TCH PEDIATRIC ASSOCIATES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- TCH PEDIATRIC ASSOCIATES INC (EIN 76-0460242)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201212269349302471
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T16:04:55-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 MCKINNEY SUITE 1200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760460242 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCH PEDIATRIC ASSOCIATES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TCHP | NameControl |
| Phone | 8328242982 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 300630 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 772300630 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BENJAMIN MELSON | Name |
| Title | EXECUTIVE VICE PRESIDENT/CFO | Title |
| Phone | 8328242982 | Phone |
| Date Signed | 2012-08-13 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERNST YOUNG US LLP | Name |
| Phone | 7137501500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS CHILDRENS PEDIATRIC ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BENJAMIN MELSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 300630 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 772300630 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 151316801 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TEXASCHILDRENSPEDIATRICS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TCH PEDIATRIC ASSOCIATES, INC. PROVIDES THE FINEST PEDIATRIC CARE BY PHYSICIANS AND STAFF WHO ARE DEDICATED TO DELIVERING COMPREHENSIVE QUALITY PRIMARY CARE AND EDUCATION TO THE CHILDREN OF THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1221 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 66891 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6118174 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143485398 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 145198113 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1515 | InvestmentIncomePriorYear |
| Investment Income Current Year | -7380 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1305394 | OtherRevenuePriorYear |
| Other Revenue Current Year | 397 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 144856168 | TotalRevenuePriorYear |
| Total Revenue Current Year | 151309304 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 95307951 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 96899000 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 48030069 | OtherExpensePriorYear |
| Other Expenses Current Year | 50947895 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 143338020 | TotalExpensesPriorYear |
| Total Expenses Current Year | 147846895 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1518148 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3462409 | RevenuesLessExpensesCY |
| Total Assets BOY | 38457258 | TotalAssetsBOY |
| Total Assets EOY | 48134854 | TotalAssetsEOY |
| Total Liabilities BOY | 23114011 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28395542 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15343247 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19739312 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 133038776 | Expense |
| Revenue | 137632298 | Revenue |
| Description | PATIENT CARE: PROVIDING A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY TO THE DIAGNOSIS AND TREATMENT OF THE ILL CHILD FROM THE PERIOD OF BIRTH THROUGH ADOLESCENCE. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 9/30/2011 WERE 1,043,710. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4201225 | Expense |
| Revenue | 4539489 | Revenue |
| Description | MEDICAL EDUCATION: CONDUCTING PARENT AND PUBLIC EDUCATION PROGRAMSNECESSARY TO PROMOTE THE PREVENTION OF ILLNESS IN CHILDREN AND TOENCOURAGE THE EARLY RECOGNITION OF THE NEED FOR HEALTH SERVICES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2800816 | Expense |
| Revenue | 3026326 | Revenue |
| Description | MEDICAL RESEARCH: INCLUDES OUTCOMES OF STUDIES FOR PEDIATRICIMMUNIZATION. MEDICAL STAFF HAVE PUBLISHED ARTICLES INPROFESSIONAL PUBLICATIONS AS WELL AS HAVE BEEN ACTIVELY INVOLVEDIN COMMUNITY MEDICAL EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 140040817 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 108 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1221 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RACHEL SHUPE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8328242951 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1919 S BRAESWOOD BLVD | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77030 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JAMES E ALLISON III MD | |||||||||
| BOARD OF DIRECTORS/MEMBER | 31.90 | X | 215420 | 0 | 30830 | ||||
| JAN E DRUTZ MD | |||||||||
| BOARD OF DIRECTORS/MEMBER | 1.00 | X | 0 | 1900 | 0 | ||||
| MARK W KLINE MD | |||||||||
| SEE SCHEDULE O | 1.00 | X | 0 | 1000 | 0 | X | |||
| MARTIN I LORIN MD | |||||||||
| SEE SCHEDULE O | 1.00 | X | 0 | 0 | 0 | X | |||
| JOAN E SHOOK MD | |||||||||
| BOARD OF DIRECTORS/MEMBER | 1.00 | X | 0 | 1739 | 0 | ||||
| ELIZABETH SMITH MD | |||||||||
| BOARD OF DIRECTORS/MEMBER | 37.40 | X | 338447 | 0 | 46299 | ||||
| STANLEY W SPINNER MD | |||||||||
| BOARD OF DIRECTORS/MEMBER | 32.30 | X | 237982 | 0 | 35869 | ||||
| KAY TITTLE | |||||||||
| PRESIDENT | 40.00 | 0 | 384783 | 131091 | X | ||||
| PATRICIA COLEMAN | |||||||||
| DIRECTOR | 40.00 | 159856 | 0 | 28425 | X | ||||
| MELISSA FISCHER | |||||||||
| DIRECTOR | 40.00 | 190727 | 0 | 58782 | X | ||||
| THERESA LEBLANC | |||||||||
| DIRECTOR | 40.00 | 184258 | 0 | 42986 | X | ||||
| HUBERT HO | |||||||||
| PHYSICIAN | 40.00 | 641057 | 0 | 39598 | X | ||||
| RAZAALI RAZAK | |||||||||
| PHYSICIAN | 40.00 | 611106 | 0 | 39752 | X | ||||
| MARIA ROSSELL | |||||||||
| PHYSICIAN | 40.00 | 661436 | 0 | 15724 | X | ||||
| RICHARD THALLER | |||||||||
| PHYSICIAN | 28.00 | 628740 | 0 | 29811 | X | ||||
| RICHARD VADALA | |||||||||
| PHYSICIAN | 40.00 | 578380 | 0 | 23095 | X | ||||
| MARKETTEA BENEKE | |||||||||
| FORMER COO | 0.00 | 0 | 255939 | 10142 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4447409 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 645361 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 532404 | TotalOtherCompensation |
| Number Individuals GT100 K | 180 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ETACTICS INC | |||||
| 4835 DARROW RD | STOW | OH | 44224 | EPIC BILLING STMTS | 226709 |
| US SECURITY ASSOCIATES INC | |||||
| 6009 RICHMOND 100 | HOUSTON | TX | 77057 | SECURITY SERVICES | 127370 |
| VOTER CONSUMER RESEARCH INC | |||||
| 325 SAWDUST | THE WOODLANDS | TX | 77380 | MARKET RESEARCH | 118686 |
| RJ AUSTIN CONSULTING DEV & TRAIN LLC | |||||
| 11918 DUANE STREET | HOUSTON | TX | 77047 | CONSULTING SERVICES | 115000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 6118174 | RelatedOrganizations |
| Total Contributions | 6118174 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OP - REVENUE | 621400 | 144310639 | 144310639 |
| NON-PATIENT OPERATING | 900099 | 861113 | 861113 |
| CLEAN CLAIMS INTEREST | 900099 | 26361 | 26361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 145198113 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117 | TotalRevenueColumn |
| Exclusion | $117 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7497 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7497 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7497 | TotalRevenueColumn |
| Exclusion | -$7,497 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 397 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Exclusion | $397 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 397 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151309304 | TotalRevenueColumn |
| Related Or Exempt Function Income | 145198113 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$6,983 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2586930 | Total |
| Management And General | 2586930 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78638019 | Total |
| Program Services | 77890534 | ProgramServices |
| Management And General | 747485 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2484374 | Total |
| Program Services | 2386810 | ProgramServices |
| Management And General | 97564 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8996164 | Total |
| Program Services | 8268687 | ProgramServices |
| Management And General | 727477 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4193513 | Total |
| Program Services | 4028830 | ProgramServices |
| Management And General | 164683 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000000 | Total |
| Management And General | 2000000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3510 | Total |
| Program Services | 3510 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241982 | Total |
| Program Services | 1194870 | ProgramServices |
| Management And General | 47112 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205675 | Total |
| Program Services | 201537 | ProgramServices |
| Management And General | 4138 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3472455 | Total |
| Program Services | 3360810 | ProgramServices |
| Management And General | 111645 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24533 | Total |
| Program Services | 16634 | ProgramServices |
| Management And General | 7899 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7980265 | Total |
| Program Services | 7917574 | ProgramServices |
| Management And General | 62691 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130815 | Total |
| Program Services | 126019 | ProgramServices |
| Management And General | 4796 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160471 | Total |
| Program Services | 154169 | ProgramServices |
| Management And General | 6302 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3487174 | Total |
| Program Services | 3350396 | ProgramServices |
| Management And General | 136778 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941114 | Total |
| Management And General | 941114 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 27870870 | 27803752 | 67118 |
| BAD DEBT | 2052748 | 2052748 | |
| AFTER HOURS CALL CENTER | 1014476 | 1014476 | |
| FEES AND LICENSES | 163358 | 156943 | 6415 |
| RECORDS STORAGE | 112518 | 112518 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85931 | Total |
| Management And General | 85931 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147846895 | Total |
| Program Services | 140040817 | ProgramServices |
| Management And General | 7806078 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -48776 | BOY |
| EOY | -263360 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16520000 | BOY |
| EOY | 19315000 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100000 | BOY |
| EOY | 100000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5537478 | BOY |
| EOY | 5976675 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3343411 | BOY |
| EOY | 3258747 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 358369 | BOY |
| EOY | 451603 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33560804 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15079393 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12440560 | BOY |
| EOY | 18481411 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 653452 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206216 | BOY |
| EOY | 161326 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38457258 | BOY |
| EOY | 48134854 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17245364 | BOY |
| EOY | 18658191 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1921932 | BOY |
| EOY | 1509448 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3946715 | BOY |
| EOY | 8227903 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23114011 | BOY |
| EOY | 28395542 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15343247 | BOY |
| EOY | 19739312 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15343247 | BOY |
| EOY | 19739312 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38457258 | BOY |
| EOY | 48134854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3462409 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 933656 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741100555 | EIN |
| Type Of Organization | HOSPITAL | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $140,040,817 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 140040817 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,510 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3510 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | 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 HEALTH CARE 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. TCH MAY INCUR COSTS ALLOCABLE TO TEXAS CHILDREN'S PEDIATRIC ASSOCIATES. | Explanation |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15207 | OtherCostOrOtherBasis |
| Depreciation | 15207 | Depreciation |
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18952598 | OtherCostOrOtherBasis |
| Depreciation | 8787014 | Depreciation |
| Book Value | 10165584 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10450380 | OtherCostOrOtherBasis |
| Depreciation | 6277172 | Depreciation |
| Book Value | 4173208 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4142619 | OtherCostOrOtherBasis |
| Book Value | 4142619 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18481411 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO HOSPL | $8,061,228 |
| TCH MANAGEMENT FEE PA | $166,675 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8227903 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2011. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 1 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES E ALLISON III MD | |||||||||||||
| 163107 | 0 | 34558 | 0 | 17755 | 0 | 17921 | 0 | 12909 | 0 | 246250 | 0 | 0 | 0 |
| ELIZABETH SMITH MD | |||||||||||||
| 314655 | 0 | 21970 | 0 | 1822 | 0 | 29320 | 0 | 16979 | 0 | 384746 | 0 | 0 | 0 |
| STANLEY W SPINNER MD | |||||||||||||
| 219078 | 0 | 17614 | 0 | 1290 | 0 | 23879 | 0 | 11990 | 0 | 273851 | 0 | 0 | 0 |
| KAY TITTLE | |||||||||||||
| 0 | 281711 | 0 | 81250 | 0 | 21822 | 0 | 115487 | 0 | 15604 | 0 | 515874 | 0 | 20570 |
| PATRICIA COLEMAN | |||||||||||||
| 135644 | 0 | 15692 | 0 | 8520 | 0 | 19415 | 0 | 9010 | 0 | 188281 | 0 | 0 | 0 |
| MELISSA FISCHER | |||||||||||||
| 157591 | 0 | 15447 | 0 | 17689 | 0 | 45588 | 0 | 13194 | 0 | 249509 | 0 | 0 | 0 |
| THERESA LEBLANC | |||||||||||||
| 156941 | 0 | 21480 | 0 | 5837 | 0 | 26090 | 0 | 16896 | 0 | 227244 | 0 | 0 | 0 |
| HUBERT HO | |||||||||||||
| 416362 | 0 | 206492 | 0 | 18203 | 0 | 23477 | 0 | 16121 | 0 | 680655 | 0 | 0 | 0 |
| RAZAALI RAZAK | |||||||||||||
| 319674 | 0 | 274963 | 0 | 16469 | 0 | 23719 | 0 | 16033 | 0 | 650858 | 0 | 0 | 0 |
| MARIA ROSSELL | |||||||||||||
| 534793 | 0 | 124597 | 0 | 2046 | 0 | 8558 | 0 | 7166 | 0 | 677160 | 0 | 0 | 0 |
| RICHARD THALLER | |||||||||||||
| 200458 | 0 | 409256 | 0 | 19026 | 0 | 23057 | 0 | 6754 | 0 | 658551 | 0 | 0 | 0 |
| RICHARD VADALA | |||||||||||||
| 375541 | 0 | 183246 | 0 | 19593 | 0 | 11815 | 0 | 11280 | 0 | 601475 | 0 | 0 | 0 |
| MARKETTEA BENEKE | |||||||||||||
| 0 | 182773 | 0 | 19850 | 0 | 53316 | 0 | 1662 | 0 | 8480 | 0 | 266081 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT MARKETTEA BENEKE 84,052 SCHEDULE J, PART I, LINE 4B PAID/DEFERRED KAY TITTLE 101,820/90,605 MARKETTEA BENEKE 63,065/0 MELISSA FISCHER 0/21,524 DIRECTOR INCENTIVE PLAN: PAID/DEFERRED ELIZABETH SMITH 21,970/21,970 PATRICIA COLEMAN 15,692/6,753 MELISSA FISCHER 15,447/7,970 THERESA LEBLANC 21,470/11,026 457(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. 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 J, PART 5A, 5B, 6A, 6B 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE MEMBER, TEXAS CHILDREN'S HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | PER 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 BUDGETS OF THE CORPORATION. ~ 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. ~ TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | PER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF DIRECTORS, 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. | |
| 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 12C | |
| THE PROCESS FOR DETERMINING COMPENSATION INCLUDES: -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. -CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. | FORM 990, PART VI, SECTION B, LINE 15B | |
| THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| TITLES OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES | MARK W KLINE MD - BOARD MEMBER/CHAIRMAIN/CHIEF MEDICAL OFFICER (2010 - 2011) MARTIN I LORIN MD - BOARD MEMBER/VICE CHAIRMAN/SECRETARY (2010 - 2011) KAY TITTLE'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHIDREN'S PEDIACTRIC ASSOCIATES INC PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. JAMES E ALLISON III, MD 31.90 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS TEXAS CHILDREN'S PEDIACTRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. ELIZABETH SMITH, MD 37.40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PEDIACTRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK)AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. STANLEY W SPINNER, MD 32.30 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS TEXAS CHILDREN'S PEDIACTRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK)AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. | PART VII |
| CHANGES IN NET ASSETS OR FUND BALANCES: | CONTRIBUTED CAPITAL/PHYSICIAN PRACTICE 636,082. TRANSFER FROM TCH 297,574. TOTAL TO FORM 990, PART XI, LINE 5: 933,656. | FORM 990, PART XI, LINE 5: |
| 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 -TEXAS CHILDREN'S HOSPITAL EIN: 74-1100555 6621 FANIN ST HOUSTON, TX 77030 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS CHILDREN'S MEDICAL GROUP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6621 FANNIN STREET | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77030 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741100555 | EIN |
| Primary Activities | INACTIVE | PrimaryActivities |
| Legal Domicile State | TX | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TCH SYSTEM INC | |||||||||||
| 1919 S BRAESWOOD BLVD | HOUSTON | TX | 77030 | 760461578 | HEALTH CARE | TX | 501(C)(3) | LINE 11A, I | TEXAS CHILDREN'S HOSPITAL | 1 | |
| TEXAS CHILDREN'S PHYSICIAN GROUP INC | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 260834681 | HEALTH CARE | TX | 501(C)(3) | LINE 9 | TEXAS CHILDREN'S HOSPITAL | 1 | |
| TEXAS CHILDREN'S HEALTH PLAN | |||||||||||
| 2450 HOLCOMBE | HOUSTON | TX | 77021 | 760486264 | HEALTH CARE | TX | 501(C)(3) | LINE 9 | TEXAS CHILDREN'S HOSPITAL | 1 | |
| TEXAS CHILDREN'S WOMEN'S SPECIALISTS | |||||||||||
| PO BOX 300630 | HOUSTON | TX | 77230 | 261482195 | HEALTH CARE | TX | 501(C)(3) | LINE 11A, I | TEXAS CHILDREN'S HOSPITAL | 1 | |
| TEXAS CHILDREN'S HOSPITAL | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 741100555 | HOSPITAL | TX | 501(C)(3) | LINE 3 | 0 | N/A | |
| TEXAS CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 202380599 | SUPPORTING ORG | TX | 501(C)(3) | LINE 11A, I | TEXAS CHILDREN'S HOSPITAL | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|
| TCH INSURANCE COMPANY LTD | ||||||
| 23 LIME BAY AVENUE | KY1-1102 GRAND CAYMAN | CJ | INSURANCE | CJ | N/A | C |
| CVI GVF HOLDINGS 3 LTD | ||||||
| UGLAND HOUSE SOUTH CHURCH STREET | KY1-1104 GEORGE TOWN | CJ | INVESTMENT | CJ | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |