4A (Expenses $ 411263744 including grants of $ 0) (Revenue $ 634264531)
PROVISION OF HIGH QUALITY HOSPITAL, MEDICAL, AND NURSING SERVICES TO CHILDREN IN THE SURROUNDING SOUTH TEXAS REGION WITHOUT REGARD TO THE ABILITY TO PAY. CARE IS PERFORMED ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS.

Schedule H, Part V, Section B, Line 3E
THE EXECUTIVE TEAM REVIEWS THE COMMUNITY NEEDS IDENTIFIED IN THE SURVEY AND DETERMINES WHICH NEEDS CAN BE MET BY OUR HOSPITAL AND OUR RESOURCES. THE TEAM CONSIDERED EXISTING PLANS AND STRATEGIES, POTENTIAL NEW ACTIONS, AND WHICH OF THOSE ACTIONS COULD MAKE AN IMPACT ON THE COMMUNITY NEEDS. OUR FINAL PLAN RESULTED FROM MULTIPLE MEETINGS IN THIS FASHION.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - DRISCOLL CHILDREN'S HOSPITAL. INTERVIEW OF FOCUS GROUPS, INPUT FROM COMMUNITY GROUPS SUCH AS UNITED WAY AND SCHOOL DISTRICTS, SOCIAL SERVICE AND DEMOGRAPHIC DATA FROM THE PATIENT DATABASES OF EACH PARTICIPATING HOSPITAL; STATISTICS FROM GOVERNMENT DATABASES OBTAINED FOR THE ASSESSMENT BY TEXAS A&M UNIVERSITY AT CORPUS CHRISTI.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - DRISCOLL CHILDREN'S HOSPITAL. CHRISTUS SPOHN HEALTH SYSTEM; CORPUS CHRISTI MEDICAL CENTER

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - DRISCOLL CHILDREN'S HOSPITAL. DRISCOLL CHILDREN'S HOSPITAL IDENTIFIED THE FOLLOWING NEEDS THROUGH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. SOME SEGMENTS OF THE TARGET POPULATION USE THE EMERGENCY DEPARTMENT FOR PRIMARY CARE. 2. SOME HOSPITALIZATIONS ARE PREVENTABLE. 3. CHRONIC AND CO-MORBID CONDITIONS ARE PREVALENT IN THE TARGET POPULATION. 4. OBESITY REMAINS A MAJOR PROBLEM FOR THE TARGET POPULATION. 5. DIABETES IS AN ISSUE AMONG THE PATIENTS SEEKING SERVICES FROM DRISCOLL. 6. MENTAL HEALTH ISSUES ARE AMONG THE MOST FREQUENT PRIMARY AND SECONDARY DIAGNOSES IN THE TARGET POPULATION. 7. RESPIRATORY CONDITIONS ARE PREVALENT AMONG THE TARGET POPULATION THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) ADDED SECTION 501(R) TO THE INTERNAL REVENUE CODE. ONE OF THE REQUIREMENTS OF SECTION 501(R) IS THAT 501(C)(3) ORGANIZATIONS THAT OPERATE ONE OR MORE HOSPITAL FACILITIES MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY AT LEAST ONCE EVERY THREE YEARS. THE FOLLOWING IMPLEMENTATION STRATEGY IS PLANNED FOR THE THREE-YEAR CYCLE TO INCLUDE FISCAL YEARS ENDING 2019, 2020, AND 2021. (1) PRIORITY: ACCESS TO HEALTH SERVICES A. STAR KIDS STAR KIDS IS A COMPREHENSIVE PROGRAM FOR CHILDREN WITH DISABILITIES THAT PROVIDES NURSES AND SOCIAL WORKERS AS CARE COORDINATORS. THESE COORDINATORS CONDUCT EXTENSIVE IN-HOME ASSESSMENTS OF THESE CHILDREN AND THEIR FAMILIES TO CREATE AN INDIVIDUAL SERVICE PLAN THAT COULD INCLUDE HELP IN GETTING A WHEELCHAIR RAMP BUILT, PERSONAL CARE SERVICES, PRIVATE DUTY NURSES, THERAPY AND DURABLE MEDICAL EQUIPMENT SERVICES AS WELL AS COORDINATING DOCTOR APPOINTMENTS. THESE SERVICE COORDINATORS WILL HELP FAMILIES GET THE SERVICES AND SUPPORT NEEDED SO THAT THEIR CHILDREN CAN BE IN THE LEAST RESTRICTIVE ENVIRONMENT THROUGH PERSON-CENTERED CARE. THESE IMPROVEMENTS IN ACCESS CAN BE MEASURED BY SERVICES PROVIDED THAT WOULD INCLUDE BUT NOT BE LIMITED TO THE NUMBERS OF CHILDREN RECEIVING WELL CHILD CARE INCLUDING IMMUNIZATIONS AS WELL AS PROGRESS TOWARDS THE GOALS THAT THESE FAMILIES SET FOR THEMSELVES. B. URGENT CARE DRISCOLL CONTINUES TO INCREASE ACCESS TO PEDIATRIC URGENT CARE SERVICES IN ITS SERVICE AREA. THE EMERGENCY DEPARTMENT (ED) IS OFTEN THE FIRST CONTACT MANY PATIENTS HAVE WITH THE HOSPITAL. DATA SUGGESTS THERE IS A HIGH UTILIZATION OF EMERGENCY DEPARTMENT AND ACUTE CARE SERVICES BY LOW-INCOME PEDIATRIC PATIENTS WHO WOULD BE THE TARGET POPULATION FOR THIS INITIATIVE. EXPANDING PEDIATRIC PRIMARY CARE ACCESS AND SERVICES IN OUR NON-EMERGENT CARE CLINICS DURING AFTER-HOURS IS ESSENTIAL TO IMPROVING OVERALL HEALTH CARE DELIVERY AND HEALTH OUTCOMES IN THE REGION AND WILL HELP REDUCE UNNECESSARY ED UTILIZATION. DRISCOLL EXPANDED PRIMARY CARE SERVICES AT DRISCOLL'S NON-EMERGENT CARE CLINICS DURING AFTER-HOURS, PROVIDING RESIDENTS AN APPROPRIATE AND CONVENIENT ALTERNATIVE SOURCE OF CARE TO THE ED. WHEN A PATIENT'S PEDIATRICIAN OFFICE IS CLOSED, DRISCOLL'S NON-EMERGENT CARE CLINICS ARE A LOW-COST, RELIABLE SOURCE OF CARE AND AN APPROPRIATE ALTERNATIVE TO THE ED FOR PATIENTS SEEKING TREATMENT(S) FOR A MINOR ILLNESS OR INJURY. THE STRATEGY WILL BE EVALUATED BY MEASURING THE NUMBER OF LOW ACUITY ED VISITS AS WELL AS URGENT CARE VISITS ACROSS OUR SYSTEM. C. NEONATAL INTENSIVE CARE UNIT REGIONALIZATION DRISCOLL HAS IMPLEMENTED A FULL SERVICE TELEMEDICINE SERVICE WITH HOSPITALS THAT HAVE ENTERED INTO PARTNERSHIP AGREEMENTS WITH DRISCOLL IN ORDER TO OBTAIN HIGHER NICU LEVELS OF DESIGNATION. THE TELEMEDICINE SERVICES ALLOWS ACCESS TO PEDIATRIC SUBSPECIALISTS, SURGICAL SUBSPECIALISTS AND VARIOUS ANCILLARY SERVICES. THE SERVICES INCLUDE PROVISION OF CONSULTATION, TECHNICAL SUPPORT, TRAINING AND ADMINISTRATION SUPPORT. DRISCOLL ACCEPTS MEDICALLY APPROPRIATE SPECIALTY REFERRAL APPOINTMENTS THAT ARE WITHIN DRISCOLL'S CAPABILITY AND CAPACITY TO SAFELY AND EFFECTIVELY TREAT AND WILL MAKE EVERY EFFORT TO UTILIZE TELEMEDICINE TECHNOLOGY TO MINIMIZE PATIENT/FAMILY HEALTHCARE TRAVEL. DRISCOLL HAS ALSO ENTERED INTO COVERAGE AGREEMENTS WITH NICU'S IN SEVERAL OF OUR OUTLYING SERVICE AREAS, TO PROVIDE THE HIGHEST LEVEL OF NICU CARE FOR PATIENTS IN THOSE AREAS. THIS STRATEGY WILL BE EVALUATED BY MONITORING THE NUMBER OF TELEMEDICINE CONSULTATIONS, PATIENT ENCOUNTERS, CLINICAL OUTCOMES AND FEEDBACK FROM PATIENT SITE HOSPITALS. D. CHILD AND ADOLESCENT PSYCHIATRY DRISCOLL HAS A DESIRE TO IMPROVE ACCESS TO PEDIATRIC SPECIALISTS IN THE COMMUNITY. DRISCOLL HAS DETERMINED THAT A SHORTAGE EXISTS IN THE COMMUNITY FOR PSYCHIATRIC CARE OF PEDIATRIC PATIENTS. DRISCOLL HAS ADDED BOARD CERTIFIED CHILD AND ADOLESCENT PSYCHIATRISTS TO THE COMMUNITY. DRISCOLL HAS ALSO ENTERED INTO RELATIONSHIPS WITH THE LOCAL MENTAL HEALTH AUTHORITY AND PSYCHIATRIC FACILITIES TO EXPEDITE PLACEMENT OF PATIENTS IN NEED OF PSYCHIATRIC CARE. DRISCOLL HAS INCREASED SOCIAL WORK COVERAGE SPECIFICALLY FOR BEHAVIORAL PATIENTS AND NOW PROVIDES 24X7 SOCIAL WORK COVERAGE FOR HOSPITAL AND EMERGENCY DEPARTMENT PATIENTS. THIS STRATEGY WILL CONTINUE TO BE EVALUATED BY MONITORING THE NUMBER OF CLINIC VISITS AT THE DRISCOLL PSYCHIATRIC OFFICES AS WELL AS THE NUMBER OF ED VISITS FOR BEHAVIORAL PATIENTS. (2) PRIORITY: PREVENTION AND MANAGEMENT OF DISEASE A. ASTHMA MANAGEMENT DRISCOLL HAS EMPLOYED COMMUNITY HEALTH WORKERS (CHWS) SPECIFICALLY TRAINED IN ASTHMA MANAGEMENT. THESE CHWS MEET WITH FAMILIES OF CHILDREN WHO HAVE ASTHMA, IN THEIR HOMES AND TELEPHONICALLY, TO PROVIDE GUIDANCE IN REDUCING TRIGGERS AS WELL AS ENSURING COMPLIANCE WITH ASTHMA MEDICATION PREVENTERS. DRISCOLL HAS IMPLEMENTED A BRONCHIOLITIS AFTER CARE SERVICE TO REINFORCE EDUCATION AND TRAINING. THIS PROGRAM WAS IMPLEMENTED IN NOVEMBER OF 2019, TO PROVIDE EDUCATION, TRAINING, AND REINFORCEMENT CARE FOR PATIENTS WITH BRONCHIOLITIS. DRISCOLL HAS EMPLOYED AN ASTHMA COORDINATOR, WHOSE ROLE IS TO GO INTO THE COMMUNITY, TEACHING IN SCHOOLS AND WITH PATIENT FAMILIES. TRAINING FOCUSES ON THE CARE AND PREVENTION OF ASTHMA, AND HOW TO AVOID TRIGGERS THAT CAUSE FLARE-UPS. DRISCOLL PROMOTES OPTIMAL HEALTH FOR THESE DISEASES THROUGH GUIDANCE, ADVOCACY, TRIGGER RECOGNITION, SYMPTOM MANAGEMENT, EDUCATIONAL AWARENESS, AND INCREASED COMPLIANCE WITH ASTHMA MEDICATION PREVENTERS. THIS STRATEGY WILL BE EVALUATED BY THE HEALTHCARE EFFECTIVENESS DATA & INFORMATION SET (HEDIS) MEDICATION ADHERENCE MEASURE FOR ASTHMA AS WELL AS THE NUMBER OF ED VISITS AND ADMISSIONS FOR ASTHMA. B. ORAL HEALTH SERVICES DRISCOLL INTENDS TO INCREASE ACCESS TO PEDIATRIC ORAL HEALTH SERVICES THROUGH THE APPLICATION OF FLUORIDE VARNISH TREATMENTS AND EDUCATION DURING PEDIATRIC WELL-VISITS. ORAL HEALTH SERVICES ARE A HIGHLY VALUABLE INITIATIVE THROUGH THE DRISCOLL SERVICE AREA IN TERMS OF COST AVOIDANCE, POPULATION SERVED, AND COMMUNITY BENEFIT AND NEED. A LARGE SHARE OF DENTAL PROCEDURES COULD BE AVOIDED IF DRISCOLL PATIENTS HAVE ACCESS TO APPROPRIATE PREVENTIVE DENTAL CARE. THESE PREVENTATIVE SERVICES WILL HELP REDUCE DENTAL CARIES FOR CHILDREN AGES FIVE AND UNDER. THE APPLICATION IS APPLIED TO CHILDREN EVERY SIX MONTHS STARTING AT SIX MONTHS OF AGE UNTIL THIRTY-SIX MONTHS OF AGE. THE STRATEGY WILL BE MEASURED BY NUMBER OF DRISCOLL HEALTH PLAN (DHP) MEMBERS WHO RECEIVE AN ORAL EVALUATION, NUMBER OF ""AT-RISK"" DHP MEMBERS WHO RECEIVE FLUORIDE VARNISH TREATMENTS, AND COST PER DHP MEMBER DURING THE REPORTABLE PERIOD. C. SOLUTIONS FOR PATIENT SAFETY SOLUTION FOR PATIENT SAFETY (SPS) IS AN INTERNATIONAL NETWORK OF HOSPITALS THAT IMPLEMENT PREVENTION BUNDLES FOR HOSPITAL ACQUIRED CONDITIONS TO REDUCE HARM TO PATIENTS. DE-IDENTIFIED DATA IS SUBMITTED MONTHLY TO SPS TO TRACK AND TREND OUR PERFORMANCE IN REDUCING HARM. THE HOSPITAL ACQUIRED CONDITION BUNDLES THAT HAVE BEEN IMPLEMENTED ARE AS FOLLOWS: CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS, PRESSURE INJURIES, SURGICAL SITE INFECTIONS, CATHETER ASSOCIATED URINARY TRACT INFECTIONS, FALLS, PERIPHERAL INTRAVENOUS VASCULAR INFILTRATION EXTRAVASATION, UNPLANNED EXTUBATIONS, VENTILATOR ASSOCIATED EVENTS AND VASCULAR THROMBUS EMBOLISMS. AS WE IMPLEMENT AND MEASURE OUR COMPLIANCE WE WILL CONTINUE TO TEACH AND LEARN TO FURTHER REDUCE HARM FOR OUR PATIENTS."

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - DRISCOLL CHILDREN'S HOSPITAL - CONTINUED. D. READMISSION RATES REDUCTION DRISCOLL CHILDREN'S HOSPITAL HAS COMPLETED A PARTNERSHIP WITH SOLUTION FOR PATIENT SAFETY (SPS) AND CHILDREN'S HOSPITAL ASSOCIATION OF TEXAS (CHAT) THAT LOOKED AT WAYS TO FURTHER REDUCE OUR READMISSION RATE. A PREVENTION BUNDLE WAS IMPLEMENTED THAT INCLUDED IDENTIFYING HIGH RISK POPULATIONS, AND A PLAN TO HELP PATIENTS ADHERE TO DISCHARGE PLANNING. READMISSION INTERVIEWS ARE CONDUCTED WITH PATIENTS AND PARENTS TO INCLUDE GOAL IDENTIFICATION. FOLLOW UP CALLS ARE CONDUCTED WITHIN 72 HOURS FOR ALL PATIENTS TO REINFORCE DISCHARGE INSTRUCTIONS TO FAMILY AND PATIENTS. DRISCOLL CONTINUES TO PARTICIPATE IN SEVERAL DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP) MEASURES TO REDUCE READMISSIONS. ADDITIONALLY, READMISSION RATE REDUCTION IS A GOAL FOR ALL DIRECTORS AND PHYSICIANS AT DRISCOLL, AND IS MEASURED ON A MONTHLY BASIS. FOR FY2020, DRISCOLL DEVELOPED A COMPREHENSIVE STRATEGY FOR BRONCHIOLITIS PATIENTS, RELATED TO HOME CARE. BRONCHIOLITIS/RESPIRATORY DIAGNOSES WERE THE NUMBER ONE DIAGNOSIS FOR READMISSIONS AT DRISCOLL PRIOR YEAR. PART OF THIS PLAN WAS THE DEVELOPMENT OF AN AFTER-CARE VISIT WHERE PARENTS COULD BRING THEIR CHILD BACK TO THE HOSPITAL FOR SUPPORT AND REINFORCEMENT OF THEIR EDUCATION AND TRAINING REGARDING CARE OF THEIR CHILD. THIS MULTIDISCIPLINARY EFFORT HAS PROVED SUCCESSFUL DURING THE FIRST THREE MONTHS OF IMPLEMENTATION. E. CHRONIC DISEASES DRISCOLL CONTINUES TO PARTICIPATE IN DSRIP MEASURES RELATED TO PEDIATRIC CHRONIC DISEASE MANAGEMENT, SUCH AS DIABETES AND OBESITY. F. DISCHARGE PLANNING FOR ACUTE/CHRONIC DISEASE ADMISSIONS ON THE SYSTEM LEVEL SINCE THE FALL OF 2019, THE DRISCOLL HEALTH PLAN SERVICE, CARE AND UTILIZATION LEADERSHIP TEAMS COMMUNICATE WITH THE HOSPITAL CARE MANAGEMENT TEAM TO IDENTIFY AND PRIORITIZE PATIENTS/MEMBERS WHO HAVE ADDITIONAL BARRIERS TO DISCHARGE, NEEDS OF SOCIAL CASE MANAGEMENT OR HOME VISIT SERVICES AFTER DISCHARGE.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - Driscoll Children's Hospital. EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT.

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - Driscoll Children's Hospital. DRISCOLL'S WEBSITE PROVIDES PHONE NUMBERS FOR INQUIRIES ABOUT FINANCIAL ASSISTANCE AND DISCOUNTS.

Schedule H, Part I, Line 3a SCHEDULE H, PART I, LINE 3A
DRISCOLL CHILDREN'S HOSPITAL USES A RANGE OF 0-300% IN DETERMINING WHAT IS THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE.

Schedule H, Part I, Line 7g Subsidized Health Services
THE HOSPITAL UTILIZED THE COST INFORMATION PROVIDED IN THE HOSPITAL'S COST REPORT TO CALCULATE THE SUBSIDIZED HEALTH SERVICES FOR THE FISCAL YEAR

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE HOSPITAL USED A MODIFIED COST-TO-CHARGE RATIO WHERE APPLICABLE. FOR OTHER PROGRAMS, DIRECTLY ATTRIBUTABLE REVENUE AND EXPENSES WERE USED.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
BAD DEBT IS ZERO FOR FY22 PER THE FINANCIAL STATEMENTS.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COST METHODOLOGY USED WAS RATIO OF COST TO CHARGES. THE HOSPITAL SERVES A LARGE AREA THAT INCLUDES SOME OF THE LOWEST INCOME PER CAPITA COUNTIES IN THE UNITED STATES. A RELATIVELY SMALL NUMBER OF PATIENTS DO NOT QUALIFY FOR GOVERNMENT PROGRAMS AS WELL AS BEING UNINSURED OR UNDERINSURED. IF THE PATIENTS DO NOT QUALIFY FOR CHARITY UNDER HOSPITAL POLICY CRITERIA THEN THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON THE ATTACHED FINANCIAL STATEMENTS APPEARS ON PAGE 9. THE ORGANIZATION HAD NO BAD DEBT EXPENSE FOR FY22.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
MEDICARE IS COST SETTLED FOR THIS HOSPITAL AND THE COSTS SHOWN WERE CALCULATED ON THE MEDICARE COST REPORT. THE METHODOLOGY IS COST TO CHARGE RATIO.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
AT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE. ADDITIONAL INFORMATION PERTAINING TO COLLECTION PRACTICES MAY BE FOUND IN THE POLICY.

Schedule H, Part V, Section B, Line 16a FAP website
- DRISCOLL CHILDREN'S HOSPITAL: Line 16a URL: https://www.driscollchildrens.org/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- DRISCOLL CHILDREN'S HOSPITAL: Line 16b URL: https://www.driscollchildrens.org/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- DRISCOLL CHILDREN'S HOSPITAL: Line 16c URL: https://www.driscollchildrens.org/financial-assistance;

Schedule H, Part VI, Line 2 Needs assessment
THE NEEDS DESCRIBED AND DEFINED IN THE ASSESSMENT ARE TOO PERVASIVE FOR ANY SINGLE HOSPITAL TO ADDRESS ON ITS OWN DUE TO LIMITED RESOURCES. THESE NEEDS INCLUDE BARRIERS TO HEALTHCARE ACCESS; CULTURAL INFLUENCES ON DIABETES AND OBESITY; POVERTY AND POOR EDUCATION AMONG OTHERS. LIMITED RESOURCES PREVENTED A COMPREHENSIVE PLAN FROM BEING DEVELOPED. EXPANDING THE ASSESSMENT STAKEHOLDERS (SUCH AS INCLUDING COUNTY HEALTH OFFICERS) WILL PROVIDE A BETTER OPPORTUNITY FOR A COMPREHENSIVE PLAN TO ADDRESS THIS AREA'S HEALTH NEEDS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT.

Schedule H, Part VI, Line 4 Community information
THE HOSPITAL PROVIDES ACCESS AND SERVICES TO CHILDREN WITHIN A 32 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER OF MEXICO. MOST OF THE COUNTIES IN SOUTH TEXAS HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. THE HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED IN THE CITY OF CORPUS CHRISTI, TEXAS AND NUECES COUNTY. DRISCOLL CHILDREN'S HOSPITAL PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT WHICH INCLUDED THE NUECES COUNTY AND SURROUNDING AREAS. THE DEMOGRAPHICS FOR NUECES COUNTY INCLUDES APPROXIMATELY 352,000 PEOPLE OF WHICH TWENTY FOUR PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND SIXTY-FIVE PERCENT IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME IS $59,477 PER YEAR. APPROXIMATELY EIGHTEEN PERCENT OF THE TOTAL NUECES COUNTY POPULATION IS OF POVERTY LEVEL AND TWENTY PERCENT OF THE POPULATION DOES NOT HAVE HEALTH INSURANCE. OTHER COUNTY MARKETS SERVED BY DRISCOLL CHILDREN'S HOSPITAL IN SOUTH TEXAS INCLUDE: WEBB, HIDALGO, CAMERON, STAFF, JIM HOGG, MAVERICK, WILLACY, AND ZAPATA. THE OTHER SERVICES AREAS INCLUDE A TOTAL POPULATION OF OVER 1.5 MILLION WITH THIRTY-FIVE PERCENT UNDER THE AGE OF 18. OVER NINETY PERCENT OF THE POPULATION IN THESE AREAS IS HISPANIC OR LATINO. APPROXIMATELY THIRTY TO THIRTY-FIVE PERCENT LIVE BELOW THE FEDERAL POVERTY LINE. APPROXIMATELY SEVENTY-TWO PERCENT OF THE PATIENTS SERVED THROUGHOUT SOUTH TEXAS AT THE DRISCOLL CHILDREN'S HOSPITAL ARE ENROLLED IN A GOVERNMENT PROGRAM.

Schedule H, Part VI, Line 5 Promotion of community health
THE HOSPITAL SUBSIDIZES PEDIATRIC SPECIALISTS IN ORDER TO PROVIDE THESE SERVICES TO ITS SERVICE AREA. A SUBSTANTIAL AMOUNT OF HOSPITAL RESOURCES ARE USED TO PROVIDE SERVICES TO THE COMMUNITY IN THE FORM OF HEALTH EDUCATION, PREVENTION AND AWARENESS, AND HOSPITAL/CLINIC SERVICES TO THOSE WHO CANNOT AFFORD TO PAY.

Schedule H, Part VI, Line 6 Affiliated health care system
THE HOSPITAL IS AFFILIATED WITH SEVERAL PHYSICIAN ORGANIZATIONS TO PROVIDE SUPPORT FOR PEDIATRICIANS AND PEDIATRIC SPECIALISTS TO SERVE AREAS OF SOUTH TEXAS THAT OTHERWISE WOULD NOT HAVE THESE SERVICES AVAILABLE.

Schedule H, Part VI, Line 7 State filing of community benefit report
TX