TEXAS CHILDRENS HEALTH PLAN INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS CHILDRENS HEALTH PLAN INC (EIN 76-0486264)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201243179349301224
- Schema version
- 2011v1.2
- 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 | 2012-11-12T10:40:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346565596 | EIN |
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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760486264 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS CHILDREN'S HEALTH PLAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TEXA | NameControl |
| Phone | 8009908247 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2450 HOLCOMBE NO 34L | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77021 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BENJAMIN MELSON | Name |
| Title | DIRECTOR | Title |
| Phone | 8009908247 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00177502 | PTIN |
| Phone | 7137501500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| 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 | 2450 HOLCOMBE STE 34L | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 553994165 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TEXASCHILDRENSHEALTHPLAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TEXAS 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 Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 266 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 614133 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 471365 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 498604957 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 552338791 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 254995 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1184009 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 101 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 499474186 | TotalRevenuePriorYear |
| Total Revenue Current Year | 553994165 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 412347347 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 457358488 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18862537 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19740488 | 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 | 31452424 | OtherExpensePriorYear |
| Other Expenses Current Year | 29516764 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 462662308 | TotalExpensesPriorYear |
| Total Expenses Current Year | 506615740 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 36811878 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 47378425 | RevenuesLessExpensesCY |
| Total Assets BOY | 140216101 | TotalAssetsBOY |
| Total Assets EOY | 195469665 | TotalAssetsEOY |
| Total Liabilities BOY | 52935783 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 60866309 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 87280318 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 134603356 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | DESIGNED 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 502435623 | Expense |
| Revenue | 552338791 | Revenue |
| Description | TEXAS 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, 2011, TCHP HAD TOTAL MEMBERS OF 346,981. 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 Expense | 502435623 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| 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 | 0 | 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 | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2148 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 266 | 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 | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 1 | 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 (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER BORN | |||||||||
| DIRECTOR/PRESIDENT | 40.00 | X | X | 496132 | 0 | 158491 | |||
| MARK WALLACE | |||||||||
| DIRECTOR/CHAIRMAN | 1.00 | X | X | 0 | 1581810 | 472946 | |||
| BENJAMIN MELSON | |||||||||
| DIRECTOR/V CHAIRMAN/TREASURER | 1.00 | X | X | 0 | 831838 | 251416 | |||
| ANN STERN | |||||||||
| DIRECTOR/SECRETARY | 1.00 | X | X | 0 | 688260 | 102729 | |||
| LINDA ALDRED | |||||||||
| DIRECTOR | 1.00 | X | 0 | 414737 | 134422 | ||||
| TABITHA RICE | |||||||||
| DIRECTOR | 1.00 | X | 0 | 269574 | 84360 | ||||
| ANNA MATEJA | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 273872 | 0 | 87465 | ||||
| ANGELO GIARDINO MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | X | 400892 | 0 | 45055 | ||||
| DACE REINHOLDS | |||||||||
| ASSISTANT SECRETARY | 1.00 | X | 0 | 174909 | 34458 | ||||
| JAN SCOTT | |||||||||
| VICE PRESIDENT | 40.00 | 193176 | 0 | 70370 | X | ||||
| DAVE CHENNISI | |||||||||
| CIO | 40.00 | 190642 | 0 | 34826 | X | ||||
| JANET TREADWELL | |||||||||
| PROVIDER & CARE COORDINATOR | 40.00 | 164005 | 0 | 30113 | X | ||||
| LAURIE LEVERMANN | |||||||||
| OPERATIONS DIRECTOR | 40.00 | 147500 | 0 | 36396 | X | ||||
| ROSE CALHOUN | |||||||||
| QUALITY MANAGMENT DIRECTOR | 40.00 | 159152 | 0 | 30466 | X | ||||
| VICKI SUBLETT | |||||||||
| ASST DIR OF BUS OPERATIONS | 40.00 | 137644 | 0 | 23532 | X | ||||
| CRIS DASKEVICH | |||||||||
| FORMER DIRECTOR | 0.00 | 0 | 443087 | 99647 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2163015 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4404215 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1696692 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRIZETTO GROUP INC | |||||
| PO BOX 122140 DEPT 2140 | DALLAS | TX | 75312 | HEALTHCARE IT CONSULTING SERVICE | 2559314 |
| ADVANCED BUSINESS FULFILLMENT LLC | |||||
| 3055 LEBANON PIKE | NASHVILLE | TN | 37214 | DIRECT MAIL/MKTG SVC | 1063165 |
| INFOMEDIA GROUP INC | |||||
| 11835 W INTERSTATE 10 | SAN ANTONIO | TX | 78230 | NURSE TELEPHONE TRIAGE | 867233 |
| MCKESSON HEALTH SOLUTION INC | |||||
| 22423 NETWORK PLACE | CHICAGO | IL | 60617 | HEALTHCARE IT CONSULTING SERVICE | 393000 |
| CSC CONSULTING INC | |||||
| PO BOX 905145 | CHARLOTTE | NC | 28290 | IT CONSULTING SERVICE | 327382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 471365 | GovernmentGrants |
| Total Contributions | 471365 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PREMIUM REVENUE | 524114 | 552153137 | 552153137 |
| VENDED SERVICE REVENUE | 811000 | 185654 | 185654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 552338791 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1184009 | TotalRevenueColumn |
| Exclusion | $1,184,009 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 553994165 | TotalRevenueColumn |
| Related Or Exempt Function Income | 552338791 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,184,009 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457358488 | Total |
| Program Services | 457358488 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1725454 | Total |
| Program Services | 1725454 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14145372 | Total |
| Program Services | 14016968 | ProgramServices |
| Management And General | 128404 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 448381 | Total |
| Program Services | 444178 | ProgramServices |
| Management And General | 4203 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2311702 | Total |
| Program Services | 2291884 | ProgramServices |
| Management And General | 19818 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1109579 | Total |
| Program Services | 1053483 | ProgramServices |
| Management And General | 56096 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141484 | Total |
| Management And General | 141484 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12900 | Total |
| Program Services | 12900 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8608436 | Total |
| Program Services | 8526304 | ProgramServices |
| Management And General | 82132 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2393477 | Total |
| Program Services | 2383496 | ProgramServices |
| Management And General | 9981 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745648 | Total |
| Program Services | 739828 | ProgramServices |
| Management And General | 5820 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145726 | Total |
| Program Services | 145548 | ProgramServices |
| Management And General | 178 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324 | Total |
| Program Services | 321 | ProgramServices |
| Management And General | 3 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 299562 | Total |
| Program Services | 297092 | ProgramServices |
| Management And General | 2470 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139047 | Total |
| Program Services | 137888 | ProgramServices |
| Management And General | 1159 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1835670 | Total |
| Program Services | 1820375 | ProgramServices |
| Management And General | 15295 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203045 | Total |
| Management And General | 203045 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PREMIUM TAXES | 10710559 | 10710559 | |
| VENDED SERVICE FROM TCH | 3505095 | 3505095 | |
| CONSIDERATIONS & HONORA | 240264 | 238262 | 2002 |
| PENALTY & INTEREST | 222365 | 220512 | 1853 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313162 | Total |
| Program Services | 312083 | ProgramServices |
| Management And General | 1079 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506615740 | Total |
| Program Services | 502435623 | ProgramServices |
| Management And General | 4180117 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26661976 | BOY |
| EOY | 17576618 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101116791 | BOY |
| EOY | 94822748 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8505724 | BOY |
| EOY | 6292079 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3339749 | BOY |
| EOY | 76321846 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 591645 | BOY |
| EOY | 456374 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140216101 | BOY |
| EOY | 195469665 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48337401 | BOY |
| EOY | 56711947 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3394309 | BOY |
| EOY | 2718688 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1204073 | BOY |
| EOY | 1435674 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52935783 | BOY |
| EOY | 60866309 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21056000 | BOY |
| EOY | 21056000 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66224318 | BOY |
| EOY | 113547356 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87280318 | BOY |
| EOY | 134603356 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140216101 | BOY |
| EOY | 195469665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 47378425 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -55387 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 80000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 125534 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 529621 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 614133 | CurrentTaxYearMinus1Year |
| Current Tax Year | 471365 | CurrentTaxYear |
| Total | 1820653 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 568922 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 377603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 159499 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 133915 | CurrentTaxYearMinus1Year |
| Current Tax Year | 185654 | CurrentTaxYear |
| Total | 1425593 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 277496177 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 354306503 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 424587677 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 498471042 | CurrentTaxYearMinus1Year |
| Current Tax Year | 552153137 | CurrentTaxYear |
| Total | 2107014536 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 278145099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 354809640 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 425276797 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 499219090 | CurrentTaxYearMinus1Year |
| Current Tax Year | 552810156 | CurrentTaxYear |
| Total | 2110260782 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2110260782 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1675627 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2202129 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2475902 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 254995 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1184009 | CurrentTaxYear |
| Total | 7792662 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1675627 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2202129 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2475902 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 254995 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1184009 | CurrentTaxYear |
| Total | 7792662 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 280039 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 361856 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 357105 | CurrentTaxYearMinus2Years |
| Total | 999000 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19943 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1173 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 101 | CurrentTaxYearMinus1Year |
| Total | 21217 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 280120708 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 357374798 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 428109804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 499474186 | CurrentTaxYearMinus1Year |
| Current Tax Year | 553994165 | CurrentTaxYear |
| Total | 2119073661 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99580 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99390 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00370 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00540 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III - EXPLANATION OF INCOME OTHER INCOME: 2007 19,943 2008 1,173 2009 -0- 2010 101 2011 -0- TOTAL 21,217 | GeneralExplanation |
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 | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $12,900 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12900 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | LOBBYING ACTIVITY EXPLANATION SCHEDULE C, PART II-B TCHP PAYS FOR LOBBYING EXPENSES TO THE TEXAS ASSOCIATION OF HEALTH PLANS (TAHP) TO HELP SUPPORT ADVOCACY EFFORTS IN THE TEXAS LEGISLATURE RELATED TO ISSUES THAT IMPACT HEALTH PLANS IN TEXAS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $1,435,674 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1435674 | 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 DECEMBER 31, 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 | 0 | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER BORN | |||||||||||||
| 330448 | 0 | 96600 | 0 | 69084 | 0 | 133485 | 0 | 25006 | 0 | 654623 | 0 | 66972 | 0 |
| MARK WALLACE | |||||||||||||
| 0 | 936773 | 0 | 500772 | 0 | 144265 | 0 | 445707 | 0 | 27239 | 0 | 2054756 | 0 | 223262 |
| BENJAMIN MELSON | |||||||||||||
| 0 | 543882 | 0 | 162450 | 0 | 125506 | 0 | 225980 | 0 | 25436 | 0 | 1083254 | 0 | 106864 |
| ANN STERN | |||||||||||||
| 0 | 449180 | 0 | 164214 | 0 | 74866 | 0 | 90024 | 0 | 12705 | 0 | 790989 | 0 | 89135 |
| LINDA ALDRED | |||||||||||||
| 0 | 269441 | 0 | 81000 | 0 | 64296 | 0 | 113160 | 0 | 21262 | 0 | 549159 | 0 | 46214 |
| TABITHA RICE | |||||||||||||
| 0 | 204446 | 0 | 44150 | 0 | 20978 | 0 | 67319 | 0 | 17041 | 0 | 353934 | 0 | 19605 |
| ANNA MATEJA | |||||||||||||
| 185918 | 0 | 47050 | 0 | 40904 | 0 | 69414 | 0 | 18051 | 0 | 361337 | 0 | 24118 | 0 |
| ANGELO GIARDINO MD | |||||||||||||
| 348249 | 0 | 37968 | 0 | 14675 | 0 | 37623 | 0 | 7432 | 0 | 445947 | 0 | 0 | 0 |
| DACE REINHOLDS | |||||||||||||
| 0 | 151027 | 0 | 16674 | 0 | 7208 | 0 | 28301 | 0 | 6157 | 0 | 209367 | 0 | 0 |
| JAN SCOTT | |||||||||||||
| 148999 | 0 | 42400 | 0 | 1777 | 0 | 54137 | 0 | 16233 | 0 | 263546 | 0 | 0 | 0 |
| DAVE CHENNISI | |||||||||||||
| 170251 | 0 | 19565 | 0 | 826 | 0 | 22478 | 0 | 12348 | 0 | 225468 | 0 | 0 | 0 |
| JANET TREADWELL | |||||||||||||
| 146110 | 0 | 16773 | 0 | 1122 | 0 | 19593 | 0 | 10520 | 0 | 194118 | 0 | 0 | 0 |
| LAURIE LEVERMANN | |||||||||||||
| 130858 | 0 | 15580 | 0 | 1062 | 0 | 21448 | 0 | 14948 | 0 | 183896 | 0 | 0 | 0 |
| ROSE CALHOUN | |||||||||||||
| 141245 | 0 | 16245 | 0 | 1662 | 0 | 18855 | 0 | 11611 | 0 | 189618 | 0 | 0 | 0 |
| VICKI SUBLETT | |||||||||||||
| 131017 | 0 | 1069 | 0 | 5558 | 0 | 16198 | 0 | 7334 | 0 | 161176 | 0 | 0 | 0 |
| CRIS DASKEVICH | |||||||||||||
| 0 | 213819 | 0 | 199818 | 0 | 29450 | 0 | 73879 | 0 | 25768 | 0 | 542734 | 0 | 166155 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAID/DEFERRED CHRISTOPHER BORN 163,572/105,879 MARK WALLACE 592,962/412,285 BEN MELSON 269,314/207,626 ANN STERN 220,535/70,700 LINDA ALDRED 127,214/87,515 TABITHA RICE 63,755/48,555 ANNA MATEJA 71,168/47,239 ANGELO GIARDINO 37,968/18,984 DACE REINHOLD 16,674/10,057 JAN SCOTT 42,400/19,706 DAVID CHENNISI 19,565/9,927 JANET TREADWELL 16,773/8,551 LAURIE LEVERMANN 15,580/7,905 ROSE CALHOUN 16,245/8,272 VICKI SUBLETT 0/0 CRIS DASKEVICH 228,155/52,001 | |
| PART III | 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. 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. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | TEXAS CHILDREN'S IS NOW THE SOLE MEMBER OF TEXAS CHILDREN'S HEALTH PLAN EFFECTIVE 12/2011. | |
| FORM 990, PART VI, SECTION A, LINE 6 | TEXAS CHILDREN'S IS THE SOLE MEMBER CORPORATION OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TEXAS CHILDREN'S, AS THE SOLE MEMBER CORPORATION, HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION. | |
| 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 THE 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. - 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 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. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1)BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2)OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING COMPENSATION 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 C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| NOTE REGARDING COMPENSATION | IN 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. NOTE REGARDING FOREIGN INSURANCE TEXAS 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. | FORM 990, PART VII, SECTION A |
| FORM 990, PART XI, LINE 5: | CHANGE IN NONADMITTED ASSETS -55,387. TOTAL TO FORM 990, PART XI, LINE 5: -55,387. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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 FANNIN ST. HOUSTON, TX 77030 -TEXAS CHILDREN'S HOSPITAL EIN:74-1100555 6621 FANNIN 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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TEXAS CHILDREN'S | |||||||||||
| 1919 S BRAESWOOD BLVD | HOUSTON | TX | 77030 | 760461578 | HEALTH CARE | TX | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| TEXAS CHILDREN'S PHYSICIAN GROUP INC | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 260834681 | HEALTH CARE | TX | 501(C)(3) | LINE 9 | 1 | TEXAS CHILDREN'S | |
| TEXAS CHILDREN'S WOMEN'S SPECIALISTS | |||||||||||
| PO BOX 300630 | HOUSTON | TX | 77230 | 261482195 | HEALTH CARE | TX | 501(C)(3) | LINE 11A, I | 1 | TEXAS CHILDREN'S | |
| TEXAS CHILDREN'S PEDIATRIC ASSOCIATES | |||||||||||
| PO BOX 300630 | HOUSTON | TX | 77230 | 760460242 | HEALTH CARE | TX | 501(C)(3) | LINE 11A, I | 1 | TEXAS CHILDREN'S | |
| TEXAS CHILDREN'S HOSPITAL | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 741100555 | HOSPITAL | TX | 501(C)(3) | LINE 3 | 1 | TEXAS CHILDREN'S | |
| TEXAS CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| 6621 FANNIN STREET | HOUSTON | TX | 77030 | 202380599 | SUPPORTING ORG | TX | 501(C)(3) | LINE 11A, I | 1 | TEXAS CHILDREN'S | |
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 TREE BAY AVENUE | KY1-1102 GRAND CAYMAN | CJ | INSURANCE | CJ | N/A | C |
| CVI GVF HOLDINGS 3 LTD | ||||||
| UGLAND HOUSE SOUTH CHURCH ST | 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 | 0 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | 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 | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TCH PEDIATRIC ASSOCIATES INC | ||
| L | 13317343 | GENERAL LEDGER |
| TEXAS CHILDREN'S PHYSICIAN GROUP INC | ||
| L | 19307574 | GENERAL LEDGER |
| TEXAS CHILDREN'S HOSPITAL | ||
| L | 105439200 | GENERAL LEDGER |
| TEXAS CHILDREN'S HOSPITAL | ||
| J | 1742200 | GENERAL LEDGER |
| TEXAS CHILDREN'S WOMEN'S SERVICES | ||
| K | 185654 | GENERAL LEDGER |