TEXAS CHILDRENS HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: TEXAS CHILDRENS HOSPITAL (EIN 74-1100555)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-14
IRS object ID: 201712269349301706
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-14T12:00:49-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	750 N St Paul	AddressLine1Txt
Address Line2	Suite 850	AddressLine2Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741100555	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TEXA	BusinessNameControlTxt
Phone	8328242982	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6621 FANNIN ST	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WELDON GAGE	PersonNm
Person Title	Executive VP / CFO	PersonTitleTxt
Signature	2017-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2147775200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WELDON GAGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6621 FANNIN ST	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,164,592,805	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TEXASCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	10012	TotalEmployeeCnt
Total Volunteers	1273	TotalVolunteersCnt
Total Gross UBI	$107,079	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$50,727	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$72,555,738	PYContributionsGrantsAmt
CY Contributions Grants	$91,161,189	CYContributionsGrantsAmt
PY Program Service Revenue	$1,710,670,990	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,856,366,438	CYProgramServiceRevenueAmt
PY Investment Income	$35,358,218	PYInvestmentIncomeAmt
CY Investment Income	$22,788,977	CYInvestmentIncomeAmt
PY Other Revenue	$13,131,724	PYOtherRevenueAmt
CY Other Revenue	$13,374,588	CYOtherRevenueAmt
PY Total Revenue	$1,831,716,670	PYTotalRevenueAmt
CY Total Revenue	$1,983,691,192	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,060,571	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,488,064	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$762,940,734	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$868,989,442	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$542,617	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$22,913,528	CYTotalFundraisingExpenseAmt
PY Other Expenses	$900,253,164	PYOtherExpensesAmt
CY Other Expenses	$983,661,455	CYOtherExpensesAmt
PY Total Expenses	$1,667,254,469	PYTotalExpensesAmt
CY Total Expenses	$1,861,681,578	CYTotalExpensesAmt
PY Revenues Less Expenses	$164,462,201	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$122,009,614	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,552,877,552	TotalAssetsBOYAmt
Total Assets EOY	$4,757,433,001	TotalAssetsEOYAmt
Total Liabilities BOY	$1,348,913,711	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,374,429,316	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,203,963,841	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,383,003,685	NetAssetsOrFundBalancesEOYAmt
Mission	TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,639,198,304	ExpenseAmt
Grant	$7,845,638	GrantAmt
Revenue	$1,821,744,010	RevenueAmt
Desc	PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-CARE PEDIATRIC HOSPITAL OPERATING TWO CAMPUSES IN THE HOUSTON AREA, THE LARGEST OF WHICH IS LOCATED IN THE TEXAS MEDICAL CENTER. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, THE HOSPITAL IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS, AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HAS GARNERED WIDESPREAD RECOGNITION FOR ITS EXPERTISE AND BREAKTHROUGHS IN PEDIATRIC AND WOMEN'S HEALTH. THE HOSPITAL INCLUDES THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE; THE FEIGIN CENTER FOR PEDIATRIC RESEARCH; TEXAS CHILDREN'S PAVILION FOR WOMEN, A COMPREHENSIVE OBSTETRICS/GYNECOLOGY HOSPITAL FOCUSING ON HIGH-RISK BIRTHS; TEXAS CHILDREN'S HOSPITAL WEST CAMPUS, A COMMUNITY HOSPITAL IN SUBURBAN WEST HOUSTON; AND TEXAS CHILDREN'S HOSPITAL THE WOODLANDS, A SECOND COMMUNITY HOSPITAL PLANNED TO OPEN IN 2017. THE ORGANIZATION ALSO CREATED THE NATIONS' FIRST HMO FOR CHILDREN, HAS THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE COUNTRY AND A GLOBAL HEALTH PROGRAM THAT'S CHANNELING CARE TO CHILDREN AND WOMEN ALL OVER THE WORLD. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE. TEXAS CHILDREN'S PAVILION FOR WOMEN OFFERS A FULL SPECTRUM GYNELOGICAL AND MATERNAL AND FETAL MEDICINE SERVICES, INCLUDING AN ARRAY OF FETAL DIAGNOSTIC PROCEDURES AND HIGHLY SPECIALIZED FETAL SURGERIES, THREE PRIVATE OB/GYN PRACTICES, THE FAMILY FERTILITY CENTER, THE MENOPAUSE CENTER AND THE WOMEN'S PLACE - CENTER FOR REPRODUCTIVE PSYCHIATRY. DURING THE YEAR THE HOSPITAL OVERALL OPERATED 681 INPATIENT BEDS AND MORE THAN 32 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 1,806 BOARD-CERTIFIED PEDIATRIC SUBSPECIALISTS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS AND DENTISTS AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 9,031. IN 2016, THE PAVILION PERFORMED APPROXIMATELY 6,001 DELIVERIES AND EXCEEDED 168,924 OUTPATIENT CLINIC VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$92,117,374	ExpenseAmt
Grant	$440,898	GrantAmt
Revenue	$23,683,689	RevenueAmt
Desc	RESEARCH: TEXAS CHILDREN'S/BAYLOR RESEARCHERS AT THE FEIGIN CENTER, THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE AND THE CHILDREN'S NUTRITION RESEARCH CENTER ARE CONDUCTING SOME OF THE MOST INNOVATIVE ONGOING RESEARCH IN A VARIETY OF AREAS FROM PEDIATRIC CARDIOLOGY TO INFECTIOUS DISEASES, NUTRITION, VACCINES AND PEDIATRIC NEUROLOGY AND NEUROGENETICS. DURING 2016, TEXAS CHILDREN'S INVESTED IN MORE THAN $92 MILLION IN OVER 2,500 CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S AND WOMEN'S HEALTH ISSUES. IN ADDITION, THE HOSPITAL CONTINUED ITS STRATEGIC FOCUS ON THE GROWTH AND SUCCESS OF ALL TEXAS CHILDREN'S RESEARCH ENDEAVORS THROUGH ENHANCED INFRASTRUCTURE, SUCH AS THE EXPANSION OF THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE WHERE INVESTIGATORS CAN ACCESS CUTTING EDGE IMAGING MODALITIES, SUCH AS TWO-PHOTON MICROSCOPY, AND STATE-OF-THE-ART NEUROPHYSIOLOGY AND BEHAVIORAL SCIENCE CORE RESOURCES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$42,105,463	ExpenseAmt
Grant	$201,528	GrantAmt
Revenue	$10,831,660	RevenueAmt
Desc	EDUCATION: THE HOSPITAL SERVES AS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE (THEIR LONG-TERM ACADEMIC PARTNER). IN ADDITION, THE TEXAS CHILDREN'S PAVILION FOR WOMEN IS ONE OF THE PREMIER PRIVATE TRAINING HOSPITALS FOR BAYLOR COLLEGE OF MEDICINE'S DEPARTMENT OF OBSTETRICS AND GYNECOLOGY. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGHOUT TEXAS CHILDREN'S OPERATIONS, BAYLOR FACULTY INCLUDING SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 71 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, THE HOSPITAL INVESTED MORE THAN $41 MILLION IN THE TRAINING OF OVER 1,201 TRAINEES IN 102 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. BAYLOR AND TEXAS CHILDREN'S HAVE A PROVEN TRACK RECORD RECRUITING TRANSFORMATIVE PHYSICIAN-SCIENTISTS AND ONE OF THE STRONGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. BAYLOR'S PEDIATRIC RESIDENCY PROGRAM IS THE LARGEST TRAINING GROUND FOR PEDIATRICS AND ONE OF THE MOST COMPETITIVE IN THE COUNTRY. MORE THAN 2,000 STUDENTS APPLY EACH YEAR FROM THE TOP MEDICAL SCHOOLS AROUND THE COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,773,421,141	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	764	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10012	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER WILSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8328242972	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1919 BRAESWOOD BLVD	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Weldon Gage
SCHEDULE O	38.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Benjamin Melson
Schedule O	38.0	2.0	Yes (X)	Yes (X)	$2,229,548	$0	$197,033
John R Nickens IV
Schedule O	39.0	1.0	Yes (X)	Yes (X)	$1,014,269	$0	$111,944
Mark A Wallace
Schedule O	36.0	4.0	Yes (X)	Yes (X)	$5,491,659	$0	$45,447
Randy Wright
Schedule O	40.0	0	Yes (X)	Yes (X)	$2,297,790	$0	$40,133
Mark Mullarkey
SCHEDULE O	34.0	6.0	Yes (X)	Yes (X)	$881,785	$0	$98,806
Michelle Riley-Brown
SCHEDULE O	40.0	0	Yes (X)	Yes (X)	$884,293	$0	$74,347
Mary Jo Andre
Schedule O	20.0	20.0	Yes (X)		$896,871	$0	$87,003
Dean B Andropoulos MD
BOARD MEMBER	1.0	1.0	Yes (X)		$215,860	$0	$0
Michael A Belfort MD PhD
BOARD MEMBER	1.0	3.0	Yes (X)		$248,526	$0	$0
George Bisset III MD
Board Member	1.0	39.0	Yes (X)		$0	$938,286	$36,753
Charles D Fraser Jr MD
BOARD MEMBER	1.0	1.0	Yes (X)		$3,034,170	$0	$0
Angelo P Giardino MD PHD
SCHEDULE O	37.0	3.0	Yes (X)		$1,003,372	$0	$93,421
Mark W Kline MD
BOARD MEMBER	1.0	4.0	Yes (X)		$251,362	$0	$0
James Versalovic MD PhD
BOARD MEMBER	1.0	1.0	Yes (X)		$201,268	$0	$0
Dace Reinholds
Assistant Secretary	35.0	5.0		Yes (X)	$228,736	$0	$28,318
Mallory Caldwell
Senior Vice President	39.0	1.0			$1,156,159	$0	$129,585	Yes (X)
Tabitha Rice
Senior Vice President	40.0	0.0			$818,374	$0	$84,911	Yes (X)
Linda Aldred
Senior Vice President	40.0	0.0			$1,082,528	$0	$113,743		Yes (X)
MYRA L DAVIS
SENIOR VICE PRESIDENT	40.0	0			$1,043,728	$0	$109,917		Yes (X)
ROBERT DURDEN
SENIOR VICE PRESIDENT	40.0	0			$1,426,742	$0	$146,511		Yes (X)
John Scales
Senior Vice President	40.0	0			$1,150,656	$0	$42,148		Yes (X)
Kay Tittle
Vice President	6.0	34.0			$1,147,673	$0	$104,194		Yes (X)
LORI ARMSTRONG
Schedule O	40.0	0			$901,874	$0	$23,133			Yes (X)
Susan MacDonald
Schedule O	0.0	0.0			$674,924	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$28,282,167	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$938,286	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,567,347	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1465	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
BAYLOR COLLEGE OF MEDICINE
1 BAYLOR PLAZA	HOUSTON	TX	77030	PHYSCN & FACULTY SVC	$44,867,066
COMFORCE TECHNICAL SERVICES INC
PO BOX 9695	UNIONDALE	NY	115559695	STAFFING SERVICES	$23,721,922
BRIGGS AND CALDWELL LP
9801 Westheimer Road	HOUSTON	TX	77042	ADVERTISING	$8,368,551	Suite 701
MICROSOFT CORPORATION
1950 N STEMMONS FWY SUITE 5010	DALLAS	TX	75207	IT SOLUTIONS	$7,366,003
BAYLOR MIRACA GENETICS LABORATORIES LLC
PO BOX 847228	DALLAS	TX	752847228	LAB SERVICES	$5,994,414

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	223	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$2,033,566	FundraisingAmt
Related Organizations	$713,815	RelatedOrganizationsAmt
Government Grants	$13,424,202	GovernmentGrantsAmt
All Other Contributions	$74,989,606	AllOtherContributionsAmt
Noncash Contributions	$12,716,416	NoncashContributionsAmt
Total Contributions	$91,161,189	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622310	$1,754,211,419	$1,754,211,419
1115 WAIVER UNCOMPENSATED CARE POOL	622310	$35,724,710	$35,724,710
INDIGENT CARE PROGRAM	622310	$24,269,331	$24,269,331
MANAGEMENT SERVICES	541611	$13,418,965	$13,311,886	$107,079
PROGRAM SUPPORT - BAYLOR	622310	$7,982,115	$7,982,115

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,759,898	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,759,898	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,856,366,438	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,569,707	TotalRevenueColumnAmt
Exclusion	$25,569,707	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$388,566	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$79,194	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$309,372	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$309,372	TotalRevenueColumnAmt
Exclusion	$309,372	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$174,006,338	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$667,101	SecuritiesAmt
Other	$176,119,967	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$667,101	SecuritiesAmt
Other	-$2,113,629	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,780,730	TotalRevenueColumnAmt
Exclusion	-$2,780,730	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$282,225	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,033,566	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,050,092	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$767,867	TotalRevenueColumnAmt
Exclusion	-$767,867	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$6,517,002	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,985,259	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,531,743	TotalRevenueColumnAmt
Exclusion	$3,531,743	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PARKING GARAGE REVENUE	Desc
Business	812930	BusinessCd
Total Revenue Column	$10,301,340	TotalRevenueColumnAmt
Exclusion	$10,301,340	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,301,340	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,983,691,192	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,856,259,359	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$107,079	UnrelatedBusinessRevenueAmt
Exclusion	$36,163,565	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,026,839	TotalAmt
Program Services	$8,026,839	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$461,225	TotalAmt
Program Services	$461,225	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,461,270	TotalAmt
Program Services	$1,241,892	ProgramServicesAmt
Management And General	$12,219,378	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$685,492	TotalAmt
Management And General	$685,492	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$693,913,782	TotalAmt
Program Services	$673,252,005	ProgramServicesAmt
Management And General	$13,603,814	ManagementAndGeneralAmt
Fundraising	$7,057,963	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,476,552	TotalAmt
Program Services	$30,461,836	ProgramServicesAmt
Management And General	$646,694	ManagementAndGeneralAmt
Fundraising	$368,022	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$78,702,617	TotalAmt
Program Services	$74,535,841	ProgramServicesAmt
Management And General	$3,404,064	ManagementAndGeneralAmt
Fundraising	$762,712	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$50,749,729	TotalAmt
Program Services	$46,423,487	ProgramServicesAmt
Management And General	$3,840,996	ManagementAndGeneralAmt
Fundraising	$485,246	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,245,463	TotalAmt
Management And General	$3,245,463	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$687,789	TotalAmt
Management And General	$687,789	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$260,379	TotalAmt
Program Services	$260,379	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$542,617	TotalAmt
Fundraising	$542,617	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$339,608,100	TotalAmt
Program Services	$335,840,606	ProgramServicesAmt
Management And General	$3,160,630	ManagementAndGeneralAmt
Fundraising	$606,864	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,525,900	TotalAmt
Program Services	$10,215,403	ProgramServicesAmt
Management And General	$2,949,327	ManagementAndGeneralAmt
Fundraising	$10,361,170	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,744,225	TotalAmt
Program Services	$43,504,612	ProgramServicesAmt
Management And General	$956,981	ManagementAndGeneralAmt
Fundraising	$282,632	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$35,053,810	TotalAmt
Program Services	$30,030,926	ProgramServicesAmt
Management And General	$4,899,755	ManagementAndGeneralAmt
Fundraising	$123,129	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$46,354,294	TotalAmt
Program Services	$45,297,269	ProgramServicesAmt
Management And General	$771,938	ManagementAndGeneralAmt
Fundraising	$285,087	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,637,903	TotalAmt
Program Services	$4,479,470	ProgramServicesAmt
Management And General	$125,216	ManagementAndGeneralAmt
Fundraising	$33,217	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,407,905	TotalAmt
Program Services	$3,268,106	ProgramServicesAmt
Management And General	$111,594	ManagementAndGeneralAmt
Fundraising	$28,205	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,553,598	TotalAmt
Program Services	$17,387,990	ProgramServicesAmt
Management And General	$5,930,794	ManagementAndGeneralAmt
Fundraising	$234,814	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$117,979,156	TotalAmt
Program Services	$113,417,470	ProgramServicesAmt
Management And General	$3,154,549	ManagementAndGeneralAmt
Fundraising	$1,407,137	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,018,929	TotalAmt
Program Services	$5,751,857	ProgramServicesAmt
Management And General	$196,245	ManagementAndGeneralAmt
Fundraising	$70,827	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHARMACEUTICAL SUPPLIES	$92,989,549	$92,989,549
MEDICAL/SURGICAL SUPPLIES	$65,175,370	$65,175,370
BAD DEBT	$60,400,251	$60,400,251
ENHANCED MISSION SUPPORT	$37,750,600	$37,750,600

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,268,234	TotalAmt
Program Services	$73,248,158	ProgramServicesAmt
Management And General	$4,756,190	ManagementAndGeneralAmt
Fundraising	$263,886	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,861,681,578	TotalAmt
Program Services	$1,773,421,141	ProgramServicesAmt
Management And General	$65,346,909	ManagementAndGeneralAmt
Fundraising	$22,913,528	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$94,910,614	BOYAmt
EOY	$50,839,052	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,081,412	BOYAmt
EOY	$54,861,509	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$215,211,221	BOYAmt
EOY	$254,075,795	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,219,046	BOYAmt
EOY	$14,537,131	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,620,848	BOYAmt
EOY	$24,917,749	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,059,371,758	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,136,755,162	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,544,349,660	BOYAmt
EOY	$1,922,616,596	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$348,136,506	BOYAmt
EOY	$145,185,342	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$249,851	BOYAmt
EOY	$249,851	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$75,103,385	BOYAmt
EOY	$76,348,074	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,188,995,009	BOYAmt
EOY	$2,213,801,902	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,552,877,552	BOYAmt
EOY	$4,757,433,001	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$221,721,275	BOYAmt
EOY	$247,827,045	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,878,746	BOYAmt
EOY	$4,931,115	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$979,052,928	BOYAmt
EOY	$966,285,505	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$37,077,681	BOYAmt
EOY	$18,331,184	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,183,081	BOYAmt
EOY	$137,054,467	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,348,913,711	BOYAmt
EOY	$1,374,429,316	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,898,226,991	BOYAmt
EOY	$3,037,318,285	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$173,905,379	BOYAmt
EOY	$205,748,064	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$131,831,471	BOYAmt
EOY	$139,937,336	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,203,963,841	BOYAmt
EOY	$3,383,003,685	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,552,877,552	BOYAmt
EOY	$4,757,433,001	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$122,009,614	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,391,296	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$15,819	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$53,654,753	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$95,094	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$239,944	OtherActivitiesAmt
Total Lobbying Expenditures	$335,038	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

TEXAS CHILDREN'S HOSPITAL (TCH) MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT THAT ADVOCATES FOR PUBLIC POLICY AT THE LOCAL, STATE, AND FEDERAL LEVEL. TCH SUPPORTS POLICIES THAT PROMOTE THE HEALTH OF CHILDREN AND WOMEN, BUILD HIGH QUALITY PEDIATRIC AND WOMEN'S HEALTHCARE SYSTEMS, AND ADVOCATE FOR HEALTH COVERAGE FOR CHILDREN AND WOMEN. IN ADDITION TO ADVOCACY, THE GOVERNMENT RELATIONS DEPARTMENT PROVIDES EDUCATION ON THE UNIQUE NEEDS OF PEDIATRIC AND WOMEN'S HEALTHCARE PATIENTS AND FAMILIES. TEXAS CHILDREN'S HOSPITAL PAID DUES TO THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) AND TEXAS HOSPITAL ASSOCIATION (THA), OF WHICH A PORTION WAS ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,831,471	BeginningYearBalanceAmt
Contributions	$3,651,064	ContributionsAmt
Investment Earnings Or Losses	$10,445,580	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,990,779	AdministrativeExpensesAmt
End Year Balance	$139,937,336	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$132,134,564	BeginningYearBalanceAmt
Contributions	$7,810,864	ContributionsAmt
Investment Earnings Or Losses	-$2,104,397	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,009,560	AdministrativeExpensesAmt
End Year Balance	$131,831,471	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,015,298	BeginningYearBalanceAmt
Contributions	$2,864,009	ContributionsAmt
Investment Earnings Or Losses	$13,573,470	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,318,213	AdministrativeExpensesAmt
End Year Balance	$132,134,564	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$107,923,175	BeginningYearBalanceAmt
Contributions	$8,132,196	ContributionsAmt
Investment Earnings Or Losses	$7,433,131	InvestmentEarningsOrLossesAmt
Administrative Expenses	$2,473,204	AdministrativeExpensesAmt
End Year Balance	$121,015,298	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,840,090	BeginningYearBalanceAmt
Contributions	$369,439	ContributionsAmt
Investment Earnings Or Losses	$16,967,384	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,253,738	AdministrativeExpensesAmt
End Year Balance	$107,923,175	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.97	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,528,360	OtherCostOrOtherBasisAmt
Book Value	$131,528,360	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,133,374,913	OtherCostOrOtherBasisAmt
Depreciation	$270,969,594	DepreciationAmt
Book Value	$862,405,319	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,426,370	OtherCostOrOtherBasisAmt
Depreciation	$24,534,777	DepreciationAmt
Book Value	$8,891,593	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,361,337,787	OtherCostOrOtherBasisAmt
Depreciation	$822,371,340	DepreciationAmt
Book Value	$538,966,447	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$399,704,328	OtherCostOrOtherBasisAmt
Depreciation	$18,879,451	DepreciationAmt
Book Value	$380,824,877	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,922,616,596	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION	$2,102,561,360
TCH INSURANCE COMPANY REBATE RECEIVABLE	$50,865,451
BOND ISSUANCE COSTS	$6,673,007
MISC RECEIVABLES	$22,243,999
1115 WAIVER RECEIVABLE	$30,103,890
DUE FROM AFFILIATES	$1,354,195

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,213,801,902	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$53,957,651
DEFERRED COMPENSATION	$10,361,872
RETIREMENT PLAN LIABILITY	$72,191,132
OTHER LONG TERM LIABILITY	$543,812

Field	Value	IRS element (for citing)
Total Liability	$137,054,467	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	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.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AS OF SEPTEMBER 30, 2016 OR 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program Services	SELF-INSURANCE	$66,200
Sub-Saharan Africa	Program Services	Health care services	$949,511

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,015,711	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,015,711	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
INFOGROUP INC
200 Pemberwick Road	GREENWICH	CT	06830	DIRECT MAIL	false	$423,740	-$423,740
BENTZ WHALEY FLESSNER & ASSOCIATES INC
7251 Ohms Lane	MINNEAPOLIS	MN	55439	ANALYTIC SERVICES	false	$80,777	-$80,777
CAPACITY MARKETING FOR CHARITIES CORPORATION
1261 Hurricane Road	KEENE	NY	12942	WILL PREPARATION	false	$25,000	-$25,000
TARRYN LANKFORD
9713 PINE LAKE DRIVE	HOUSTON	TX	77055	EVENT COORDINATION	false	$9,000	-$9,000

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$538,517	TotalRetainedByContractorsAmt
Total Net To Organization	-$538,517	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AN EVENING WITH A TEXAS LEGEND	Event1Nm
Gross Receipts Event1	$797,333	GrossReceiptsEvent1Amt
Charitable Contri Event1	$713,118	CharitableContriEvent1Amt
Gross Revenue Event1	$84,215	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$390,069	OtherDirectExpensesEvent1Amt
Event2	BAD PANTS GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$577,818	GrossReceiptsEvent2Amt
Charitable Contri Event2	$486,568	CharitableContriEvent2Amt
Gross Revenue Event2	$91,250	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$159,644	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$940,639	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$833,879	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$106,760	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$500,379	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,315,790	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,033,565	CharitableContributionsTotAmt
Gross Revenue Total Events	$282,225	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$1,050,092	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,050,092	DirectExpenseSummaryEventsAmt
Net Income Summary	-$767,867	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,700,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,246	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,633,154	NetCommunityBenefitExpnsAmt
Total Expense	0.0098	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$744,337,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$648,722,852	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,615,071	NetCommunityBenefitExpnsAmt
Total Expense	0.0531	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,830,678	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,375,296	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,455,382	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$810,869,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$692,165,394	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,703,607	NetCommunityBenefitExpnsAmt
Total Expense	0.0659	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,652,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,805,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,847,185	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,141,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,201,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,939,692	NetCommunityBenefitExpnsAmt
Total Expense	0.0216	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,321,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,725,138	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,596,669	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,947,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,681,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,265,852	NetCommunityBenefitExpnsAmt
Total Expense	0.0346	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,067,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$401,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,666,287	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$163,130,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,814,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,315,686	NetCommunityBenefitExpnsAmt
Total Expense	0.0696	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$973,999,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$729,979,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,019,293	NetCommunityBenefitExpnsAmt
Total Expense	0.1355	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$405,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$402,119	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$237,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$237,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$925,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$922,119	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,898,190	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,265,572	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,031,415	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$765,843	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6621 FANNIN STREET	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TEXASCHILDRENS.ORG	WebsiteAddressTxt
State License	000117	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://web.texaschildrens.org/multimedia/flipbook/community-health-needs/index.html	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.texaschildrens.org/sites/default/files/FinancialAssistancePolicyandProcedure_05_30_17.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.texaschildrens.org/sites/default/files/FinancialAssistancePolicyandProcedure_05_30_17.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	(SEE PART VI)	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Texas Children's Hospital. In the summer of fiscal year 2016, Texas Children's Hospital (Hospital) conducted a Community Health Needs Assessment (CHNA) using a collaborative research team consisting of members from the departments of Community Benefits, Public Health Pediatrics and Baylor College of Medicine. In preparation for conducting the 2016 CHNA, the research team reviewed and updated the comprehensive list of data indicators, key stakeholders and community service organizations developed from the 2013 report. The CHNA team then presented study findings to the Hospital's Community Benefits Workgroup (CBW) to vet the data and refine information to create informed recommendations on how the organization could proceed in addressing some of these needs over the next few years. Throughout the ten-week data collection period, the research team met weekly to discuss the progress and data findings, and to refine the list of stakeholders to be interviewed and included in the final report. Community representatives who participated in interviews also provided suggestions for additional data sources and subject matter experts. Researchers and staff from all three entities worked together to gather both the primary and secondary data used for this assessment. The Hospital serves an international population; however, in order to accomplish an adequate in-depth study, the scope of the needs assessment was limited to the geographic area immediately surrounding the Hospital and its local affiliates: Harris County and the seven bordering counties (Brazoria, Galveston, Fort Bend, Waller, Montgomery, Liberty and Chambers). The term "Greater Houston" is used to reference this eight-county region. As not all data were available at the county level, geographic locations are noted within indicators. In addition to the vast array of epidemiological data previously collected by federal, state and local institutions, qualitative research was conducted with key community stakeholders from a variety of professional backgrounds and areas of expertise, including elected officials, academicians, educators, law enforcement officials and community and faith-based organization leaders. Key informants included, but were not limited to, individuals from Fort Bend County Division of Behavioral Health Services, Harris County Protective Services for Children and Adults and Epiphany Community Outreach Services. A full list of key informants can be found in Appendix B of the CHNA. Thirty-one key participants were contacted by the Hospital's research team. In-person or telephone interviews were conducted by trained staff at locations convenient for the interview participants and lasted approximately 60 minutes. The interview guide and additional questions can be found in Appendix C of the CHNA. Community experts were asked to list and prioritize the most pressing needs of the community with whom they were most familiar. The top three to five priority areas were then discussed individually in more detail. Qualitative data were compiled and key themes that emerged across interviews were identified. All of the emergent themes fit within the three general categories (access to care, service and partnership outreach, and advocacy) and in the four healthcare topics (women's health, mental and preventive health, foster care and social determinants of health) identified by the team as a priority. Many of the themes were crosscutting and were discussed in the interviews in combination (e.g., mental health was discussed on its own as well as in relation to other chronic conditions, community violence and health behaviors); each interview was coded to ensure the overlapping themes were illustrated in the narrative.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Texas Children's Hospital. Facility Name: Texas Children's Hospital, Community Benefits Description: Texas Children's Hospital, located in Houston, Texas, is a not-for-profit organization whose mission is to create a healthier future for children and women throughout our global community by leading in patient care, education and research. Consistently ranked among the top children's hospitals in the nation, the organization has added two community hospitals in West Houston and The Woodlands and a Pavilion for Women's Health. Texas Children's, the consolidated group, is comprised of several entities including the Hospital as well as Texas Children's Health Plan (TCHP) and Texas Children's Pediatrics (TCP). All affiliated entities were created to fulfill the Hospital's mission and serve patient families throughout the greater Houston area and beyond. Facility Name: Public Health Pediatrics, Baylor College of Medicine Description: Launched in October 2015, the Public Health Pediatrics section has two components - child abuse pediatrics and the Center for the Study of Childhood Adversity and Resilience Education (CARE). Both components work together to engage the community around perceived risk factors and improve the trajectory for children of abuse and neglect. In conjunction with child abuse pediatrics, the main focus of CARE is community-level research to identify, promote and implement strategies to prevent adverse childhood experiences such as poverty, violence, inequality, homelessness, and lack of mental health, education and nutrition. Facility Name: Baylor College of Medicine Description: Baylor College of Medicine is a health sciences university that creates knowledge and applies science and discoveries to further education, healthcare and community service locally and globally. The school, located in the middle of the world's largest medical center (Texas Medical Center), is part owner of Baylor St. Luke's Medical Center, part of the CHI St. Luke's Health system, and has hospital affiliations with: Harris Health System, Texas Children's Hospital, The University of Texas MD Anderson Cancer Center, Memorial Hermann - The Institute for Rehabilitation and Research, Menninger Clinic, the Michael E. DeBakey Veterans Affairs Medical Center and Children's Hospital of San Antonio. The medical school has been consistently considered in the top tier of programs in the country.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Texas Children's Hospital. TEXAS CHILDREN'S 2017-19 COMMUNITY BENEFIT IMPLEMENTATION PLAN The Community Benefit Implementation Plan seeks to demonstrate a thoughtful selection of community investment strategies that address the significant health needs impacting children and women identified in the CHNA. This implementation plan was developed by the Hospital's Community Benefit Workgroup (CBW) and reviewed and endorsed by the Board of Trustees. The plan includes an update of the progress made on the 2014-16 Implementation Plan as well as incorporate some of the recommendations presented to the workgroup from the 2016 CHNA such as those listed below: Access to Care and Advocacy - Maternal Morbidity and Mortality According to the recent findings published in the September 2016 issue of Obstetrics and Gynecology, the estimated maternal mortality rate (per 100,000 live births) for 48 states and Washington, DC, increased by 26.6% - from 18.8 in 2000 to 23.8 in 2014. In Texas, the rate of maternal death increased dramatically from 18.6 per 100,000 in 2010 to 33 deaths per 100,000 in 2014 (Marian F. MacDorman, September 2016). Texas Children's Hospital's Pavilion for Women (PFW) and Baylor College of Medicine's department of Obstetrics and Gynecology has exceptional women's health expertise, and the organization should increase research and care efforts to prevent maternal deaths and improve maternal care. * Leverage our leadership role and participation in Texas' Maternal Mortality and Morbidity Taskforce and disseminate the key findings of the Department of State Health Services' study on Maternal Mortality to targeted elected officials, community advocates and leaders to better inform them about the current health status and health risks of women of child-bearing age. * Engage elected officials and health agency leadership in Austin in the development of research studies on access to women's preventive health services and improved birth outcomes. In addition, continue to urge legislators to invest in family planning, cancer screenings, postpartum care, and other preventive health services for women. Access to Care - Postpartum Care The Pavilion for Women, The Women's Place, has provided a novel approach through Medicaid Waiver dollars to focus on postpartum depression (PPD) screenings for pregnant women enrolled in Medicaid and CHIP. To date, over 4,600 pregnant women have been screened and provided counseling and medication through The Women's Place using Medicaid delivery reform incentive payments. * The Hospital should continue to expand screening of new mothers for PPD during the initial well-baby exam at TCP sites. * To complement additional screenings, capacity to services must be built. The Hospital should continue to pursue a telemedicine model for mental health consults and/or offer group therapy sessions in community clinics or service organizations for mothers who have been diagnosed with PPD to expand access to these services in the community. Access to Care and Outreach - Increase knowledge for children in foster care and gender and sexual identity models of care. * In 2015, 30,427 children were placed in foster care in Texas. Over 4,000 of these children live in the eight- county region we examined for this assessment. In qualitative studies, Lesbian, Gay, Bi-sexual, Transgender, and Questioning (LGBTQ) youth in foster care have reported harassment by peers in child welfare settings, discomfort or rejection among foster parents and agency staff, and a lack of services to meet their specific developmental or health care needs. (Andrew Burwick, 2014) * The Hospital should offer continuing medical education for providers on the unique healthcare needs of foster children and LGBTQ children. * At least twice a year, the Hospital's providers should offer education forums throughout our geographic service areas to interested community stakeholders and families on these topics, especially for school health providers and counselors, parent-teacher organizations, and small nonprofits that serve these families. * The Hospital should continue to examine best practices from other hospitals and nonprofits in foster care, screening and referrals to social and community services, and sexual orientation and gender identity care. Access to Care and Service Outreach - Mental Health and Social Services Screenings Three quarters of Texas counties are mental health professional shortage areas. (CodeRedTexas.org 2015) In order to reach children in need of mental healthcare, the greater Houston community continues to examine ways to identify high-need behavioral and mental health patients and those who may benefit from less acute but clinically beneficial mental care services. Identifying and creating referral paths to link families with social and community services is seen as a key strategy to improving overall community health and preventing more serious health complications and inappropriate use of health services. * The Hospital should consider adopting a singular screening tool to be used across our system to identify social and medical needs of our families. Using data analytics, work to develop community-based strategies to address these needs. Seek external funding to support these efforts. * The Hospital's health professionals and administrators should collaborate with other nonprofits to create education forums and materials that inform the larger community about cultural and social barriers to accessing mental health services, the importance of vaccines, and ways to improve communication and information on disease conditions. * The Hospital should consider offering mental health screenings and therapy services within our mobile clinics or through partnering schools with licensed mental health professionals such as social workers or psychologists. These services would include basic screenings for Adverse Childhood Experiences and referrals to community providers or other mental health resources such as mobile-behavioral health treatment interactive tools like those offered by the Harris Center for Mental Health and IDD (Intellectual Development and Disability). Advocacy - Champion and improve maternal and child healthcare programs Over 3.2 million children in Texas are covered by CHIP and Medicaid programs. Half of all births are supported through Medicaid. * The Hospital should continue advocating to improve access to care and increase funding for healthcare and dental care in Medicaid and CHIP at the state capitol and Washington, DC. * The Hospital should continue to collaborate with other national, state, and local advocacy organizations such as the March of Dimes, the Children's Hospital Association of Texas, the Texas Medical Association, the Texas Nurses Association, Texas Pediatric Society, and the American Academy of Pediatrics in urging policymakers to extend Medicaid coverage for new mothers after childbirth with a special focus on postpartum depression screening and treatment. Outreach - Expand the level of community health partnerships By monitoring health indicators and health status of key populations, community leaders have the opportunity to harness expertise from various sectors to address identified health needs and create a collective community impact. * The Hospital should enhance its participation in community health initiatives with community service organizations, local businesses, chambers of commerce and schools, especially those efforts that address social determinants of health such as nutrition, food insecurity, physical activity, parenting skills, etc. This new level of partnership would elevate overall community awareness and engagement regarding these issues and would begin to align the various community sectors' approaches to regional health care needs. COMMUNITY BENEFIT HEALTH NEED CHALLENGES The Affordable Care Act requires hospitals to provide an explanation of why any identified health needs are not being addressed. In our assessment findings, two specific health services were identified as being severely inadequate for both the pediatric and female populations in our community. These services were mental and oral health (as they relate to women and children).
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Texas Children's Hospital. The Hospital annually places a notice of its financial assistance policy in the legal section of a widely read local paper, The Houston Chronicle, as well as in the Spanish version of this paper, La Voz. Additionally, a notice of the financial assistance policy is posted in the Hospital's emergency rooms, waiting rooms and admissions offices.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - Texas Children's Hospital. The maximum amounts billed to FAP-eligible individuals for emergency or medically necessary care is 45% of charges. In accordance with the look-back method under 501(r), this is less than amounts historically charged and paid by the combination of Medicaid fee-for-service and all private health insurers.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Vannie Cook Children's Cancer and Hematology Clinic
101 W Expressway 83	McAllen	TX	78503	COMMUNITY BASED OUTPATIENT / DIAGNOSTIC CLINIC
Texas Children's Hospital Pavilion for Women - Obstetrics & Gynecology
9003 Broadway St	Pearland	TX	77584	Community Based Outpatient / Diagnostic Clinic
Mobile Clinics
8080 N Stadium Drive	Houston	TX	77054	Community Based Mobile Clinics
Texas Children's Specialty Care - Upper Kirby
3023 Kirby Dr Suite 201	Houston	TX	77098	Community Based Outpatient / Diagnostic Clinic

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 State filing of community benefit report	Additional information: The Hospital files the Annual Statement of Community Benefits Standard (ASCBS), the State of Texas' community benefit reporting for not-for-profit hospitals. For the fiscal year ended September 30, 2016, the Hospital reported approximately $277,126,253 as the total annual charity and community benefit in its ASCBS. Differences between Schedule H and the ASCBS are stated below. The resulting difference of $(33,100) between the ASCBS and the amounts recorded in Part I line 7 are due primarily to varying reporting requirements as outlined below (in $1000's): ASCBS includes bad debt expense in the patient care RCC. Additionally, the ASCBS RCC is calculated using 2015 financial information. (21,295) ASCBS includes financial assistance provided to community by related organizations (3,615) ASCBS includes the unreimbursed cost of community building activities (5,841) ASCBS includes the unreimbursed cost of Medicare and Champus (2,350) Total variance between Part I line 7 and ASCBS (33,100)
Schedule H, Part VI, Line 5 Promotion of Community Health	(continued) c. Texas Children's Hospital West Campus serves one of the fastest growing pediatric populations in the country. As the population grows, so has this community hospital. To meet the needs of these diverse neighborhoods, the Hospital continues to look at its patients and engage community-based organizations and leaders to determine what programs, services and initiatives may make the most impact in west Houston. More than 400,000 patients have taken advantage of the Texas Children's brand of quality pediatric care provided through West Campus since it opened its doors in 2010. The campus provides families access to 22 subspecialty outpatient clinics and comprehensive therapy services, which includes speech, occupational and physical therapy. The Hospital has 62 inpatient beds, which includes a 16 bed pediatric intensive care unit and is the only 24/7 dedicated pediatric emergency center in the west Houston area. In October 2017, West Campus will be expanding the pediatric intensive care unit from 16 to 24 beds to continue to meet the needs of the community. In addition, a 28,500 square foot, state-of-the-art sports medicine clinic was built. As part of our long-term vision to care for children with the most serious and complex medical conditions, the Hospital built an eight-bed Special Isolation Unit at West Campus, the first of its kind in the southwest and one of only a few in the U.S. Designed specifically for children with highly contagious infectious diseases, such as Ebola, avian influenza, SARS and MERS, the unit allows the expert team to provide care to patients who are infected with communicable diseases in a state-of-the-art, safe environment. The unit incorporates all of the latest technology to care for a patient with a contagious disease, including a Biosafety Level III Laboratory, negative pressure airflow and isolated air handling. An elite team of physicians, nurses, technicians and support staff receives extensive ongoing training to provide the safest possible care for patients and caregivers alike. The Special Isolation Unit opened in fall of 2015. d. In August 2013, TCHP opened The Center for Children and Women, an entirely new and innovative patient and family-centered medical home for TCHP members. Designed to address the shortage of primary medical care for the Medicaid and CHIP populations, this 50,000 square foot facility in Houston's Greenspoint area (an underserved area of town) offers a one-stop shop for member families, including primary pediatric and obstetric care, pediatric optometry and dentistry and onsite imaging, speech therapy, lab and pharmacy. The Center is designed to meet the needs of the community by creating access, with extended evening and weekend hours for families. Thanks to the success of this initiative, a new Center for Children and Women opened in Southwest Houston within another underserved area of town in November 2014. e. The Jan and Dan Duncan Neurological Research Institute (NRI) at Texas Children's Hospital is 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. The NRI includes more than 400,000 square feet of advanced research and office space, including a new laboratory floor, a customized nuclear MRI suite and additional vivarium space. f. At Texas Children's, we believe in providing women, mothers and babies quality health care at every important stage of their lives. We call this new model family-centered care. Texas Children's Pavilion for Women brings together obstetricians, gynecologists, oncologists, surgeons, geneticists and nurses from the Hospital and our academic partner, Baylor College of Medicine, to accomplish this purpose. With high-risk births on the rise nationally, our renowned experts and specialists focus on furthering obstetrical research. We also provide advanced treatment, including level IV neonatal intensive care units to give premature and sick babies more extensive support and care. The Hospital was the first hospital to receive designation from the State of Texas as a level IV NICU, one of only a few verified under the new regulations. g. The Feigin Center is the Hospital's central hub for pediatric research. The Hospital is an internationally recognized leader in pediatric research and continues to be a leading recipient of pediatric grant funding through the National Institutes of Health (NIH). With total external and internal funding of more than $157 million annually, researchers conduct more than 1,000 clinical, basic science and translational research projects to identify groundbreaking treatments and cures for childhood diseases.
Schedule H, Part V, Section B, Line 11 Addressing significant needs in CHNA	(continued) According to our 2016 CHNA findings: Oral Health - despite increases in insurance enrollment, there is still a high percentage of children living in Greater Houston without dental coverage. In general, these children often lack a medical home. * Data from Medicaid.gov for 2014 on lack of dental coverage of children in our region did not show any change to this percentage - 27.3%; yet, the absence of pediatric access to basic dental health services was mentioned as a new topic in interviews of stakeholders for the 2016 CHNA. * Oral health is an important component of overall health and well-being. The Hospital's academic partner, Baylor College of Medicine, does not house a dental school. Fortunately, the University of Texas School of Dentistry is expanding its partnerships to complement care provided in the community by pediatric and adult medical providers. However, funding constraints, dental provider workforce shortages and clinic site limitations, especially for the uninsured and enrollees in government health programs, has limited the roll-out of these collaborations. * The Orthodontic Clinic at Texas Children's Hospital treats children who have congenital craniofacial anomalies and/or cleft palates. Children with special problems may be treated by a full range of orthodontic services. Minor orthodontic treatment is also available. Patients must be referred by the Craniofacial/Plastic Surgery team from within the Hospital. The Hospital also provides comprehensive dental services to patients with complex medical conditions. These children with complex dental needs or extensive problems are treated through various inpatient or outpatient means including our well-equipped operating rooms. Mental Health - Three quarters of Texas counties are mental health professional shortage areas. (CodeRedTexas.org 2015). * The Hospital does not have dedicated pediatric beds for psychiatric care. The organization does provide behavioral and mental health testing and assessment and counseling in our outpatient areas for some behavioral health diagnosis. Our licensed professional counselor social workers offer limited counseling to patients and families in coordination with care delivered by the clinical care teams throughout the hospital. Other significant community collaborations exist with Texas Children's subsidiaries. In 2013, TCHP opened The Center for Children and Women at Greenspoint and a second Center in 2014 in southwest Houston. These Centers provide comprehensive pediatric and adult health care including medical, dental care, vision and behavioral health services for Medicaid and CHIP health plan members.
Schedule H, Part V, Section B, Line 16c FAP Plain Language Summary	http://www.texaschildrens.org/patients-and-visitors/insurance-and-billing-assistance/financial-arrangements
Schedule H, Part I, Line 7g Subsidized Health Services	The Hospital has included five hospital-based outpatient clinical services (The Autism Center, Renal Outpatient Services, Special Needs Primary Care Clinic, The Center for Childhood Obesity and Mental Health Services- includes pediatric and maternal services) and three stand-alone clinics (the Mobile Clinic Outreach Program, Pediatric Dentistry and the Vannie E. Cook Jr. Children's Cancer and Hematology Clinic) as subsidized health services in Part I, Line 7g. Gross expenses of $17,321,807, offsetting revenue of $7,725,138 and net expenses of $9,596,669 are included in that line. The stand-alone clinics include gross expenses of $8,615,140, offsetting revenue of $4,911,598 and net expenses of $3,703,542 in line 7g. 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. The Texas Children's Autism Center provides diagnostic services for children suspected of having an Autism Spectrum Disorder. This is a multidisciplinary center comprised of developmental pediatricians, psychologists and psychiatrists who work collaboratively to provide a comprehensive diagnostic evaluation. The service partners with our Meyer Center for Developmental Pediatrics which provides follow-up care as needed and houses a social work team to help families obtain resources not provided at the Hospital. The Autism Center and The Meyer Center for Developmental Pediatrics are housed in the same location and see just over 4,000 patients annually. Renal Outpatient Services - Services started in 1980 in response to community needs for chronic hemodialysis for children. Approximately 80 chronic patients are seen annually by pediatric nephrologists and undergo dialysis treatment at the hospital or at home in order to improve their health outcomes while maintaining a child's normalcy of school and activities with friends. In addition to chronic end stage renal dialysis patients, approximately 3,500 patients are treated in pheresis and renal clinics. The Special Needs Primary Care Clinic provides a medical home, case management and social services for children with very complex underlying medical conditions. These patients have difficulty finding a general pediatrician to oversee their care and tend to utilize emergency rooms and subspecialists for routine care. The Center for Childhood Obesity was developed to provide comprehensive help to the community and providers in caring for patients with weight management challenges, obesity (children with a body mass index above the 95th percentile) and associated co-morbidities. Programs include: * The Program for Healthy Bodies: a comprehensive evaluation of medical and psychosocial issues as well as an assessment of lifestyle leads to an individualized plan for each patient. This plan may include subspecialty care. The goal for every family is additional weight management services close to home between visits to the Center. Over 80% of the children seen are severely obese. * On the Weigh: a 10-week group programs for elementary school age children and their parents are offered at the CyFair Health Center in the late afternoon. * The Weigh of Life Program: a 15-week program that serves individual children and addresses behavior change for weight control as well as emotions and self-esteem. * Kamp K'aana: a two-week residential camp program for children 10 to 14 years of age who are struggling with obesity, supported in part through fundraising efforts of volunteers from the Hospital. Sites expanded from Camp Cho-yeh to YMCA Camp Cullen in 2013. * The Saturday Wellness Program: quarterly sessions offered on Saturday mornings to teach children six to 16 years of age about healthy lifestyles and nutrition. Supported by the Texas Department of State Health Services. The Psychiatry Service serves patients with a wide variety of psychiatric conditions often which are comorbid. 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 the Hospital. The Service sees nearly 6,000 patients annually. The Psychology Service serves patients with varying degrees of assessment and treatment needs. Services include neuropsychological testing, cognitive assessments, diagnostic assessments for behavioral or developmental concerns, treatment in the areas of pre-school and school age disruptive behavior, anxiety and mood disorders, complex ADHD, etc. The Service works closely with other services within Texas Children's Hospital, both inpatient and outpatient, in helping patients adjust to and manage complicated or serious medical diagnoses. The Service sees over 7,000 patients annually. Mobile Clinic Outreach Program -The Hospital's mobile clinics partner with underserved schools in the city and travel to low-income neighborhoods to provide free health care to children and adolescents ages zero to 18 who do not have insurance. As part of its goal to build a community of healthy children, the Hospital operates mobile clinics to provide trusted, high-quality medical services to children who normally might not have the opportunity to receive health care. Pediatric Dentistry Services - Community based dentists are generally not equipped to treat dental patients with special needs that often require treatment in the operating room or heavy sedation. The Pediatric Dental Clinic at Texas Children's Hospital (Dental Clinic) was developed to care for these children. The Dental Clinic is primarily focused on patients with cardiac issues, cancer, neurologic disorders and other medical issues. Approximately 80% of the patients seen in the Dental Clinic are insured through Medicaid. In 2016, the Dental Clinic treated approximately 3,500 patients which included 1,600 operating room cases. Additionally, the Pediatric Orthodontic Clinic at Texas Children's Hospital (Orthodontic Clinic) treats children who have congenital anomalies and/or cleft palates in conjunction with the Plastic Surgery department. In 2016, the Orthodontic Clinic treated approximately 3,400 patients with about 46% insured through Medicaid. The Vannie E. Cook Jr. Children's Cancer and Hematology Clinic (Vannie Cook Clinic) is located in McAllen, Texas and is a joint effort between the Vannie E. Cook Jr. Cancer Foundation, Baylor College of Medicine and Texas Children's Cancer and Hematology Centers. The Vannie Cook Clinic offers treatment to children along the Mexico border in South Texas who suffer from cancer and blood disorders. It is the only comprehensive pediatric cancer treatment facility in South Texas. Many of these patients previously would have traveled to San Antonio or Houston for their treatment, a hardship physically, emotionally and financially for them and their families. It is a comprehensive care facility offering diagnostic and cancer treatment services, cancer genetic counseling and a long-term survivorship program which follows childhood cancer survivors through adulthood. Most of the patients (89%) are from low-income, uninsured or underinsured families. Every year, the clinic staff sees approximately 1,500 patients and of these patients, approximately 700 are newly diagnosed.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	60400251
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	For Part 1, Line 7, Texas Children's Hospital (Hospital) applied the ratio of patient care costs (RCC) to charges derived from Worksheet 2 to the charges the Hospital forgave pursuant to the financial assistance policy (line 7a), Medicaid charges (line 7b), other means-tested charges (line 7c) 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 each subsidized health service, the Hospital used the RCC for cost report line 90.00 Outpatient Clinics where the subsidized health service cost centers reside and applied it to the respective gross patient charges to calculate community benefit expense. The exception to the above is Renal Outpatient Services. Costs incurred for Renal Outpatient Services reside in multiple cost centers and multiple cost report lines. The RCC for the related cost report line where the actual gross patient charges were recorded was used to calculate community benefit expense for Renal Outpatient Services. For each subsidized stand-alone clinic, the Hospital calculated a specific ratio of patient care costs to charges using the same method prescribed in worksheet 2 and applied it to the respective clinics' gross patient charges to calculate community benefit expenses. For Part 1, Line 7, the Hospital applied indirect cost ratios from the 2016 Medicaid cost report to direct program expense to determine total community benefit expense related to community health improvement services and community benefit operations (line 7e), non-GME health professional education programs (line 7f) and in-kind contributions (line 7i). The indirect cost ratios computed from the 2016 Medicaid cost report are both comprehensive and a good proxy of the associated overhead costs. For Part 1, Line 7f, the Hospital included the direct and indirect expense from the 2016 Medicaid cost report for state accredited and nationally accredited Graduate Medical Education (GME) programs. For Part 1, Line 7h, the Hospital included the direct and indirect expense from the 2016 Medicaid cost report for research. No industry-sponsored research activities are included in line 7h.
Schedule H, Part II Community Building Activities	The Hospital's community building activities promote the health of the communities served and supports organizations focused on the root causes of health problems (e.g., poverty and homelessness) and vulnerable populations (e.g., children with special healthcare needs). Community Support (Line 3) Net Community Building Expense CAMP FOR ALL FOUNDATION $100,000 GREATER HOUSTON COMMUNITY FOUNDATION $5,000 YELLOWSTONE ACADEMY $3,000 TOTAL $108,000 Coalition Building (Line 6) Net Community Building Expense COALITION TO PROTECT AMERICAS HEALTHCARE $50,000 CHILDRENS HOSPITAL OF ORANGE COUNTY $25,000 HOUSTON AREA WOMENS CENTER $15,000 OPHEART $5,000 TOTAL $95,000 Community Health Improvement Advocacy Activities (Line 7) Net Community Building Expense MARCH OF DIMES $75,000 AIDS FOUNDATION HOUSTON $50,000 CHILD ADVOCATES INC $50,000 UNITED WAY $40,000 BEYOND BATTEN DISEASE FOUNDATION $25,000 MENTAL HEALTH AMERICA $25,000 AMERICAN HEART ASSOCIATION $20,000 EPILEPSY FOUNDATION $15,000 DOCTORS FOR CHANGE $12,000 CHILDRENS BRAIN TUMOR FOUNDATION $10,000 MENNINGER CLINIC $10,000 NATIONAL MS SOCIETY $10,000 THE CENTER FOUNDATION $10,000 TEXAS PEDIATRIC SOCIETY $7,500 AMERICAN LIVER FOUNDATION $5,000 BROOKWOOD COMMUNITY $5,000 CROHN'S & COLITIS FOUNDATION $5,000 EASTWOOD HEALTH CENTER $5,000 GRANT A STARR $5,000 TEXAS PARENT TO PARENT $5,000 THE LIVINGBANK $5,000 HEMOPHILIA FOUNDATION $2,500 HOPE AND HEALING CENTER $2,500 GI KAMP K'AANA $2,619 TOTAL $402,119 Workforce development (line 8) Net Community Benefit Expenses TEXAS A&M FOUNDATION $45,000 GENESYS WORKS HOUSTON $25,000 UNIVERSITY OF TEXAS NURSING $10,000 TOTAL $80,000 Other (Line 9) Net Community Benefit Expenses RONALD MCDONALD HOUSE $100,000 EASTER SEALS GREATER HOUSTON INC $50,000 HOUSTON FIRST CORPORATION $30,000 CHILDRENS MUSEUM OF HOUSTON $25,000 YMCA OF GREATER HOUSTON (HOUSTON CHARITABLE) $15,000 GIRL SCOUTS OF SAN JACINTO COUNCIL $5,000 GREATER HOUSTON COMMUNITY FOUNDATION $5,000 OTHER $7,000 TOTAL $237,000
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense represents the difference between the standard rates (or the discounted rates negotiated or provided by policy) and the amounts expected to be collected after all reasonable collection efforts have been exhausted. Costing methodology to determine bad debt expense at cost utilizes the same RCC identified on worksheet 2. Bad debt expense is calculated as the charges written off (at full established rate) multiplied by the RCC.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Bad debt attributable to patients eligible under financial assistance policy The Hospital does not contend that any portion of patient charges written off to bad debt expense (at cost) is attributable to the organization's financial assistance policy (FAP) or should be considered a community benefit. Robust screening processes are used in determining FAP-eligibility and financial assistance amounts are not expected to result in cash flows. All uncollected charges attributable to patients eligible under the organization's FAP are included in line 7a (at cost).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Footnote describing accounts receivables and allowance for doubtful accounts (page 16 of audited financial statements): Patient receivables and related allowances for contractual adjustments and doubtful accounts are recorded on an accrual basis and at net realizable value in the consolidated balance sheets. The allowance for doubtful accounts is recorded based primarily on the aging of patient receivables and historical collection experience by major payor group. Texas Children's regularly reviews revenue source data about these major payor groups in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, Texas Children's analyzes contractually due amounts and provides contractual allowances. Self-pay patient receivables include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill. For self-pay patient receivables, Texas Children's records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The allowance for doubtful accounts represents the difference between the standard rates (or the discounted rates negotiated or provided by the policy) and the amounts expected to be collected after all reasonable collection efforts have been exhausted.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The sources used to determine the amount reported as Medicare Allowable Costs on Part III, line 6 was the Hospital's 2016 Medicare Cost Report and supporting workpapers. Substantial shortfalls typically arise from payments that are less than the cost to provide the care or services and do not include any amounts relating to inefficient or poor management. The Hospital accepts Medicare patients seeking pediatric or women's health services, as reflected on the year-end Medicare Cost Report, with the knowledge that there may be shortfalls. IRS Revenue Ruling 69-545, which established the community benefit standards for nonprofit hospitals, implies that treating Medicare patients is a community benefit and states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Patients who have qualified for financial assistance which receive discounted care will be responsible for payment of any applicable hospital charges at a reduced rate. If the patient does not pay the amount and fails to renegotiate a payment plan (if applicable), the uncollected balance will be considered bad debt. The Hospital may use reasonable efforts to collect bad debt which include but are not limited to: telephone calls, email and couriered written correspondence. The Hospital does not engage in extraordinary actions to force collections on patient accounts.
Schedule H, Part V, Section B, Line 16a FAP website	- TEXAS CHILDREN'S HOSPITAL: Line 16a URL: http://www.texaschildrens.org/sites/default/files/FinancialAssistancePolicyandProcedure_05_30_17.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TEXAS CHILDREN'S HOSPITAL: Line 16b URL: http://www.texaschildrens.org/sites/default/files/FinancialAssistancePolicyandProcedure_05_30_17.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TEXAS CHILDREN'S HOSPITAL: Line 16c URL: (SEE PART VI);
Schedule H, Part VI, Line 2 Needs assessment	In addition to the CHNA, Texas Children's Hospital has a Community Benefits department whose structure and purpose includes engaging with internal and external partners in the development of community partnerships, identifying new programs and funding opportunities and reporting community benefit programs' progress, outcomes and evaluation. The Community Benefits programs are guided by six priority areas: 1) Access to Appropriate Care and Health Coverage; 2) Education and Research; 3) Disease and Injury Prevention; 4) Management of Chronic Diseases; 5) Community Health Partnerships and Collaborations; and 6) Women's Health. A Community Benefits Workgroup, comprised of physician and administrative leaders from across Texas Children's system, works in collaboration with the Community Benefits department. The workgroup is charged with determining how best to address identified community needs that would fall under these health pillars. Members/Leaders provide critical guidance to the Community Benefits department in the Hospital's supported programs created to address existing community health needs and how best to measure program success and continued support or expansion of these efforts to other areas of the community.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	All patients who receive services at the Hospital or their families are notified of their rights and responsibilities and the availability of government or hospital sponsored programs if financial assistance is needed. * Information is provided during inpatient and outpatient registration where materials are always available in both English and Spanish. * Notices of the Hospital's financial assistance program are posted in public waiting and registration areas, including Admissions, Emergency Center, outpatient clinics and other prominent areas. A variety of language services are available upon request. * The Hospital's Financial Assistance Policy, Financial Assistance Application and a plain language summary of the Financial Assistance Policy are posted on Texas Children's Hospital's 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. * The Hospital annually publishes a summary of its financial assistance policy in the local major newspapers. * Financial counselors are available to determine eligibility for government and/or hospital-sponsored financial assistance. Financial counselors receive training on eligibility requirements for financial assistance and government programs. * State Out-stationed Eligibility Workers (OEW) are on-site to support the government-sponsored assistance program application process. * Referrals for charity consideration may originate with the scheduling, pre-service, customer service departments, 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 Emergency Center to discuss eligibility for government programs like Medicaid, CHIP, CSHCN and charity assistance.
Schedule H, Part VI, Line 4 Community information	Given the services provided to patients from around the world, the Hospital has defined its community as local, national and international. In regards to its CHNA, the Hospital chose to focus on addressing local needs. For more in depth information for each county in the Hospital's primary service area in addition to five vulnerable neighborhoods highlighted, please refer to the Hospital's CHNA online: http://web.texaschildrens.org/multimedia/flipbook/community-health-needs/index.html Locally, the following cities and counties are the Hospital's primary and secondary service areas: Harris, Houston, Brazoria, Alvin, Chambers, Baytown, Fort Bend, Sugar Land, Galveston, Liberty, Dayton, Montgomery, The Woodlands, Waller and Brookshire. The U.S. Department of Health and Human Services Health Resources and Service Administration (HRSA) defines Medically Underserved Areas (MUAs) as the following: May be a whole county or a group of contiguous counties, a group of county or civil divisions or a group of urban census tracts in which residents have a shortage of personal health services. HRSA defines Medically Underserved Populations (MUPs) as the following: May include groups of persons who face economic, cultural or linguistic barriers to health care. In Harris County alone, HRSA has identified 24 Medically Underserved Areas and Medically Underserved Populations (MUA/Ps) stated as the following: Pov/Span-Speaking/Immigrant Population- Southwest Houston (MUP); Harris Service Area (MUA); East Central Houston (MUA); Ripley Service Area (MUA); South Central Harris County (MUA); Casa De Amigos Service Area (MUA); Baytown Service Area (MUA); Galena Park/ Jacinto City Service Area (MUA); Low Income- Alief Service Area (MUP); Acres Home Service Area (MUA); Settegast Service Area (MUA); Independence Heights Service Area (MUA); Trinity Gardens Service Area (MUA); Aldine (MUA); North Central (MUA); South Service Area (MUA); Northeast Central Service Area (MUA); Central Harris (MUA); West Pasadena (MUA); Low Income- Spring Branch (MUP); Southern Third Ward Service Area (MUA); North Forest Service Area (MUA); Low Income- Northwest Harris (MUP); Governor's Low Income- Southwest Harris (MUP). The Hospital's other service area MUAs include the following: Brazoria County:- Three MUAs (Brazoria, Alvin and South Service Area); Chambers County-One MUA (Chambers Service Area); Fort Bend County- One MUA (Fort Bend Service Area): Galveston County- Three MUAs (Two in the Galveston Service Area and Bayshore); Liberty County- One MUA (Liberty Service Area); Montgomery County- Two MUAs (Montgomery Service Area and East Montgomery); and Walker County- One MUA (Walker Service Area). Understanding the demographics of our state and our region is important to planning a thoughtful Community Benefit program with lasting impact. Consider the following facts: I. The Census Bureau reported that between 2010 and 2015 the state of Texas increased by a greater number of people than any other state in the nation, adding 2.3 million residents. II. Harris County's population increased by approximately 11% between 2010 and 2015, while Houston added nearly half a million people, which is more than the growth of New York City and Chicago combined. III. In 2014 there were 73.6 million children in the U.S. with 1 in 10 living in Texas. Of those over seventy million children in Texas, almost 2 in 10 lived in Harris County. IV. The largest county is Harris, with a population of 4,092,459. The surrounding counties and respective populations include: Fort Bend, 583,375; Montgomery, 455,746; Brazoria, 313,166; Galveston, 291,309; Liberty, 75,643; and Chambers, 35,096. V. Over 3 million children in Texas are covered by Medicaid and Children's Health Insurance Program. While these statistics underscore the tremendous growth and diversity of the greater Houston area and its surrounding counties, a closer review of social, economic, environmental and health indicators is essential in assisting the Hospital's CBW in the support and development of community collaborations and programs relevant to current needs. As the City's evolving population places further demands on the traditional health care system, it will be critical to identify and execute innovative, effective and collaborative programs or solutions to maintain the health and well-being of our community, particularly for our children.
Schedule H, Part VI, Line 5 Promotion of community health	As a leader in pediatrics and women's health, the Hospital continues its mission to serve the community through preeminent research, education and patient care. This ongoing commitment ensures the health and well-being of the youngest and most vulnerable members of the community, whether they reside in nearby neighborhoods or on the other side of the world. In addition to the information supplied in other sections of this document, the following are examples of the Hospital's ongoing commitment to the community it serves: 1) Texas Children's Board of Trustees is composed of representatives who reside in the greater Houston community and are not employees of the hospital. Many Trustees are business and civic leaders who are active in other local charitable organizations. 2) The Hospital extends medical staff privileges to all qualified non-hospital-based physicians from the community. Privileges are granted in accordance with medical staff bylaws. 3) Emphasizing its world-class expertise in highly specialized fields, the Hospital operates Centers of Excellence in oncology, cardiology and neonatology. Ranked fourth among all children's hospitals nationally by U.S. News & World Report in 2016, Texas Children's Hospital is the only children's hospital in Texas to receive the prestigious Honor Roll designation. The Hospital ranks in the top five in six subspecialties. As a national leader among pediatric institutions, the Hospital has multidisciplinary expertise in some of the most complex medical challenges facing children today. 4) As part of its responsiveness to the community, the Hospital operates and supports several advisory committees, comprised of community members and patient families. These groups consult with Hospital representatives on a wide range of topics designed to increase the quality of care and services provided. 5) The Hospital invests its operating margin in capital projects and programmatic initiatives focused on improving patient care, medical education and research. 6) The Hospital served as a training center for nursing students, supporting approximately 1,400 candidates in 2016. Although these trainees are not obligated to remain at the Hospital upon certification, they gain valuable knowledge for their careers in pediatrics. 7) Texas Children's Medical Legal Partnership (MLP) promotes the health of vulnerable, low-income populations by addressing legal needs that affect patient health. In fiscal year 2016, there were a total of 132 consultations. The MLP brings together lawyers, doctors and social workers when a legal situation is required. A staff attorney and volunteers provide free legal advice to patients and families on a variety of legal matters including improving housing conditions, obtaining guardianships for adult children or unrelated caregivers and securing public school accommodations for children with disabilities. 8) The Simulation Center at Texas Children's Hospital provides Pediatric Simulation Training for Emergency Pre-hospital Providers (Pedi-STEPPs) to members of the Houston Fire Department (HFD). A grant from the Cullen Trust for Healthcare, as well as a commitment from the Hospital, allowed this innovative training to be offered free of charge to the City for 500 firefighters over a two-year period. In fiscal year 2016, 293 individuals participated in this training. The training course incorporates multimedia, technical skills training and communication/team skills training through participation in high-fidelity simulation scenarios. February 26, 2016, marked the first day of implementing newly revised scenarios with the continuation of each high-fidelity simulation followed by a facilitated video-reviewed debriefing session where participants reflect on and learn from their performance. 9) The Hospital's 24/7 transport service, the Kangaroo Crew, comprises a fixed-wing aircraft and ground ambulance medical service providing coordinated patient assessment, necessary intervention and safe, rapid transport of critically ill or injured patients. All transport service personnel are specially trained in pediatric/neonatal transport medicine and safety in accordance with Federal Aviation Administration (FAA) and Texas Department of State Health Services guidelines. 10) The transport service team is a member of the Pediatric Disaster Coalition (Coalition), a planning group that consists of subject matter experts from freestanding 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 including Child Health Care Association (CHCA), Children's Hospital Association (CHA), Association of Air Medical Services (AAMS) and American Academy of Pediatrics (AAP) Section on Transport Medicine. 11) At Texas Children's Hospital, we are committed not only to providing the best possible care, but also to expanding that care-reaching out to more children and families and providing more specialized services where they are most needed. The Hospital is committed to creating a healthier future for children and women throughout our global community by leading in patient care, education and research: a. We have learned that one of the things families need and value the most is quality medical care that is convenient and close to home. That is exactly what patients and families will have when Texas Children's Hospital The Woodlands opens its doors in 2017. This pediatric hospital will increase access to pediatric subspecialty care within the following services: cancer, cardiology, neurology, orthopedics, diabetes and endocrinology, urology, sports medicine, gastroenterology and nutrition, plastic surgery, otolaryngology, allergy and immunology, dermatology, adolescent medicine and physical rehabilitation. Hospital facilities will include 24 emergency center rooms, 74 outpatient rooms, five radiology rooms, four operating rooms and 30 acute care beds at opening with plans allowing for expansion up to 200 beds. Along with serving families throughout The Woodlands area, the Hospital anticipates serving families throughout Greater North Houston including Montgomery, Walker, Grimes, Liberty, Harris, Polk, San Jacinto and Hardin counties. b. In 2015, a $350 million expansion began on the Hospital's main campus to add 19 stories on top of an existing building, adding 640,000 square feet and resulting in a 25-floor tower. Slated for completion in 2018, the new Legacy Tower will help the Hospital meet the increasing demand for the highly-specialized, critical and medically-complex pediatric care that few hospitals in the country can provide. It will also enhance patient care by giving caregivers and families in critical and progressive care areas much-needed additional space. The tower will house a 130-bed intensive care unit, new operating rooms with the latest technology and a cardiovascular intensive care unit. The roof features a helipad to transport critically ill patients to the Hospital. A renovation and expansion of the Hospital's existing Emergency Center will begin after the new tower is complete.
Schedule H, Part VI, Line 6 Affiliated health care system	The Hospital is affiliated with Texas Children's Pediatrics (TCP, EIN 76-0460242) in promoting health care in the community served. TCP is one of the nation's largest pediatric primary care networks. With 51 practices throughout the greater Houston area, TCP pediatricians serve approximately 25 percent of Houston's children, helping treat and prevent illnesses. Seven TCP practices, identified as the Community Cares Program, are located in medically underserved neighborhoods and provide consistent care for little or no cost to more than 26,000 children who otherwise would seek services from emergency rooms or go without care. In addition to providing high quality, affordable primary care, each Community Cares practice is uniquely designed to meet the needs of the diverse communities they serve. Using the medical home model of care, we provide: wrap-around services that eliminate logistical, cultural and social barriers to access care; counseling and educational services with emphasis on risk behaviors; on-site social workers and specialists who provide assistance signing up for Medicaid/CHIP or other ACA providers; partnerships with local dentists, pharmacies and other services to ensure comprehensive affordable health care is provided; extra support and guidance for parents to promote total health and well-being of children. In addition to providing care to children in our community during normal business hours, TCP through its subsidiary, Texas Children's Urgent Care (TCUC, EIN 47-2029489), provides urgent care when kids get sick at night or on the weekends. In 2016, there were six TCUC sites around the greater Houston area, with plans to add two more in 2017. These sites provide families with convenient access to care when it is needed most, and saves them time and money from seeking out inappropriate use of emergency center care. The Texas Children's Main Campus emergency center percentage of low acuity patients decreased from 39.1% in 2015 to 33.3% in 2016. Additionally, patients around 60,000 hours going to urgent care versus the emergency center. Texas Children's Health Plan (TCHP, EIN 76-048264) is the largest and most frequently selected provider of Children's Medicaid/CHIP coverage in the region. TCHP was founded in 1996 by Texas Children's Hospital making it the nation's first health maintenance organization (HMO) created just for children. Through a contractor role with the Texas Health and Human Services Commission (HHSC), Texas Children's Health Plan provides STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens and children in Houston and surrounding areas. Starting in November 2016, Texas Children's Health Plan also provides STAR Kids to children and young adults under the age of 21 with disabilities. As of September 2016, the Health Plan has over 410,000 members and is expected to grow beyond 440,000 members during 2017 due to the STAR Kids contract. The staff and network of over 2,000 primary care physicians, 5,100 specialists and 136 hospitals that provide acute care and inpatient and outpatient behavioral health and substance abuse treatment are committed to providing excellent service and patient care to TCHP members. The Hospital is Baylor College of Medicine's primary pediatric training hospital, with one of the largest pediatric residency programs in the country. The hospital's medical staff consists of more than 1,700 board-certified, primary care physicians, pediatric subspecialists and pediatric-surgical subspecialists. Together, the Hospital and Baylor College of Medicine represent one of the most active and best funded pediatric research programs in the country. Baylor College of Medicine investigators at the Hospital are conducting innovative research in nearly every pediatric subspecialty with the goal of quickly translating discoveries into breakthrough treatments for children everywhere.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (71 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AIDS FOUNDATION HOUSTON
3202 WESLAYAN ANNEX	HOUSTON	TX	77027	760073661	501(C)(3)	$50,000	SUPPORT NON-PROFIT HEALTHCARE ORG
ALBERT B SABIN VACCINE INSTITUTE INC
2000 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20006	061389829	501(C)(3)	$50,000	SUPPORT NON-PROFIT HEALTHCARE ORG	SUITE 7100
AMERICAN HEART ASSOCIATION
10060 BUFFALO SPEEDWAY	HOUSTON	TX	77054	135613797	501(C)(3)	$70,000	SUPPORT NON-PROFIT HEALTHCARE ORG
AMERICAN LIVER FOUNDATION
39 BROADWAY SUITE 2700	NEW YORK	NY	10006	362883000	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
ANTI-DEFAMATION LEAGUE
605 THIRD AVENUE	NEW YORK	NY	101583560	131818723	501(C)(3)	$13,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
ASSOCIATION OF FUNDRAISING PROFESSIONALS
4300 WILSON BOULEVARD SUITE 300	ARLINGTON	VA	222034167	943011524	501(C)(3)	$8,000	SUPPORT NON-PROFIT MISSION
BEYOND BATTEN DISEASE FOUNDATION
3300 DUVAL ROAD SUITE 110	AUSTIN	TX	78759	263223661	501(C)(3)	$25,000	SUPPORT NON-PROFIT HEALTHCARE ORG
BLUE BIRD CIRCLE
615 WEST ALABAMA	HOUSTON	TX	77055	741405134	501(C)(3)	$15,000	SUPPORT PEDIATRIC HEALTHCARE ORG
CAMP FOR ALL FOUNDATION
10500 NW FREEWAY	HOUSTON	TX	77092	760404267	501(C)(3)	$100,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CANDLELIGHTERS CHILDHOOD CANCER FAMILY
8990 SPANISH RIDGE AVENUE SUITE 100	LAS VEGAS	NV	89148	942579116	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
CENTER FOR HOUSTON'S FUTURE INC
1200 SMITH STREET	HOUSTON	TX	77002	760386539	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CHILD ADVOCATES INC
2401 PORTSMOUTH STREET SUITE 210	HOUSTON	TX	77098	760111345	501(C)(3)	$50,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CHILDREN AT RISK INC
2900 WESLAYAN	HOUSTON	TX	77027	760360533	501(C)(3)	$8,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CHILDREN'S ASSESSMENT CENTER FOUNDATION
2500 BOLSOVER	HOUSTON	TX	77005	760458780	501(C)(3)	$115,000	SUPPORT PEDIATRIC HEALTHCARE ORG
CHILDREN'S BRAIN TUMOR FOUNDATION INC
274 MADISON AVENUE	NEW YORK	NY	10016	133512123	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
CHILDRENS HOSPITAL OF ORANGE COUNTY
1201 WEST LA VETA AVENUE	ORANGE	CA	92868	952321786	501(C)(3)	$25,000	SUPPORT NON-PROFIT HEALTHCARE ORG
CHILDREN'S MUSEUM OF HOUSTON
1500 BINZ	HOUSTON	TX	77004	742178563	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CROHN'S AND COLITIS FOUNDATION
386 PARK AVENUE SOUTH	NEW YORK	NY	10016	136193105	501(C)(3)	$11,500	SUPPORT NON-PROFIT HEALTHCARE ORG
DEPELCHIN CHILDREN'S CENTER
4950 MEMORIAL DRIVE	HOUSTON	TX	77007	760318867	501(C)(3)	$6,000	SUPPORT NON-PROFIT HEALTHCARE ORG
DOCTORS FOR CHANGE
2300 OLD SPANISH TRAIL APT 1078	HOUSTON	TX	77054	412212976	501(C)(3)	$12,000	SUPPORT NON-PROFIT HEALTHCARE ORG
EASTER SEALS OF GREATER HOUSTON INC
4500 BISSONNET SUITE 340	BELLAIRE	TX	774013006	741238418	501(C)(3)	$50,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
EDUCATIONAL FOUNDATION OF THE SOUTHEAST TEXAS CHAPTER
6207 CANYON RUN COURT	KATY	TX	77450	454519800	501(C)(3)	$15,000	SUPPORT NON-PROFIT HEALTHCARE ORG
EPILEPSY FOUNDATION OF TEXAS
2401 FOUNTAIN VIEW SUITE 900	HOUSTON	TX	77057	742141084	501(C)(3)	$15,000	SUPPORT NON-PROFIT HEALTHCARE ORG
GENESYS WORKS
14400 MEMORIAL DRIVE SUITE 200	HOUSTON	TX	77079	900757035	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GOOD SAMARITAN FOUNDATION
3355 W ALABAMA STREET SUITE 1025	HOUSTON	TX	77098	741235398	501(C)(3)	$7,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GREATER HOUSTON COMMUNITY FOUNDATION
5120 WOODWAY DRIVE SUITE 6000	HOUSTON	TX	77056	237160400	501(C)(3)	$25,600	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GREATER HOUSTON PARTNERSHIP INC
1200 SMITH STREET SUITE 700	HOUSTON	TX	77002	760267896	501(C)(6)	$40,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GREATER HOUSTON WOMEN'S CHAMBER OF COMMERCE
3015 RICHMOND AVENUE	HOUSTON	TX	77098	261536004	501(C)(6)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HERMANN PARK CONSERVANCY
6201 A HERMANN PARK DRIVE	HOUSTON	TX	77030	760327389	501(C)(3)	$6,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOLOCAUST MUSEUM HOUSTON
5401 CAROLINE STREET	HOUSTON	TX	770046804	760331398	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON BALLET FOUNDATION
601 PRESTON ST	HOUSTON	TX	77002	741394920	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON AREA WOMENS CENTER
1010 WAUGH DRIVE	HOUSTON	TX	77019	742029166	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON COMMUNITY HEALTH CENTERS
424 HAHLO STREET	HOUSTON	TX	770203022	760622208	501(C)(3)	$7,500	SUPPORT NON-PROFIT HEALTHCARE ORG
HOUSTON FIRST CORPORATION
1001 AVENIDAS DE LAS AMERICAS	HOUSTON	TX	77010	760651209	GOVT	$30,000	SUPPORT GOVERNMENTAL ORG
HOUSTON JUNIOR WOMAN'S CLUB CHARITABLE FUND
PO Box 19684	HOUSTON	TX	77224	237157689	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON MARATHON COMMITTEE
720 N POST OAK ROAD SUITE 201	HOUSTON	TX	77024	760040848	501(C)(4)	$6,550	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON TEXANS FOUNDATION
109 N POST OAK LANE	HOUSTON	TX	77024	010572814	501(C)(3)	$6,400	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON WEST CHAMBER OF COMMERCE
10370 RICHMOND	HOUSTON	TX	77042	760129712	501(C)(6)	$8,675	SUPPORT OF HOUSTON AREA
HOUSTON-HARRIS COUNTY IMMUNIZATION REGISTRY INC
PO BOX 5168	KATY	TX	77491	760695612	501(C)(3)	$12,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
INSTITUTE OF SPIRITUALITY AND HEALTH AT THE TEXAS MEDICAL CENTER
8100 GREENBRIAR	HOUSTON	TX	77054	741246255	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
JUNIOR LEAGUE OF HOUSTON
1811 Briar Oaks Lane	HOUSTON	TX	77027	741185659	501(C)(3)	$100,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
KATY ALL AMERICAN YOUTH ASSOCIATION
2616 S LOOP W 635	HOUSTON	TX	77054	454488345	501(C)(3)	$6,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
KATY AREA CHAMBER OF COMMERCE
23501 CINCO RANCH BLVD	KATY	TX	77494	742028745	501(C)(6)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MAKE A WISH FOUNDATION OF THE TEXAS GULF COAST AND LOUISIANA INC
12625 SOUTHWEST FREEWAY	STAFFORD	TX	77477	760116615	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MARCH OF DIMES FOUNDATION
3000 WESLAYAN SUITE 100	HOUSTON	TX	77027	131846366	501(C)(3)	$90,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MEN OF DISTINCTION OF GREATER HOUSTON INC
4218 MARQUETTE	HOUSTON	TX	77005	260421594	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MENNINGER CLINIC
12301 MAIN STREET	HOUSTON	TX	77035	371453409	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
MENTAL HEALTH AMERICA OF GREATER HOUSTON
2211 NORFOLK NO810	HOUSTON	TX	77098	741272394	501(C)(3)	$25,000	SUPPORT NON-PROFIT HEALTHCARE ORG
MUSCULAR DYSTROPHY ASSOCIATION INC
222 SOUTH RIVERSIDE PLAZA	CHICAGO	IL	60606	131665552	501(C)(3)	$12,000	SUPPORT NON-PROFIT HEALTHCARE ORG	SUITE 1500
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVEVNUE	NEW YORK	NY	10017	135661935	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
PERIWINKLE FOUNDATION
3000 RICHMOND AVE SUITE 340	HOUSTON	TX	77098	760093914	501(C)(3)	$50,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
PIN OAK CHARITY HORSE SHOW ASSOCIATION
PO BOX 218688	HOUSTON	TX	77218	741755067	501(C)(3)	$7,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
PURPLE SONGS CAN FLY
2455 DUNSTAN ROAD	HOUSTON	TX	77005	203068698	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
RONALD MCDONALD HOUSE OF HOUSTON INC
1907 HOLCOMBE BLVD	HOUSTON	TX	77030	741984499	501(C)(3)	$110,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
ROTARY CLUB OF HOUSTON FOUNDATION
PO BOX 690673	HOUSTON	TX	77269	746084805	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
TCH PEDIATRIC ASSOCIATES INC
PO BOX 300630	HOUSTON	TX	77230	760460242	501(C)(3)	$5,994,338	SUPPORT NON-PROFIT HEALTHCARE ORG
TEXANS FOR LAWSUIT REFORM
1701 BRUN	HOUSTON	TX	77019	760439129	501(C)(6)	$65,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
TEXAS A&M FOUNDATION
401 GEORGE BUSH DRIVE	COLLEGE STATION	TX	77840	742245072	501(C)(3)	$30,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
TEXAS A&M RESEARCH FOUNDATION
400 HARVEY MITCHELL PKWAY NO 300	COLLEGE STATION	TX	77845	741238434	501(C)(3)	$10,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
TEXAS MEDICAL CENTER
2450 HOLCOMBE BLVD SUITE 1	HOUSTON	TX	77021	741030788	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
TEXAS PEDIATRIC SOCIETY
401 WEST 15TH STREET STE 682	AUSTIN	TX	78701	751499413	501(C)(3)	$7,500	SUPPORT NON-PROFIT HEALTHCARE ORG
THE ALBERT SCHWEITZER FELLOWSHIP
330 BROOKLINE AVENUE BR	BOSTON	MA	02215	131982786	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
3145 PORTER DRIVE	PALO ALTO	CA	94304	941156365	501(C)(3)	$75,000	SUPPORT EDUCATIONAL ORG
THE CENTER SERVING PERSONS WITH MENTAL RETARDATION
3550 WEST DALLAS	HOUSTON	TX	77019	741272417	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
THE CHILDRENS FUND INC
5773 WOODWAY DRIVE NO 189	HOUSTON	TX	77057	741870298	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
THETA CHARITY ANTIQUES SHOW
4212 San Felipe PMB 345	HOUSTON	TX	77027	742051004	501(C)(3)	$8,150	SUPPORT NON-PROFIT PHILANTHROPIC ORG
UNITED WAY
50 WAUGH DRIVE	HOUSTON	TX	77007	741167964	501(C)(3)	$40,000	SUPPORT NON-PROFIT HEALTHCARE ORG
UNIVERSITY OF ST THOMAS
3800 MONTROSE BOULEVARD	HOUSTON	TX	77006	741277664	501(C)(3)	$50,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER
7000 FANNIN STREET SUITE 1200	HOUSTON	TX	77226	741761309	GOVT	$10,000	SUPPORT NON-PROFIT MEDICAL SCHOOL
WILLIAM MARCH RICE UNIVERSITY
6100 MAIN STREET	HOUSTON	TX	77005	741109620	501(C)(3)	$35,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE GREATER HOUSTON AREA
2600 NORTH LOOP WEST	HOUSTON	TX	77092	741109737	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG

Field	Value	IRS element (for citing)
Total501c3 Org	65	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FELLOWSHIPS	6	$443,225
SCHOLARSHIPS	6	$18,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 1 DESCRIPTION OF GRANT SELECTION CRITERIA	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.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	AFTER THE SPONSORSHIP/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Susan MacDonald
Schedule O	$7,924	$0	$0	$0	$667,000	$0	$0	$0	$0	$0	$674,924	$0	$0	$0
Benjamin Melson
Schedule O	$752,868	$0	$1,343,800	$0	$132,880	$0	$172,177	$0	$24,856	$0	$2,426,581	$0	$109,497	$0
John R Nickens IV
Schedule O	$419,248	$0	$592,700	$0	$2,321	$0	$80,450	$0	$31,494	$0	$1,126,213	$0	$0	$0
Mark A Wallace
Schedule O	$1,250,186	$0	$2,685,500	$0	$1,555,973	$0	$23,550	$0	$21,897	$0	$5,537,106	$0	$1,264,825	$0
Randy Wright
Schedule O	$675,085	$0	$1,150,000	$0	$472,705	$0	$20,950	$0	$19,183	$0	$2,337,923	$0	$315,243	$0
Mark Mullarkey
SCHEDULE O	$343,294	$0	$490,900	$0	$47,591	$0	$65,810	$0	$32,996	$0	$980,591	$0	$45,701	$0
Michelle Riley-Brown
SCHEDULE O	$359,402	$0	$499,400	$0	$25,491	$0	$66,510	$0	$7,837	$0	$958,640	$0	$24,194	$0
LORI ARMSTRONG
Schedule O	$430,952	$0	$0	$0	$470,922	$0	$13,783	$0	$9,350	$0	$925,007	$0	$0	$0
Mary Jo Andre
Schedule O	$337,364	$0	$516,900	$0	$42,607	$0	$60,650	$0	$26,353	$0	$983,874	$0	$21,665	$0
Dean B Andropoulos MD
BOARD MEMBER	$0	$0	$215,860	$0	$0	$0	$0	$0	$0	$0	$215,860	$0	$0	$0
Michael A Belfort MD PhD
BOARD MEMBER	$0	$0	$248,526	$0	$0	$0	$0	$0	$0	$0	$248,526	$0	$0	$0
George Bisset III MD
Board Member	$0	$750,195	$0	$182,484	$0	$5,607	$0	$15,647	$0	$21,106	$0	$975,039	$0	$0
Charles D Fraser Jr MD
BOARD MEMBER	$0	$0	$3,034,170	$0	$0	$0	$0	$0	$0	$0	$3,034,170	$0	$0	$0
Angelo P Giardino MD PHD
SCHEDULE O	$396,041	$0	$586,700	$0	$20,631	$0	$82,062	$0	$11,359	$0	$1,096,793	$0	$0	$0
Mark W Kline MD
BOARD MEMBER	$0	$0	$251,362	$0	$0	$0	$0	$0	$0	$0	$251,362	$0	$0	$0
James Versalovic MD PhD
BOARD MEMBER	$0	$0	$201,268	$0	$0	$0	$0	$0	$0	$0	$201,268	$0	$0	$0
Dace Reinholds
Assistant Secretary	$195,614	$0	$23,500	$0	$9,622	$0	$17,825	$0	$10,493	$0	$257,054	$0	$0	$0
Mallory Caldwell
Senior Vice President	$449,651	$0	$685,800	$0	$20,708	$0	$97,693	$0	$31,892	$0	$1,285,744	$0	$0	$0
Tabitha Rice
Senior Vice President	$313,326	$0	$458,700	$0	$46,348	$0	$58,910	$0	$26,001	$0	$903,285	$0	$44,383	$0
Linda Aldred
Senior Vice President	$408,675	$0	$604,100	$0	$69,753	$0	$81,870	$0	$31,873	$0	$1,196,271	$0	$44,810	$0
MYRA L DAVIS
SENIOR VICE PRESIDENT	$422,692	$0	$596,400	$0	$24,636	$0	$80,250	$0	$29,667	$0	$1,153,645	$0	$21,953	$0
ROBERT DURDEN
SENIOR VICE PRESIDENT	$609,300	$0	$797,100	$0	$20,342	$0	$116,550	$0	$29,961	$0	$1,573,253	$0	$0	$0
John Scales
Senior Vice President	$439,424	$0	$627,400	$0	$83,832	$0	$20,950	$0	$21,198	$0	$1,192,804	$0	$0	$0
Kay Tittle
Vice President	$469,854	$0	$599,600	$0	$78,219	$0	$88,110	$0	$16,084	$0	$1,251,867	$0	$74,720	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a Severance or change-of-control payment

SEVERANCE PAY: SUSAN MACDONALD 667,000 LORI ARMSTRONG 208,132 SEVERANCE IS DETERMINED ON A CASE-BY-CASE BASIS, WITH LEGAL COUNSEL INVOLVED IN THE DECISION. CONSIDERATION IS GIVEN TO FACTORS SUCH AS LENGTH OF SERVICE AND LEVEL OF POSITION WITH THE ORGANIZATION.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

457(F) PLAN: PAID/DEFERRED BENJAMIN MELSON 1,453,297 / 151,227 JOHN R. NICKENS, IV 592,700 / 59,500 MARK A. WALLACE 4,182,165 / 0 RANDY WRIGHT 1,597,252 / 0 LORI ARMSTRONG 221,120 / 0 ANGELO P. GIARDINO, MD, PhD 586,700 / 61,112 MARY JO ANDRE 538,565 / 39,700 MARK MULLARKEY 536,601 / 44,860 MICHELLE RILEY-BROWN 523,594 / 45,560 TABITHA RICE 503,083 / 37,960 LINDA ALDRED 648,910 / 60,920 MALLORY CALDWELL 685,800 / 81,943 MYRA DAVIS 618,353 / 59,300 ROBERT DURDEN 797,100 / 100,800 JOHN SCALES 688,260 / 0 KAY TITTLE 674,320 / 67,160 DIRECTOR INCENTIVE PLAN: PAID/DEFERRED DACE REINHOLDS 23,500 / 0 457(F): THE 457(F) PLAN IS A DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO CONTRIBUTE MONEY ON A PRE-TAX BASIS. FUNDS MAY BE DEFERRED INTO THIS ACCOUNT FROM ANY OF FOUR SOURCES: BASE SALARY, ANNUAL INCENTIVE PLAN, LONG-TERM INCENTIVE PLAN, AND CAPITAL ACCUMULATION ACCOUNT FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE VEST AFTER THREE YEARS IN THE 457(F) WITH THE EXCEPTION OF THE CAPITAL ACCUMULATION ACCOUNT WHICH VESTS AFTER FIVE YEARS IN THE 457(F) PLAN. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND / OR YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
A	760337885	414009DY3	2010-01-15	$80,078,929	REFUND PRIOR ISSUES (1999B-2 SERIES ISSUED 07/20/99).	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	414009CG3	2009-06-17	$198,965,284	BUILD HEALTH CARE FACILITIES	false	false	false
HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CO
C	521284201	414152RW0	2008-04-30	$300,000,000	REFUND PRIOR ISSUES (2007 SERIES ISSUED 06/27/07)	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
D	760337885	414009JX9	2015-06-30	$225,732,600	REFUND AND REDEEM PRIOR ISSUES (1999B-1 SERIES ISSUED 07/20/99) AND BUILD HEALTH CARE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$16,470,000	$0	$80,078,929	$0	$0	$0	$1,278,929	$0	$0	$0	$78,800,000	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$20,195,000	$0	$199,780,590	$0	$0	$0	$3,311,550	$0	$0	$196,469,040	$0	$0	2011	false	false	Yes (true)	Yes (true)
C	$11,925,000	$0	$300,000,000	$0	$0	$0	$0	$0	$0	$0	$300,000,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$225,835,935	$0	$757,565	$0	$1,792,095	$0	$0	$98,606,198	$123,100,000	$1,580,078		Yes (true)	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0.0	0.0
B	0.009	0.009	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	0.005	0.005	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	0.0	0.0	false	false	false		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part VI Explanation for variance	THE VARIANCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR CUSIP# 414009CG#, 414009JX9, 414009KB5, NA, and 414009KC3 INCLUDE INVESTMENT EARNINGS.
Schedule K, Part I, Column (c) CUSIP #	Prior fiscal year, Bond Issuance Price of 160,000,000 consisted of two CUSIP #s: 414009KC3 and 414009KB5. CUSIP 414009KC3 and 414009KB5 are now reported separately.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
A	760337885	414009KB5	2015-06-03	$50,000,000	BUILD HEALTH CARE FACILITIES	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	NONEAVAIL	2015-07-16	$100,000,000	BUILD HEALTH CARE FACILITIES	false	false	false
Harris County Cultural Education Facilities FIN CO
C	760337885	414009KC3	2015-06-03	$110,000,000	BUILD HEALTH CARE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd
A	$0	$0	$50,150,481	$0	$44,716	$0	$531,768	$0	$0	$47,256,095	$0	$2,317,902	false	false	false
B	$0	$0	$100,700,585	$0	$148,084	$0	$132,614	$0	$0	$52,496,081	$0	$47,923,806	false	false	false
C	$0	$0	$110,535,561	$0	$369,273	$0	$926,845	$0	$0	$90,885,828	$0	$18,353,615	false	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false		false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,100	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$200	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$4,897	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	85	ContributionCnt
Noncash Contributions Rpt F990	$12,686,553	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other - COST / SELLING VALUE	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$1,100	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$20,688	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EQUIPMENT	1	$500	Cost
Yes (X)	TICKETS AND CERTIFICATES	8	$1,378	Cost

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Art - Works of art - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Securities - Publicly traded - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Food inventory - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - EQUIPMENT - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - TICKETS AND CERTIFICATES - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	Texas Children's is the parent entity of Texas Children's Hospital. Texas Children's board of directors retains significant reserved authorities (detailed in Part VI, Line 7b below) that allow it to provide strategic oversight and direction to Texas Children's Hospital and its affiliated entities. Texas Children's board is representative of the community served and is composed of 36 individuals, 35 of which are independent.
Form 990, Part VI, Line 6 Classes of members or stockholders	Texas Children's is the sole corporate member of Texas Children's Hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Texas Children's annually appoints the Organization's board of directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PER THE ORGANIZATION'S BYLAWS THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION OF THE OFFICERS, PHYSICIAN EMPLOYEES AND INDEPENDENT CONTRACTOR PHYSICIANS OF THE CORPORATION. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBERS. -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	No such committees exist.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Per a resolution approved by the member's board of directors, the member board's audit and compliance committee has Delegated authority to review the organization's completed Form 990 prior to filing. Following the committee's Review, the completed Form 990 is distributed to the members of the organization's board of directors prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS - PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION ( RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC. ) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS/KEY EMPLOYEES - PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: - REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. - COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. - CONTEMPOROUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Please refer to process described in Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the public	ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A TITLES	WELDON GAGE: CFO AND EXECUTIVE VICE PRESIDENT AS OF 6/6/16, BOARD MEMBER AS OF 6/21/16, AND BOARD TREASURER AS OF 11/3/16 BENJAMIN MELSON: CFO AND EXECUTIVE VICE PRESIDENT THROUGH 6/6/16 AND BOARD MEMBER AND TREASURER THROUGH 11/3/16 JOHN R NICKENS, IV: EXECUTIVE VICE PRESIDENT AND BOARD MEMBER MARK A WALLACE: CEO, PRESIDENT AND BOARD CHAIRMAN RANDALL WRIGHT: EXECUTIVE VICE PRESIDENT AND BOARD MEMBER THROUGH 2/1/16 MARY JO ANDRE: SENIOR VICE PRESIDENT, CNO AND BOARD MEMBER ANGELO GIARDINO, M.D., PH.D.: CHIEF QUALITY OFFICER, SENIOR VICE PRESIDENT, AND BOARD MEMBER MARK MULLARKEY: SENIOR VICE PRESIDENT THROUGH 1/31/16 AND EXECUTIVE VICE PRESIDENT AND BOARD MEMBER AS OF 2/1/16 MICHELLE RILEY-BROWN: SENIOR VICE PRESIDENT THROUGH 1/31/16 AND EXECUTIVE VICE PRESIDENT AND BOARD MEMBER AS OF 2/1/16 LORI ARMSTRONG: FORMER SENIOR VICE PRESIDENT, CNO AND BOARD MEMBER SUSAN MACDONALD: FORMER EXECUTIVE VICE PRESIDENT AND BOARD SECRETARY
Form 990, Part VII, Section A INCENTIVE COMPENSATION	DRS. ANDROPOULOS, BELFORT, FRASER, KLINE AND VERSALOVIC, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVE AS IN-CHIEFS DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO THEIR SENIOR LEADERSHIP ROLES, THEY ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THEIR CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN THEIR CAPACITY AS PHYSICIAN LEADERS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other - Total Revenue: 20759898, Related or Exempt Function Revenue: 20759898, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - Total Expense: 61719049, Program Service Expense: 57951555, Management and General Expenses: 3160630, Fundraising Expenses: 606864;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	ACTUARIAL LOSS ON PENSION - -20862281; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 15701037; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - -4690251; CHANGE IN CHARITABLE GIFT ANNUITY - -33056; CHANGE IN SWAP VALUATION - -15445881; CHANGE IN TECO VALUATION - 1310590; TRANSFER FROM FOUNDATION - 98094475; TRANSFER TO HEALTH PLAN - -20000000; TRANSFER TO TCH PEDIATRIC ASSOCIATES - -419880;
SCHEDULE O FORM 5471 DISCLOSURE STATEMENT	UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANNIN ST HOUSTON, TX 77030

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
PO BOX 300630	HOUSTON	TX	77230	261482195	HEALTH CARE	TX	501(c)(3	Type II	TEXAS CHILDREN'S	Yes (true)
TEXAS CHILDREN'S
1919 S BRAESWOOD 4TH FL	HOUSTON	TX	77030	760461578	PARENT	TX	501(c)(3	Type II	NA	false
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREET	HOUSTON	TX	77030	260834681	HEALTH CARE	TX	501(c)(3	9	TEXAS CHILDREN'S	Yes (true)
TCH PEDIATRIC ASSOCIATES INC
PO BOX 300630	HOUSTON	TX	77230	760460242	HEALTH CARE	TX	501(c)(3	9	TEXAS CHILDREN'S	Yes (true)
TEXAS CHILDREN'S HEALTH PLAN
6330 WEST LOOP SOUTH SUITE 800	HOUSTON	TX	77021	760486264	HEALTH CARE	TX	501(c)(3	9	TEXAS CHILDREN'S	Yes (true)	8TH FLOOR
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREET	HOUSTON	TX	77030	202380599	SUPPORTING ORG	TX	501(c)(3	Type II	TEXAS CHILDREN'S	Yes (true)
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6621 FANNIN STREET	HOUSTON	TX	77030	461392824	HEALTH CARE	TX	501(c)(3	Type I	TEXAS CHILDREN'S HEALTH PLAN INC	Yes (true)
TEXAS CHILDREN'S URGENT CARE
1919 S BRAESWOOD BLVD	HOUSTON	TX	77030	472029489	HEALTH CARE	TX	501(c)(3	9	TCH PEDIATRIC ASSOCIATES INC	Yes (true)	4TH FLOOR
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
9 GREENWAY PLAZA	HOUSTON	TX	77046	760246858	SUPPORTING ORG	TX	501(c)(3	Type I	TEXAS CHILDREN'S HOSPITAL	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
TCH INSURANCE COMPANY LTD
23 LIME TREE BAY AVENUE	GRAND CAYMAN	CJ	KY11102	980176652	INSURANCE	CJ	NA	C Corporation	Yes (true)
CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STREET	GEORGE TOWN	CJ	KY11104	981078282	INVESTMENT	CJ	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TEXAS CHILDREN'S HEALTH PLAN
J	$64,411	COST
TEXAS CHILDREN'S HEALTH PLAN
L	$6,017,497	COST
TEXAS CHILDREN'S HEALTH PLAN
A	$458,903	COST
TEXAS CHILDREN'S HEALTH PLAN
N	$1,338,815	COST
TEXAS CHILDREN'S HEALTH PLAN
Q	$13,843,035	COST
TEXAS CHILDREN'S HEALTH PLAN
L	$164,620,255	COST
TEXAS CHILDREN'S HEALTH PLAN
R	$20,000,000	COST
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
L	$667,884	COST
TCH PEDIATRIC ASSOCIATES INC
L	$2,800,000	COST
TCH PEDIATRIC ASSOCIATES INC
B	$5,994,338	COST
TCH PEDIATRIC ASSOCIATES INC
R	$419,880	COST
TCH PEDIATRIC ASSOCIATES INC
Q	$23,722,774	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
Q	$101,179,752	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
M	$2,924,386	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
R	$165,896,248	COST
TEXAS CHILDREN'S HOSPITAL FOUNDATION
S	$98,094,475	COST
TCH INSURANCE COMPANY LTD
Q	$66,200	COST
TCH INSURANCE COMPANY LTD
S	$4,000,000	COST
TCH INSURANCE COMPANY LTD
Q	$4,613,329	COST
TEXAS CHILDREN'S URGENT CARE
B	$500,000	COST
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
C	$713,815	COST