STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

TEXAS CHILDRENS HEALTH PLAN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TEXAS CHILDRENS HEALTH PLAN INC (EIN 76-0486264)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349302687
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T10:50:16-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760486264EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEXAS CHILDREN'S HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEXANameControl
Phone8009908247Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12450 HolcombeAddressLine1
CityHoustonCity
StateTXState
ZIP Code77021ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBENJAMIN MELSONName
TitleEXECUTIVE VICE PRESIDENT / CFOTitle
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGERALYN HURDName
PTINP00933422PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BENJAMIN MELSONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12450 Holcombe Ste 34LAddressLine1
CityHoustonCity
StateTXState
ZIP Code77021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts736725533GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TEXASCHILDRENSHEALTHPLAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTEXAS CHILDREN'S HEALTH PLAN IS COMMITTED TO A COMMUNITY OF HEALTHY CHILDREN BY PROMOTING THE HIGHEST QUALITY PEDIATRIC CARE, EDUCATION AND RESEARCH THROUGH EFFICIENT ADMINISTRATION AND CARE COORDINATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees304TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year471365ContributionsGrantsPriorYear
Contributions Grants Current Year657621ContributionsGrantsCurrentYear
Program Service Revenue Prior Year552338791ProgramServiceRevenuePriorYear
Program Service Revenue CY734552547ProgramServiceRevenueCY
Investment Income Prior Year1184009InvestmentIncomePriorYear
Investment Income Current Year1515365InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year553994165TotalRevenuePriorYear
Total Revenue Current Year736725533TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year457358488BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY657772400BenefitsPaidToMembersCY
Salaries Etc Prior Year19740488SalariesEtcPriorYear
Salaries Etc Current Year23219797SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29516764OtherExpensePriorYear
Other Expenses Current Year37021853OtherExpensesCurrentYear
Total Expenses Prior Year506615740TotalExpensesPriorYear
Total Expenses Current Year718014050TotalExpensesCurrentYear
Revenues Less Expenses Prior Year47378425RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18711483RevenuesLessExpensesCY
Total Assets BOY195469665TotalAssetsBOY
Total Assets EOY175365585TotalAssetsEOY
Total Liabilities BOY60866309TotalLiabilitiesBOY
Total Liabilities EOY67145477TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY134603356NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY108220108NetAssetsOrFundBalancesEOY
Mission DescriptionDESIGNED WITH THE VISION OF CREATING A COMMUNITY OF HEALTHY CHILDREN, TCHP DEVELOPED AN INTEGRATED DELIVERY SYSTEM THAT INCLUDES A UNIQUE NETWORK SPECIALIZED IN PROVIDING PEDIATRIC HEALTH CARE SERVICES. AS TCHP HAS GROWN, THE NETWORK HAS EXPANDED TO MEET THE MEMBERSHIP NEEDS OF THE POPULATION, WHICH INCLUDES MEDICAID ADULTS AND PREGNANT WOMEN.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense706054072Expense
Revenue734552547Revenue
DescriptionTEXAS CHILDREN'S HEALTH PLAN'S (TCHP) PROGRAM SERVICE OBJECTIVE IS TO PROVIDE HEALTH CARE COVERAGE TO UNDERSERVED CHILDREN WHO, WITHOUT MEDICAID OR CHIP, WOULD NOT HAVE ACCESS TO AFFORDABLE HEALTH INSURANCE. AT DECEMBER 31, 2012, TCHP HAD TOTAL MEMBERS OF 354,684. TCHP PARTICIPATES IN MEDICAID, WHICH TARGETS CHILDREN UNDER 185-100% OF THE FEDERAL POVERTY LEVEL AND THE CHILDREN'S HEALTH INSURANCE PROGRAM, WHICH TARGETS CHILDREN BETWEEN 200-100% OF THE POVERTY LEVEL.Description
Total Program Service Expense706054072TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962401NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees304NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Rachel ShupeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8328242951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11919 S Braeswood BlvdAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANN STERN
SCHEDULE O1.0039.00XX087556110150
BENJAMIN MELSON
Director / V. Chairman / Treasurer1.0039.00XX02189546206209
CHRISTOPHER BORN
Director / President39.001.00XX12756380144560
MARK A WALLACE
Director / Chairman1.0039.00XX03943090346036
ALEC KING
Director1.0039.00X024727649443
JOHN R NICKENS IV
Director1.0039.00X033945088458
SUSAN MACDONALD
Director1.0039.00X01274839146852
ANGELO P GIARDINO MD
Vice President / Chief Medical Officer39.001.00X446506071501
ANNA MATEJA
Chief Financial Officer39.001.00X637869067712
DACE REINHOLDS
Assistant Secretary1.0039.00X019165226464
JAN SCOTT
Vice President40.000377440034742X
DAVID CHENNISI
CIO (January - August)40.000140407020243X
JANET TREADWELL
Provider & Care Coordinator40.000179887022885X
LAURIE LEVERMANN
CIO (Started September)40.000167963031355X
ROSE CALHOUN
Quality Management Director40.000168468023165X
VICKI SUBLETT
Asst Dir of Bus Operations40.000143202024984X
CRIS DASKEVICH
Former Director0.0040.00072911178799X
LINDA ALDRED
Former Director0.0040.000864660113807X
TABITHA RICE
Former Director0.0040.00063524769687X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3537380TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11290432TotalReportableCompFrmRltdOrgs
Total Other Compensation1577052TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRIZETTO GROUP INC
PO BOX 122140 DEPT 2140DALLASTX75312HEALTHCARE IT CONSULTING SERVICE3069470
ADVANCED BUSINESS FULFILLMENT LLC
3055 LEBANON PIKE SUITE 1000NASHVILLETN37214DIRECT MAIL/MKTG SVC1125302
MCKESSON HEALTH SOLUTION INC
22423 NETWORK PLACECHICAGOIL60673HEALTHCARE IT CONSULTING SERVICE1032399
INFOMEDIA GROUP INC
11845 INTERSTATE 10 WEST SUITE 400SAN ANTONIOTX78230NURSE TELEPHONE TRIAGE902261
PERFICIENT INC
520 MARYVILLE CENTER DR STE 400SAINT LOUISMO63141IT CONSULTING SERVICE523355
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Government Grants602522GovernmentGrants
All Other Contributions55099AllOtherContributions
Total Contributions657621TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUM REVENUE524114734392662734392662
VENDED SERVICE REVENUE541600159885159885
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue734552547TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1515365TotalRevenueColumn
Exclusion$1,515,365ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column736725533TotalRevenueColumn
Related Or Exempt Function Income734552547RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,515,365ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total657772400Total
Program Services657772400ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3055967Total
Program Services518006ProgramServices
Management And General2537961ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15528556Total
Program Services14872781ProgramServices
Management And General655775ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total478250Total
Program Services475067ProgramServices
Management And General3183ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2811673Total
Program Services2704857ProgramServices
Management And General106816ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1345351Total
Program Services1299219ProgramServices
Management And General46132ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total158054Total
Management And General158054ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total29286Total
Program Services29286ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11817999Total
Program Services11484057ProgramServices
Management And General333942ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2831508Total
Program Services357558ProgramServices
Management And General2473950ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total875352Total
Program Services298186ProgramServices
Management And General577166ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total201415Total
Program Services200220ProgramServices
Management And General1195ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1246Total
Management And General1246ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total349098Total
Program Services338876ProgramServices
Management And General10222ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total158493Total
Program Services150686ProgramServices
Management And General7807ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1303295Total
Program Services1296009ProgramServices
Management And General7286ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total244055Total
Management And General244055ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PREMIUM TAXES1346309813463098
VENDED SERVICE FROM TCH47817404781740
CONSIDERATIONS & HONORARIUMS21772321763786
PROFESSIONAL DUES1786271771771450

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total410864Total
Program Services398952ProgramServices
Management And General11912ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total718014050Total
Program Services706054072ProgramServices
Management And General11959978ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17576618BOY
EOY31347718EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY94822748BOY
EOY108605212EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6292079BOY
EOY14285799EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis827206LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec533674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY293532EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY76321846BOY
EOY20682859EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY456374BOY
EOY150465EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY195469665BOY
EOY175365585EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56711947BOY
EOY65160042EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2718688BOY
EOY1337596EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1435674BOY
EOY647839EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY60866309BOY
EOY67145477EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY21056000BOY
EOY21056000EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY113547356BOY
EOY87164108EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY134603356BOY
EOY108220108EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY195469665BOY
EOY175365585EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18711483ReconcilationRevenueExpenses
Reconcilation Other Changes-45094731ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125534CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years529621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years614133CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year471365CurrentTaxYearMinus1Year
Current Tax Year657621CurrentTaxYear
Total2398274Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years354684106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years424747176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years498604957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year552338791CurrentTaxYearMinus1Year
Current Tax Year734552547CurrentTaxYear
Total2564927577Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years354809640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years425276797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years499219090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year552810156CurrentTaxYearMinus1Year
Current Tax Year735210168CurrentTaxYear
Total2567325851Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total5092567325851PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2475902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years254995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1184009CurrentTaxYearMinus1Year
Current Tax Year1515365CurrentTaxYear
Total7632400Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2475902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years254995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1184009CurrentTaxYearMinus1Year
Current Tax Year1515365CurrentTaxYear
Total7632400Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years361856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years357105CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total718961Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1173CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total1274Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years357374798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years428109804CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years499474186CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year553994165CurrentTaxYearMinus1Year
Current Tax Year736725533CurrentTaxYear
Total2575678486Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99680PublicSupportPercentage509
Prior Year Support Percentage0.99580PriorYearSupportPercentage
Investment Income Percentage0.00300InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 1173, COLUMN B - 0, COLUMN C - 101, COLUMN D - 0, COLUMN E - 0, COLUMN F - 1274;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$29,286GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB29286TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTCHP PAYS FOR LOBBYING EXPENSES TO THE TEXAS ASSOCIATION OF HEALTH PLANS (TAHP) AND ASSOCIATION FOR COMMUNITY AFFILIATED PLANS (ACAP) TO HELP SUPPORT ADVOCACY EFFORTS IN THE TEXAS LEGISLATURE RELATED TO ISSUES THAT IMPACT HEALTH PLANS IN TEXAS.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis827206OtherCostOrOtherBasis
Depreciation533674Depreciation
Book Value293532BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings293532TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$647,839Amount
FieldValueIRS element (for citing)
Total Of Amounts647839TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationMANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING COMBINED BALANCE SHEETS AS OF DECEMBER 31, 2012.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALEC KING
DIRECTOR021091203530001064031668017775029671900
ANGELO P GIARDINO MD
VICE PRESIDENT / CHIEF MEDICAL OFFICER3386620823140255300622760922505180070189840
ANN STERN
SCHEDULE O0345020315772052528709896025408857110114763
ANNA MATEJA
CHIEF FINANCIAL OFFICER1913250411295035249049493018219070558101555440
BENJAMIN MELSON
DIRECTOR / V. CHAIRMAN / TREASURER06848160138422101205090179810026399023957550486974
CHRISTOPHER BORN
DIRECTOR / PRESIDENT442875074748808527501184290261310142019802822080
CRIS DASKEVICH
FORMER DIRECTOR0242224046663702025005239302640608079100170510
DACE REINHOLDS
ASSISTANT SECRETARY015962302431107718019998064660218116010057
DAVID CHENNISI
CIO (JANUARY - AUGUST)11227109927018209011904083390160650099270
JAN SCOTT
VICE PRESIDENT13161602441000172401822701651504121820212000
JANET TREADWELL
PROVIDER & CARE COORDINATOR156114022603011700119780109070202772085510
JOHN R NICKENS IV
DIRECTOR029014904810001201067706020752042790800
LAURIE LEVERMANN
CIO (STARTED SEPTEMBER)145391021487010850146890166660199318079050
LINDA ALDRED
FORMER DIRECTOR034050904728000513510918500219570978467074369
MARK A WALLACE
DIRECTOR / CHAIRMAN011192180266070701631650318026028010042891260723469
ROSE CALHOUN
QUALITY MANAGEMENT DIRECTOR145590021480013980112150119500191633082720
SUSAN MACDONALD
DIRECTOR045636707668170516550125089021763014216910232053
TABITHA RICE
FORMER DIRECTOR0226004039417501506805068301900407049340134445
VICKI SUBLETT
ASST DIR OF BUS OPERATIONS1355780184905775016982080020168186000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED BY TEXAS CHILDREN'S AND TEXAS CHILDREN'S HOSPITAL, USING THE FOLLOWING METHODS: *COMPENSATION COMMITTEE *INDEPENDENT COMPENSATION CONSULTANT *COMPENSATION SURVEY OR STUDY *APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Supplemental nonqualified retirement planSchedule J, Part I, Line 4b457 (F) PLAN: PAID/DEFERRED CHRISTOPHER BORN 813,008 / 89,903 BEN MELSON 1,485,474 / 160,887 ANN STERN 778,160 / 0 MARK WALLACE 2,376,413 / 283,464 ALEC KING 35,300 / 21,362 SUSAN MACDONALD 799,253 / 98,472 JOHN NICKENS 48,100 / 46,959 ANGELO GIARDINO 63,300 / 43,058 ANNA MATEJA 429,244 / 26,295 JAN SCOTT 244,100 / 5,542 CRIS DASKEVICH 485,610 / 28,470 LINDA ALDRED 505,369 / 65,360 TABITHA RICE 408,145 / 29,846 DIRECTOR INCENTIVE PLAN: PAID/DEFERRED ANGELO GIARDINO 18,984 / 0 DACE REINHOLD 24,311 / 0 ROSE CALHOUN 21,480 / 0 DAVID CHENNISI 9,927 / 0 LAURIE LEVERMANN 21,487 / 0 JANET TREADWELL 22,603 / 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. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND/OR YEAR.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S HEALTH PLAN.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTEXAS CHILDREN'S, AS THE SOLE MEMBER CORPORATION, HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bPER THE ORGANIZATION'S BYLAWS THE MEMBER HAS CERTAIN RESERVED POWERS: - APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. - FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. - APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. - APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. - APPROVE CAPITAL AND OPERATING BUDGET OF THE CORPORATION. - ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS OF THE CORPORATION, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS OF THE CORPORATION, IF ANY. - APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. - APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. - APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. - SELECTION OF THE CORPORATION'S AUDITORS. - DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBER(S). - TAKE ANY ACTION WHICH WOULD BE CONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER.
Documentation of meetings held by committees of governing bodyForm 990, Part VI, Section A, Line 8bNO SUCH COMMITTEES EXIST.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF TRUSTEES, THE MEMBER 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 MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE 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.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
NOTE REGARDING COMPENSATIONFORM 990, PART VII, SECTION AIN ADDITION TO COMPENSATION EARNED IN THE CURRENT YEAR, BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS EARNED AND DEFERRED IN PRIOR YEARS AND PAID IN THE CURRENT YEAR.
TITLESFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (A)ANN STERN: DIRECTOR AND SECRETARY UNTIL 1/12/12
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9TRANSFER TO TEXAS CHILDREN'S HOSPITAL FOUNDATION - -47300000; CHANGE IN NONADMITTED ASSETS - 2205269;
Reason organization did not undergo required auditForm 990, Part XII, Line 3bTCHP HAS A GRANT AGREEMENT WITH THE TEXAS HEALTH & HUMAN SERVICES COMMISSION (HHSC) TO DEVELOP AND OPERATE A TEXAS NURSE-FAMILY PARTNERSHIP PROGRAM EFFECTIVE THROUGH AUGUST 31, 2014. HHSC DID NOT INFORM TCHP UNTIL OCTOBER 2013 THAT A COMPONENT OF THE GRANT CONSISTED OF FEDERAL FUNDING, THEREBY NECESSITATING AN AUDIT UNDER OMB CIRCULAR A-133, SECTION 200(A). GOING FORWARD, TCHP AND THIS GRANT WILL BE INCLUDED IN TEXAS CHILDREN'S ANNUAL A-133 AUDIT.
FORM 5471 DISCLOSURE STATEMENTSCHEDULE OUNDER 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 FANNIN ST. HOUSTON, TX 77030 -TEXAS CHILDREN'S EIN:76-0461578 6621 FANNIN ST. HOUSTON, TX 77030
NOTE REGARDING FOREIGN INSURANCESCHEDULE OTEXAS CHILDREN'S HEALTH PLAN DOES BENEFIT FROM EXCESS LIABILITY AND PROPERTY INSURANCE POLICIES ISSUED BY FOREIGN INSURERS. THE PREMIUMS FOR THESE POLICIES ARE PAID BY TEXAS CHILDREN'S HOSPITAL WITH AN EXPENSE ALLOCATION TO TEXAS CHILDREN'S HEALTH PLAN.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TEXAS CHILDREN'S
1919 S BRAESWOOD BLVDHOUSTONTX77030PARENTTX501(C)(3)11 - Type IINAfalse
TEXAS CHILDREN'S PHYSICIAN GROUP INC
6621 FANNIN STHOUSTONTX77030HEALTH CARETX501(C)(3)9TEXAS CHILDREN'Strue
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
PO BOX 300630HOUSTONTX77230HEALTH CARETX501(C)(3)11 - Type IITEXAS CHILDREN'Strue
TEXAS CHILDREN'S HOSPITAL
6621 FANNIN STHOUSTONTX77030HOSPITALTX501(C)(3)3TEXAS CHILDREN'Strue
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STHOUSTONTX77030SUPPORTING ORGTX501(C)(3)11 - Type IITEXAS CHILDREN'Strue
TCH PEDIATRIC ASSOCIATES
PO BOX 300630HOUSTONTX77230HEALTH CARETX501(C)(3)9TEXAS CHILDREN'Strue
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6621 FANNIN STREETHOUSTONTX77030HEALTH CARETX501(C)(3)11 - Type ITEXAS CHILDREN'S HEALTH PLANtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityCityAddressForeign/City
TCH INSURANCE COMPANY LTD
23 LIME BAY AVEGRAND CAYMANCJKY1-1102INSURANCECJNAC CORPORATION
CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STCJKY1-1104INVESTMENTCJNAC CORPORATIONGEORGE TOWN
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TCH PEDIATRIC ASSOCIATES INC
M15603594COST
TEXAS CHILDREN'S PHYSICIAN GROUP INC
M23300503COST
TEXAS CHILDREN'S HOSPITAL
M133874060COST
TEXAS CHILDREN'S HOSPITAL
K1776762COST
TEXAS CHILDREN'S HOSPITAL
L159885COST
TEXAS CHILDREN'S HOSPITAL
P138055COST
TEXAS CHILDREN'S HOSPITAL FOUNDATION
R47300000COST