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TEXAS CHILDRENS PHYSICIAN GROUP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TEXAS CHILDRENS PHYSICIAN GROUP (EIN 26-0834681)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201132279349302213
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-15T11:06:00-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN260834681EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Texas Children's Physician Group IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEXANameControl
Phone8328242982Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16621 Fannin StAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBENJAMIN MELSONName
TitleCFOTitle
Date Signed2011-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Texas Children's Physician Svcs OrgBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSusan MacDonaldNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16621 Fannin StAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
Gross Receipts236988934GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees216TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year189769083ProgramServiceRevenuePriorYear
Program Service Revenue CY236667879ProgramServiceRevenueCY
Investment Income Prior Year506InvestmentIncomePriorYear
Investment Income Current Year55InvestmentIncomeCurrentYear
Other Revenue Prior Year691827OtherRevenuePriorYear
Other Revenue Current Year321000OtherRevenueCurrentYear
Total Revenue Prior Year190461416TotalRevenuePriorYear
Total Revenue Current Year236988934TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3437612SalariesEtcPriorYear
Salaries Etc Current Year14418799SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year180498566OtherExpensePriorYear
Other Expenses Current Year210276800OtherExpensesCurrentYear
Total Expenses Prior Year183936178TotalExpensesPriorYear
Total Expenses Current Year224695599TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6525238RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12293335RevenuesLessExpensesCY
Total Assets BOY24032509TotalAssetsBOY
Total Assets EOY62003074TotalAssetsEOY
Total Liabilities BOY17462890TotalLiabilitiesBOY
Total Liabilities EOY43184500TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6569619NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18818574NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense209229267Expense
Grants0Grants
Revenue236988879Revenue
DescriptionTEXAS CHILDREN'S PHYSICIAN GROUP (TCGP) PERFORMS MANAGED CARE CONTRACTING, BILLING AND COLLECTION SERVICES FOR BAYLOR COLLEGE OF MEDICINE FACULTY AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE SERVICES AT TEXAS CHILDREN'S HOSPITAL, OR WHO PARTICIPATE IN TEXAS CHILDREN'S PROGRAMS.Description
Total Program Service Expense209229267TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees216NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRACHEL SHUPENamePerson
Telephone Number8328242951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11919 S Braeswood BlvdAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MILTON J FINEGOLD MD
BOARD OF DIRECTORS/CHAIRMAN1.0X000
DEAN B ANDROPOULOS MD
BOARD OF DIRECTORS/MEMBER1.0X000
DALE BROWN MD
BOARD OF DIRECTORS/MEMBER1.0X000
RICHARD A FRIEDMAN MD
BOARD OF DIRECTORS/MEMBER1.0X033490
EDMOND T GONZALES MD
BOARD OF DIRECTORS/MEMBER1.0X000
STEPHEN SPANN MD
BOARD OF DIRECTORS/MEMBER1.0X000
SUSAN MACDONALD
PRESIDENT5.00579488243984X
MARK MULLARKEY
VICE PRESIDENT20.0020641914930X
JOHN NICKENS
VICE PRESIDENT38.00325028154672X
KIMBERLY BOBO MD
PHYSICIAN40.011459025055822253X
EDWARD YOSOWITZ
PHYSICIAN40.011458417756928219X
WANDA MOTT MD
PHYSICIAN40.013308825271430687X
DAVID ZEPEDA MD
PHYSICIAN40.013684525918721451X
DAMLA DRYDEN MD
PHYSICIAN40.014746727854925551X
FieldValueIRS element (for citing)
Total Reportable Comp From Org646574TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2332861TotalReportableCompFrmRltdOrgs
Total Other Compensation541747TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUMMIT HMR
4916 OVERTON PLAZAFORT WORTHTX76109ANESTHESIOLOGY CHRGS397676
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI532880314INSTALLATN/TECH SUPT182886
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue621511146457978146457978
Program Support Revenue9000998901372489013724
BILLING AND COLLECTIONS541219720607720607
Pediatric Surgery Clinic - St. Joseph621111438000438000
Vended Service Revenue9000993757037570
FieldValueIRS element (for citing)
Total Program Service Revenue236667879TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column55TotalRevenueColumn
Exclusion$55ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EPIC900099227962227962
CLEAN CLAIMS INCENTIVE9000999303893038
FieldValueIRS element (for citing)
Total Other Revenue321000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column236988934TotalRevenueColumn
Related Or Exempt Function Income236988879RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$55ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11824423Total
Program Services3827713ProgramServices
Management And General7996710ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total308647Total
Management And General308647ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1572214Total
Program Services71086ProgramServices
Management And General1501128ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total713515Total
Program Services709791ProgramServices
Management And General3724ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1939769Total
Program Services43818ProgramServices
Management And General1895951ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1039419Total
Management And General1039419ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total560877Total
Program Services195ProgramServices
Management And General560682ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16167Total
Program Services3851ProgramServices
Management And General12316ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25428Total
Program Services8764ProgramServices
Management And General16664ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total324942Total
Management And General324942ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL FEES - BAYLOR184694263183866336827927
BAD DEBT1458804514588045
VENDED SERVICES65465626040218506344
BANK SERVICE CHARGES194210194210
COLLECTION EXPENSE1165012424592256

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total230617Total
Program Services45205ProgramServices
Management And General185412ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total224695599Total
Program Services209229267ProgramServices
Management And General15466332ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1595BOY
EOY103188EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1810001BOY
EOY3785000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7502118BOY
EOY11715068EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY4126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2484201LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec407196LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1470244BOY
EOY2077005EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13248551BOY
EOY44318687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24032509BOY
EOY62003074EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16344724BOY
EOY22515400EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY718819EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1118166BOY
EOY19950281EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17462890BOY
EOY43184500EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6525238BOY
EOY18818574EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY44381BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6569619BOY
EOY18818574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24032509BOY
EOY62003074EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year189868847CurrentTaxYearMinus1Year
Current Tax Year236988844CurrentTaxYear
Total426857691Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year189868847CurrentTaxYearMinus1Year
Current Tax Year236988844CurrentTaxYear
Total426857691Total
FieldValueIRS element (for citing)
Public Support Total509426857691PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year506CurrentTaxYearMinus1Year
Current Tax Year55CurrentTaxYear
Total561Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year23217CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total23217Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year23723CurrentTaxYearMinus1Year
Current Tax Year55CurrentTaxYear
Total23778Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year189892570CurrentTaxYearMinus1Year
Current Tax Year236988899CurrentTaxYear
Total426881469Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1174988OtherCostOrOtherBasis
Depreciation157223Depreciation
Book Value1017765BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1309213OtherCostOrOtherBasis
Depreciation249973Depreciation
Book Value1059240BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2077005TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER MISC RECEIVABLE - BAYLOR44312016
RETURNED CHECKS RECEIVABLE3812
DUE FROM TC HEALTH PLAN2643
SALES TAX RECEIVABLE216
FieldValueIRS element (for citing)
Total Book Value Other Assets44318687TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO TCH$15,024,316
DUE TO TCWS$4,853,293
DUE TO TCHPA$72,672
FieldValueIRS element (for citing)
Total Of Amounts19950281TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48/ASC 740 FOOTNOTE DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SUSAN MACDONALD
02672510264156048081023280901117508234720123064
MARK MULLARKEY
016411203065001165705472012969022486009500
JOHN NICKENS
020628101021500165970142091014415048153400
KIMBERLY BOBO MD
110646186084034182394430292858160212223420011767127077900
EDWARD YOSOWITZ
8663616484510000017948127242290172703307624712018120108600
WANDA MOTT MD
1099362049470023152477672750192783405643113924327842300
DAVID ZEPEDA MD
13557425648600127127010119283792630514063727742000
DAMLA DRYDEN MD
142497249205004970293440168923431648015089830192100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL Compensation InformationIdentifier
Return ReferenceSchedule J, Part I, Line 4bReturnReference
ExplanationSHORT-TERM INCENTIVE PLAN PAID/DEFERRED: SUSAN MACDONALD - $62,950/NONE JOHN NICKENS - $38,900/NONE MARK MULLARKEY - $30,650/$42,750 CAPITAL ACCUMULATION PAID/DEFERRED: SUSAN MACDONALD - $25,408/$42,588 JOHN NICKENS - NONE/$33,209 Supplemental Compensation Information Schedule J, Part I, Lines 5a, 5B & 6B LONG-TERM INCENTIVE PLAN PAID/DEFERRED: SUSAN MACDONALD - $201,206/$123,450 JOHN NICKENS - $63,250/$63,250 FY - 2009 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. CONTINGENT COMPENSATION FY 2007- 2009 EXECUTIVE LONG-TERM INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE")ESTABLISHES THE SYSTEM-WIDE PERFORMANCE MEASURES FOR THE THREE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, HUMAN RESOURCES, AND PROGRESS TOWARDS NEW PROGRAMS AND CAPITAL PROJECTS. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE FOR THE FINANCIAL GOALS USE TOTAL OPERATING REVENUE AS A FACTOR IN DETERMINING SOME MEASURES ASSOCIATED WITH OPERATING CASH FLOWS. FY 2009 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 (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization's mission or most significant activitiesForm 990, Part I, Line 1TCPG PERFORMS MANAGED CARE CONTRACTING, BILLING AND COLLECTION SERVICES FOR BAYLOR COLLEGE OF MEDICINE FACULTY AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE SERVICES AT TEXAS CHILDREN'S HOSPITAL. ALSO, IN PREPARATION FOR THE OPENING OF THE TEXAS CHILDREN'S HOSPITAL PAVILION FOR WOMEN, TCPG ALSO EMPLOYS PHYSICIANS WHO SPECIALIZE IN OBSTETRICS/GYNECOLOGY. Organization's Mission Statement Form 990, Part III, Line 1 TCPG seeks to bridge the gap between the practice and business of medicine by providing transparent, efficient and cost-effective support services to Texas Children's-Affiliated Physicians and other healthcare providers, allowing them to focus on the provision of quality patient care.
Description of Classes of Members or StockholdersForm 990, Part VI, Question 6The organization has one Member, Texas Children's Hospital.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aThe Member annually appoints the organization's Board of Directors.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting RightsForm 990, Part VI, Question 7bPer the organization's bylaws the Member has certain reserved powers: ~ Approve, interpret or change the purpose of the corporation. ~ Fix the number, appoint or remove, with or without cause, any director of the corporation. ~ Approve the merger, dissolution or consolidation or reorganization of the corporation. ~ Approve the acquisition, sale, lease, transfer, or other alienation of property of the corporation, other than in the usual and regular course of the corporation's business, when such acquisition, sale, lease, transfer or other alienation is above specific financial levels set in accordance with policies established from time to time by the Member. ~ Approve capital and operating 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 990Form 990, Part VI, Question 11APer 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.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cPer 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 BegunForm 990, Part VI, Questions 15a & 15bTexas Children's consults with Integrated Healthcare Strategies (IHS) to conduct a market review every 2-3 years of the executives' total compensation, including base salary, incentive pay, and benefits. IHS conducts the survey, analyzes the data, and provides a summary of our market position to comparable peer organizations. They review their findings with Mark Wallace (CEO) and the Compensation Committee of our Board of Trustees. Mark Wallace makes recommendations for base salary increases for the executives reporting to him. The Board approves Mark Wallace's compensation and ensures that compensation and benefits for all positions within the scope of the committee are consistent with the compensation philosophy of TCH IDS and that the total value of compensation and benefits provided by TCH to any disqualified persons is reasonable and represents fair market value for the services they render to TCH.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19The governing documents, conflict of interest policy and financial statements are made available upon request.
Related HoursForm 990, Part VIISusan MacDonald is an employee of Texas Children's Hospital (Senior Vice President). She works 5 hours a week for Texas Children's Physician Group, Inc. and 35 hours for Texas Children's Hospital. Mark Mullarkey is an employee of Texas Children's Hospital (Vice President of Operations) who spends 50% of his time (20 hours), working with Texas Children's Physician Group, Inc. and 50% of his time (20 hours) working with Texas Children's Hospital. John Nickens is an employee of Texas Children's Hospital (Vice President). He works 38 hours a week for Texas Children's Physician Group, Inc. and 2 hours a week for Texas Children's Hospital.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
TCH System Inc
1919 S Braeswood BlvdHoustonTX77030760461578HEALTH CARETX501(C)(3)11 TYPE INA
Texas Children's Women's Specialists
PO Box 300630HoustonTX77230261482195HEALTH CARETX501(C)(3)11 TYPE 1NA
Texas Children's Health Plan
2450 HolcombeHoustonTX77021760486264HEALTH CARETX501(C)(3)9NA
Texas Children's Pediatric Associates
PO Box 300630HoustonTX77230760460242HEALTH CARETX501(C)(3)11 TYPE INA
Texas Children's Hospital
6621 Fannin StHoustonTX77030741100555HOSPITALTX501(C)(3)3NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TCH Insurance Company LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line123 Lime Tree Bay AveAddressLine1
CityGrand Cayman, CJCity
CountryCJCountry
Postal CodeKY1-1102PostalCode
FieldValueIRS element (for citing)
Primary ActivityInsurancePrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
L6039999
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
K332781