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DRISCOLL CHILDRENS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DRISCOLL CHILDRENS HOSPITAL (EIN 74-2577746)
Tax period
2011-05-01 to 2012-04-30
Filed
2013-03-12
IRS object ID
201340719349300769
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-03-12T17:10:44-05:00Timestamp
Tax Period End Date2012-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742577746EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Driscoll Children's HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ERIC HAMONInCareOfName
Name ControlDRISNameControl
Phone3616945000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13533 SOUTH ALAMEDAAddressLine1
CityCORPUS CHRISTICity
StateTXState
ZIP Code78411ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERIC HAMONName
TitleEXECUTIVE VICE PRESIDENT & CFOTitle
Date Signed2013-03-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonERIC HAMONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13533 SOUTH ALAMEDAAddressLine1
CityCORPUS CHRISTICity
StateTXState
ZIP Code78411ZIPCode
FieldValueIRS element (for citing)
Gross Receipts272393369GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteDRISCOLLCHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionREMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENIVRONMENT OF TRUST, COMPASSION, AND CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1750TotalNbrEmployees
Total Nbr Volunteers322TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10040720ContributionsGrantsPriorYear
Contributions Grants Current Year11646373ContributionsGrantsCurrentYear
Program Service Revenue Prior Year211368161ProgramServiceRevenuePriorYear
Program Service Revenue CY223120663ProgramServiceRevenueCY
Investment Income Prior Year6459791InvestmentIncomePriorYear
Investment Income Current Year6326045InvestmentIncomeCurrentYear
Other Revenue Prior Year4759967OtherRevenuePriorYear
Other Revenue Current Year6905767OtherRevenueCurrentYear
Total Revenue Prior Year232628639TotalRevenuePriorYear
Total Revenue Current Year247998848TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99248163SalariesEtcPriorYear
Salaries Etc Current Year99987774SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1539085TotalFundrsngExpCurrentYear
Other Expense Prior Year87196279OtherExpensePriorYear
Other Expenses Current Year93273591OtherExpensesCurrentYear
Total Expenses Prior Year186444442TotalExpensesPriorYear
Total Expenses Current Year193261365TotalExpensesCurrentYear
Revenues Less Expenses Prior Year46184197RevenuesLessExpensesPriorYear
Revenues Less Expenses CY54737483RevenuesLessExpensesCY
Total Assets BOY265263465TotalAssetsBOY
Total Assets EOY323070434TotalAssetsEOY
Total Liabilities BOY55189925TotalLiabilitiesBOY
Total Liabilities EOY63166983TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY210073540NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY259903451NetAssetsOrFundBalancesEOY
Mission DescriptionREMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENIVRONMENT OF TRUST, COMPASSION, AND CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense186363676Expense
Revenue223120663Revenue
DescriptionPROVISION OF HIGH QUALITY HOSPITAL, MEDICAL, AND NURSING SERVICES TO CHILDREN IN THE SURROUNDING SOUTH TEXAS REGION WITHOUT REGARD TO THE ABILITY TO PAY. CARE IS PERFORMED ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS.Description
Total Program Service Expense186363676TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096336NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1750NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonERIC HAMONNamePerson
Telephone Number3616945146TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13533 SOUTH ALAMEDAAddressLine1
CityCORPUS CHRISTICity
StateTXState
ZIP Code78411ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
C IVAN WILSON
CHAIRMAN OF THE BOARD1.0XX010000
STEVE WOERNER
VICE CHAIRMAN - PRESIDENT/CEO38.0XX551082399033
MURRAY BASS JR
DIRECTOR1.0X
PAT HORNE
DIRECTOR1.0X
REBA CARDENAS-MCNAIR
DIRECTOR1.0X
JIM DEVLIN
DIRECTOR1.0X
MARTHA L HINOJOSA
DIRECTOR1.0X10000
LENORA I KEAS
DIRECTOR1.0X
LOYD NEAL
DIRECTOR1.0X10000
WILLIAM STERETT
DIRECTOR1.0X
EDGAR CORTES MD
DIRECTOR - CHIEF OF STAFF 20081.0X
KARL SERRAO MD
DIRECTOR - CHIEF OF STAFF 20091.0X
BRUAN CALLERGARI-PUENTE MD
DIRECTOR - CHIEF OF STAFF1.0X
D ERIC HAMON
EXECUTIVE VICE PRES & CFO26.0X18930618532403084
WILLIAM LARSEN
VICE PRES MEDICAL EDUCATION40.0191428121952X
DONNA M QUINN
VICE PRES OPERATIONS/QUALITY40.029915548372X
WILLIAM E READ
VICE PRES FINANCE40.023805340283X
DONALD T WENZLER
VP/CHIEF PATIENT CARE OFFICER40.029007551192X
MARTHA ST ROMAIN
VICE PRES OF DEVELOPMENT1.028013349997X
KAREN C LONG
INTERIM VP/CHIEF PATIENT CARE1.015451317817X
DOUGLAS A WSZOLEK
CLINICAL PHARMACIST40.018934821290X
JENNIFER R HENDERSON
GENERAL COUNSEL40.024037314895X
DALE V OBERMUELLER
VICE PRES CPSST1.026318043916X
ADRIANA L GONZALES
CLINICAL PHARMACIST40.016696323417X
GREGORY J LUKASZCZYK
CLINICAL PHARMACIST40.016541520548X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3219024TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs48532TotalReportableCompFrmRltdOrgs
Total Other Compensation1255796TotalOtherCompensation
Number Individuals GT100 K63NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORP
1979 MILKY WAYVERONAWI53593SOFTWARE DEVELOPMENT1609613
SODEXO SERVICES OF TEXAS LP
3033 FIFTH AVE STE 335SAN DIEGOCA92103MANAGEMENT3245029
UNIV TX MEDICAL BRANCH ANEST DEPT
201 UNIVERSITY BLVD JOHN SEALY BLDGALVESTONTX775550591PHYSICIANS/TEACHING4935612
GE HEALTHCARE
3200 N GRANDVIEW BLVDWAUKESHAWI531881693MEDICAL EQUIP MAINT1728083
NEONATOLOGY CONSULTANTS CORPUS CHRI
4900 GREENBRIARCORPUS CHRISTITX78413PHYSICIANS/TEACHING2166667
FieldValueIRS element (for citing)
Number Of Contractors GT100 K55NumberOfContractorsGT100K
Related Organizations8945429RelatedOrganizations
Government Grants1803335GovernmentGrants
All Other Contributions897609AllOtherContributions
Total Contributions11646373TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621110BusinessCode
Total Revenue Column223120663TotalRevenueColumn
Related Or Exempt Function Income223120663RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue223120663TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4155156TotalRevenueColumn
Exclusion$4,155,156ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real712743Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real712743Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column712743TotalRevenueColumn
Exclusion$712,743ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities26564950Securities
Other460Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24394521Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2170429Securities
Other460Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2170889TotalRevenueColumn
Exclusion$2,170,889ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria and Vending Sales722210589904$589,904
Medical Education6211101772842$1,772,842
Children's Learning Center624410419224$419,224

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3411054TotalRevenueColumn
Exclusion$3,411,054ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6193024TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column247998848TotalRevenueColumn
Related Or Exempt Function Income223120663RelatedOrExemptFunctionIncome
Exclusion$13,231,812ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2604293Total
Program Services2604293ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total77359408Total
Program Services72958132ProgramServices
Management And General3620524ManagementAndGeneral
Fundraising780752Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5102239Total
Program Services4785259ProgramServices
Management And General255649ManagementAndGeneral
Fundraising61331Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9371974Total
Program Services8864635ProgramServices
Management And General475544ManagementAndGeneral
Fundraising31795Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5549860Total
Program Services5251185ProgramServices
Management And General253534ManagementAndGeneral
Fundraising45141Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1768455Total
Program Services1768455ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total121806Total
Program Services119205ProgramServices
Fundraising2601Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19268727Total
Program Services19146452ProgramServices
Management And General111703ManagementAndGeneral
Fundraising10572Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total654369Total
Program Services267971ProgramServices
Management And General12482ManagementAndGeneral
Fundraising373916Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1750508Total
Program Services1656472ProgramServices
Management And General8853ManagementAndGeneral
Fundraising85183Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5075135Total
Program Services4963135ProgramServices
Fundraising112000Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total32533Total
Program Services10640ProgramServices
Management And General12004ManagementAndGeneral
Fundraising9889Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total243262Total
Program Services243262ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10234575Total
Program Services10234030ProgramServices
Fundraising545Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9004019Total
Program Services8638542ProgramServices
Management And General365477ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies23061120230609519673
Minor Equipment5667106564979381699144
Equipment Rental/Maintenance5516072550556119638548
Education Expenses3510309348305827251

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7365595Total
Program Services7152645ProgramServices
Management And General205355ManagementAndGeneral
Fundraising7595Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total193261365Total
Program Services186363676ProgramServices
Management And General5358604ManagementAndGeneral
Fundraising1539085Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19337640BOY
EOY30804714EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8505746BOY
EOY36361042EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY192995BOY
EOY139036EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21343830BOY
EOY29526885EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12606711BOY
EOY12215785EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY817983BOY
EOY951710EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2711973BOY
EOY2751553EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis240765893LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec157668133LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY86432785BOY
EOY83097760EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY93268060BOY
EOY108338670EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20045742BOY
EOY18883279EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY265263465BOY
EOY323070434EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16800525BOY
EOY20650398EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY1089809EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19000000BOY
EOY19000000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5356BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19384044BOY
EOY22426776EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55189925BOY
EOY63166983EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY204759308BOY
EOY252615087EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY749232BOY
EOY852364EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4565000BOY
EOY6436000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY210073540BOY
EOY259903451EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY265263465BOY
EOY323070434EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses54737483ReconcilationRevenueExpenses
Reconcilation Other Changes-4907572ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$184,766GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB184766TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10141347OtherCostOrOtherBasis
Book Value10141347BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis116754313OtherCostOrOtherBasis
Depreciation62073068Depreciation
Book Value54681245BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1855396OtherCostOrOtherBasis
Depreciation1549053Depreciation
Book Value306343BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis110194090OtherCostOrOtherBasis
Depreciation94046012Depreciation
Book Value16148078BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1820747OtherCostOrOtherBasis
Book Value1820747BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings83097760TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionVanguardDescription
Book Value108338670BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities108338670TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Smothers and Parrish Trusts6436000
Insurance Trust12135436
Deferred Bond Costs45854
Other Long Term Assets265989
FieldValueIRS element (for citing)
Total Book Value Other Assets18883279TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Self Insurance Claims Payable$4,391,318
Due to Third Party Payor$18,030,677
Other Liabilities$4,781
FieldValueIRS element (for citing)
Total Of Amounts22426776TotalOfAmounts
Total Revenue247998848TotalRevenue
Total Expenses193261365TotalExpenses
Excess Or Deficit For Year54737483ExcessOrDeficitForYear
Net Unrealized GL On Investments-6183802NetUnrealizedGLOnInvestments
Donated Services And Facilities1539085DonatedServicesAndFacilities
Other-$2,522,427OtherAmount
Total Adjustments-7167144TotalAdjustments
Excess Or Deficit Per FS47570339ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt241426474TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6183802NetUnrealizedGainsInvestments
Other Revenues939823OtherRevenues
Revenue Not Rptd F990-5243979RevenueNotRptdF990
Revenue Subtotal246670453RevenueSubtotal
Other Revenues Not Included1328395OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1328395RevenueNotRptdOnFinStmt
Total Revenue Per Form990247998848TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt193856135TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities-1539085DonatedServicesUseOfFacilities
Other Expenses Included2133855OtherExpensesIncluded
Expenses Not Rptd F990594770ExpensesNotRptdF990
Expenses Subtotal193261365ExpensesSubtotal
Total Expenses Per Form990193261365TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990PARTS XII & XIIIINCOME ON BOOKS, NOT ON RETURN: NET ASSETS RELEASED FROM RESTRICTION $ 939,823 INCOME ON RETURN, NOT ON BOOKS: CONTRIBUTIONS RECORDED TO NET ASSETS $1,328,395 EXPENSES ON BOOKS, NOT ON RETURN: INTERCOMPANY SUPPORT $2,133,855
UNCERTAIN TAX POSITIONS UNDER FIN 48PART X, QUESTION 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
RECONCILIATION OF CHANGE IN NET ASSETSPART XI, QUESTION 8OTHER CHANGES: INTERCOMPANY SUPPORT $(2,133,855) NET ASSETS RELEASED FROM RESTRICTION 939,823 CONTRIBUTIONS RECORDED TO NET ASSETS (1,328,395) ------------ $(2,522,427)

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedInvestmentSpecificServicesProvided
FieldValueIRS element (for citing)
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4737308TotalCommunityBenefitExpense
Net Community Benefit Expense4737308NetCommunityBenefitExpense
Percent Of Total Expense0.02510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense34155912TotalCommunityBenefitExpense
Direct Offsetting Revenue23309885DirectOffsettingRevenue
Net Community Benefit Expense10846027NetCommunityBenefitExpense
Percent Of Total Expense0.05750PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense92867347TotalCommunityBenefitExpense
Direct Offsetting Revenue95490234DirectOffsettingRevenue
Net Community Benefit Expense-2622887NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense131760567TotalCommunityBenefitExpense
Direct Offsetting Revenue118800119DirectOffsettingRevenue
Net Community Benefit Expense12960448NetCommunityBenefitExpense
Percent Of Total Expense0.08260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1024315TotalCommunityBenefitExpense
Net Community Benefit Expense1024315NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4243692TotalCommunityBenefitExpense
Direct Offsetting Revenue1772842DirectOffsettingRevenue
Net Community Benefit Expense2470850NetCommunityBenefitExpense
Percent Of Total Expense0.01310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15876511TotalCommunityBenefitExpense
Net Community Benefit Expense15876511NetCommunityBenefitExpense
Percent Of Total Expense0.08410PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21144518TotalCommunityBenefitExpense
Direct Offsetting Revenue1772842DirectOffsettingRevenue
Net Community Benefit Expense19371676NetCommunityBenefitExpense
Percent Of Total Expense0.10260PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense152905085TotalCommunityBenefitExpense
Direct Offsetting Revenue120572961DirectOffsettingRevenue
Net Community Benefit Expense32332124NetCommunityBenefitExpense
Percent Of Total Expense0.18520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,960,910BadDebtExpenseAmount
Amount Attributable To2960910AmountAttributableTo
Amount Reimbursed By Medicare1574951AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1025770CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall549181MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DRISCOLL CHILDREN'S HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13533 SOUTH ALAMEDAAddressLine1
CityCORPUS CHRISTICity
StateTXState
ZIP Code78411ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DRISCOLL CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7 COLUMN FBAD DEBT EXPENSE OF $2,960,910 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. FINANCIAL STATEMENTS FOOTNOTE ON BAD DEBT EXPENSE PART III, QUESTION 4 PATIENT ACCOUNTS RECEIVABLE: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COSTING METHODOLOGY USED WAS RATIO OF COST TO CHARGES. THE HOSPITAL SERVES A LARGE AREA THAT INCLUDES SOME OF THE LOWEST INCOME PER CAPITA COUNTIES IN THE UNITED STATES. A RELATIVELY SMALL NUMBER OF PATIENTS DO NOT QUALIFY FOR GOVERNMENT PROGRAMS AS WELL AS BEING UNINSURED OR UNDERINSURED. IF THE PATIENTS DO NOT QUALIFY FOR CHARITY UNDER HOSPITAL POLICY CRITERIA THEN THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT.
SHORTFALL TREATED AS COMMUNITY BENEFITMEDICARE IS COST SETTLED FOR THIS HOSPITAL AND THE COSTS SHOWN WERE CALCULATED ON THE MEDICARE COST REPORT.PART III, QUESTION 8
PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCEAT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE.PART III, QUESTION 9B
NEEDS ASSESSMENTAN ORGANIZATION WAS FORMED BY THE HOSPITAL, OTHER HOSPITALS IN THE MARKET AREA AND COMMUNITY SERVICE ORGANIZATIONS TO PERFORM A HEALTH NEEDS ASSESSMENT FOR THE AREA SERVED BY THESE ENTITIES. TEXAS A&M UNIVERSITY AT CORPUS CHRISTI CONDUCTED THE SURVEYS AND PUBLISHED THE RESULTS. THE COASTAL BEND HEALTH NEEDS TASK FORCE WAS FORMED TO FOLLOW UP ON THE RECOMMENDATIONS OF THE ASSESSMENT AND WILL ACTIVELY DO SO UNTIL THE NEXT TRI-ANNUAL ASSESSMENT IS CONDUCTED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEEACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT.
COMMUNITY INFORMATIONTHE HOSPITAL SERVES THE CHILDREN OF A 19 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER WITH MEXICO. MOST OF THE COUNTIES IN THIS AREA HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. APPROXIMATELY 70% OF THE HOSPITAL'S PATIENTS ARE ENROLLED IN A GOVERNMENT PROGRAM.
PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL SUBSIDIZES PEDIATRIC SPECIALISTS IN ORDER TO PROVIDE THESE SERVICES TO ITS SERVICE AREA. A SUBSTANTIAL AMOUNT OF HOSPITAL RESOURCES ARE USED TO PROVIDE SERVICES TO THE COMMUNITY IN THE FORM OF HEALTH EDUCATION, PREVENTION AND AWARENESS, AND HOSPITAL/CLINIC SERVICES TO THOSE WHO CANNOT AFFORD TO PAY.
OTHER INFORMATIONDRISCOLL CHILDREN'S HOSPITAL WAS ESTABLISHED BY THE WILL OF CLARA DRISCOLL TO PROVIDE HOSPITAL CARE TO CHILDREN WHOSE FAMILIES CANNOT AFFORD TO PAY. THE MISSION AND OPERATIONS OF THE HOSPITAL COMPLY TO THIS DAY WITH THE INTENT OF THE WILL. THE HOSPITAL'S MEDICAL STAFF INCLUDES EMPLOYED PHYSICIANS AS WELL AS PHYSICIANS IN PRIVATE PRACTICE. EXAMPLES OF THE HOSPITAL GIVING INFORMATION TO THE PUBLIC REGARDING COMMUNITY HEALTH ISSUES WERE TELEVISION AND RADIO NEWS STORIES ABOUT H1N1 FLU AND MRSA. THE PUBLIC WAS INFORMED ABOUT SYMPTOMS AND WHAT TO DO IF SOMEONE HAD THESE SYMPTOMS.
MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY - OTHER DESCRIPTIONTHE WEBSITE PROVIDES PHONE NUMBERS FOR INQUIRIES ABOUT CHARITY AND DISCOUNTS.PART V, SECTION B, LINE 13G
METHOD FACILITY USED TO DETERMINE THE AMOUNTS BILLEDALL PATIENTS ARE CHARGED THE SAME PRICES FOR SERVICES AND SUPPLIES. FAP ELIGIBLE PATIENTS WOULD RECEIVE A CHARITABLE OR OTHER DISCOUNT DEPENDING ON THEIR LEVEL OF ELIGIBILITY ACCORDING TO THE HOSPITAL'S POLICIES. IN MANY CASES THE DISCOUNT WOULD BE 100%.PART V, SECTION B, QUESTION 19D
AFFILIATED HEALTH CARE SYSTEMTHE HOSPITAL IS AFFILIATED WITH SEVERAL PHYSICIAN ORGANIZATIONS TO PROVIDE SUPPORT FOR PEDIATRICIANS AND PEDIATRIC SPECIALISTS TO SERVE AREAS OF SOUTH TEXAS THAT OTHERWISE WOULD NOT HAVE THESE SERVICES AVAILABLE.
STATE FILING OF COMMUNITY BENEFIT REPORTTX

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
STEVE WOERNER
355512179070165003893949639950115
D ERIC HAMON
784789432816500391319911581536185321085429386
WILLIAM LARSEN
119027509252147611081811134313380
DONNA M QUINN
24765551500385619811347527
WILLIAM E READ
19421543838316398644278336
DONALD T WENZLER
242150479254004811144341267
MARTHA ST ROMAIN
2093525428116500431506847330130
DOUGLAS A WSZOLEK
1797869562148966394210638
JENNIFER R HENDERSON
20369228277840414050845255268
DALE V OBERMUELLER
205649503507181341609756307096
ADRIANA L GONZALES
166963170726345190380
GREGORY J LUKASZCZYK
1563659050139646584185963
KAREN C LONG
13481819695112546563172330

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INFORMATION REGARDING BENEFTIS PROVIDEDPART I, QUESTION 1AHEALTH OR SOCIAL CLUB DUES: DUES AND CHARGES ARE PAID FOR STEVE WOERNER AND TOTALED $1,766 IN FISCAL YEAR 2012. ANY REIMBURSEMENTS FOR PERSONAL EXPENDITURES WERE INCLUDED IN MR. WOERNER'S FORM W-2.
PARTICIPANTS IN/PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART 1, QUESTION 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT D. ERIC HAMON $329,904 STEVE WOERNER $310,284 WILLIAM LARSEN $ 70,141 NO PAYMENTS WERE RECEIVED.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonAMISTAD COM HLTH CTRNamePerson
Purpose Of LoanPURCHASE LAND & BLDGPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$350,000OriginalPrincipalAmount
Balance Due296000BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due296000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (34 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6ROBERT DRISCOLL, JULIA DRISCOLL, AND ROBERT DRISCOLL JR. FOUNDATION IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HOSPITAL.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 7BTHE MEMBER HAS TO APPROVE THE BOARD MEMBERS ELECTIONS.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, QUESTION 11BTHE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS. THE CFO WILL PRESENT THE FORM 990 TO THE GOVERNING BODY PRIOR TO FILING.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, QUESTION 12CTHE ORGANIZATION HIRES AN EMPLOYEE TO LEAD COMPLIANCE EFFORTS WITH THE CONFLICT OF INTEREST POLICY. IN ADDITION, THE BOARD COMMITTEE REVIEWS ISSUES AND REPORTS ANY THAT ARISE.
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATIONFORM 990, PART VI, QUESTION 15ATHE 2011 & 2012 COMPENSATION WAS REVIEWED BY THE CONSULTING GROUP SULLIVAN COTTER ASSOCIATES. THEY REVIEW ALL SENIOR OFFICER COMPENSATION AND MAKE RECOMMENDATIONS REGARDING THEIR COMPENSATION LEVELS.
GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
NUMBER OF EMPLOYEESFORM 990, PART V, QUESTIONS 1A AND 2BDRISCOLL CHILDREN'S HOSPITAL REPORTS PAYROLL AND CONTRACTOR REPORTING FOR ALL ENTITIES WITHIN THE DRISCOLL SYSTEM INCLUDING: DRISCOLL CHILDREN'S HEALTH PLAN 74-2838488 ROBERT AND JULIA DRISCOLL FOUNDATION 74-1170270 DRISCOLL HEALTHCARE SERVICES 01-0962276 CHILDRENS PHYSICIAN SERVICES OF SOUTH TX 74-2620408 DRISCOLL PHYSICIANS GROUP 74-2988134 DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP 72-1234461 DRISCOLL VALLEY PHYSICIANS GROUP 20-1234322 DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FDN 74-2358461
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, QUESTION 5CHANGE IN BENEFICIAL TRUST INTEREST $ 1,871,000 UNREALIZED GAINS AND LOSSES (6,183,802) INTERCOMPANY SUPPORT (2,133,855) EXPENSES OF DEVELOPMENT FOUNDATION 1,539,085 ----------- $(4,907,572)
AMENDED RETURNTHE RETURN ORIGINALLY FILED WAS INADVERTENTLY MISSING AN AUDIT ADJUSTMENT RELATING TO UNREALIZED GAIN/LOSS. TO CORRECT THIS INVESTMENT INCOME ON THE STATEMENT OF REVENUE AND UNREALIZED GAIN/LOSS ON THE SCHEDULE D, PART VII, LINE 2A RECONCILIATION TO THE AUDIT HAVE BEEN UPDATED. IN ADDITION, IN THE SCHEDULE O EXPLANATION FOR FORM 990, PART XI, LINE 5, UNREALIZED GAIN/LOSS HAS BEEN UPDATED.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:C IVAN WILSON TITLE:CHAIRMAN OF THE BOARD HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEVE WOERNER TITLE:VICE CHAIRMAN - PRESIDENT/CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MURRAY BASS JR. TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAT HORNE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REBA CARDENAS-MCNAIR TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JIM DEVLIN TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARTHA L. HINOJOSA TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LENORA I. KEAS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LOYD NEAL TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM STERETT TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDGAR CORTES M.D. TITLE:DIRECTOR - CHIEF OF STAFF 2008 HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KARL SERRAO M.D. TITLE:DIRECTOR - CHIEF OF STAFF 2009 HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRUAN CALLERGARI-PUENTE M.D. TITLE:DIRECTOR - CHIEF OF STAFF HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:D ERIC HAMON TITLE:EXECUTIVE VICE PRES & CFO HOURS:13
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM LARSEN TITLE:VICE PRES MEDICAL EDUCATION HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONNA M QUINN TITLE:VICE PRES OPERATIONS/QUALITY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM E READ TITLE:VICE PRES FINANCE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD T WENZLER TITLE:VP/CHIEF PATIENT CARE OFFICER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARTHA ST ROMAIN TITLE:VICE PRES OF DEVELOPMENT HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KAREN C LONG TITLE:INTERIM VP/CHIEF PATIENT CARE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DOUGLAS A WSZOLEK TITLE:CLINICAL PHARMACIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JENNIFER R HENDERSON TITLE:GENERAL COUNSEL HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DALE V OBERMUELLER TITLE:VICE PRES CPSST HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ADRIANA L GONZALES TITLE:CLINICAL PHARMACIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GREGORY J LUKASZCZYK TITLE:CLINICAL PHARMACIST HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DRISCOLL CHILDRENS HEALTH PLAN
615 N UPPER BROADWAY STE 1621CORPUS CHRISTITX78401742838488MEDICAID HMOTX501(C)(3)7DCHtrue
ROBERT BELL PARRISH MEMORIAL TRUST
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401746416039CHARITABLETX501(C)(3)11ADRISCOLL FDNfalse
ROBERT AND JULIA DRISCOLL FOUNDATION
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401741170270CHARITABLETX501(C)(3)11ANAfalse
JACK & DORIS SMOTHERS MEDICAL FOUNDATION
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401742750622CHARITABLETX501(C)(3)11ADRISCOLL FDNfalse
DCH HOLDING COMPANY
3533 SOUTH ALAMEDACORPUS CHRISTITX78411743011381HOLDING COTX501(C)(2)N/ADCHtrue
CHILDREN'S PHYS SERVICES OF SOUTH TEXAS
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742620408HEALTHCARETX501(C)(3)3DCHtrue
DRISCOLL PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742988134HEALTHCARETX501(C)(3)3DCHtrue
DRISCOLL MATERNAL & FETAL PHYSICIANS GRO
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234461HEALTHCARETX501(C)(3)7DCHtrue
DRISCOLL VALLEY PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234322HEALTHCARETX501(C)(3)3DCHtrue
DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742358461CHARITABLETX501(C)(3)7NAfalse
AUXILIARY TO DRISCOLL CHILDREN'S HOSPITA
3533 SOUTH ALAMEDACORPUS CHRISTITX78411741260701SUPPORT HOSPTX501(C)(3)11ANAfalse
DRISCOLL HEALTHCARE SERVICES
3533 S ALAMEDA STCORPUS CHRISTITX78411010962276AVIATIONTX501(C)(3)11ADCHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ALLEGRA INSURANCE COMPANY LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1085 GTAddressLine1
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DCHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
Share Of Total Income2077416ShareOfTotalIncome
Share Of EOY Assets15343286ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
A180586ACTUAL
DRISCOLL PHYSICIANS GROUP
A218741ACTUAL
DRISCOLL VALLEY PHYSICIANS GROUP
A210494ACTUAL
DRISCOLL DEVELOPMENT FOUNDATION
C834429ACTUAL
DRISCOLL PHYSICIANS GROUP
N69163ACTUAL
DPG & DHS
N154513ACTUAL
DRISCOLL VALLEY PHYSICIANS GROUP
N65416ACTUAL
DRISCOLL VALLEY PHYSICIANS GROUP
N109772ACTUAL
CPSST DPG DMFPG & DVPG
N137934ACTUAL
CPSST DPG DMFPG & DVPG
N263180ACTUAL
DRISCOLL HEALTHCARE SERVICES
O-5858040ACTUAL
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
O-226380ACTUAL
DRISCOLL PHYSICIANS GROUP
O-2406050ACTUAL
DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP
O430065ACTUAL
DRISCOLL VALLEY PHYSICIANS GROUP
O-688168ACTUAL
DRISCOLL DEVELOPMENT FOUNDATION
P1433859ACTUAL
DRISCOLL CHILDRENS HEALTH PLAN
P37748628ACTUAL