2019-11-15T08:31:32-06:00 2018-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2018-01-01 752854505 Physicians for Children PHYS 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Jeremiah Radandt EVP Finance & CFO 2019-11-15 true Rachel Spurlock P00520729 2147775200 2018 2020-03-31 21:24:44Z CHILDREN'S HEALTH PEDIATRIC GROUP Ray Tsai MD 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 13574343 false X N/A X 1999 TX TO DELIVER PRIMARY CARE TO CHILDREN IN UNDERSERVED AREAS OF NORTH CENTRAL TEXAS. X 6 5 413 5 0 0 578679 1574704 45957025 11985181 0 0 0 14458 46535704 13574343 0 0 0 30292495 23964670 0 0 0 31153028 16758795 61445523 40723465 -14909819 -27149122 31244251 3504989 101596865 100642027 -70352614 -97137038 X To deliver primary care to children in critically under served areas of the North Central Texas community in a private physician office setting. false true 26028925 0 11999639 Physicians for Children dba Children's Health Pediatric Group (CHPG) provides a medical home for children when they are both sick and well. CHPG cares for all aspects of children and their health care needs, from well child exams and treatment of common illnesses like cold and flu, to treatment of chronic conditions such as asthma. Our main objective is to improve the lives of children in our community by providing them with a high-quality, affordable patient centered medical home. 26028925 true true false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false true false true false false false true 413 0 true 413 true false false false false false false true false false false false false X 6 5 true false false false true true true true true false false false true true true true true false false false X Stephanie K Smith 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Ernie Fernandez MD Chair 1.0 0 X 0 0 0 Michael Brown MD Vice Chair 1.0 20.0 X 0 36000 0 Debra Burns MD Director 1.0 0 X 0 0 0 Richard Daniel MD Director 1.0 0.0 X 0 1520 0 Larry Gray MD Director 1.0 0 X 0 0 0 Frank Lieu MD Director 1.0 0 X 0 0 0 Ray Tsai MD President (CHST SVP Ops) 1.0 54.0 X 0 684614 155384 Tammie L Sibley Treasurer (CHST SVP Finance) 1.0 49.0 X 0 347144 63065 Lisa M Frenkel Secretary 1.0 49.0 X 0 275033 5732 Leann Kridelbaugh MD President (until 7/23/2018) 39.0 1.0 X 630607 0 18193 Jerry D Lee Treasurer (until 4/13/2018) 1.0 49.0 X 0 906965 37689 Rekha Sivadasan MD Physician 40.0 0 X 238055 0 12827 Stormee Williams MD Physician, VP Medical Director Network Dev & Innovation 40.0 0 X 225205 0 22427 Chad E Fragle VP Network Development and Operations 40.0 0 X 225704 0 2373 Tonya P McDonald MD Physician 40.0 0 X 222305 0 2055 Afser Tasneem MD Physician 40.0 0 X 217126 0 5323 Stephanie K Smith Former Corporate Secretary 0.0 40.0 X 0 162833 4591 1759001 2414109 329659 72 true true false HENRY SCHEIN INC DEPT CH 10241 PALATINE IL 600550241 Medical Supplies/Services 751322 Projekt202 5080 Spectrum Drive Suite 320W Addison TX 750014693 App Development 397637 Grand-Aides USA 12 Greenway Suite 1110 PMB 195 Houston TX 77046 Patient Education Assistance 354168 UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Services 321787 MERCK SHARP AND DOHME CORP ONE MERCK DR Whitehouse Station NJ 08889 Medical Supplies/Services 270583 8 1574704 1574704 NET PATIENT REVENUE 621110 11985181 11985181 0 0 0 0 11985181 0 0 0 0 Purchase Discounts 621110 14458 14458 0 0 0 0 14458 13574343 11999639 0 0 648800 0 648800 0 18350049 14709790 3640259 850069 658163 191906 2688174 2081309 606865 1427578 1105297 322281 500 500 1337282 1321782 15500 0 243023 219932 23091 1752072 1745014 7058 1111793 995162 116631 159449 150258 9191 238697 209286 29411 608403 590048 18355 143114 131015 12099 Shared Services 8993376 8993376 Medical Surgical Supplies 1319745 1319745 Provision for Doubtful Accounts 483783 483783 Dietary and Food Costs 52155 49848 2307 315403 257993 57410 0 40723465 26028925 14694540 0 27136821 227652 0 0 0 39979 833333 3122824 678820 4067451 2444004 0 0 0 0 31244251 3504989 4688054 1514535 0 96908811 99127492 101596865 100642027 -70352614 -97137038 -70352614 -97137038 31244251 3504989 X -27149122 364698 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1626939 302836 1324103 253360 75620 177740 1019131 300364 718767 223394 223394 2444004 LT ADVANCES-Affiliates 99127492 99127492 true true false false false false false true false Stephanie K Smith Former Corporate Secretary 0 128098 0 14598 0 20137 0 0 0 4591 0 167424 0 0 Ray Tsai MD President (CHST SVP Ops) 0 385115 0 240355 0 59144 0 138665 0 16720 0 839998 0 0 Tammie L Sibley Treasurer (CHST SVP Finance) 0 277938 0 67464 0 1742 0 52448 0 10616 0 410209 0 0 Lisa M Frenkel Secretary 0 228264 0 42092 0 4677 0 0 0 5732 0 280765 0 0 Leann Kridelbaugh MD President (until 7/23/2018) 140173 0 111830 0 378605 0 15236 0 2957 0 648800 0 0 0 Jerry D Lee Treasurer (until 4/13/2018) 0 85821 0 111213 0 709931 0 31756 0 5933 0 944655 0 0 Rekha Sivadasan MD Physician 107733 0 28147 0 102175 0 7777 0 5050 0 250883 0 0 0 Stormee Williams MD Physician, VP Medical Director Network Dev & Innovation 194667 0 29147 0 1391 0 13853 0 8574 0 247631 0 0 0 Chad E Fragle VP Network Development and Operations 187644 0 36871 0 1189 0 0 0 2373 0 228077 0 0 0 Tonya P McDonald MD Physician 88121 0 44289 0 89895 0 0 0 2055 0 224360 0 0 0 Afser Tasneem MD Physician 77118 0 62029 0 77979 0 0 0 5323 0 222449 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CHILDREN'S HEALTH SYSTEM OF TEXAS IS THE SOLE MEMBER FOR PHYSICIANS FOR CHILDREN (PFC). PFC'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY PFC. COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS ESTABLISHED BY CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. When appropriate, an independent compensation consultant may be engaged. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Payment: *Severance - Jerry Lee - $475,800, Leann Kridelbaugh - $271,000, Rekha Sivadasan - $100,294, Tonya McDonald - $88,955, Afser Tasneem - $76,408 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Non-Qualified Retirement Plan: * Children's Health Savings Restoration Plan - Jerry Lee received $13,682 as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan include Ray Tsai. *Children's Health Executive Defined Contribution Retirement Plan (EDCRP) - Jerry Lee received $177,633 as taxable income from the EDCRP. Ray Tsai received $55,523 as taxable income from the EDCRP. Employees who received compensation reported as deferred in column C from the EDCRP include: Ray Tsai - $120,550, Tammie Sibley - $41,448, Jerry Lee - $18,351. Schedule J, Part I, Line 7 Non-fixed payments Non-Fixed Payments - The Human Resources Committee of the Board of Directors of Children's Health System of Texas retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2018. 13 Pediatric Clinic Locations 2018-04-06 16050000 Appraisal 208863459 Familia Care Inc 222 W Las Colinas Blvd Suite 2000 Irving TX 75039 Corporation false false false false Form 990, Part III, Line 3 Significant changes in program services During 2018, Physicians for Children clinic locations, dba Children's Health Pediatric Group (CHPG) primary care clinics , transferred ownership of 13 clinics to Familia Care, Inc. dba MD Medical Group, an unrelated organization. Three other CHPG clinics were closed. Physicians for Children will continue to partner with MD Medical Group to deliver high-quality care and create a better everyday life in the communities in which these clinics serve, in alignment with Physicians for Children's mission. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL CHILDREN'S HEALTH SYSTEM OF TEXAS IS THE SOLE MEMBER FOR PHYSICIANS FOR CHILDREN (PFC). PFC'S TOP MANAGEMENT OFFICIAL IS EMPLOYED AND COMPENSATED BY PFC. Compensation setting takes place at the related entity Children's Health System of Texas (CHST). Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES Line 15b is answered no in accordance with the IRS Form 990 instructions because salary is paid and determined by a related party, Children's Health System of Texas (CHST). CHST is the sole member and officers are employed and paid by CHST. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Dr. Ernie Fernandez and Dr. Debra Burns - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas (CHST) is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Directors are appointed by the member and approved by the current Physicians for Children Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Physicians for Children has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Restricted Gifts - F/A Acquisition - 364698; Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Children's Medical Center Foundation 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 Foundation TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false Anesthesiologists for Children 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II N/A false OCH Holdings 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 474837308 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I N/A false WOMEN'S AUXILIARY OF CMCD 12720 HILLCREST RD DALLAS TX 75230 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 N/A false CHST Physician Group 1 1935 Medical District Drive Dallas TX 75235 813582843 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 2 1935 Medical District Drive Dallas TX 75235 813679995 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 3 1935 Medical District Drive Dallas TX 75235 813691209 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 4 1935 Medical District Drive Dallas TX 75235 814577909 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 5 1935 Medical District Drive Dallas TX 75235 814848085 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 6 1935 Medical District Drive Dallas TX 75235 814865847 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations LLC 1935 Medical District Drive Dallas TX 75235 475246461 Physicians TX NA N/A false false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false TEXAS TRINITY RIVER ASSURANCE COMPANY LTD 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY11202 981318151 Self-insurance CJ NA C Corporation false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physicians TX NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false false false true false true false false false false false false true true true true false false false true