2011-02-25T07:54:30-06:00 2010-04-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-05-01 742577746 DRISCOLL CHILDREN'S HOSPITAL DRIS 3616945000 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 Eric Hamon 2010-12-15 M Paige Gerich 7134994600 2009 2016-02-24 21:20:13Z ERIC HAMON 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 215693875 false X DRISCOLLCHILDRENS.ORG X 1953 TX REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENIVRONMENT OF TRUST, COMPASSION, AND CARE. 13 12 2091 328 0 0 8682792 14779159 180544432 194558852 440971 1545438 3777751 4810426 193445946 215693875 0 0 0 0 92075398 99242236 0 0 0 77911648 87155316 169987046 186397552 23458900 29296323 206484165 218567133 73810140 62953632 132674025 155613501 REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENIVRONMENT OF TRUST, COMPASSION, AND CARE. false false 180258707 194558852 PROVISION OF HIGH QUALITY HOSPITAL, MEDICAL, AND NURSING SERVICES TO CHILDREN IN THE SURROUNDING SOUTH TEXAS REGION WITHOUT REGARD TO THE ABILITY TO PAY. CARE IS PERFORMED ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS. 180258707 true true false true false false false false false true false true false false true false false false false false true false false true false false false true false false false false false false false false false true true true false true 326 0 true 2091 true false true CJ false false false false false false false 13 12 false false false false true false true true true false false true true true true true true true false false X ERIC HAMON 3616945146 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 C IVAN WILSON 1.0 X 0 0 0 STEVE WOERNER 40.0 X X 552851 0 309598 MURRAY BASS JR 1.0 X 0 0 0 PAT HORNE 1.0 X 0 0 0 REBA CARDENAS-MCNAIR 1.0 X 0 0 0 JIM DEVLIN 1.0 X 0 0 0 MARTHA L HINOJOSA 1.0 X 0 0 0 LENORA I KEAS 1.0 X 0 0 0 LOYD NEAL 1.0 X 0 0 0 BILL STERETT 1.0 X 0 0 0 EDGAR CORTES MD 1.0 X 0 0 0 KARL SERRAO MD 1.0 X 0 0 0 BRUNA CALLEGARI-PUENTE MD 1.0 X 0 0 0 D ERIC HAMON 40.0 X 167043 18219 298461 WILLIAM H DIRKSEN MD 40.0 X 0 154986 11608 WILLIAM LARSEN 40.0 X 189915 0 41822 DONNA M QUINN 40.0 X 251368 0 30958 WILLIAM E READ 40.0 X 240419 0 37002 DONALD T WENZLER 40.0 X 310500 0 33882 MARTHA ST ROMAIN 40.0 X 216411 0 42604 DOUGLAS A WSZOLEK 40.0 X 185070 0 18938 JOHN P MURDOCK 40.0 X 175344 0 24662 JANE N MURPHY 40.0 X 163423 0 9172 ADRIANA L GONZALES 40.0 X 161217 0 20526 GREGORY J LUKASZCZYK 40.0 X 157844 0 15353 CAROL C DELINE 1.0 X 0 269049 23472 2771405 442254 918058 91 true true false EPIC SYSTEMS CORP 1979 MILKY WAY VERONA WI 53593 SOFTWARE DEVELOPMENT 5764687 FULTON CONSTRUCTION CORP COASTCON P O BOX 9486 CORPUS CHRISTI TX 78469 CONSTRUCTION 2737861 UNIV TX MEDICAL BRANCH ANEST DEPT 301 UNIVERSITY BLVD JOHN SEALY BLD GALVESTON TX 775550591 PHYSICIAN / TEACHING 2681936 SODEXO SERVICES OF TEXAS LP 3033 FIFTH AVE STE 335 SAN DIEGO CA 92103 MANAGEMENT 2516754 GE HEALTHCARE 3200 N GRANDVIEW BLVD WAUKESHA WI 531881693 MEDICAL EQUIP MAINT 1661877 51 12006778 2025134 747247 16159 14779159 Net Patient Service Revenue 621110 194558852 194558852 194558852 1404985 1404985 0 0 699986 699986 699986 699986 163217 -22764 163217 -22764 140453 140453 0 0 0 Cafeteria and Vending Sales 722210 614163 614163 Medical Education 621110 2331267 2331267 Children's Learning Center 624410 379263 379263 785747 785747 4110440 215693875 198055129 2859587 0 0 0 0 2479291 2479291 0 76594395 72858766 3735629 5516833 5300715 216118 8988199 8488473 499726 5663518 5441654 221864 1696703 1696703 103854 103854 0 0 0 0 20198422 19998846 199576 685905 338414 347491 1976168 1950741 25427 0 0 5678016 5565447 112569 17134 14464 2670 0 0 387557 387536 21 0 10572721 10572721 2129481 1771038 358443 Bad Debt Expense 5952610 5952610 Medical Supplies 21044010 21043723 287 Minor Equipment 4793520 4710131 83389 Equipment Rental/Maintenance 5936342 5928533 7809 Education Expenses 3533438 3446034 87404 2449435 2209013 240422 186397552 180258707 6138845 0 18625485 17714768 17473453 143187 212341 23913352 20248403 350000 1338064 7003445 845457 834985 1173254 1409641 235497631 139710285 97779789 95787346 47528836 41728255 15136741 15804496 206484165 218567133 26989841 20511516 19000000 19000000 884293 760115 48211 26784 26887795 22655217 73810140 62953632 X 124122495 149551124 2161530 1046377 6390000 5016000 132674025 155613501 206484165 218567133 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 176747 false false false 176747 false false 10141347 10141347 113243852 55152641 58091211 1615904 1480587 135317 109564780 83077057 26487723 931748 931748 95787346 Vanguard 41728255 C 41728255 Smothers and Parrish Trusts 5016000 Insurance Trust 10715127 Deferred Bond Costs 73369 15804496 0 Self Insurance Claims Payable 3310489 Due to Third Party Payor 19333207 Other Liabilities 11521 22655217 215693875 186397552 29296323 4683052 1409392 -11827874 -5735430 23560893 219905866 4683052 1290152 5973204 213932662 1761213 1761213 215693875 196344973 -1409392 11356813 9947421 186397552 186397552 RECONCILIATION OF CHANGE IN NET ASSETS SCH D, PART XI OTHER 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 990 SCH D, PARTS XII & XIII INCOME 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 false Central America and the Caribbean Program Services Investment true true true X 400. true X true true true false true true 4741776 4741776 0.02540 111203355 95475117 15728238 0.08440 115945131 95475117 20470014 0.10980 17616177 17616177 0.09450 4509295 2331267 2178028 0.01170 46657 46657 0.00030 22172129 2331267 19840862 0.10650 138117260 97806384 40310876 0.21630 true 2672082 1062152 1419531 1174871 244660 X true true DRISCOLL CHILDREN'S HOSPITAL

3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411

X 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 EVALUATIONS AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE 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. AT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE. Driscoll 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. The 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. Driscoll 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. The 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. Driscoll 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. TX X X true true X X X X false true false false false false false false false STEVE WOERNER 365761 0 166590 0 20500 0 301551 0 8047 0 862449 0 D ERIC HAMON 72618 18219 77925 0 16500 0 297758 0 687 16 465488 18235 WILLIAM H DIRKSEN MD 0 137938 0 0 0 17048 0 11060 0 548 0 166594 WILLIAM LARSEN 130737 0 45925 0 13253 0 32658 0 9164 0 231737 0 DONNA M QUINN 204493 0 46875 0 0 0 22856 0 8102 0 282326 0 WILLIAM E READ 194994 0 45425 0 0 0 29614 0 7388 0 277421 0 DONALD T WENZLER 261150 0 49350 0 0 0 24706 0 9176 0 344382 0 MARTHA ST ROMAIN 147211 0 52700 0 16500 0 37046 0 5558 0 259015 0 DOUGLAS A WSZOLEK 170622 0 0 0 14448 0 13555 0 5383 0 204008 0 JOHN P MURDOCK 165972 0 0 0 9372 0 16907 0 7755 0 200006 0 JANE N MURPHY 143923 0 19500 0 0 0 3681 0 5491 0 172595 0 ADRIANA L GONZALES 161217 0 0 0 0 0 15141 0 5385 0 181743 0 GREGORY J LUKASZCZYK 152586 0 0 0 5258 0 9884 0 5469 0 173197 0 CAROL C DELINE 0 269049 0 0 0 0 0 22842 0 630 0 292521 INFORMATION REGARDING BENEFTIS PROVIDED PART I, QUESTION 1A FIRST 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 PLAN SCH J, PART 1, QUESTION 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT D. ERIC HAMON $244,968 Steve Woerner $243,527 Amistad Com Hlth Ctr purchase land & bldg X 350000 350000 false true true 350000 CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 ROBERT DRISCOLL, JULIA DRISCOLL, AND ROBERT DRISCOLL JR. FOUNDATION IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HOSPITAL. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 7B THE MEMBER HAS TO APPROVE THE BOARD MEMBERS ELECTIONS. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11B THE 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 POLICY FORM 990, PART VI, QUESTION 12C THE 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 COMPENSATION FORM 990, PART VI, QUESTION 15A 2009 & 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 PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. NUMBER OF EMPLOYEES FORM 990, PART V, QUESTIONS 1A AND 2B DRISCOLL CHILDREN'S HOSPITAL REPORTS PAYROLL AND CONTRACTOR REPORTING FOR ALL ENTITIES WITHIN THE DRISCOLL SYSTEM INCLUDING: DRISCOLL CHILDREN'S HEALTH PLAN 74-2838488 ROBERT AND JULIA DRISCOLL FOUNDATION 74-1170270 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 ASSETS Form 990, Part I, Line 22 BEGINNING 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 ORGANIZATIONS FORM 990, PART VII AVG HOURS WORKED FOR RELATED ORG D ERIC HAMON 20 WILLIAM H DIRKSEN MD 40 CAROLINE C DELINE 40 DRISCOLL CHILDRENS HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(C)(3) 7 NA ROBERT BELL PARRISH MEMORIAL TRUST 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 746416039 CHARITABLE TX 501(C)(3) 11A NA ROBERT AND JULIA DRISCOLL FOUNDATION 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 741170270 CHARITABLE TX 501(C)(3) 11A NA JACK & DORIS SMOTHERS MEDICAL FOUNDATION 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 742750622 CHARITABLE TX 501(C)(3) 11A NA DCH HOLDING COMPANY 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 743011381 HOLDING CO TX 501(C)(2) N/A NA CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 HEALTHCARE TX 501(C)(3) 3 NA DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(C)(3) 3 NA DRISCOLL MATERNAL & FETAL PHYSICIANS GRO 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(C)(3) 7 NA DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(C)(3) 3 NA DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742358461 CHARITABLE TX 501(C)(3) 7 NA AUXILIARY TO DRISCOLL CHILDREN'S HOSPITA 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 741260701 SUPPROT HOSP TX 501(C)(3) 11A NA ALLEGRA INSURANCE COMPANY LTD PO BOX 1085 GT GRAND CAYMAN CJ 000000000 INSURANCE CJ DCH C CORPORATION 2687679 10931749 1.00000 true true true false false false false false true false false false false true true false false false DCH HOLDING COMPANY C 281522 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 A 36938 DRISCOLL VALLEY PHYSICIANS GROUP A 253831 CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS A 229856 CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS A 133455 DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FDN C 1656778 DRISCOLL PHYSICIANS GROUP N 139147 DRISCOLL VALLEY PHYSICIANS GROUP N 82688 DRISCOLL VALLEY PHYSICIANS GROUP N 117184 CPSST DPG DMFPG & DVPG N 105060