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DRISCOLL CHILDRENS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
DRISCOLL CHILDRENS HOSPITAL (EIN 74-2577746)
Tax period
2009-05-01 to 2010-04-30
Filed
2011-02-25
IRS object ID
201110569349300201
Schema version
2009v1.7
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)
Timestamp2011-02-25T07:54:30-06:00Timestamp
Tax Period End Date2010-04-30TaxPeriodEndDate

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 Date2009-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742577746EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DRISCOLL CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2010-12-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
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 Receipts215693875GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees2091TotalNbrEmployees
Total Nbr Volunteers328TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8682792ContributionsGrantsPriorYear
Contributions Grants Current Year14779159ContributionsGrantsCurrentYear
Program Service Revenue Prior Year180544432ProgramServiceRevenuePriorYear
Program Service Revenue CY194558852ProgramServiceRevenueCY
Investment Income Prior Year440971InvestmentIncomePriorYear
Investment Income Current Year1545438InvestmentIncomeCurrentYear
Other Revenue Prior Year3777751OtherRevenuePriorYear
Other Revenue Current Year4810426OtherRevenueCurrentYear
Total Revenue Prior Year193445946TotalRevenuePriorYear
Total Revenue Current Year215693875TotalRevenueCurrentYear
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 Year92075398SalariesEtcPriorYear
Salaries Etc Current Year99242236SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year77911648OtherExpensePriorYear
Other Expenses Current Year87155316OtherExpensesCurrentYear
Total Expenses Prior Year169987046TotalExpensesPriorYear
Total Expenses Current Year186397552TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23458900RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29296323RevenuesLessExpensesCY
Total Assets BOY206484165TotalAssetsBOY
Total Assets EOY218567133TotalAssetsEOY
Total Liabilities BOY73810140TotalLiabilitiesBOY
Total Liabilities EOY62953632TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY132674025NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY155613501NetAssetsOrFundBalancesEOY
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
Expense180258707Expense
Revenue194558852Revenue
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 Expense180258707TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096326NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2091NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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
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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
C IVAN WILSON
CHAIRMAN OF THE BOARD1.0X000
STEVE WOERNER
VICE CHAIRMAN - PRESIDENT/CEO40.0X5528510309598X
MURRAY BASS JR
DIRECTOR1.0X000
PAT HORNE
DIRECTOR1.0X000
REBA CARDENAS-MCNAIR
DIRECTOR1.0X000
JIM DEVLIN
DIRECTOR1.0X000
MARTHA L HINOJOSA
DIRECTOR1.0X000
LENORA I KEAS
DIRECTOR1.0X000
LOYD NEAL
DIRECTOR1.0X000
BILL STERETT
DIRECTOR1.0X000
EDGAR CORTES MD
DIRECTOR - CHIEF OF STAFF 20081.0X000
KARL SERRAO MD
DIRECTOR - CHIEF OF STAFF 20091.0X000
BRUNA CALLEGARI-PUENTE MD
DIRECTOR-CHIEF OF STAFF ELECT1.0X000
D ERIC HAMON
EXECUTIVE VICE PRES & CFO40.016704318219298461X
WILLIAM H DIRKSEN MD
VICE PRES MEDICAL EDUCATION40.0015498611608X
WILLIAM LARSEN
VICE PRES HUMAN RESOURCES40.0189915041822X
DONNA M QUINN
VICE PRES OPERATIONS/QUALITY40.0251368030958X
WILLIAM E READ
VICE PRES FINANCE40.0240419037002X
DONALD T WENZLER
VP/CHIEF PATIENT CARE OFFICER40.0310500033882X
MARTHA ST ROMAIN
VICE PRES, DEVELOPMENT40.0216411042604X
DOUGLAS A WSZOLEK
CLINICAL NIGHT PHARMACIST40.0185070018938X
JOHN P MURDOCK
TRANSPORT RN40.0175344024662X
JANE N MURPHY
ASST VP NURSING ADMIN40.016342309172X
ADRIANA L GONZALES
CLINICAL NIGHT PHARMACIST40.0161217020526X
GREGORY J LUKASZCZYK
CLINICAL PHARMACIST40.0157844015353X
CAROL C DELINE
DIRECTOR1.0026904923472X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2771405TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs442254TotalReportableCompFrmRltdOrgs
Total Other Compensation918058TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 DEVELOPMENT5764687
FULTON CONSTRUCTION CORP COASTCON
P O BOX 9486CORPUS CHRISTITX78469CONSTRUCTION2737861
UNIV TX MEDICAL BRANCH ANEST DEPT
301 UNIVERSITY BLVD JOHN SEALY BLDGALVESTONTX775550591PHYSICIAN / TEACHING2681936
SODEXO SERVICES OF TEXAS LP
3033 FIFTH AVE STE 335SAN DIEGOCA92103MANAGEMENT2516754
GE HEALTHCARE
3200 N GRANDVIEW BLVDWAUKESHAWI531881693MEDICAL EQUIP MAINT1661877
FieldValueIRS element (for citing)
Number Of Contractors GT100 K51NumberOfContractorsGT100K
Related Organizations12006778RelatedOrganizations
Government Grants2025134GovernmentGrants
All Other Contributions747247AllOtherContributions
Noncash Contributions16159NoncashContributions
Total Contributions14779159TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621110BusinessCode
Total Revenue Column194558852TotalRevenueColumn
Related Or Exempt Function Income194558852RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue194558852TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1404985TotalRevenueColumn
Exclusion$1,404,985ExclusionAmount

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)
Real699986Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real699986Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column699986TotalRevenueColumn
Exclusion$699,986ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities163217Securities
Other-22764Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities163217Securities
Other-22764Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column140453TotalRevenueColumn
Exclusion$140,453ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria and Vending Sales722210614163$614,163
Medical Education62111023312672331267
Children's Learning Center624410379263379263

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column785747TotalRevenueColumn
Related Or Exempt Function Income785747RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4110440TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column215693875TotalRevenueColumn
Related Or Exempt Function Income198055129RelatedOrExemptFunctionIncome
Exclusion$2,859,587ExclusionAmount

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)
Total2479291Total
Program Services2479291ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total76594395Total
Program Services72858766ProgramServices
Management And General3735629ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5516833Total
Program Services5300715ProgramServices
Management And General216118ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8988199Total
Program Services8488473ProgramServices
Management And General499726ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5663518Total
Program Services5441654ProgramServices
Management And General221864ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1696703Total
Program Services1696703ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103854Total
Program Services103854ProgramServices

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)
Total20198422Total
Program Services19998846ProgramServices
Management And General199576ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total685905Total
Program Services338414ProgramServices
Management And General347491ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1976168Total
Program Services1950741ProgramServices
Management And General25427ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5678016Total
Program Services5565447ProgramServices
Management And General112569ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17134Total
Program Services14464ProgramServices
Management And General2670ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total387557Total
Program Services387536ProgramServices
Management And General21ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10572721Total
Program Services10572721ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2129481Total
Program Services1771038ProgramServices
Management And General358443ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense59526105952610
Medical Supplies2104401021043723287
Minor Equipment4793520471013183389
Equipment Rental/Maintenance593634259285337809
Education Expenses3533438344603487404

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2449435Total
Program Services2209013ProgramServices
Management And General240422ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total186397552Total
Program Services180258707ProgramServices
Management And General6138845ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18625485BOY
EOY17714768EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY17473453EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY143187BOY
EOY212341EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23913352BOY
EOY20248403EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY350000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1338064BOY
EOY7003445EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY845457BOY
EOY834985EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1173254BOY
EOY1409641EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis235497631LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec139710285LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY97779789BOY
EOY95787346EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY47528836BOY
EOY41728255EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15136741BOY
EOY15804496EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY206484165BOY
EOY218567133EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26989841BOY
EOY20511516EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19000000BOY
EOY19000000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY884293BOY
EOY760115EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY48211BOY
EOY26784EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26887795BOY
EOY22655217EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73810140BOY
EOY62953632EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY124122495BOY
EOY149551124EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2161530BOY
EOY1046377EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6390000BOY
EOY5016000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY132674025BOY
EOY155613501EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206484165BOY
EOY218567133EOY
FieldValueIRS element (for citing)
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$176,747GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB176747TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis113243852OtherCostOrOtherBasis
Depreciation55152641Depreciation
Book Value58091211BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1615904OtherCostOrOtherBasis
Depreciation1480587Depreciation
Book Value135317BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis109564780OtherCostOrOtherBasis
Depreciation83077057Depreciation
Book Value26487723BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis931748OtherCostOrOtherBasis
Book Value931748BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings95787346TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionVanguardDescription
Book Value41728255BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities41728255TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Smothers and Parrish Trusts5016000
Insurance Trust10715127
Deferred Bond Costs73369
FieldValueIRS element (for citing)
Total Book Value Other Assets15804496TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Self Insurance Claims Payable$3,310,489
Due to Third Party Payor$19,333,207
Other Liabilities$11,521
FieldValueIRS element (for citing)
Total Of Amounts22655217TotalOfAmounts
Total Revenue215693875TotalRevenue
Total Expenses186397552TotalExpenses
Excess Or Deficit For Year29296323ExcessOrDeficitForYear
Net Unrealized GL On Investments4683052NetUnrealizedGLOnInvestments
Donated Services And Facilities1409392DonatedServicesAndFacilities
Other-$11,827,874OtherAmount
Total Adjustments-5735430TotalAdjustments
Excess Or Deficit Per FS23560893ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt219905866TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4683052NetUnrealizedGainsInvestments
Other Revenues1290152OtherRevenues
Revenue Not Rptd F9905973204RevenueNotRptdF990
Revenue Subtotal213932662RevenueSubtotal
Other Revenues Not Included1761213OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1761213RevenueNotRptdOnFinStmt
Total Revenue Per Form990215693875TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt196344973TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities-1409392DonatedServicesUseOfFacilities
Other Expenses Included11356813OtherExpensesIncluded
Expenses Not Rptd F9909947421ExpensesNotRptdF990
Expenses Subtotal186397552ExpensesSubtotal
Total Expenses Per Form990186397552TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGE IN NET ASSETSSCH D, PART XIOTHER CHANGES: INTERCOMPANY SUPPORT $11,356,813 NET ASSETS RELEASED FROM RESTRICTION ($ 1,290,152) CONTRIBUTIONS RECORDED TO NET ASSETS $ 1,761,213 -------------- $11,827,874
RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990SCH D, PARTS XII & XIIIINCOME ON BOOKS, NOT ON RETURN: NET ASSETS RELEASED FROM RESTRICTION $ 1,290,152 INCOME ON RETURN, NOT ON BOOKS: CONTRIBUTIONS RECORDED TO NET ASSETS $ 1,761,213 EXPENSES ON BOOKS, NOT ON RETURN: INTERCOMPANY SUPPORT $11,356,813

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.FreeOtherPercentage
FieldValueIRS element (for citing)
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 ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4741776TotalCommunityBenefitExpense
Net Community Benefit Expense4741776NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense111203355TotalCommunityBenefitExpense
Direct Offsetting Revenue95475117DirectOffsettingRevenue
Net Community Benefit Expense15728238NetCommunityBenefitExpense
Percent Of Total Expense0.08440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense115945131TotalCommunityBenefitExpense
Direct Offsetting Revenue95475117DirectOffsettingRevenue
Net Community Benefit Expense20470014NetCommunityBenefitExpense
Percent Of Total Expense0.10980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17616177TotalCommunityBenefitExpense
Net Community Benefit Expense17616177NetCommunityBenefitExpense
Percent Of Total Expense0.09450PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4509295TotalCommunityBenefitExpense
Direct Offsetting Revenue2331267DirectOffsettingRevenue
Net Community Benefit Expense2178028NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense46657TotalCommunityBenefitExpense
Net Community Benefit Expense46657NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22172129TotalCommunityBenefitExpense
Direct Offsetting Revenue2331267DirectOffsettingRevenue
Net Community Benefit Expense19840862NetCommunityBenefitExpense
Percent Of Total Expense0.10650PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense138117260TotalCommunityBenefitExpense
Direct Offsetting Revenue97806384DirectOffsettingRevenue
Net Community Benefit Expense40310876NetCommunityBenefitExpense
Percent Of Total Expense0.21630PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,672,082BadDebtExpenseAmount
Amount Attributable To1062152AmountAttributableTo
Amount Reimbursed By Medicare1419531AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1174871CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall244660MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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)
Childrens HospitalXChildrensHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePATIENT 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 EVALUATIONS AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.BadDebtFootnote
Shortfall As Community BenefitTHE MEDICARE REVENUE AND COST DATA CAME FROM THE FY2010 MEDICARE COST REPORT. THE SHORTFALL WILL BE REIMBURSED BY MEDICARE. THE UNREIMBURSED COSTS ATTRIBUTABLE TO MEDICARE PATIENTS HAVE BEEN CAPTURED IN COMMUNITY BENEFITS COSTS SHOWN ELSEWHERE IN THIS REPORT.ShortfallAsCommunityBenefit
Debt Collection PolicyAT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE.DebtCollectionPolicy
Needs AssessmentDriscoll Children's Hospital partnered with a coalition of local hospitals and charitable organizations to assess the health needs of our market area. Data from each hospital as well as other healthcare related databases were used to develop a profile of the types of services rendered, sources of payments and programs providing funds, analyses of patient demographics, and other healthcare delivery related statistics. Surveys of citizens and health care providers were taken to determine what needs existed and were available. Transportation issues and other access barrierS to healthcare services were included in the surveys. A major Texas university conducted the surveys and compiled the data for the coalition.NeedsAssessment
Patient Education AssistanceThe hospital provides financial counselors who assist the patients and responsible parties with determining elegibility for government programs, charity care status and other education assistance regarding their financial responsibilities. A website is available to the public for direction on how to get assistance. The news media is used to promote programs and services available to the public. There are ongoing communications with school districts and charitable organizations to provide information regarding programs and services.PatientEducationAssistance
Community InformationDriscoll Children's Hospital primarily serves the Texas Coastal Bend area (15 Counties) and the Rio Grande Valley (4 Counties). Most of the counties in the service area have low per capita incomes when compared to the State and the rest of the country. The ratio of Medicaid, indigent and charity patients to the whole patient population is high when compared to other service areas in Texas and the country.CommunityInformation
Community Building ActivitiesThe hospital has a Pediatric Residency program with the University of Texas Medical Branch (UTMB) at Galveston. This program trains pediatric physicians some of whom remain in Driscoll Children's Hospital's service area. Six outpatient clinics (three of them in the Rio Grande Valley) have been established to provide local outpatient services to the children of those communities. Driscoll Children's Hospital personnel volunteer much time to health related organizations such as the American Heart Association as well as providing camps and education programs to the children in the service area.CommunityBuildingActivities
Other InformationDriscoll Children's Hospital was established by the will of Clara Driscoll to provide hospital care to chlldren 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. An example 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.OtherInformation
Reports Filed With StatesTXReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
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 (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
STEVE WOERNER
365761016659002050003015510804708624490
D ERIC HAMON
726181821977925016500029775806871646548818235
WILLIAM H DIRKSEN MD
01379380001704801106005480166594
WILLIAM LARSEN
1307370459250132530326580916402317370
DONNA M QUINN
204493046875000228560810202823260
WILLIAM E READ
194994045425000296140738802774210
DONALD T WENZLER
261150049350000247060917603443820
MARTHA ST ROMAIN
1472110527000165000370460555802590150
DOUGLAS A WSZOLEK
170622000144480135550538302040080
JOHN P MURDOCK
16597200093720169070775502000060
JANE N MURPHY
14392301950000036810549101725950
ADRIANA L GONZALES
16121700000151410538501817430
GREGORY J LUKASZCZYK
1525860005258098840546901731970
CAROL C DELINE
0269049000002284206300292521

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INFORMATION REGARDING BENEFTIS PROVIDEDPART I, QUESTION 1AFIRST CLASS OR CHARTER TRAVEL: DRISCOLL OWNS AN AIRPLANE THAT IS USED EXCLUSIVELY FOR BUSINESS TRAVEL. DURING THE TAX YEAR THERE WAS NO SPOUSAL TRAVEL AND NO TRAVEL COST TREATED AS INCOME TO HOSPITAL EMPLOYEES. HEALTH OR SOCIAL CLUB DUES: DUES AND CHARGES ARE PAID FOR STEVE WOERNER AND TOTALED $1,776 IN FISCAL YEAR 2010. ANY REIMBURSEMENTS FOR PERSONAL EXPENDITURES WERE INCLUDED IN MR. WOERNER'S Form W-2.
PARTICIPANTS IN/PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCH J, PART 1, QUESTION 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT D. ERIC HAMON $244,968 Steve Woerner $243,527

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 Due350000BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due350000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 15A2009 & 2010 COMPENSATION WAS REVIEWED BY THE CONSULTING GROUP SULLIVAN COTTER ASSOCIATES. THEY REVIEW ALL SENIOR OFFICER COMPENSATION AND MAKE RECOMMENDATIONS REGARDING THEIR COMPENSATION LEVELS.
GOVERNIING 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 DCH HOLDING COMPANY 74-3011381 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
RECONCILIATION OF NET ASSETSForm 990, Part I, Line 22BEGINNING NET ASSETS $132,674,025 EXCESS OR (DEFICIT) FOR THE YEAR $ 23,560,893 ASSETS RELEASED FROM RESTR FOR CONSTR $ 1,586,214 TRANSFERS FROM AFFILIATES $ 281,522 CONTRIBUTIONS RECORDED TO NET ASSETS $ 1,761,213 TRANSFERS TO OTHER REVENUE ($ 1,290,152) NET ASSETS RELEASED FROM RESTRICTION ($ 1,586,214) CHANGE IN BENEFICIAL TRUST INTEREST ($ 1,374,000) -------------- ENDING NET ASSETS $155,613,501
AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VIIAVG HOURS WORKED FOR RELATED ORG D ERIC HAMON 20 WILLIAM H DIRKSEN MD 40 CAROLINE C DELINE 40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
DRISCOLL CHILDRENS HEALTH PLAN
615 N UPPER BROADWAY STE 1621CORPUS CHRISTITX78401742838488MEDICAID HMOTX501(C)(3)7NA
ROBERT BELL PARRISH MEMORIAL TRUST
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401746416039CHARITABLETX501(C)(3)11ANA
ROBERT AND JULIA DRISCOLL FOUNDATION
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401741170270CHARITABLETX501(C)(3)11ANA
JACK & DORIS SMOTHERS MEDICAL FOUNDATION
615 N UPPER BROADWAY STE 1635CORPUS CHRISTITX78401742750622CHARITABLETX501(C)(3)11ANA
DCH HOLDING COMPANY
3533 SOUTH ALAMEDACORPUS CHRISTITX78411743011381HOLDING COTX501(C)(2)N/ANA
CHILDREN'S PHYS SERVICES OF SOUTH TEXAS
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742620408HEALTHCARETX501(C)(3)3NA
DRISCOLL PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742988134HEALTHCARETX501(C)(3)3NA
DRISCOLL MATERNAL & FETAL PHYSICIANS GRO
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234461HEALTHCARETX501(C)(3)7NA
DRISCOLL VALLEY PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234322HEALTHCARETX501(C)(3)3NA
DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742358461CHARITABLETX501(C)(3)7NA
AUXILIARY TO DRISCOLL CHILDREN'S HOSPITA
3533 SOUTH ALAMEDACORPUS CHRISTITX78411741260701SUPPROT HOSPTX501(C)(3)11ANA

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 Income2687679ShareOfTotalIncome
Share Of EOY Assets10931749ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DCH HOLDING COMPANY
C281522
DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP
O-2840617
DRISCOLL VALLEY PHYSICIANS GROUP
O-465903
DRISCOLL PHYSICIANS GROUP
O-2467857
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
O-5992955
DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP
A36938
DRISCOLL VALLEY PHYSICIANS GROUP
A253831
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
A229856
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
A133455
DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FDN
C1656778
DRISCOLL PHYSICIANS GROUP
N139147
DRISCOLL VALLEY PHYSICIANS GROUP
N82688
DRISCOLL VALLEY PHYSICIANS GROUP
N117184
CPSST DPG DMFPG & DVPG
N105060