2011-11-11T16:05:04-05:00 2010-12-31 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2010-01-01 760486264 Texas Children's Health Plan TEXA 8009908247 2450 HOLCOMBE HOUSTON TX 77021 BENJAMIN MELSON 2011-11-10 7137501500 2010 2016-02-24 21:20:13Z CHRISTOPHER BORN 2450 HOLCOMBE SUITE 34L HOUSTON TX 77021 499474186 false X www.texaschildrenshealthplan.org X 1995 TX TO PROVIDE AFFORDABLE HEALTH INSURANCE TO CHILDREN. 6 0 244 0 0 0 529621 614133 424747176 498604957 2475902 254995 0 101 427752699 499474186 1500 0 367583844 412347347 18381289 18862537 0 0 0 34140899 31452424 420107532 462662308 7645167 36811878 100425995 140216101 50222137 52935783 50203858 87280318 X 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. false false 454254643 0 498604957 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, 2010, TCHP HAD TOTAL MEMBERS OF 284,264. 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. 454254643 true true false true false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 2055 0 true 244 true false false false false false false false false false false X 6 0 false false false false true true true true true false false true true true true true true true true false X Rachel Shupe 8328242951 1919 S Braeswood Blvd Houston TX 77030 X CHRISTOPHER BORN 30.0 X X 481659 0 155293 MARK WALLACE 1.0 X 0 2439696 658149 BENJAMIN B MELSON 1.0 X 0 730077 214854 ANN STERN 1.0 X 0 535575 168328 LINDA ALDRED 1.0 X 0 633276 124375 TABITHA RICE 1.0 X 0 235605 70645 ANNA E MATEJA 40.0 X 266442 0 88768 ANGELO GIARDINO 40.0 X 387508 0 43687 JAN SCOTT 40.0 X 224275 0 74835 DAVID CHENNISI 40.0 X 186648 0 35572 JANET TREADWELL 40.0 X 165919 0 29541 LAURIE LEVERMANN 40.0 X 144591 0 32351 ROSE CALHOUN 40.0 X 151875 0 29582 WADE WARNER 40.0 X 135510 0 11431 CRIS DASKEVICH X 0 300020 88062 2144427 4874249 1825473 14 true true false Trizetto Group Inc PO Box 122140 Dept 2140 DALLAS TX 75312 Consulting Services 2078569 Advanced Business Fulfillment LLC 3183 Rider Trail South EARTH CITY MO 63045 Direct Mail/Mktg svc 993209 SHERRY MATTHEWS ADVOCACY MARKETING 200 SOUTH CONGRESS AVE AUSTIN TX 78704 MARKETING SERVICES 449116 BUSINESS EXTENSION BUREAU PO BOX 66273 HOUSTON TX 77266 MAIL SERVICE 407015 INFOMEDIA GROUP INC 11835 W INTERSTATE 10 STE 301 SAN ANTONIO TX 78230 MEDICAL CALL SERVICE 242435 13 614133 614133 Premium Revenue 524298 497716545 497716545 INCENTIVE REVENUE 524298 754497 754497 VENDED SERVICE REVENUE 524298 133915 133915 498604957 254995 254995 0 0 0 0 0 0 All other revenue 900099 101 101 0 101 499474186 498605058 0 254995 0 0 0 412347347 412347347 1722467 1722467 0 13368118 10447557 2920561 472066 472066 2230193 1979337 250856 1069693 880974 188719 0 0 117110 107021 10089 19638 19638 0 0 6052479 5870578 181901 1592030 1592030 669416 631873 37543 142875 136647 6228 0 53 53 154966 134130 20836 0 100728 93643 7085 0 0 0 168095 168095 PREMIUM TAXES 9207867 9207867 REINSURANCE 5510763 5510763 VENDED SERVICES FROM TCH 3983022 3983022 PROVIDER INCENTIVE 3018648 3018648 EQUIP. RENTAL & MAINTENANCE 23977 22934 1043 690757 531136 159621 462662308 454254643 8407665 0 90964458 26661976 722716 101116791 3450937 8505724 0 216 2830339 3339749 2457545 591645 100425995 140216101 48200053 48337401 902204 3394309 1119880 1204073 50222137 52935783 X 21056000 21056000 29147858 66224318 50203858 87280318 100425995 140216101 X 36811878 264582 X false true true X false X 50 80000 125534 529621 614133 1349338 208998020 278065099 354684106 424747176 498604957 1765099358 208998070 278145099 354809640 425276797 499219090 1766448696 1766448696 3076691 1675627 2202129 2475902 254995 9685344 3076691 1675627 2202129 2475902 254995 9685344 208367 280039 361856 357105 0 1207367 7147 19943 1173 0 101 28364 212290275 280120708 357374798 428109804 499474186 1777369771 0.99386 0.99131 0.00545 0.00756 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 19638 false false false 19638 false LOBBYING ACTIVITY EXPLANATION SCHEDULE C, PART II-B TCHP PAYS 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. 0 Due to Affiliate TCH 656242 Deferred Compensation 539749 DUE TO TCPGI 6634 DUE TO TCHPA 5036 DUE TO TCWSH -3588 1204073 FIN 48/ASC 740 FOOTNOTE DISCLOSURE SCHEDULE D, PART X, LINE 2 THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2010. X X X X false true false true true true true false false CHRISTOPHER BORN 309064 0 92850 0 79745 0 135167 0 20126 0 636952 0 56336 0 MARK WALLACE 0 916467 0 1302352 0 220877 0 632998 0 28157 0 3100851 0 1003414 BENJAMIN B MELSON 0 471364 0 154350 0 104363 0 199440 0 26396 0 955913 0 63721 ANNA E MATEJA 169702 0 45750 0 50990 0 69271 0 19497 0 355210 0 17704 0 ANGELO GIARDINO 320657 0 36167 0 30684 0 37210 0 6477 0 431195 0 0 0 ANN STERN 0 377162 0 118000 0 40413 0 168328 0 12830 0 716733 0 0 LINDA ALDRED 0 253838 0 305664 0 73774 0 108961 0 22154 0 764391 0 262843 TABITHA RICE 0 174997 0 43050 0 17558 0 62542 0 16437 0 314584 0 0 JAN SCOTT 159324 0 41250 0 23701 0 57217 0 17618 0 299110 0 0 0 DAVID CHENNISI 150618 0 18710 0 17320 0 21845 0 13727 0 222220 0 0 0 JANET TREADWELL 133613 0 15962 0 16344 0 17776 0 11765 0 195460 0 0 0 LAURIE LEVERMANN 112335 0 14622 0 17634 0 20727 0 11624 0 176942 0 0 0 ROSE CALHOUN 113978 0 15190 0 22707 0 16715 0 12867 0 181457 0 0 0 CRIS DASKEVICH 0 198308 0 62850 0 38862 0 72648 0 26685 0 399353 0 21248 Supplemental NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B SHORT-TERM INCENTIVE PLAN PAID/DEFERRED: CHRISTOPHER BORN 92,850/0 MARK WALLACE 445,740/188,450 BENJAMIN MELSON 154,350/0 ANNA E MATEJA 45,750/0 ANN STERN 118,000/0 LINDA ALDRED 82,250/0 TABITHA RICE 43,050/0 JAN SCOTT 41,250/0 CRIS DASKEVICH 62,850/0 CAPITAL ACCUMULATION PAID/DEFERRED: CHRISTOPHER BORN 56,336/60,052 MARK WALLACE 176,802/230,831 BENJAMIN MELSON 63,721/105,588 ANNA E MATEJA 17,704/24,215 ANN STERN 0/88,743 LINDA ALDRED 39,429/44,786 TABITHA RICE 0/24,619 JAN SCOTT 0/21,524 CRIS DASKEVICH 21,248/21,359 DIRECTOR INCENTIVE PLAN PAID/DEFERRED: ANGELO GIARDINO 36,167/18,984 DAVID CHENNISI 18,710/9,638 JANET TREADWELL 15,962/8,222 LAURIE LEVERMANN 14,622/7,675 ROSE CALHOUN 15,190/7,973 CONTINGENT COMPENSATION SCHEDULE J, PART I, LINES 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. FY 2010 CAPITAL ACCUMULATION ACCOUNT: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES HAS ESTABLISHED THE CAPITAL ACCUMULATION ACCOUNT ("CAA") PROGRAM FOR THE ORGANIZATION'S EXECUTIVE LEADERS. CAA IS A SUPPLEMENTAL DEFERRED COMPENSATION PLAN TO ALLOW EXECUTIVES TO SAVE FOR RETIREMENT, AS THEIR RETIREMENT BENEFITS IN BROAD-BASED PLANS COVERING ALL EMPLOYEES ARE CAPPED AND DO NOT RECOGNIZE THEIR FULL SALARIES. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 TEXAS CHILDREN'S HOSPITAL IS THE SOLE MEMBER CORPORATION OF THE ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A TEXAS CHILDREN'S HOSPTIAL, AS THE MEMBER CORPORATION, HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION. DESCR CLASSES PERSONS, DECISIONS REQUIRING APPROVAL & TYPE VOTING RIGHTS Form 990, Part VI, Question 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. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B 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. Texas Childrens, as a member, and the organization seek to maintain the highest standards of business conduct and ethics. The administrative personnel shall be held to a strict standard of good faith, honesty, and fairness in all their dealings with, and on behalf of, the organization. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c 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 Board'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 is taken in accordance with the organization's Board-approved Code of Conduct. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, QuestionS 15a & 15b 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 PERSON IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. -CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE REGARDING COMPENSATION Form 990, Part VII, SECTION A 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 CHANGE IN NON-ADMITTED ASSETS: $264,582. 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. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTOPHER BORN TITLE:PRESIDENT HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK WALLACE TITLE:DIRECTOR HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BENJAMIN B MELSON TITLE:DIRECTOR HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANN STERN TITLE:DIRECTOR HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA ALDRED TITLE:DIRECTOR HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TABITHA RICE TITLE:DIRECTOR HOURS:39 TEXAS CHILDREN'S HOSPITAL 6621 FANNIN ST HOUSTON TX 77030 741100555 HOSPITAL TX 501(c)(3) 3 NA TEXAS CHILDREN'S PEDIATRIC ASSOCIATES PO BOX 300630 HOUSTON TX 77230 760460242 HEALTHCARE TX 501(c)(3) 11A NA TEXAS CHILDREN'S PHYSICIAN'S GROUP INC 6621 FANNIN ST HOUSTON TX 77030 260834681 HEALTHCARE TX 501(C)(3) 9 NA TEXAS CHILDREN'S WOMEN'S SPECIALISTS PO BOX 300630 HOUSTON TX 77230 261482195 HEALTHCARE TX 501(C)(3) 9 NA TCH SYSTEM INC 1919 S BRAESWOOD BLVD HOUSTON TX 77030 760461578 HEALTHCARE TX 501(C)(3) 11A NA TCH INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ KY1-1102 INSURANCE CJ NA C CORP false false false false false false false false false true true true false false true true false false TCH PEDIATRICS ASSOCIATES INC L 12902465 TEXAS CHILDREN'S PHYSICIAN'S GROUP INC L 18682733 Description of Transaction with Related Organizations Schedule R, Part V, Line 2 Texas Children's Pediatrics Associates (TCPA), Texas Children's Physicians Group (TCPG) and Texas Children's Women's Specialist, Inc. (TCWSH) and affiliate organizations provide healthcare services to the organization's membership. In 2010, the organization paid claims expenses for these services totaling: TCPA $12,902,465, TCPG $18,682,733, and TCWSH $9,424.