-03-14 P 3C05F97901279AF0647DFC7D8771036E0E35E774 3C05F97901279AF0647DFC7D8771036E0E35E774 2016 2021-01-29 14:40:06Z ERIC HAMON 3533 South Alameda CORPUS CHRISTI TX 78411 405733877 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. 13 12 1942 473 0 0 17052478 19651950 315418135 317644432 11460700 16083884 61280489 45221213 405211802 398601479 26202178 24841988 0 0 125990601 140655068 0 0 1613478 117952613 117706529 270145392 283203585 135066410 115397894 724524848 882508078 92304515 81891647 632220333 800616431 REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENVIRONMENT OF TRUST, COMPASSION, AND CARE. false false 274207331 24841988 317644432 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. 274207331 true true false true false false false false false true true true false false true false false false false false true false false false false false true true true false true false false false false false false false false false false false false false true true true true false true 359 0 true 1942 true false true CJ false false false false false false false false X 13 12 false false false 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 X MURRAY BASS JR DIRECTOR 1.0 0.0 X 0 0 0 JULIE BUCKLEY DIRECTOR 1.0 0.0 X 0 0 0 REBA CARDENAS MCNAIR DIRECTOR 1.0 0.0 X 0 0 0 MIKE CARRELL DIRECTOR 1.0 1.0 X 0 0 0 PAUL CHAPA DIRECTOR 1.0 1.0 X 0 0 0 JIM DEVLIN DIRECTOR 1.0 0.0 X 0 0 0 ROBERT FURGASON DIRECTOR 1.0 3.0 X 0 0 0 LENORA KEAS DIRECTOR 1.0 0.0 X 0 0 0 S LOYD NEAL JR CHAIRMAN 1.0 3.0 X 0 0 0 ESTELA O'DANIEL MD DIRECTOR 1.0 0.0 X 0 0 0 BILL STERETT DIRECTOR 1.0 1.0 X 0 0 0 SAM L SUSSER VICE CHAIRMAN 1.0 4.0 X X 0 0 0 STEVE WOERNER CEO & VICE CHAIRMAN 38.0 3.0 X X 628110 0 528722 D ERIC HAMON EXECUTIVE VICE PRESIDENT & CFO 33.0 12.0 X 423237 22000 287435 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 1.0 41.0 X 214149 0 147989 WILLIAM LARSEN VICE PRES, HUMAN RESOURCES 40.0 1.0 X 335665 0 82921 DALE V OBERMUELLER VICE PRESIDENT CPSST 40.0 4.0 X 371192 0 44421 DONNA M QUINN VICE PRES OPERATIONS 40.0 1.0 X 323093 0 88264 KAREN C LONG VICE PRESIDENT & CPCO 40.0 1.0 X 359725 0 123178 GREGORY A WARD VICE PRESIDENT ADMINISTRATION 40.0 1.0 X 298686 0 58311 JEANENE R ANTHONY VP OF BUSINESS DEV & PLANNING 32.0 0.0 X 226008 0 50400 PATRICIA CARR ASSOCIATE CHIEF NURSE EXEC 40.0 0.0 X 213665 0 37095 JENNIFER R HENDERSON GENERAL COUNSEL 40.0 1.0 X 355479 0 31489 MIGUEL PEREZ III SYSTEM DIRECTOR IS CIO 40.0 0.0 X 212489 0 39726 TAMMY WEAVER ASSISTANT VICE PRESIDENT 40.0 0.0 X 207943 0 28693 4169441 22000 1548644 159 false true false FULTON CONSTRUCTION CORP COASTCON 1102 SECOND ST CORPUS CHRISTI TX 78404 CONSTRUCTION 11117964 UNIVERSITY OF TEXAS MEDICAL BRANCH 201 UNIVERSITY BLVD JOHN SEALY BLD GALVESTON TX 775550591 PHYSICIANS/TEACH/LAB 5964319 SODEXO SERVICES OF TEXAS LP 3033 FIFTH AVE STE 250 SAN DIEGO CA 92103 MANAGEMENT 3321649 PAGE SOUTHERLAND PAGE INC 1100 LOUSINANA SUITE 1 HOUSTON TX 77002 CONSTRUCTION 3237496 GE HEALTHCARE 3615 WILLOWBEND BLVD HOUSTON TX 77054 HEALTHCARE 1991724 75 17703089 1842351 106510 19651950 Net Patient Service Revenue 621110 317644432 317644432 317644432 15712935 15712935 0 0 643692 643692 0 643692 643692 7453908 49439 7132398 321510 49439 370949 370949 0 0 0 0 0 0 0 0 0 Cafeteria and Vending Sales 722320 1050409 1050409 Medical Education 621110 1989833 1989833 Delivery System Reform Incentive Pmts 624410 37496548 37496548 4040731 4040731 44577521 398601479 317644432 61305097 X 24841988 24841988 0 0 0 4323953 4315098 8855 0 101290816 95765223 4700463 825130 6205102 5829248 333768 42086 21708702 20645560 959994 103148 7126495 6755682 321669 49144 1522458 1522458 122529 122319 210 0 0 0 0 32878001 32625161 170597 82243 3046233 2660856 15413 369964 5551755 5384208 67656 99891 6856738 6856703 35 0 5419735 5418078 1657 48254 19753 19402 9099 0 0 0 0 11455697 11451385 4312 6392988 5944875 448113 Bad Debt Expense 7363117 7363117 Medical Supplies 28578772 28578460 116 196 Equipment Rental/Maintenance 6000472 5980333 2503 17636 Administrative 2122045 2072062 49983 347736 54764 291407 1564 283203585 274207331 7382776 1613478 2540852 6188575 9077295 25439212 597935 626676 39050207 36168280 0 0 0 0 13302946 13553771 2016162 1929002 3371803 2756515 320580788 205215970 106027157 115364818 0 0 529351969 661495971 0 0 0 0 19188522 18985258 724524848 882508078 36474378 39198639 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55830137 42693008 92304515 81891647 X 616326113 782887660 2849220 5887771 13045000 11841000 632220333 800616431 724524848 882508078 X 115397894 55464798 1613478 -4080072 X X false false true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 275805 false false false 275805 false SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES 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. 8074567 412169 864702 9351438 7641973 524276 -91682 8074567 6611029 640814 390130 7641973 5840401 385661 384967 6611029 3867634 1344707 628060 5840401 0.61600 0.38400 false true true 10141347 10141347 138331740 82736183 55595557 2158481 1748152 410329 147197619 120731635 26465984 22751601 0 22751601 115364818 VARIOUS LONG TERM INVESTMENTS 661495971 F 661495971 0 Self Insurance Claims Payable 6146247 Due to Third Party Payor 36542242 Other Liabilities 4519 42693008 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 SERVICES TO CHILDREN AT DRISCOLL CHILDREN'S HOSPITAL. false Central America and the Caribbean Investments INVESTMENT true false true false false false true true true X 300. true X true false true true 3179948 3179948 0.01170 177932776 163818711 14114065 0.05190 277032 137390 139642 0.00050 181389756 163956101 17433655 0.06410 1557499 1557499 0.00570 6846092 1989833 4856259 0.01790 41923408 41923408 0.15420 50326999 1989833 48337166 0.17780 231716755 165945934 65770821 0.24190 true 5242874 5242874 930351 1698528 -768177 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 HTTP://WWW.DRISCOLLCHILDRENS.ORG/ X WWW.COASTALBENDHEALTHFINDER.COM X X true 17 false true false true X 300. 400. X X X X X true true X X X true X SEE DISCLOSURE IN SECTION C X SEE DISCLOSURE IN SECTION C X SEE DISCLOSURE IN SECTION C X X X X X X X true X false X X X true X false false 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 B, LINE 7D DRISCOLL CHILDREN'S HOSPITAL WAS ESTABLISHED BY THE WILL OF CLARA DRISCOLL TO PROVIDE HOSPITAL CARE TO CHILDREN WHOSE FAMILIES CANNOT AFFORD TO PAY. THE MISSION AND OPERATIONS OF THE HOSPITAL COMPLY TO THIS DAY WITH THE INTENT OF THE WILL. THE HOSPITAL'S MEDICAL STAFF INCLUDES EMPLOYED PHYSICIANS AS WELL AS PHYSICIANS IN PRIVATE PRACTICE. EXAMPLES OF THE HOSPITAL GIVING INFORMATION TO THE PUBLIC REGARDING COMMUNITY HEALTH ISSUES WERE TELEVISION AND RADIO NEWS STORIES ABOUT H1N1 FLU AND MRSA. THE PUBLIC WAS INFORMED ABOUT SYMPTOMS AND WHAT TO DO IF SOMEONE HAD THESE SYMPTOMS. 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. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS NOT ADDRESSED IN CHNA 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 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 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 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 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 OF THE FINANCIAL STATEMENTS PAGES 8 AND 9 DESCRIBES THE ORGANIZATION'S BAD DEBT EXPENSE. THE ATTACHED FINANCIAL STATEMENTS ARE RELATED TO FY 2016 SINCE THESE ARE THE MOST RECENTLY ISSUED AUDITED FINANCIAL STATEMENTS AND THEREFORE WILL NOT MATCH THE TOTAL BAD DEBT AMOUNTS REPORTED IN THE QUESTIONS ABOVE. 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. 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. SCHEDULE H, PART VI, LINE 2 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 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 SERVES THE CHILDREN OF A 31 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER WITH MEXICO. MOST OF THE COUNTIES IN THIS AREA HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. APPROXIMATELY 70% OF THE HOSPITAL'S PATIENTS 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 78401 742620408 501 (C) (3) 24841988 CHARITABLE 1 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANT 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 X false true false false false false false false false D ERIC HAMON EXECUTIVE VICE PRESIDENT & CFO 262104 22000 129180 0 31953 0 255528 0 31907 0 710672 22000 0 0 STEVE WOERNER CEO & VICE CHAIRMAN 343547 0 236705 0 47858 0 502690 0 26032 0 1156832 0 0 0 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 143110 0 58650 0 12389 0 128394 0 19595 0 362138 0 0 0 WILLIAM LARSEN VICE PRES, HUMAN RESOURCES 259202 0 63525 0 12938 0 53248 0 29673 0 418586 0 0 0 DALE V OBERMUELLER VICE PRESIDENT CPSST 273248 0 68750 0 29194 0 23222 0 21199 0 415613 0 0 0 DONNA M QUINN VICE PRES OPERATIONS 264319 0 58750 0 24 0 68818 0 19446 0 411357 0 0 0 KAREN C LONG VICE PRESIDENT & CPCO 306101 0 53600 0 24 0 112436 0 10742 0 482903 0 0 0 GREGORY A WARD VICE PRESIDENT ADMINISTRATION 231936 0 56350 0 10400 0 36212 0 22099 0 356997 0 0 0 JEANENE R ANTHONY VP OF BUSINESS DEV & PLANNING 182441 0 43567 0 0 0 31948 0 18452 0 276408 0 0 0 PATRICIA CARR ASSOCIATE CHIEF NURSE EXEC 170964 0 26208 0 16493 0 17298 0 19797 0 250760 0 0 0 JENNIFER R HENDERSON GENERAL COUNSEL 270490 0 64541 0 20448 0 27946 0 3543 0 386968 0 0 0 MIGUEL PEREZ III SYSTEM DIRECTOR IS CIO 183531 0 27887 0 1071 0 17810 0 21916 0 252215 0 0 0 TAMMY WEAVER ASSISTANT VICE PRESIDENT 180897 0 25958 0 1088 0 16980 0 11713 0 236636 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: DUES AND CHARGES ARE PAID FOR DALE OBERMUELLER. ANY REIMBURSEMENTS FOR PERSONAL EXPENDITURES WERE INCLUDED IN MR. OBERMUELLER'S FORM W-2. SCHEDULE J, PART I, LINE 4C THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT PAID BY STEVE WOERNER $ 380,579 DRISCOLL CHILDREN'S HOSPITAL D. ERIC HAMON $ 182,009 DRISCOLL CHILDREN'S HOSPITAL MARTHA AVERY $ 82,497 DRISCOLL CHILDREN'S HOSPITAL DONNA M. QUINN $ 21,719 DRISCOLL CHILDREN'S HOSPITAL KAREN C. LONG $ 68,932 DRISCOLL CHILDREN'S HOSPITAL JENNIFER R HENDERSON $ 2,150 DRISCOLL CHILDREN'S HOSPITAL FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS ROBERT DRISCOLL, JULIA DRISCOLL, AND ROBERT DRISCOLL JR. FOUNDATION IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OR STOCKHOLDERS THE MEMBER HAS TO APPROVE THE BOARD MEMBERS 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 PROCESS FOR 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. 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 V, SECTION C, LINES 1A & 2B NUMBER OF EMPLOYEES DRISCOLL CHILDREN'S HOSPITAL REPORTS PAYROLL AND CONTRACTOR REPORTING FOR ALL ENTITIES WITHIN THE DRISCOLL SYSTEM INCLUDING: DRISCOLL CHILDREN'S HEALTH PLAN 74-2838488 ROBERT AND JULIA DRISCOLL FOUNDATION 74-1170270 DRISCOLL HEALTHCARE SERVICES 01-0962276 CHILDRENS PHYSICIAN SERVICES OF SOUTH TX 74-2620408 DRISCOLL PHYSICIANS GROUP 74-2988134 DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP 72-1234461 DRISCOLL VALLEY PHYSICIANS GROUP 20-1234322 DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FDN 74-2358461 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS RELEASED FROM RESTRICTION $ (643,075) TRANSFER FROM AFFILIATES $ (5,000,000) CHANGE IN BENEFICIAL INTEREST IN TRUST $ (1,204,000) INTERCOMPANY SUPPORT $ 2,311,510 OTHER CHANGES NOT CLASSIFIED AS CONTRIBUTIONS $ 455,493 -------------- $ (4,080,072) FORM 990, PART XII, LINE 3B reason why the organization did not undergo the required single audit The organization changed their year end to 8/31/2017. The required single audit was completed for the 8/31 year end instead of the 4/30/2017 year end. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CONTRACTS TOTAL FEES:20880838 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1492431 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2886778 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SVCS TOTAL FEES:7617954 DRISCOLL CHILDRENS HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(c)(3) 9 DCH true ROBERT BELL PARRISH MEMORIAL TRUST 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 746416039 CHARITABLE TX 501(C)(3) 11A DRISCOLL FDN false ROBERT AND JULIA DRISCOLL FOUNDATION 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 741170270 CHARITABLE TX 501(C)(3) 11C NA false JACK AND DORIS SMOTHERS MEDICAL FOUNDATI 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 742750622 CHARITABLE TX 501(C)(3) 11A DRISCOLL FDN false 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 PHYSICIANS G 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(C)(3) 9 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(C)(3) 3 DCH true DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742358461 CHARITABLE TX 501(C)(3) 7 NA false AUXILIARY TO DRISCOLL CHILDREN'S HOSPITA 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 741260701 SUPPORT HOSP TX 501(C)(3) 11A NA false DRISCOLL HEALTHCARE SERVICES 3533 S ALAMEDA ST CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(C)(3) 11A DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085 5TH FLOOR QUEENSGATE HOUSE GRAND CAYMAN CJ 000000000 INSURANCE CJ DCH C CORPORATION 902012 36465481 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 206294 ACTUAL DRISCOLL PHYSICIANS GROUP A 126139 ACTUAL DRISCOLL VALLEY PHYSICIANS GROUP A 193795 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP A 74506 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS B 24841988 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION C 4539089 ACTUAL DRISCOLL PHYSICIANS GROUP O -182745 ACTUAL DRISCOLL HEALTHCARE SERVICES P -5095502 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS P -3870441 ACTUAL DRISCOLL PHYSICIANS GROUP P -4273349 ACTUAL DRISCOLL VALLEY PHYSICIANS GROUP P -592440 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP Q 4207809 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION Q 1486112 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN Q 83500000 ACTUAL ALLEGRA INSURANCE COMPANY R 480405 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION S -1486112 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN S -83500000 ACTUAL