Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
TEXAS CHILDREN'S HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
6621 FANNIN ST
 
Room/suite
City or town, state or country, and ZIP + 4
HOUSTON, TX77030
D Employer identification number

74-1100555
E Telephone number

G Gross receipts $ 1,140,968,885
F Name and address of principal officer:
BENJAMIN MELSON
6621 FANNIN ST
HOUSTON,TX77030
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TEXASCHILDRENS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1950
M State of legal domicile: TX
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO SUPPORT EXCELLENCE IN PATIENT CARE, EDUCATION AND RESEARCH WITH A COMMITMENT TO QUALITY SERVICE AND COST-EFFECTIVE CARE TO ENHANCE THE HEALTH & WELL-BEING OF CHILDREN LOCALLY, NATIONALLY & INTERNATIONALLY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 34
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 31
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 6,983
6 Total number of volunteers (estimate if necessary) .... 6 1,535
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,080,915
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -217,287
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 42,024,779 55,481,783
9 Program service revenue (Part VIII, line 2g) ......... 913,697,000 1,015,748,435
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,312,700 8,308,750
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 19,657,814 8,045,244
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 985,692,293 1,087,584,212
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,344,146 7,870,158
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 471,272,239 506,999,887
16a Professional fundraising fees (Part IX, column (A), line 11e).... 2,535,595 2,092,270
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,836,175    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 489,547,556 518,100,107
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 968,699,536 1,035,062,422
19 Revenue less expenses. Subtract line 18 from line 12...... 16,992,757 52,521,790
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 3,233,542,290 3,293,884,041
21 Total liabilities (Part X, line 26)............ 1,032,861,337 1,022,470,282
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,200,680,953 2,271,413,759
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO SUPPORT EXCELLENCE IN PATIENT CARE, EDUCATION AND RESEARCH WITH ACOMMITMENT TO QUALITY SERVICE AND COST-EFFECTIVE CARE TO ENHANCE THEHEALTH AND WELL-BEING OF CHILDREN LOCALLY, NATIONALLY ANDINTERNATIONALLY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 874,435,497 including grants of $ 7,698,915 ) (Revenue $ 991,011,044 )
PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-CARE PEDIATRIC HOSPITAL OPERATING TWO CAMPUSES IN THE HOUSTON AREA, THE LARGEST OF WHICH IS LOCATED IN THE TEXAS MEDICAL CENTER. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, THE HOSPITAL OPERATED 491 INPATIENT BEDS, AND MORE THAN 65 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 1,680 BOARD-CERTIFIED PEDIATRIC SUBSPECIALISTS AND DENTISTS, AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 6,200.
4b (Code:   ) (Expenses $ 26,648,369 including grants of $ 62,153 ) (Revenue $ 9,100,317 )
EDUCATION: THE HOSPITAL IS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE, OUR LONG TERM ACADEMIC PARTNER. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGHOUT TEXAS CHILDREN'S OPERATIONS, AND BAYLOR FACULTY ARE THE SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 60+ SUBSPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, THE HOSPITAL INVESTED MORE THAN $26 MILLION IN THE TRAINING OF OVER 930 TRAINEES IN 79 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S.
4c (Code:   ) (Expenses $ 46,772,320 including grants of $ 109,090 ) (Revenue $ 14,556,159 )
RESEARCH: DURING 2011, TEXAS CHILDREN'S INVESTED MORE THAN $53.5 MILLION IN OVER 1,500 CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S HEALTH ISSUES. IN ADDITION, THE HOSPITAL CONTINUED ITS STRATEGIC FOCUS ON THE GROWTH AND SUCCESS OF ALL TEXAS CHILDREN'S RESEARCH ENDEAVORS THROUGH ENHANCED INFRASTRUCTURE, SUCH AS THE SMALL ANIMAL IMAGING FACILITY IN THE FEIGIN CENTER WHERE INVESTIGATORS CAN ACCESS CUTTING EDGE IMAGING MODALITIES, INCLUDING MRI, PET/CT/SPECT AND BIOLUMINESCENCE/FLUORESCENCE.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 947,856,186
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
901
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
6,983
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
34
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
31
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
RACHEL SHUPE
1919 BRAESWOOD BLVD
HOUSTON,TX77030
(832) 824-2951
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) WILLIE J ALEXANDER
BOARD TRUSTEE
 1.00 X           0 0 0
(2) MERRELL A ATHON
BOARD TRUSTEE
 1.00 X           0 0 0
(3) THOMAS G BACON
BOARD TRUSTEE
 1.00 X           0 0 0
(4) FREDA WILKERSON BASS
SEE SCHEDULE O
 1.00 X   X       0 0 0
(5) SUSAN BELL BOYKIN
BOARD TRUSTEE
 1.00 X           0 0 0
(6) LEWIS E BRAZELTON III
BOARD TRUSTEE
 1.00 X           0 0 0
(7) DONALD P DEWALCH
BOARD TRUSTEE
 1.00 X           0 0 0
(8) JAN ELLIS DUNCAN
BOARD TRUSTEE
 1.00 X           2,472 0 0
(9) JENNY ELKINS
BOARD TRUSTEE
 1.00 X           0 0 0
(10) ROBERT L GERRY III
BOARD TRUSTEE
 1.00 X           0 0 0
(11) NANCY R GORDON
BOARD TRUSTEE
 1.00 X           0 0 0
(12) VICTOR E HARRIS
BOARD TRUSTEE
 1.00 X           0 0 0
(13) JOHN B HOWENSTINE
BOARD TRUSTEE
 1.00 X           0 0 0
(14) RONALD C HULME
SEE SCHEDULE O
 1.00 X   X       0 0 0
(15) JODIE LEE JILES
BOARD TRUSTEE
 1.00 X           0 0 0
(16) KEVIN C KING
SEE SCHEDULE O
 1.00 X   X       0 0 0
(17) ANN LENTS
SEE SCHEDULE O
 1.00 X   X       0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MICHAEL C LINN
BOARD TRUSTEE
 1.00 X           0 0 0
(19) BARRY H MARGOLIS
SEE SCHEDULE O
 1.00 X   X       0 0 0
(20) WILLIAM N MATHIS
BOARD TRUSTEE
 1.00 X           0 0 0
(21) BEN B MCANDREW III
BOARD TRUSTEE
 1.00 X           0 0 0
(22) EDWARD S MCCULLOUGH
BOARD TRUSTEE
 1.00 X           0 0 0
(23) ROBERT E MEADOWS
BOARD TRUSTEE
 1.00 X           0 0 0
(24) DAVID L MENDEZ
BOARD TRUSTEE
 1.00 X           0 0 0
(25) ANTHONY G PETRELLO
BOARD TRUSTEE
 1.00 X           0 0 0
(26) TOWNES G PRESSLER
BOARD TRUSTEE
 1.00 X           0 0 0
(27) GARY L ROSENTHAL
SEE SCHEDULE O
 1.00 X   X       0 0 0
(28) LE SIMMONS
BOARD TRUSTEE
 1.00 X           0 0 0
(29) JOEL V STAFF
SEE SCHEDULE O
 1.00 X   X       0 0 0
(30) Y PING SUN
BOARD TRUSTEE
 1.00 X           0 0 0
(31) BRAD TUCKER
SEE SCHEDULE O
 1.00 X   X       0 0 0
(32) PETER S WAREING
BOARD TRUSTEE
 1.00 X           0 0 0
(33) MAX P WATSON
BOARD TRUSTEE
 1.00 X           0 0 0
(34) MARK A WALLACE
BOARD TRUSTEE/PRESIDENT/CEO
 40.00 X   X       2,439,696 0 661,155
(35) BENJAMIN MELSON
CFO/EXECUTIVE VICE PRESIDE
 40.00     X       730,077 0 225,836
(36) ANN STERN
EXECUTIVE VICE PRESIDENT
 40.00     X       535,575 0 181,159
(37) RANDY WRIGHT
COO/EXECUTIVE VICE PRESIDE
 40.00     X       1,284,698 0 218,808
(38) MARY JO ANDRE
VICE PRESIDENT
 20.00       X     230,836 0 74,043
(39) SUSAN MACDONALD
SENIOR VICE PRESIDENT
 40.00       X     414,584 0 130,031
(40) SANDRA M MCELLIGOTT
SENIOR VICE PRESIDENT
 40.00       X     284,245 0 90,194
(41) TABITHA RICE
VICE PRESIDENT
 40.00       X     235,605 0 78,979
(42) LINDA ALDRED
SENIOR VICE PRESIDENT
 40.00         X   633,276 0 131,116
(43) HOWARD W HARPSTER
VICE PRESIDENT
 40.00         X   350,976 0 114,428
(44) WILLIAM HILTON
VICE PRESIDENT
 40.00         X   321,723 0 52,226
(45) JOHN SCALES
SENIOR VICE PRESIDENT
 40.00         X   498,086 0 77,007
(46) KAY TITTLE
SENIOR VICE PRESIDENT
 40.00         X   384,783 0 131,091
(47) SUSAN M DISTEFANO
FORMER SR VICE PRESIDENT
 0.00           X 799,135 0 14,006
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,145,767 0 2,180,079
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet523
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BAYLOR COLLEGE OF MEDICINE
1 BAYLOR PLAZA
HOUSTON,TX77030 		PHYSCN & FACULTY SVC 29,400,432
SB AIR INC
2505 CLARK CARR LOOP SE
ALBUQUERQUE,NM87106 		AVIATION SERVICES 2,770,017
VIRACOR HOLDING LLC USE #307812
2695 MOMENTUM PLACE
CHICAGO,IL606895326 		MEDICAL TESTING 2,252,502
STENTOR INC
385 OYSTER POINT BLVD STE 8B
SOUTH SAN FRANCISCO,CA94080 		MEDICAL IMAGING SERVICES 1,292,620
CUSA GCT LLC
950 MCCARTY RD
HOUSTON,TX77029 		TRANSPORTATION 1,171,752
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet77
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 10,276,959
d Related organizations...1d  
e Government grants (contributions)1e 10,133,398
f All other contributions, gifts, grants, and
similar amounts not included above1f 		35,071,426
g Noncash contributions included in lines 1a-1f:$ 811,461
h Total. Add lines 1a-1f.......MediumBullet 55,481,783
Program Service Revenue Business Code
2a NET PATIENT SERVICE RE 621,500 956,311,505 955,514,742 796,763  
b MGMT SERVICES 811,000 22,595,417 22,311,265 284,152  
c DISPRO REVENUE 622,110 21,707,266 21,707,266    
d PROG.SERV.REVENUE-RELA 621,500 7,438,494 7,438,494    
e PROGRAM SUPPORT-BAYLOR 621,500 5,333,047 5,333,047    
f All other program service revenue . 2,362,706 2,362,706    
g Total. Add lines 2a–2f........MediumBullet 1,015,748,435
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 8,295,091     8,295,091
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 370,170  
b Less: rental expenses 71,803  
c Rental income or (loss) 298,367  
d Net rental income or (loss).......MediumBullet 298,367     298,367
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 50,226,576  
b Less: cost or other basis and sales expenses 50,064,604 148,313
c Gain or (loss) 161,972 -148,313
d Net gain or (loss)..........MediumBullet 13,659     13,659
8a Gross income from fundraising events (not including
$ 10,276,959
of contributions reported on line 1c). See Part IV, line 18 ...
a 223,750
b Less: direct expenses ...b 828,126
c Net income or (loss) from fundraising events..MediumBullet -604,376   -604,376
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 5,203,432
b Less: cost of goods sold ..b 2,271,827
c Net income or (loss) from sales of inventory..MediumBullet 2,931,605     2,931,605
Miscellaneous Revenue Business Code
11a PARKING GARAGE REVENU 812,930 5,419,648     5,419,648
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 5,419,648
12 Total revenue. See Instructions....MediumBullet 1,087,584,212 1,014,667,520 1,080,915 16,353,994
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 7,870,158 7,870,158
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 7,014,748   7,014,748  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 9,169   9,169  
7 Other salaries and wages 404,485,275 370,973,904 31,260,708 2,250,663
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 13,118,224 11,801,371 1,242,150 74,703
9 Other employee benefits ....... 53,246,836 48,676,233 4,262,481 308,122
10 Payroll taxes ........... 29,125,635 25,185,243 3,780,969 159,423
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,998,653   1,998,653  
c Accounting ........... 326,735   326,735  
d Lobbying ........... 361,280 361,280    
e Professional fundraising. See Part IV, line 17.. 2,092,270 2,092,270
f Investment management fees ......        
g Other .......... 167,126,822 164,055,797 2,896,811 174,214
12 Advertising and promotion .... 6,467,706 6,206,032 246,830 14,844
13 Office expenses ....... 26,678,205 25,254,709 1,342,965 80,531
14 Information technology ...... 22,777,734 18,714,508 4,063,226  
15 Royalties ..        
16 Occupancy ........... 32,526,094 32,002,682 493,720 29,692
17 Travel ............ 2,589,063 2,376,490 200,514 12,059
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 2,336,778 2,104,162 219,420 13,196
20 Interest ........... 4,007,326 566,654 3,437,085 3,587
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 89,826,851 83,023,563 6,417,348 385,940
23 Insurance .............. 8,205,511   8,205,511  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PHARMACEUTICAL SUPPLIES 45,654,254 45,654,254    
b MEDICAL/SURGICAL SUPPLI 35,564,875 35,564,875    
c BAD DEBT 22,955,030 22,955,030    
d IMPANTS AND PROSTHESIS 13,017,778 13,017,778    
e BLOOD PURCHASED 5,271,242 5,271,242    
f All other expenses 30,408,170 26,220,221 3,951,018 236,931
25 Total functional expenses. Add lines 1 through 24f 1,035,062,422 947,856,186 81,370,061 5,836,175
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... -790,675 1 3,911,061
2 Savings and temporary cash investments ....... 32,115,965 2 16,002,662
3 Pledges and grants receivable, net ......... 73,973,696 3 64,604,134
4 Accounts receivable, net ......... 90,965,894 4 104,544,980
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 8,385,327 8 8,149,048
9 Prepaid expenses and deferred charges ............ 18,816,350 9 22,051,900
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,090,764,340
b Less: accumulated depreciation. ..... 10b 629,450,886 1,232,292,681 10c 1,461,313,454
11 Investments—publicly traded securities .......... 1,638,949,037 11 100,931,099
12 Investments—other securities. See Part IV, line 11 ......   12 203,283
13 Investments—program-related. See Part IV, line 11 .. 63,863,058 13 66,702,040
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 74,970,957 15 1,445,470,380
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,233,542,290 16 3,293,884,041
Liabilities 17 Accounts payable and accrued expenses . 248,826,051 17 241,293,753
18 Grants payable ..........   18  
19 Deferred revenue .......... 1,896,914 19 4,165,805
20 Tax-exempt bond liabilities .......... 722,971,355 20 714,155,567
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 29,909,143 23 27,266,188
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 29,257,874 25 35,588,969
26 Total liabilities. Add lines 17 through 25..... 1,032,861,337 26 1,022,470,282
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,917,780,057 27 2,016,281,630
28 Temporarily restricted net assets ..... 193,263,313 28 160,292,039
29 Permanently restricted net assets ..... 89,637,583 29 94,840,090
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,200,680,953 33 2,271,413,759
34 Total liabilities and net assets/fund balances ..... 3,233,542,290 34 3,293,884,041
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
1,087,584,212
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,035,062,422
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
52,521,790
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,200,680,953
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
18,211,016
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
2,271,413,759
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
TEXAS CHILDREN'S HOSPITAL
  		Employer identification number

74-1100555
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
TEXAS CHILDREN'S HOSPITAL
  		Employer identification number

74-1100555
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
TEXAS CHILDREN'S HOSPITAL
  		Employer identification number

74-1100555
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
322,872
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
70,993
j
Total. lines 1c through 1i ...................................
393,865
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: LOBBYING
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: TEXAS CHILDREN'S HOSPITAL (TCH) MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT THAT ADVOCATES FOR PUBLIC POLICY AT THE LOCAL, STATE, AND FEDERAL LEVEL. TCH SUPPORTS POLICIES THAT KEEP CHILDREN HEALTHY, BUILD A HIGH QUALITY PEDIATRIC HEALTHCARE SYSTEM, AND ADVOCATE FOR HEALTH COVERAGE FOR CHILDREN. IN ADDITION TO ADVOCACY, THE GOVERNMENT RELATIONS DEPARTMENT PROVIDES EDUCATION ON THE UNIQUE NEEDS OF PEDIATRIC HEALTH CARE PROVIDERS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 89,637,583 79,706,554 77,544,127
b Contributions ........ 5,050,504 435,229 3,674,137
c Investment earnings or losses ... 4,108,168 11,161,933 540,963
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses .... 3,956,165 1,666,133 2,052,673
g End of year balance ...... 94,840,090 89,637,583 79,706,554
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet6.000 %
b
Permanent endowment: SchDMd Bullet94.000 %
c
Term endowment: SchDMd Bullet0 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   65,955,577 65,955,577
b Buildings ................   482,642,756 161,160,478 321,482,278
c Leasehold improvements ............   23,480,824 11,873,501 11,607,323
d Equipment ................   865,740,673 452,444,790 413,295,883
e Other .................   652,944,510 3,972,117 648,972,393
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,461,313,454
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INVESTMENT IN TCHF 1,396,383,473
(2) CHICO REBATE RECEIVAB 35,099,088
(3) BOND ISSUANCE COSTS 6,161,248
(4) MISC RECEIVABLES 4,232,996
(5) DUE FROM AFFILIATES 3,593,575




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,445,470,380
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
INTEREST RATE SWAP 30,233,578
DEFERRED COMPENSATION 5,355,391







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 35,588,969
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TEXAS CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED FUNDS IN WHICH THE PRINCIPAL IS HELD IN PERPETUITY AND INVESTED FOR GROWTH AND THE INCOME GENERATED IS CONSUMED IN THE FURTHERANCE OF TEXAS CHILDREN'S EXEMPT PURPOSE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2011.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
CENTRAL AMERICA AND THE CARIBBEAN     PROGRAM SERVICES INSURANCE 4,230,649
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 4,230,649
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 4,230,649
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
AL, AZ, AR, CT, FL, GA, IL, KS, KY, ME, MD, MA, MI, MS, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, VA, WA, WV, CA, DE, ID, IN, IA, MO, MT, NE, NV, SD, VT, WY, WI
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

EVENING/LEGEND
(event type) 		(b) Event #2

BAD PANTS GOLF
(event type) 		(c) Other Events

5
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 9,091,395 403,879 1,005,435 10,500,709
2 Less: Charitable
contributions . . . 		9,021,135 343,574 912,250 10,276,959
3 Gross income (line 1
minus line 2) . . . 		70,260 60,305 93,185 223,750
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 398,046 79,667 350,413 828,126
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 828,126
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -604,376
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  902 11,901,150 583,142 11,318,008 1.120 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  82,916 425,102,734 365,503,082 59,599,652 5.890 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   15,852 44,372,776 43,152,832 1,219,944 0.120 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		  99,670 481,376,660 409,239,056 72,137,604 7.130 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		  61,938 3,876,035 231,101 3,644,934 0.360 %
f Health professions education
(from Worksheet 5) .. 		  913 25,488,615 2,753,525 22,735,090 2.250 %
g Subsidized health services
(from Worksheet 6) .. 		  10,632 5,705,081 3,320,965 2,384,116 0.240 %
h Research (from Worksheet 7)     53,550,083 7,778,395 45,771,688 4.520 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    6,775,453 83,178 6,692,275 0.660 %
jTotal Other Benefits ...   73,483 95,395,267 14,167,164 81,228,103 8.030 %
kTotal. Add lines 7d and 7j. ..   173,153 576,771,927 423,406,220 153,365,707 15.160 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     107,655   107,655 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     107,655   107,655 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
9,847,708
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
3,318,410
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
2,722,805
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
595,605
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 NA
  		       
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?4
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 WEST TOWER
6621 FANNIN
HOUSTON,TX77030 		X X X X   X X    
2 CLINICAL CARE CENTER
6701 FANNIN
HOUSTON,TX77030 		X X X X   X      
3 ABERCROMBIE BUILDING
6621 FANNIN
HOUSTON,TX77030 		X X X X   X   X FAST TRACK ER-ADD'L ER UNIT OPEN 7AM-3AM, PART OF W TOWER ER
4 WEST CAMPUS
18200 KATY FREEWAY
HOUSTON,TX77094 		X X X       X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:APPLIES TO ALL FACILITIES
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200.000000000000%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?8
Name and address Type of Facility (Describe)
1 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
2 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
3 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
4 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
5 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
6 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
7 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
8 THE WOODLANDS HEALTH CENTER
17198 ST LUKES WAY STE 300
THE WOODLANDS,TX77384 		HOSPITAL BASED OUTPATIENT/DIAGNOSTIC CLINIC
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: TEXAS CHILDREN'S HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. TEXAS CHILDREN'S GRANTS CHARITY TO MEDICALLY AND FINANCIALLY INDIGENT PATIENTS. THE HOSPITAL DOES NOT CONSIDER ASSETS WHEN GRANTING CHARITY CARE. TEXAS CHILDREN'S CHARITY CARE APPLICATION ASKS PATIENTS/FAMILIES TO DISCLOSE ASSETS ONLY FOR PURPOSES OF CONSIDERING ELIGIBILITY FOR GOVERNMENT PROGRAMS.
    PART I, LINE 7: FOR PART 1, LINE 7, TEXAS CHILDREN'S HOSPITAL APPLIED THE RATIO OF PATIENT CARE COSTS TO CHARGES DERIVED FROM WORKSHEET 2 TO THE CHARGES THE HOSPITAL FORGAVE PURSUANT TO THE CHARITY CARE POLICY (LINE 7A), MEDICAID CHARGES (LINE 7B), OTHER MEANS-TESTED CHARGES (LINE 7C), AND RESEARCH PATIENT CARE CHARGES (LINE 7H). WORKSHEETS 1, 2, 3, 4, 5, 6, 7 & 8 AND THE CORRESPONDING INSTRUCTIONS HAVE BEEN USED AS THE PRIMARY BASIS FOR COMPLETING PART 1, LINE 7.FOR PART 1, LINE 7, TEXAS CHILDREN'S HOSPITAL APPLIED INDIRECT COST RATIOS FROM THE 2011 MEDICARE COST REPORT TO DIRECT PROGRAM EXPENSE TO DETERMINE TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), NON-GME HEALTH PROFESSIONAL EDUCATION PROGRAMS (LINE 7F), SUBSIDIZED HEALTH SERVICES (LINE 7G), AND IN-KIND CONTRIBUTIONS (LINE 7I). THE INDIRECT COST RATIOS COMPUTED FROM THE 2011 MEDICARE COST REPORT ARE BOTH COMPREHENSIVE AND A GOOD PROXY OF THE ASSOCIATED OVERHEAD COSTS.FOR PART 1, LINE 7F, TEXAS CHILDREN'S HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2011 MEDICARE COST REPORT FOR ACCREDITED GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. THE COST ASSOCIATED WITH NON-NATIONALLY-ACCREDITED GME PROGRAMS HAS BEEN EXCLUDED FROM THE LINE 7F. PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN EQUALS $22,955,030.FOR PART 1, LINE 7H, TEXAS CHILDREN'S HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2011 MEDICARE COST REPORT FOR RESEARCH. NO INDUSTRY-SPONSORED RESEARCH ACTIVITIES ARE INCLUDED IN LINE 7H.
    PART I, LINE 7G: TEXAS CHILDREN'S HOSPITAL HAS INCLUDED THREE HOSPITAL-BASED CLINICS (THE CENTER FOR CHILDHOOD OBESITY CLINIC, RENAL OUTPATIENT SERVICES AND MENTAL HEALTH SERVICES) AND THE MOBILE CLINIC OUTREACH PROGRAM AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. GROSS EXPENSES OF $5,705,081 OFFSETTING REVENUE OF $3,320,965 AND NET EXPENSES OF $2,384,116 ARE INCLUDED IN THAT LINE. THESE CLINICS QUALIFY AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY PROVIDE CARE AND SERVICES TO VULNERABLE, LOW INCOME POPULATIONS WHOSE COMMUNITIES LACK PRIMARY CARE SERVICES AND PROGRAMS. OBESITY CLINIC - THIS CLINIC WAS DEVELOPED TO ASSIST THE COMMUNITY AND PROVIDERS IN CARING FOR PATIENTS WITH WEIGHT MANAGEMENT CHALLENGES, SEVERE OBESITY (> 95TH PERCENTILE) AND ASSOCIATED CO-MORBIDITIES. THE CLINIC FOCUSES ON UNDERSTANDING THE PHYSICAL AND BEHAVIORAL TENDENCIES OF THE PATIENTS AND TAILORING A PROGRAM TO IMPROVE THE PATIENT'S OVERALL HEALTH. RENAL OUTPATIENT SERVICES - SERVICES STARTED IN 1980 IN RESPONSE TO COMMUNITY NEEDS FOR CHRONIC HEMODIALYSIS FOR CHILDREN. APPROXIMATELY 70 CHRONIC PATIENTS ARE SEEN ANNUALLY BY PEDIATRIC ENDOCRINOLOGISTS AND UNDERGO DIALYSIS TREATMENT AT THE HOSPITAL OR AT HOME IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES WHILE MAINTAINING A CHILD'S NORMALCY OF SCHOOL AND ACTIVITIES WITH FRIENDS. THE PSYCHOLOGY SERVICE SERVES PATIENTS WITH VARYING DEGREES OF ASSESSMENT AND TREATMENT NEEDS. SERVICES INCLUDE NEUROPSYCHOLOGICAL TESTING, COGNITIVE ASSESSMENTS, DIAGNOSTIC ASSESSMENTS FOR BEHAVIORAL OR DEVELOPMENTAL CONCERNS, AND TREATMENT IN THE AREAS OF PRE-SCHOOL AND SCHOOL AGE DISRUPTIVE BEHAVIOR, ANXIETY AND MOOD DISORDERS, COMPLEX ADHD, ETC. THE SERVICE WORKS CLOSELY WITH OTHER SERVICES WITHIN TCH, BOTH INPATIENT AND OUTPATIENT, IN HELPING PATIENTS ADJUST TO AND MANAGE COMPLICATED OR SERIOUS MEDICAL DIAGNOSES. THE SERVICE SEES BETWEEN 5,500 AND 6,000 PATIENTS ANNUALLY.MOBILE CLINIC OUTREACH PROGRAM -TEXAS CHILDREN'S MOBILE CLINICS TRAVEL TO LOW-INCOME, LARGELY HISPANIC NEIGHBORHOODS TO PROVIDE FREE HEALTH CARE TO CHILDREN AGES 0 TO 18 WHO DO NOT HAVE INSURANCE. AS PART OF ITS GOAL TO BUILD A COMMUNITY OF HEALTHY CHILDREN, TEXAS CHILDREN'S OPERATES MOBILE CLINICS TO PROVIDE TRUSTED, HIGH-QUALITY MEDICAL SERVICES TO CHILDREN WHO NORMALLY MIGHT NOT HAVE THE OPPORTUNITY TO RECEIVE HEALTH CARE.
  PART II, LINE 3 THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING EDUCATIONAL OPPORTUNITIES TO LEARN MORE ABOUT SPECIFIC DISEASES OR PUBLIC HEALTH INITIATIVES, PROVIDE HEALTHCARE-RELATED SCHOLARSHIPS AND TO SUPPORT ORGANIZATIONS FOCUSED ON THE ROOT CAUSES OF HEALTH PROBLEMS (E.G., POVERTY AND HOMELESSNESS) AND VULNERABLE POPULATIONS (E.G., CHILDREN WITH SPECIAL HEALTHCARE NEEDS).
    PART III, LINE 4: FOOTNOTE DESCRIBING BAD DEBT ON FINANCIAL STATEMENTSUNCOLLECTIBLE AMOUNTS FROM PATIENTS WHO DO NOT MEET THE CRITERIA UNDER THE HOSPITAL CHARITY CARE POLICY ARE INCLUDED AS OPERATING EXPENSES IN THE PROVISION FOR DOUBTFUL ACCOUNTS. RECEIVABLES FOR THE RELATED REVENUE ARE RECORDED FOR THE FULL AMOUNT AND ARE OFFSET BY THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS AND APPROPRIATELY REFLECTED AT NET REALIZABLE VALUE IN THE COMBINED BALANCE SHEETS. MANAGEMENT ROUTINELY ASSESSES THESE RECORDED ALLOWANCES RELATIVE TO CHANGES IN PAYOR MIX, CASH COLLECTIONS, WRITE-OFF, RECOVERIES, AND MARKET DYNAMICS. COSTING METHODOLOGY TO DETERMINE BAD DEBT EXPENSE AT COST UTILIZES THE SAME COST TO CHARGE RATIO IDENTIFIED ON WORKSHEET 2. BAD DEBT EXPENSE IS CALCULATED AS THE CHARGES WRITTEN OFF (AT FULL ESTABLISHED RATE) MULTIPLIED BY THE COST TO CHARGE RATIO. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE POLICY TEXAS CHILDREN'S HOSPITAL DOES NOT CONTEND THAT ANY PORTION OF PATIENT CHARGES WRITTEN-OFF TO BAD DEBT EXPENSE (AT COST) IS ATTRIBUTABLE TO THE ORGANIZATION'S CHARITY CARE POLICY OR SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ALL UNCOLLECTED CHARGES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY ARE INCLUDED IN LINE 7A (AT COST).
    PART III, LINE 9B: THE HOSPITAL'S DEBT COLLECTION POLICY DIRECTS HOSPITAL PERSONNEL TO REFERENCE THE PROCEDURES OUTLINED IN THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY WHEN THE PATIENTS ARE SUSPECTED TO QUALIFY FOR ASSISTANCE.
WEST CAMPUS PART V, LINE 4 TEXAS CHILDREN'S HOSPITAL WEST CAMPUS WAS CREATED TO RESPOND TO THE GROWING NEED FOR EXPERT PEDIATRIC HEALTH CARE IN WEST HOUSTON, ONE OF THE CITY'S MOST RAPIDLY GROWING COMMUNITIES. AS GREATER HOUSTON'S FIRST SUBURBAN HOSPITAL DESIGNED EXCLUSIVELY FOR CHILDREN, THIS COMMUNITY HOSPITAL OFFERS THE EXPERT CARE PATIENTS AND FAMILIES HAVE COME TO TRUST FROM TEXAS CHILDREN'S HOSPITAL COUPLED WITH A LOCATION THAT'S CONVENIENT AND ACCESSIBLE FOR AREA FAMILIES.
APPLIES TO ALL FACILITIES   PART V, SECTION B, LINE 11H: FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS - OTHER:CITIZENSHIP, RESIDENCY SERVICE AREA, DENIALS BY ALL POTENTIAL INSURANCE FUNDING SOURCES, EMPLOYMENT STATUS, CURRENT FINANCIAL OBLIGATIONS, GOOD FAITH EFFORT, IF PREVIOUS PATIENT, THE PAYMENT HISTORY, NUMBER OF FAMILY MEMBERS LIVING IN HOUSEHOLD, PHYSICIAN, PATIENT DIAGNOSIS, HOUSEHOLD EXPENSES, REEVALUATION EVERY SIX MONTHS OR REEVALUATION DUE TO CHANGE IN CIRCUMSTANCES SUCH AS SUBSEQUENT SERVICES, FAMILY SIZE OR INCOME CHANGES, ETC., CHARITY COMMITTEE DETERMINATION, COOPERATION WITH THE APPLICATION PROCESS AND EXCEPTIONS DUE TO EXTENUATING CIRCUMSTANCES.
APPLIES TO ALL FACILITIES   PART V, SECTION B, LINE 13G: THE HOSPITAL ANNUALLY PLACES A NOTICE OF ITS CHARITY CARE/FINANCIAL ASSISTANCE POLICY IN THE LEGAL SECTION OF A WIDELY READ LOCAL PAPER, THE HOUSTON CHRONICLE, AS WELL AS IN THE SPANISH VERSION OF THIS PAPER, LA VOZ.
APPLIES TO ALL FACILITIES   PART V, SECTION B, LINE 19D: METHOD THE HOSPITAL FACILITY USED TO DETERMINE THE AMOUNTS BILLED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR MEDICALLY NECESSARY CARE - OTHER: UNINSURED PATIENTS ARE GIVEN A 40% DISCOUNT OF GROSS CHARGES.
APPLIES TO ALL FACILITIES   PART V, SECTION B, LINE 21: THE HOSPITAL OFFERS A 40% DISCOUNT TO ALL US RESIDENT SELF-PAY PATIENTS. THIS CAN BE OFFERED TO PATIENTS AT MULTIPLE POINTS IN THE PROCESS OF RECEIVING SERVICES AT TCH, SUCH AS AT THE TIME OF SCHEDULING, THE DATE(S) OF SERVICE OR FOLLOWING RECEIPT OF THE BILL. IN ADDITION, THE HOSPITAL ACCEPTS PAYMENT OF 60% OF THE BILL AS PAYMENT IN FULL.
    PART VI, LINE 2: COMMUNITY NEEDS ASSESSMENT PROCESS FY 2010-2012THE COMMUNITY BENEFITS DEPARTMENT OF TEXAS CHILDREN'S HOSPITAL TRANSITIONED TO NEW LEADERSHIP AT THE END OF FY 2010. A MORE FORMAL COMMUNITY BENEFITS DEPARTMENT STRUCTURE AND PURPOSE WAS INAUGURATED WHERE POLICIES AND PROCEDURES REGARDING THE HOSPITAL'S CHARITY CARE PRACTICES, THE IDENTIFICATION AND REPORTING OF COMMUNITY BENEFIT PROGRAMS, AND THE FORMATION OF A FORMAL STRUCTURE OF A COMMUNITY BENEFITS WORKGROUP (CBW) WERE COMPLETED. BEGINNING IN FY 2011, THE HOSPITAL CEO, OTHER SENIOR HOSPITAL LEADERS AND BOARD MEMBERS MET WITH THE COMMUNITY BENEFITS DEPARTMENT TO PROVIDE GUIDANCE AND FOCUS TO THE COMMUNITY HEALTH ISSUES AND NEEDS THE HOSPITAL SHOULD EXAMINE AND SUPPORT THROUGH ITS COMMUNITY BENEFITS WORK. THESE ISSUES INCLUDE: ACCESS TO CARE AND HEALTH COVERAGE, MEDICAL EDUCATION AND TRAINING, DISEASE PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS, PEDIATRIC AND MATERNAL HEALTH RESEARCH, AND COMMUNITY HEALTH PARTNERSHIPS AND COLLABORATIONS. THE CBW IS CHARGED WITH DETERMINING HOW BEST TO ADDRESS THE COMMUNITY NEEDS THAT WOULD FALL UNDER THESE LARGER HEALTH ISSUE CATEGORIES. IN ITS FIRST FORMAL MEETING, THE WORKGROUP DEFINED ITS "COMMUNITY" AS LOCAL, STATE, NATIONAL, AND INTERNATIONAL. GIVEN THE COMPLEXITY OF DESIGNING AND IMPLEMENTING A COMMUNITY NEEDS ASSESSMENT (CNA) THAT ADEQUATELY CAPTURES TEXAS CHILDREN'S HOSPITAL'S DEFINITION OF "COMMUNITY' AS WELL AS THE VOLUME OF DATA ALREADY AVAILABLE, THE CBW RECOMMENDED THAT THE COMMUNITY BENEFITS DEPARTMENT CONDUCT A META-ANALYSIS OF ALL CURRENT NEEDS ASSESSMENTS PRODUCED BY OTHER HOSPITALS OR HEALTH ORGANIZATIONS, ADVOCACY ORGANIZATIONS, CHARITIES AND FOUNDATIONS, AS WELL AS NEEDS ASSESSMENTS AND RESEARCH CONDUCTED BY VARIOUS LEVELS OF GOVERNMENT (WITHIN THE PAST 5 YEARS) THAT FOCUSED ON WOMEN AND CHILDREN. THE WORKGROUP REQUESTED THAT THE DEPARTMENT EXAMINE AND AGGREGATE DATA AND ESTABLISH CHILDREN AND MATERNAL HEALTH BENCHMARKS TO ALIGN WITH THE 5 HEALTH THEMES WHERE THE HOSPITAL WILL FOCUS ITS COMMUNITY BENEFITS EFFORTS. THE DATA GATHERED ON THE HEALTH AND WELL-BEING OF CHILDREN LOCALLY, IN OUR STATE, NATIONALLY AND INTERNATIONALLY, WERE DISCUSSED AND VETTED WITH EXTERNAL SUBJECT MATTER EXPERTS. A FEW OF THESE COMMUNITY LEADERS AND PROFESSIONALS HAVE EDUCATED OUR WORKGROUP ON WHAT OUR DATA FINDINGS MEAN, AND WHAT THE HOSPITAL SHOULD OR COULD DO TO IMPROVE VARIOUS COMMUNITY HEALTH INDICATORS OVER THE NEXT THREE TO FIVE YEARS. ONCE THE SUBJECT MATTER INTERVIEWS WERE COMPLETED, THE COMMUNITY BENEFITS DEPARTMENT FURTHER REFINED THE META-ANALYSIS AND WORKED WITH THE COMMUNITY BENEFITS WORKGROUP TO ORGANIZE AND EVALUATE THE HOSPITAL'S EXISTING BENEFIT PROGRAMS AND PRIORITIES TO BETTER REFLECT THE CURRENT NEEDS IDENTIFIED THROUGH THE CNA PROCESS AND DEPARTMENT STRUCTURE.
    PART VI, LINE 3: THE FAMILIES OF CHILDREN WHO RECEIVE SERVICES AT TEXAS CHILDREN'S HOSPITAL ARE NOTIFIED OF THEIR RIGHTS AND RESPONSIBILITIES AND THE AVAILABILITY OF GOVERNMENT- OR HOSPITAL-SPONSORED PROGRAMS IF FINANCIAL ASSISTANCE IS NEEDED. -INFORMATION IS PROVIDED DURING INPATIENT AND OUTPATIENT REGISTRATION, AND MATERIALS ARE AVAILABLE IN ENGLISH AND SPANISH. -NOTICES OF TEXAS CHILDREN'S HOSPITAL CHARITY CARE PROGRAM ARE POSTED IN PUBLIC WAITING AND REGISTRATION AREAS, INCLUDING ADMISSIONS, EMERGENCY CENTER, OUTPATIENT CLINICS AND OTHER PROMINENT AREAS. A VARIETY OF LANGUAGE SERVICES ARE AVAILABLE UPON REQUEST. -THE HOSPITAL'S CHARITY CARE POLICY IS POSTED ON THE TEXAS CHILDREN'S HOSPITAL PUBLIC WEBSITE IN BOTH ENGLISH AND SPANISH. THE SITE DIRECTS PATIENT FAMILIES TO CONTACT ADMISSIONS COUNSELORS AND FINANCIAL COUNSELORS IN THE ADMISSIONS DEPARTMENT FOR MORE INFORMATION ABOUT AVAILABLE FINANCIAL OPTIONS AND RESOURCES. -TEXAS CHILDREN'S HOSPITAL ANNUALLY PUBLISHES A SUMMARY OF ITS CHARITY CARE POLICY IN THE MARKET'S LOCAL MAJOR NEWSPAPER. -FINANCIAL COUNSELORS ARE AVAILABLE TO DETERMINE ELIGIBILITY FOR GOVERNMENT AND/OR HOSPITAL-SPONSORED FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS RECEIVE TRAINING ON ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. -STATE OUTSTATIONED ELIGIBILITY WORKERS (OEW) ARE ON-SITE TO SUPPORT THE GOVERNMENT-SPONSORED ASSISTANCE PROGRAM APPLICATION PROCESS. -REFERRALS FOR CHARITY CONSIDERATION ORIGINATE WITH ADMISSIONS CENTRAL SCHEDULING, HOSPITAL SOCIAL WORKERS AND CLINICIANS, EXTERNAL PROVIDERS, AND THROUGH SELF-REFERRAL. THESE REFERRALS ARE DIRECTED TO THE APPROPRIATE DEPARTMENT'S FINANCIAL COUNSELORS WHO DISCUSS OPTIONS, INCLUDING CHARITY ASSISTANCE. -FINANCIAL COUNSELORS ALSO CONTACT PATIENTS ARRIVING VIA THE HOSPITAL EMERGENCY ROOM TO DISCUSS ELIGIBILITY FOR GOVERNMENT PROGRAMS LIKE MEDICAID, CHIP, CSHCN AND CHARITY ASSISTANCE.
    PART VI, LINE 4: GIVEN THE SERVICES PROVIDED TO PATIENTS FROM AROUND THE WORLD, TEXAS CHILDREN'S HOSPITAL HAS DEFINED ITS COMMUNITY AS LOCAL, NATIONAL AND INTERNATIONAL. LOCALLY, THE FOLLOWING COUNTIES ARE ITS PRIMARY AND SECONDARY SERVICE AREAS: HARRIS, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, LIBERTY, MONTGOMERY AND WALLER. IN HARRIS COUNTY ALONE, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICE ADMINISTRATION HAS IDENTIFIED 24 MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUA/PS). (BRAZORIA,3; CHAMBERS, 1; FORT BEND, 1: GALVESTON, 3; LIBERTY,1; MONTGOMERY, 2; AND WALKER, 1)
    PART VI, LINE 6: AS A LEADER IN PEDIATRICS, TEXAS CHILDREN'S HOSPITAL CONTINUES ITS MISSION TO SERVE THE COMMUNITY THROUGH PRE-EMINENT RESEARCH, EDUCATION AND PATIENT CARE. THIS ONGOING COMMITMENT ENSURES THE HEALTH AND WELL-BEING OF THE YOUNGEST AND MOST VULNERABLE MEMBERS OF THE COMMUNITY, WHETHER THEY RESIDE IN NEARBY NEIGHBORHOODS OR ON THE OTHER SIDE OF THE WORLD. IN ADDITION TO THE INFORMATION SUPPLIED IN OTHER SECTIONS OF THIS DOCUMENT, THE FOLLOWING ARE EXAMPLES OF THE HOSPITAL'S ONGOING COMMITMENT TO THE COMMUNITY IT SERVES:1)THE HOSPITAL'S BOARD OF TRUSTEES IS COMPOSED OF REPRESENTATIVES WHO RESIDE IN THE GREATER-HOUSTON COMMUNITY AND ARE NOT EMPLOYEES OF THE HOSPITAL. MANY TRUSTEES ARE BUSINESS AND CIVIC LEADERS WHO ARE ACTIVE IN OTHER LOCAL CHARITABLE ORGANIZATIONS. 2)EMPHASIZING ITS WORLD-CLASS EXPERTISE IN HIGHLY SPECIALIZED FIELDS, TEXAS CHILDREN'S OPERATES CENTERS OF EXCELLENCE IN ONCOLOGY, CARDIOLOGY AND NEONATOLOGY, ALL RANKED AMONG THE TOP FIVE ON THE U.S.NEWS & WORLD REPORT ANNUAL LIST OF LEADING CHILDREN'S HOSPITALS. IN ADDITION, U.S.NEWS RANKS TEXAS CHILDREN'S IN THE TOP 10 FOR 9 OUT OF THE 10 AREAS RANKED. THESE STRENGTHS ENABLE THE HOSPITAL TO PROVIDE MULTIDISCIPLINARY EXPERTISE TO SOME OF THE MOST COMPLEX MEDICAL CHALLENGES FACING CHILDREN TODAY.3)AS PART OF ITS RESPONSIVENESS TO THE COMMUNITY, TEXAS CHILDREN'S HOSPITAL OPERATES AND SUPPORTS SEVERAL ADVISORY COMMITTEES, COMPRISING COMMUNITY MEMBERS AND PATIENT FAMILIES. THESE GROUPS CONSULT WITH HOSPITAL REPRESENTATIVES ON A WIDE RANGE OF TOPICS DESIGNED TO INCREASE THE QUALITY OF CARE AND SERVICES PROVIDED.4)TEXAS CHILDREN'S HOSPITAL INVESTS ITS OPERATING MARGIN IN CAPITAL PROJECTS AND PROGRAMMATIC INITIATIVES FOCUSED ON IMPROVING PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH 5)IN ADDITION TO FUNDING NATIONALLY-ACCREDITED GRADUATE MEDICAL EDUCATION (GME) INITIATIVES, TEXAS CHILDREN'S HOSPITAL ALSO INVESTED $1,150,700 IN OTHER GME PROGRAMS APPROVED BY THE TEXAS MEDICAL BOARD. THE HOSPITAL'S COMMITMENT TO EDUCATION AT BAYLOR COLLEGE OF MEDICINE EXEMPLIFIES THE COMMITMENT TO ADVANCING MEDICAL KNOWLEDGE.6)TEXAS CHILDREN'S SERVED AS A TRAINING CENTER FOR NURSING STUDENTS, SUPPORTING APPROXIMATELY 800 CANDIDATES IN 2011. ALTHOUGH THESE TRAINEES ARE NOT OBLIGATED TO REMAIN AT TEXAS CHILDREN'S UPON CERTIFICATION, THEY GAIN VALUABLE KNOWLEDGE FOR THEIR CAREERS IN PEDIATRICS. 7)TEXAS CHILDREN'S HOSPITAL'S 24/7 TRANSPORT SERVICE - KANGAROO CREW - COMPRISES A FIXED-WING AIRCRAFT AND GROUND AMBULANCE MEDICAL SERVICE PROVIDING COORDINATED PATIENT ASSESSMENT, INTERVENTION, AND SAFE, RAPID TRANSPORT OF CRITICALLY ILL OR INJURED PATIENTS. ALL TRANSPORT SERVICE PERSONNEL ARE SPECIALLY TRAINED IN PEDIATRIC/NEONATAL TRANSPORT MEDICINE AND SAFETY IN ACCORDANCE WITH FEDERAL AVIATION ADMINISTRATION (FAA) AND TEXAS DEPARTMENT OF STATE HEALTH SERVICES GUIDELINES.8)THE TRANSPORT SERVICE TEAM IS A MEMBER OF THE PEDIATRIC DISASTER COALITION, A PLANNING GROUP THAT CONSISTS OF SUBJECT MATTER EXPERTS FROM FREE-STANDING CHILDREN'S HOSPITALS, FACILITIES WITH DEDICATED PEDIATRIC/NEONATAL UNITS, PEDIATRIC SPECIALTY TRANSPORT ORGANIZATIONS, LOCAL AND STATE PUBLIC HEALTH AND FEDERAL PARTNERS. THE COALITION SHARES RECOMMENDATIONS AND TECHNICAL GUIDANCE WITH OTHER HEALTHCARE FACILITIES THROUGHOUT THE STATE, AS WELL AS FEDERAL AGENCIES AND OTHER NATIONAL ORGANIZATIONS: CHILD HEALTH CARE ASSOCIATION (CHCA), NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI), ASSOCIATION OF AIR MEDICAL SERVICES (AAMS) AND AMERICAN ACADEMY OF PEDIATRICS (AAP) SECTION ON TRANSPORT MEDICINE, AMONG OTHERS.9)IN RESPONSE TO COMMUNITY NEEDS, BOTH LOCALLY AND NATIONALLY, TEXAS CHILDREN'S CONTINUES TO EXPAND ITS HEALTH CARE SERVICES. IN 2011, THE HOSPITAL FURTHER REALIZED ITS VISION 2010 EXPANSION, WHICH INCLUDED FOUR INITIATIVES:A.THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE, THE WORLD'S FIRST COMPREHENSIVE PEDIATRIC NEUROLOGICAL RESEARCH CENTER DEVOTED TO COLLABORATIVE EFFORTS TO UNDERSTAND NEUROLOGICAL CONDITIONS LIKE AUTISM, CEREBRAL PALSY AND EPILEPSY - A CLASS OF DISORDERS THAT TOGETHER ARE EXPECTED TO EXCEED MORE THAN A HALF-TRILLION DOLLARS ANNUALLY IN HEALTHCARE COSTS. B.TEXAS CHILDREN'S HOSPITAL WEST CAMPUS OPENED IN THE SPRING OF 2011 IN WEST HOUSTON, ONE OF THE NATION'S FASTEST-GROWING SUBURBAN AREAS, TO PROVIDE THE COMMUNITY WITH NEARBY ACCESS TO A FULL-SERVICE HOSPITAL THAT INCLUDES AN EMERGENCY CENTER, OPERATING ROOMS, INTERMEDIATE AND ACUTE-CARE INPATIENT BEDS AND OUTPATIENT SERVICES. WEST CAMPUS ALLOWS PATIENTS AND FAMILIES WHO LIVE AND WORK FAR FROM HEALTH SERVICES TO HAVE IMMEDIATE ACCESS TO BOTH PREVENTIVE AND URGENT CARE. THE WEST CAMPUS COMMUNITY ADVISORY COUNCIL ALSO PROVIDES VALUABLE GUIDANCE TO TEXAS CHILDREN'S LEADERSHIP ABOUT HOW THE HOSPITAL CAN BEST SERVE THE COMMUNITY.C.TEXAS CHILDREN'S PAVILION FOR WOMEN, WHICH BEGAN OUTPATIENT SERVICES IN FALL 2011, OFFERS COMPREHENSIVE CARE FOR EXPECTANT MOTHERS AND WOMEN AT EVERY STAGE OF THEIR LIVES. AS HIGH-RISK BIRTHS IN BOTH THE REGION AND THE NATION CONTINUE TO RISE, THE CENTER WILL OFFER A FULL RANGE OF OBSTETRIC SERVICES FOR HIGH-RISK PREGNANCIES. THE PAVILION'S WOMEN'S ADVISORY COUNCIL PROVIDES INSIGHT AND COUNSEL REGARDING THE OVERALL PATIENT EXPERIENCE, AS WELL AS OTHER INITIATIVES RELATED TO MATERNAL HEALTH, IN SUPPORT OF THE OVERALL MISSION OF TEXAS CHILDREN'S HOSPITAL. D.THE FEIGIN CENTER, ALREADY A CORNERSTONE FOR TEXAS CHILDREN'S RESEARCH AND EDUCATION, HAS EXPANDED TO ACCOMMODATE RESEARCH THAT WILL RAPIDLY TRANSLATE NOVEL CELL AND GENE THERAPY PROTOCOLS DIRECTLY FROM THE LABORATORY TO THE PATIENT. E.TEXAS CHILDREN'S HOSPITAL IS COMMITTED TO LOCAL, REGIONAL AND NATIONAL ADVOCACY EFFORTS SUPPORTING ACCESS TO QUALITY HEALTH CARE FOR ALL CHILDREN.
    PART VI, LINE 7: TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH TEXAS CHILDREN'S PEDIATRIC ASSOCIATES (TCPA, EIN 76-0460242) IN PROMOTING HEALTH CARE IN THE COMMUNITY SERVED. TCPA IS ONE OF THE NATION'S LARGEST PEDIATRIC PRIMARY CARE NETWORKS. COMPRISING 44 PRACTICES THROUGHOUT THE GREATER HOUSTON AREA, TCPA PEDIATRICIANS SERVE APPROXIMATELY 20 PERCENT OF HOUSTON'S CHILDREN, HELPING TREAT AND PREVENT ILLNESSES. FIVE TCPA PRACTICES, IDENTIFIED AS PROJECT MEDICAL HOME CLINICS, ARE LOCATED IN MEDICALLY UNDERSERVED NEIGHBORHOODS AND PROVIDE CONSISTENT CARE FOR LITTLE OR NO COST TO CHILDREN WHO OTHERWISE WOULD SEEK SERVICES FROM EMERGENCY ROOMS OR GO WITHOUT CARE. TEXAS CHILDREN'S HEALTH PLAN (TCHP, EIN 76-048264) IS THE LARGEST AND MOST FREQUENTLY SELECTED PROVIDER OF CHILDREN'S MEDICAID/CHIP COVERAGE IN THE REGION. TEXAS CHILDREN'S HEALTH PLAN WAS FOUNDED IN 1996 BY TEXAS CHILDREN'S HOSPITAL. IT IS THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION (HMO) CREATED JUST FOR CHILDREN. THROUGH A SUBCONTRACTOR ROLE WITH THE HEALTH AND HUMAN SERVICES COMMISSION (HHSC), TEXAS CHILDREN'S HEALTH PLAN PROVIDES STAR/MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO PREGNANT WOMEN, TEENS, CHILDREN AND ADULTS IN HOUSTON AND SURROUNDING AREAS. CURRENTLY, THE HEALTH PLAN HAS OVER 280,000 MEMBERS. THE STAFF AND NETWORK OF OVER 1100 PRIMARY CARE PHYSICIANS, 13,100 SPECIALISTS AND 70 HOSPITALS ARE COMMITTED TO PROVIDING EXCELLENT SERVICE AND PATIENT CARE TO TEXAS CHILDREN'S HEALTH PLAN MEMBERS.TEXAS CHILDREN'S IS BAYLOR COLLEGE OF MEDICINE'S (BCM) PRIMARY PEDIATRIC TRAINING HOSPITAL, WITH ONE OF THE LARGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. THE HOSPITAL'S MEDICAL STAFF CONSISTS OF MORE THAN 1,500 BOARD-CERTIFIED, PRIMARY CARE PHYSICIANS, PEDIATRIC SUBSPECIALISTS AND PEDIATRIC-SURGICAL SUBSPECIALISTS. TOGETHER, TEXAS CHILDREN'S AND BCM REPRESENT ONE OF THE MOST ACTIVE AND BEST FUNDED PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. BCM INVESTIGATORS AT TEXAS CHILDREN'S HOSPITAL ARE CONDUCTING INNOVATIVE RESEARCH IN NEARLY EVERY PEDIATRIC SUBSPECIALTY WITH THE GOAL OF QUICKLY TRANSLATING DISCOVERIES INTO BREAKTHROUGH TREATMENTS FOR CHILDREN EVERYWHERE.
COMMUNITY BENEFIT REPORT PART VI, LINE 7 TEXAS CHILDREN'S HOSPITAL FILES A COMMUNITY BENEFIT REPORT, ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS), IN TEXAS. DIFFERENCES BETWEEN SCHEDULE H AND THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD ARE STATED BELOW. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, THE HOSPITAL REPORTED AS THE TOTAL ANNUAL CHARITY AND COMMUNITY BENEFIT IN ITS ASCBS, THE STATE OF TEXAS' COMMUNITY BENEFIT REPORTING FOR NOT-FOR-PROFIT HOSPITALS. THE RESULTING DIFFERENCE ($14,032) BETWEEN THE ASCBS REPORTING AND THE AMOUNTS RECORDED IN PART I LINE 7 ARE DUE TO VARYING REPORTING REQUIREMENTS AS OUTLINED BELOW (IN 1000'S):ASCBS INCLUDES BAD DEBT EXPENSE IN THE PATIENT CARE COST TO CHARGE RATIO. ADDITIONALLY, THE ASCBS RATIO IS CALCULATED USING 2010 FINANCIAL INFORMATION.($12,255)ASCBS INCLUDES CHARITY CARE FROM RELATED ORGANIZATIONS($3,944)ASCBS INCLUDES THE UNREIMBURSED COST OF COMMUNITY BUILDING ACTIVITIES ($108) ASCBS INCLUDES THE UNREIMBURSED COST OF MEDICARE AND CHAMPUS($4,267) ASCBS REDUCES COMMUNITY BENEFIT PROGRAM COST BY GIFT/GRANT INCOME $6,542 TOTAL VARIANCE BETWEEN PART I LINE 7 AND ASCBS($14,032)
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number
74-1100555
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN DIABETES ASSOC ORDER DEPT1701 BEAUREGARD STREET
ALEXANDRIA,VA22311 		13-1623888 501(C)(3) 20,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(2) AMERICAN HEART ASSOCIATION10060 BUFFALO SPEEDWAY
HOUSTON,TX77054 		13-5613797 501(C)(3) 64,000       SUPPORT NON-PROFIT MISSION
(3) AMERICAN LIVER FOUNDATION39 BROADWAY STE 2700
NEW YORK,NY10006 		36-2883000 501(C)(3) 5,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(4) ARROW CHILD AND LIFE MINISTRIES2929 FM 2920
SPRING,TX77388 		74-2622426 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(5) ASIA SOCIETY TEXAS CENTER1370 SOUTHMORE BLVD
HOUSTON,TX77004 		03-0433949 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(6) BALLUNAR LIFTOFF FESTIVAL1201 NASA PARKWAY
HOUSTON,TX77058 		76-0468060 501(C)(3) 7,500       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(7) BAYLOR COLLEGE OF MEDICINEONE BAYLOR PLAZA
HOUSTON,TX77030 		74-1613878 501(C)(3) 50,000       SUPPORT OF AFFILIATED MED SCHL
(8) BERING OMEGA COMMUNITY SERVICESPO BOX 540517
HOUSTON,TX77254 		76-0589592 501(C)(3) 10,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(9) BAYLOR INTERNATIONAL PEDIATRIC AIDS INIONE BAYLOR PLAZA
HOUSTON,TX77030 		20-2951275 501(C)(3) 97,087       SUPPORT NON-PROFIT HEALTHCARE ORG
(10) BLUE BIRD CIRCLE615 WEST ALABAMA
HOUSTON,TX77055 		74-1405134 501(C)(3) 21,500       SUPPORT PEDIATRIC HEALTHCARE ORG
(11) BO'S PLACE10050 BUFFALO SPEEDWAY
HOUSTON,TX77054 		76-0326979 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(12) BOYS SCOUTS OF AMERICAPO BOX 924528
HOUSTON,TX77292 		76-0239833 501(C)(3) 25,000       SUPPORT NON-PROFIT BOY SCOUTS ORG
(13) BRIARWOOD BROOKWOOD INC1752 FM 1489
BROOKSHIRE,TX77423 		74-1587672 501(C)(3) 7,000       SUPPORT NON-PROFIT SCHOOL
(14) CENTER FOR HOUSTONS FUTURE INC1200 SMITH STREET
HOUSTON,TX77002 		76-0386539 501(C)(3) 20,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(15) CHILD LIFE COUNCIL INC11821 PARK LAWN DRIVE STE 310
ROCKVILLE,MD20852 		52-1799846 501(C)(3) 10,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(16) CHILDREN AT RISK INC2900 WESLAYAN
HOUSTON,TX77027 		76-0360533 501(C)(3) 10,500       SUPPORT NON-PROFIT HEALTHCARE ORG
(17) CHILDREN'S MUSEUM OF HOUSTON1500 BINZ
HOUSTON,TX77004 		74-2178563 501(C)(3) 25,300       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(18) CROHN'S AND COLITIS FOUNDATION386 PARK AVENUE SOUTH
NEW YORK,NY10016 		13-6193105 501(C)(3) 6,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(19) FOOD ALLERGY & ANAPHYLAXIS NETWORK11781 LEE JACKSON MEMORIAL HWY STE
160
FAIRFAX,VA22033 		54-1605958 501(C)(3) 10,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(20) GOOD SAMARITAN FOUNDATION3355 W ALABAMA STREET STE 1025
HOUSTON,TX77098 		74-1235398 501(C)(3) 20,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(21) GREAT HOPEPO BOX 189
BELLAIRE,TX77401 		27-2794670 501(C)(3) 13,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(22) GREATER HOUSTON PARTNERSHIP INC1200 SMITH STREET STE 700
HOUSTON,TX77002 		76-0267896 501(C)(6) 10,650       SUPPORT HOUSTON AREA
(23) HERMANN PARK CONSERVANCY6201 A HERMANN PARK DRIVE
HOUSTON,TX77030 		76-0327389 501(C)(3) 7,500       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(24) HEROES FOR CHILDREN1701 NORTH COLLINS STE 240
RICHARDSON,TX75080 		83-0489882 501(C)(3) 7,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(25) HOUSTON CHILDREN'S CHARITY230 WESTCOTT ST
HOUSTON,TX77007 		76-0135741 501(C)(3) 10,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(26) HOUSTON COMMUNITY HEALTH CENTERS INC424 HAHLO STREET
HOUSTON,TX77020 		76-0622208 501(C)(3) 5,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(27) HOUSTON HARRIS COUNTY IMMUNIZATION3015 RICHMOND AVENUE
HOUSTON,TX77429 		76-0695612 501(C)(3) 25,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(28) HOUSTON JUNIOR WOMANS CLUB CHARITABLEPO BOX 19684
HOUSTON,TX77224 		23-7157689 501(C)(3) 20,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(29) HOUSTON PI BETA FOUNDATION4726 STILLBROOKE
HOUSTON,TX77035 		76-0438662 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(30) JUNIOR LEAGUE OF HOUSTON1811 BRIAR OAKS LANE
HOUSTON,TX77027 		74-1185659 501(C)(3) 25,270       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(31) JUVENILE DIABETES RESEARCH FOUNDATION2425 FOUNTAINVIEW SUITE 280
HOUSTON,TX77057 		23-1907729 501(C)(3) 15,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(32) LIVING BANKPO BOX 6725
HOUSTON,TX77265 		74-1607315 501(C)(3) 18,500       SUPPORT NON-PROFIT HEALTHCARE ORG
(33) MARCH OF DIMES3000 WESLAYAN SUITE 100
HOUSTON,TX77027 		13-1846366 501(C)(3) 20,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(34) MENTAL HEALTH AMERICA OF GREATER HOUSTON2211 NORFOLK 810
HOUSTON,TX77098 		74-1272394 501(C)(3) 5,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(35) MUSCULAR DYSTROPHY ASSOCIATION3300 EAST SUNRISE DRIVE
TUCSON,AZ85718 		13-1665552 501(C)(3) 6,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(36) MUSEUM OF FINE ARTS HOUSTONPO BOX 6826
HOUSTON,TX77265 		74-1109655 501(C)(3) 7,500       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(37) MUSEUM OF HEALTH & MEDICAL SCIENCE1515 HERMANN DRIVE
HOUSTON,TX77004 		74-6106357 501(C)(3) 20,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(38) NATIONAL ASSOCIATION ADVANCEMENT COLORED PEOPLE4805 MOUNT HOPE DRIVE
BALTIMORE,MD21215 		13-1084135 501(C)(3) 6,500       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(39) PEDIATRIC CARDIAC INTENSIVE CARE SOCIETYCO HOBROOK MANTER 1111 DUBLIN RD
COLUMBUS,OH43215 		03-0467764 501(C)(6) 10,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(40) PERIWINKLE FOUNDATION3000 RICHMOND AVE SUITE 340
HOUSTON,TX77098 		76-0093914 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(41) PIN OAK CHARITY HORSE SHOWP O BOX 218688
HOUSTON,TX77218 		74-1755067 501(C)(3) 5,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(42) RONALD MCDONALD HOUSE OF HOUSTON INC1907 HOLCOMBE BLVD
HOUSTON,TX77030 		74-1984499 501(C)(3) 10,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(43) TEXANS FOR LAWSUIT REFORM1701 BRUN
HOUSTON,TX77019 		76-0439129 501(C)(6) 155,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(44) TEXAS PARENT TO PARENT - VINE TO WINE3710 CEDAR STREET BOX 12
AUSTIN,TX78705 		60-0001527 501(C)(3) 11,500       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(45) TEXAS PEDIATRIC SOCIETY401 WEST 15TH STREET STE 682
AUSTIN,TX78701 		75-1499413 501(C)(3) 7,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(46) THE FOUNDATION FOR CANCER SURVIVORS1800 AUGUSTA DR STE 400
HOUSTON,TX77057 		27-1790421 501(C)(3) 5,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(47) THETA CHARITY ANTIQUES SHOW4212 SAN FELIPE PMB 345
HOUSTON,TX77027 		74-2051004 501(C)(3) 10,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(48) UNITED MITOCHONDRIAL DISEASE FOUNDATION8085 SALTSBURG ROAD STE 201
PITTSBURGH,PA15239 		25-1767180 501(C)(3) 5,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(49) UNITED WAY50 WAUGH DRIVE
HOUSTON,TX77007 		74-1167964 501(C)(3) 25,000       SUPPORT NON-PROFIT HEALTHCARE ORG
(50) UNIVERSITY OF ST THOMAS3800 MONTROSE BLVD
HOUSTON,TX77006 		74-1277664 501(C)(3) 50,000       SUPPORT NON-PROFIT UNIVERSITY
(51) UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER7000 FANNIN STREET STE 1200
HOUSTON,TX77226 		74-1761309 501(C)(3) 60,000       SUPPORT NON-PROFIT MEDICAL SCHOOL
(52) VOICES FOR AMERICAS CHILDREN1000 VERMONT AVENUE NW
WASHINGTON,DC20005 		34-1479461 501(C)(3) 7,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(53) WEST I 10 CHAMBER OF COMMERCEPO BOX 100
PATTISON,TX77466 		75-2988467 501(C)(6) 5,000       SUPPORT HOUSTON AREA
(54) WOODROW WILSON INTERNATIONAL CENTER FOR1300 PENNSYLVANIA AVENUE NW
WASHINGTON,DC20004 		52-1067541 501(C)(3) 25,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(55) SOCIETY FOR THE ARTS IN HEALTHCARE2437 15TH STREET NW
WASHINGTON,DC20009 		02-0479949 501(C)(3) 15,000       SUPPORT NON-PROFIT PHILANTHROPIC ORG
(56) TEXAS CHILDREN'S PEDIATRIC ASSOCIATESPO BOX 300630
HOUSTON,TX77230 		76-0460242 501(C)(3) 6,118,174       SUPPORT NON-PROFIT HEALTHCARE ORG
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
52
3
Enter total number of other organizations ................................ . Bullet Image
4
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 AFTER THE SPONSORSHIP/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION.
OTHER INFORMATION: PART IV: DESCRIPTION OF GRANT SELECTION CRITERIA SCHEDULE I TEXAS CHILDREN'S HOSPITAL REQUIRES ALL REQUESTS TO BE IN WRITING AND BE SUBMITTED TO THE OFFICE OF DEVELOPMENT FOR EVALUATION. THE DIRECTOR OF DEVELOPMENT MAKES A RECOMMENDATION FOR RECOGNITION OF EACH CONTRIBUTION TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TEXAS CHILDREN'S HOSPITAL FOR FINAL APPROVAL.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
Yes
 
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) MARK A WALLACE (i)
(ii)		 938,466
0 		1,302,352
0 		198,878
0 		632,998
0 		28,157
0 		3,100,851
0 		1,267,904
0
(2) BENJAMIN MELSON (i)
(ii)		 493,364
0 		154,350
0 		82,363
0 		199,440
0 		26,396
0 		955,913
0 		63,721
0
(3) ANN STERN (i)
(ii)		 399,162
0 		118,000
0 		18,413
0 		168,328
0 		12,831
0 		716,734
0 		0
0
(4) RANDY WRIGHT (i)
(ii)		 499,224
0 		684,444
0 		101,030
0 		202,968
0 		15,840
0 		1,503,506
0 		686,060
0
(5) MARY JO ANDRE (i)
(ii)		 186,737
0 		42,900
0 		1,199
0 		52,845
0 		21,198
0 		304,879
0 		0
0
(6) SUSAN MACDONALD (i)
(ii)		 294,819
0 		82,250
0 		37,515
0 		108,946
0 		21,085
0 		544,615
0 		36,240
0
(7) SANDRA M MCELLIGOTT (i)
(ii)		 221,932
0 		61,100
0 		1,213
0 		77,747
0 		12,447
0 		374,439
0 		0
0
(8) TABITHA RICE (i)
(ii)		 191,497
0 		43,050
0 		1,058
0 		62,542
0 		16,437
0 		314,584
0 		0
0
(9) LINDA ALDRED (i)
(ii)		 270,338
0 		305,664
0 		57,274
0 		108,961
0 		22,155
0 		764,392
0 		262,843
0
(10) HOWARD W HARPSTER (i)
(ii)		 284,159
0 		64,300
0 		2,517
0 		79,097
0 		35,331
0 		465,404
0 		0
0
(11) WILLIAM HILTON (i)
(ii)		 214,574
0 		51,550
0 		55,599
0 		39,233
0 		12,993
0 		373,949
0 		0
0
(12) JOHN SCALES (i)
(ii)		 317,553
0 		93,950
0 		86,583
0 		63,063
0 		13,944
0 		575,093
0 		0
0
(13) KAY TITTLE (i)
(ii)		 281,711
0 		81,250
0 		21,822
0 		115,487
0 		15,604
0 		515,874
0 		20,570
0
(14) SUSAN M DISTEFANO (i)
(ii)		 37,456
0 		192,452
0 		569,227
0 		13,406
0 		600
0 		813,141
0 		122,716
0


Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION PART III SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A: SEVERANCE OR CHANGE OF CONTROL SUSAN DISTEFANO 335,410 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B PAID/DEFERRED MARK A WALLACE 622,542/600,531 BEN MELSON 217,621/181,488 MARY JO ANDRE 42,900/32,820 SUSAN MACDONALD 118,490/83,853 SANDRA MCELLIGOTT 51,100/55,949 TABITHA RICE 43,050/45,219 ANN STERN 118,000/149,443 RANDY WRIGHT 764,509/180,727 LINDA ALDRED 345,093/83,986 HOWARD HARPSTER 64,300/61,257 WILLIAM HILTON 88,193/24,650 JOHN SCALES 159,395/44,750 KAY TITTLE 101,820/90,605 SUSAN DISTEFANO 410,570/0 457(F) THE 457(F) PLAN IS A DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO CONTRIBUTE MONEY ON A PRE-TAX BASIS. FUNDS MAY BE DEFERRED INTO THIS ACCOUNT FROM ANY OF FOUR SOURCES: BASE SALARY, ANNUAL INCENTIVE PLAN, LONG-TERM INCENTIVE PLAN, AND CAPITAL ACCUMULATION ACCOUNT FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE VEST AFTER THREE YEARS IN THE 457(F) WITH THE EXCEPTION OF THE CAPITAL ACCUMULATION ACCOUNT WHICH VESTS AFTER FIVE YEARS IN THE 457(F) PLAN. SEVERANCE SEVERANCE IS DETERMINED ON A CASE-BY-CASE BASIS, WITH LEGAL COUNSEL INVOLVED IN THE DECISION. CONSIDERATION IS GIVEN TO FACTORS SUCH AS LENGTH OF SERVICE AND LEVEL OF POSITION WITH THE ORGANIZATION. SCHEDULE J, PART I, LINE 5 & 6 FY 2010 EXECUTIVE ANNUAL INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") ESTABLISHES THE PERFORMANCE MEASURES FOR THE ONE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. PERFORMANCE MEASURES AND GOALS ARE DEFINED FOR EACH ENTITY. THE INCENTIVE AWARDS ARE DETERMINED ON THE WEIGHTED BLEND OF ALL THE ENTITIES' PERFORMANCE. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, AND HUMAN RESOURCES. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE USE REVENUE AS A FACTOR IN DETERMINING SOME MEASURES FOR THE FINANCIAL TARGETS. THE PAYMENT OF ANNUAL INCENTIVES IS CONTINGENT ON ACHIEVING SYSTEM BUDGETED OPERATING MARGIN.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number
74-1100555
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
  		76-0337885 414009DY3 01-15-2010 80,078,929 SEE SCHEDULE O   X   X   X
B HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
  		76-0337885 414009OG3 06-17-2009 198,965,284 BUILD HEALTH CARE FACILITIES   X   X   X
C HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CO
  		52-1284201 414152RW0 04-30-2008 300,000,000 SEE SCHEDULE O   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 80,078,929 199,780,590 300,053,496  
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,278,929 3,311,550    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 3,004,918 3,004,918 53,496  
10 Capital expenditures from proceeds . . 193,464,122 193,464,122    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2010 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X        
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X     X X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X X          
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X        
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue?   X   X X      
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X      
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WJ ALEXANDER & ASSOCIATES
  		BOARD MEMBER 156,267     No
(2) MUSTANG CATERPILLAR
  		BOARD MEMBER 104,699     No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
    AMOUNT:$156,267DESCRIPTION: WILLIAM ALEXANDER IS THE FOUNDER AND PRESIDENT OF W.J. ALEXANDER AND ASSOCIATES, PC. W.J. ALEXANDER & ASSOCIATES IS THE AGENT FOR TEXAS CHILDREN'S HOSPITAL'S LIFE, AD&D, AND DISABILITY COVERAGE OFFERED THROUGH THE EMPLOYEE HEALTH AND BENEFIT PLAN.(B)NAME: MUSTANG CATERPILLAR - BOARD MEMBER (CHAIRMAN OF THE BOARD)AMOUNT: $104,699DESCRIPTION: BRAD TUCKER HAS OWNERSHIP INTEREST IN MUSTANG CATERPILLAR, WHICH PROVIDES PARTS AND SERVICE SUPPORT TO MAINTAIN STANDBY GENERATORS FOR TEXAS CHILDREN'S HOSPITAL.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 1 340,000 APPRAISAL
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 12 208,417 COST/SELLING PRICE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EQUIPMENT/ REAL PROPERTY ) X 1 263,044 COST/SELLING PRICE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
1
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2   TEXAS CHILDREN'S HOSPITAL - DONALD P. DEWALCH / WILLIAM N. MATHIS - BUSINESS RELATIONSHIP - PETER S. WAREING / MERREL A. ATHON - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11   PER A RESOLUTION APPROVED BY THE BOARD OF TRUSTEES, THE BOARD'S AUDIT & COMPLIANCE COMMITTEE HAS THE DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. FOLLOWING THE COMMITTEE'S REVIEW, THE COMPLETED FORM 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
  FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1)BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2)OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
  FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION INCLUDE: - REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. - COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. - CONTEMPOROUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT.
  FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. SCHEDULE K, PART I, COLUMN F TAX-EXEMPT BONDS SUPPLEMENTAL INFORMATION A) ISSUER NAME: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION ISSUER EIN: 76-0337885 DESCRIPTION OF PURPOSE: REFUND PRIOR ISSUES (1999B-2 SERIES ISSUED 07/20/99). C) ISSUER NAME: HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION ISSUER EIN: 52-1284201 DESCRIPTION OF PURPOSE: REFUND PRIOR ISSUES (2007 SERIES ISSUED 06/27/07).
    FORM 990, PART VII, SECTION A, TITLES GARY L. ROSENTHAL: BOARD MEMBER, 2010 PRESIDENT, 2011 BOARD CHAIRMAN RONALD C. HULME: BOARD MEMBER, 2010 VICE PRESIDENT, 2011 PRESIDENT KEVIN C. KING: BOARD MEMBER, 2010 VICE PRESIDENT ANN LENTS: BOARD MEMBER, 2010 & 2011 VICE PRESIDENT JOEL V. STAFF: BOARD MEMBER, 2010 TREASURER & ASSISTANT SECRETARY, 2011 TREASURER & VICE PRESIDENT FREDA WILKERSON BASS: BOARD MEMBER, 2010 & 2011 SECRETARY BRAD TUCKER: BOARD MEMBER, 2010 BOARD CHAIRMAN BARRY H. MARGOLIS: BOARD MEMBER, 2011 VICE PRESIDENT KAY TITTLE'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PEDIACTRIC ASSOCIATES INC PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. SUSAN MACDONALD'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PHYSCIAN'S GROUP PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. SANDRA MCELLIGOTT'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PHYSCIAN'S GROUP SENIOR VICE PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER FROM FOUNDATION 127,096,364. PRIOR PERIOD ADJUSTMENTS 2,405,100. ACTUARIAL GAIN/LOSS ON PENSION -18,794,332. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION -87,899,903. UNREALIZED GAINS AND LOSSES 104,888. CHANGE IN SWAP VALUATION -6,400,595. CHANGE IN TECO VALUATION 2,335,576. TRANSFER TO TCPA -636,082. TOTAL TO FORM 990, PART XI, LINE 5: 18,211,016.
    FORM 5471 DISCLOSURE STATEMENT: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANIN ST HOUSTON, TX 77030
OTHER FEES SERVICES PART IX NON-EMPLOYEE PROFESSIONAL FEES CONSISTING OF BAYLOR AND OTHER PHYSICIAN SERVICES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS CHILDREN'S HOSPITAL
 
Employer identification number

74-1100555
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) TEXAS CHILDREN'S MEDICAL GROUP
6621 FANNIN STREET
HOUSTON,TX77030
74-1100555 		INACTIVE TX 0 0 N/A










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) TEXAS CHILDREN'S WOMEN'S SPECIALISTS

PO BOX 300630

HOUSTON,TX77230
26-1482195 		HEALTH CARE TX 501 (C) (3) 11 TYPE 1 N/A
Yes
 
(2) TCH SYSTEM INC

1919 BRAESWOOD BLVD

HOUSTON,TX77030
76-0461578 		HEALTH CARE TX 501 (C) (3) 11 TYPE 1 N/A
Yes
 
(3) TEXAS CHILDREN'S PHYSICIAN GROUP INC

6621 FANNIN STREET

HOUSTON,TX77030
26-0834681 		HEALTH CARE TX 501 (C) (3) 9 N/A
Yes
 
(4) TEXAS CHILDREN'S PEDIATRIC ASSOCIATES

PO BOX 300630

HOUSTON,TX77230
76-0460242 		HEALTH CARE TX 501 (C) (3) 11 TYPE 1 N/A
Yes
 
(5) TEXAS CHILDREN'S HEALTH PLAN

2450 HOLCOMBE

HOUSTON,TX77021
76-0486264 		HEALTH CARE TX 501 (C) (3) 9 N/A
Yes
 
(6) TEXAS CHILDREN'S HOSPITAL FOUNDATION

6621 FANNIN STREET

HOUSTON,TX77030
20-2380599 		SUPPORTING ORG TX 501 (C) (3) 11 TYPE 1 N/A
Yes
 


For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) TCH INSURANCE COMPANY LTD
23 LIME TREE BAY AVENUE
KY1-1102 GRAND CAYMAN    
CJ
INSURANCE CJ N/A
 C 14,689,555 94,249,304 100.000 %
(2) CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STREET
KY1-1104 GEORGE TOWN    
CJ
INVESTMENT CJ N/A
 C      










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) TEXAS CHILDREN'S HEALTH PLAN

 I 682,359 GENERAL LEDGER
(2) TEXAS CHILDREN'S HEALTH PLAN

 K 1,860,051 GENERAL LEDGER
(3) TEXAS CHILDREN'S HEALTH PLAN

 A 735,754 GENERAL LEDGER
(4) TEXAS CHILDREN'S WOMEN'S SPECIALIST

 K 497,719 GENERAL LEDGER
(5) TEXAS CHILDREN'S HEALTH PLAN

 K 136,608 GENERAL LEDGER
(6) TEXAS CHILDREN'S PEDIATRIC ASSOCIATES

 K 2,000,000 GENERAL LEDGER
(7) TEXAS CHILDREN'S PEDIATRIC ASSOCIATES

 P 17,575,008 GENERAL LEDGER
(8) TEXAS CHILDREN'S HEALTH PLAN

 P 13,791,073 GENERAL LEDGER
(9) TEXAS CHILDREN'S HEALTH PLAN

 K 102,093,277 GENERAL LEDGER
(10) TEXAS CHILDREN'S PHYSICIAN GROUP INC

 P 87,307,105 GENERAL LEDGER
(11) TEXAS CHILDREN'S PHYSICIAN GROUP INC

 R 95,332,161 GENERAL LEDGER
(12) TCH INSURANCE COMPANY LTD

 O 8,000,000 GENERAL LEDGER
(13) TCH INSURANCE COMPANY LTD

 P 612,302 GENERAL LEDGER
(14) TEXAS CHILDREN'S HOSPITAL FOUNDATION

 R 127,096,364 GENERAL LEDGER
(15) TCH INSURANCE COMPANY LTD

 P 169,351 GENERAL LEDGER
(16) TCH INSURANCE COMPANY LTD

 O 4,400,000 GENERAL LEDGER
(17) TEXAS CHILDREN'S HEALTH PLAN

 M 319,053 GENERAL LEDGER
(18) TEXAS CHILDREN'S PEDIATRIC ASSOCIATES

 Q 636,082 GENERAL LEDGER
(19) TEXAS CHILDREN'S PEDIATRIC ASSOCIATES

 B 6,118,174 GENERAL LEDGER
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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