2023-08-15T02:32:45+00:00 2022-09-30 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2021-10-01 760460242 TCH Pediatric Associates Inc TCHP 8328422982 PO BOX 300630 HOUSTON TX 772300630 WELDON GAGE Executive Vice President & CFO 8328422982 2023-08-15 false WELDON GAGE 999009999 Rachel Spurlock P00520729 2147775200 2021 2023-04-26 12:10:37Z Texas Children's Pediatrics WELDON GAGE PO Box 300630 Houston TX 772300630 233316646 false X www.texaschildrenspediatrics.org X 1994 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. 0 4 1512 4 0 0 7075000 7000000 214614287 225099677 1216969 0 221689287 233316646 52 0 143225502 161885269 0 0 86055665 90014548 229281167 251899869 -7591880 -18583223 76492944 133710956 84996251 160872877 -8503307 -27161921 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. false false 251478812 52 225099677 PROVIDING A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY FOR THE DIAGNOSIS AND TREATMENT OF ILL CHILDREN FROM BIRTH THROUGH ADOLESCENT, ALONG WITH CONTINUING EVALUATION AND GUIDANCE TO FAMILIES AND THEIR CHILDREN REGARDING HEALTHY PHYSICAL AND EMOTIONAL GROWTH AND DEVELOPMENT. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 9/30/2022 WERE 1,284,196 . 251478812 true true false false false false false false false true false false true 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 false false false true X 0 0 1512 true false false false false false false false false false false false false X 0 4 false false false false true true true true false false false true true true true true true false true false X Jessica Anderson 8328242972 6330 WEST LOOP SOUTH STE 1300 BELLAIRE TX 77401 CATHERINE GORDON MD BOARD MEMBER / CHAIR THROUGH 04/26/2022 / PHYSICIAN / IN-CHIEF 1.0 4.0 X X 0 0 0 GORDON SCHUTZE MD BOARD MEMBER / VICE CHAIR 1.0 1.0 X X 0 0 0 Jeffrey Shilt MD BOARD MEMBER / CHAIR AS OF 04/27/2022 / PHYSICIAN 1.0 2.0 X X 0 0 0 STANLEY W SPINNER MD BOARD MEMBER / VICE PRESIDENT / CHIEF MEDICAL OFFICER 1.0 39.0 X X 0 932848 71605 AUTUMN L PRUETTE MD BOARD MEMBER / PHYSICIAN 39.0 1.0 X 150695 0 25944 BRIAN J TALBOT MD BOARD MEMBER / PHYSICIAN 39.0 1.0 X 241228 0 50949 Jean Raphael MD BOARD MEMBER 1.0 1.0 X 0 0 0 JOAN E SHOOK MD BOARD MEMBER / PHYSICIAN 1.0 1.0 X 0 0 0 DANIEL G GOLLINS PRESIDENT TCP & TCUC / VICE PRESIDENT 39.0 1.0 X 0 377790 65886 LANCE A LIGHTFOOT BOARD SECRETARY / SENIOR VICE PRESIDENT 1.0 39.0 X 0 1570769 351599 DANIEL R DIPRISCO EXECUTIVE VICE PRESIDENT 0.0 40.0 X 0 1524741 313766 MICHELLE M RILEY-BROWN EXECUTIVE VICE PRESIDENT 1.0 39.0 X 0 2002384 441553 ALEXANDER GONZALEZ MD PHYSICIAN 40.0 0 X 570715 0 65638 BENJAMIN S HO MD PHYSICIAN 40.0 0 X 696287 0 64040 HUBERT Y HO MD PHYSICIAN 40.0 0 X 760356 0 71132 HUNG D LAM PHYSICIAN 40.0 0 X 597488 0 58087 KATHLEEN B HASSEL MD PHYSICIAN 40.0 0 X 704305 0 66414 KARA B ABRAMEIT FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT 0.0 40.0 X 0 215258 66702 KATHARINE O TITTLE FORMER OFFICER / SENIOR VICE PRESIDENT 0.0 40.0 X 0 1513165 19285 Melissa B Fischer FORMER KEY EMPLOYEE / DIRECTOR 0.0 0.0 X 281153 0 51930 4002227 8136956 1784529 310 true true false 0 0 0 0 7000000 0 0 0 7000000 OUTPATIENT REVENUE 621400 216774281 216774281 0 0 NON-PATIENT OPERATING 900099 8278623 8278623 0 0 MANAGEMENT FEES 900099 10213 10213 0 0 0 0 0 0 0 0 0 0 36560 36560 0 0 225099677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1216969 0 0 0 1216969 1216969 0 0 1216969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233316646 225099677 0 1216969 52 52 976043 976043 132554567 132554567 6410237 6410237 14132933 14132933 7811489 7811489 1220365 1220365 0 0 145912 145912 4987869 4987869 633739 633739 16438945 16438945 106970 106970 318330 318330 4219074 4219074 1979784 1558727 421057 PHARMACEUTICAL SUPPLIES 42930362 42930362 MANAGEMENT FEES 8524808 8524808 DIAGNOSTIC SUPPLIES 2955642 2955642 MEDICAL & SURGICAL SUPPLIES 3286042 3286042 2266706 2266706 0 0 251899869 251478812 421057 0 438747 171 277427 75000 75000 9778944 13554866 0 0 0 0 0 6538721 6959963 38230849 37511013 71700154 58228203 15689978 13471951 0 0 0 1774084 1557325 3966621 60303240 76492944 133710956 30434349 34949606 0 39601979 38687670 0 0 0 0 0 0 14959923 87235601 84996251 160872877 X -8503307 -27161921 0 0 0 0 -8503307 -27161921 76492944 133710956 X -18583223 -75391 X false true X true false X 6576526 7010717 7000001 7075000 7000000 34662244 201352633 210817636 196510539 214614287 225099678 1048394773 0 0 0 207929159 217828353 203510540 221689287 232099678 1083057017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1083057017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207929159 217828353 203510540 221689287 232099678 1083057017 1 1.0 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 13813 12268 1545 0 55480992 45164465 10316527 0 15238077 13038062 2200015 0 967272 13408 953864 13471951 DUE FROM AFFILIATES INVESTMENT IN TEXAS CHILDREN'S URGENT CARE 1278327 OTHER MISCELLANEOUS RECEIVABLES DUE FROM AFFILIATES 55493689 OTHER MISCELLANEOUS RECEIVABLES 3531224 60303240 DUE TO TEXAS CHILDREN'S HOSPITAL LEASE OBLIGATION OTHER LONG-TERM LIABILITY 457B - ELIGIBLE DEFERRED COMP DUE TO AFFILIATES 86775260 457B - ELIGIBLE DEFERRED COMP 460341 87235601 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AS OF SEPTEMBER 30, 2022 OR 2021. false true false false false false false false false STANLEY W SPINNER MD BOARD MEMBER / VICE PRESIDENT / CHIEF MEDICAL OFFICER 0 362176 0 488300 0 82372 0 38300 0 33305 0 1004453 0 258804 AUTUMN L PRUETTE MD BOARD MEMBER / PHYSICIAN 86796 0 40233 0 23666 0 9928 0 16016 0 176639 0 0 0 BRIAN J TALBOT MD BOARD MEMBER / PHYSICIAN 175068 0 40201 0 25958 0 27227 0 23722 0 292177 0 0 0 KATHARINE O TITTLE FORMER OFFICER / SENIOR VICE PRESIDENT 0 380703 0 817200 0 315262 0 8700 0 10585 0 1532450 0 518717 LANCE A LIGHTFOOT BOARD SECRETARY / SENIOR VICE PRESIDENT 0 598669 0 829300 0 142800 0 316282 0 35316 0 1922368 0 408819 DANIEL G GOLLINS PRESIDENT TCP & TCUC / VICE PRESIDENT 0 280017 0 75600 0 22173 0 50775 0 15111 0 443676 0 0 KARA B ABRAMEIT FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT 0 178788 0 28300 0 8171 0 28733 0 37969 0 281960 0 0 Melissa B Fischer FORMER KEY EMPLOYEE / DIRECTOR 237068 0 33000 0 11085 0 28732 0 23198 0 333083 0 0 0 DANIEL R DIPRISCO EXECUTIVE VICE PRESIDENT 0 544740 0 894600 0 85402 0 293755 0 20011 0 1838507 0 406065 MICHELLE M RILEY-BROWN EXECUTIVE VICE PRESIDENT 0 737366 0 1179200 0 85817 0 392704 0 48849 0 2443936 0 574869 ALEXANDER GONZALEZ MD PHYSICIAN 417784 0 126184 0 26746 0 28122 0 37516 0 636352 0 0 0 KATHLEEN B HASSEL MD PHYSICIAN 494252 0 203137 0 6915 0 30807 0 35607 0 770719 0 0 0 HUBERT Y HO MD PHYSICIAN 575085 0 164101 0 21170 0 35340 0 35792 0 831488 0 0 0 BENJAMIN S HO MD PHYSICIAN 534900 0 138890 0 22497 0 28401 0 35638 0 760327 0 0 0 HUNG D LAM PHYSICIAN 490325 0 84466 0 22697 0 22798 0 35289 0 655575 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation for the organization's top management official is established by Texas Children's and Texas Children's Hospital, using the following methods: * Compensation Committee * Independent Compensation Consultant * Compensation Survey or Study * Approval by the Board or Compensation Committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CY 2021 457(F) PLAN: PAID / DEFERRED GOLLINS, DANIEL 0 / 31,000 LIGHTFOOT, LANCE A 118,966 / 96,611 RILEY-BROWN, MICHELLE M 91,322 / 136,000 SPINNER, STANLEY W 48,816 / 0 TITTLE, KATHARINE O 105,930 / 0 ABRAMEIT, KARA 0 / 10,500 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO RECEIVE SUPPLEMENTAL EXECUTIVE RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST THE EARLIER OF FIVE YEARS, OR THE ATTAINMENT OF AGE 60 AND 75-POINTS DETERMINED AS OF THEIR AGE AND YEARS OF SERVICE. Form 990, Part V, Line 1a NON-EMPLOYEE COMPENSATION Texas Children's Hospital (74-1100555) is responsible for all informational filings, including independent contractors. As such, this information is reported on TCH Form 990. Form 990, Part VI, Line 6 Classes of members or stockholders ACCORDING TO THE BYLAWS OF TCH PEDIATRIC ASSOCIATES, THE ENTITY'S SOLE MEMBER IS TEXAS CHILDREN'S. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body TEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. -Adoption or amendment of salaries or other compensation (including the awarding of any incentive compensation) of the officers of the Corporation, physician employees of the Corporation, if any, and physicians who are independent contractors to the Corporation, if any. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -Selection of the Corporation's auditors and legal counsel. -Creation or sale of any subsidiaries of the Corporation. -Any affiliation, joint venture, contract, employment, retention, indemnification, or other arrangements between the Corporation and any insurer, health maintenance organization, preferred provider organization, medical school, hospital, clinic, pharmacy, physician, Hospital affiliate, or other provider of health or related services, including, without limitation, all service terms and compensation arrangements. -Establishment by the Corporation of any training or residency program. -The giving, seeking, or receiving of grants. -Adoption or amendment of any indemnification rights, obligations, or agreements affecting the Corporation. -Purchase, adoption, amendment, cancellation, or replacement of any insurance coverage for the Corporation or its Directors, officers and agents, as well as copies of any notices of cancellation received by the Corporation. -The commencement of litigation or the settlement of litigation or other claims. -Approval of the adoption or amendment of fee schedules relating to patient services. -Designation of additional or successor Member(s). -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body NO SUCH COMMITTEES EXIST. Form 990, Part VI, Line 11b Review of form 990 by governing body Per a resolution approved by the member's board of trustees, the member board's audit, compliance, & risk committee has delegated authority to review the organization's completed Form 990 prior to filing. Please note the audit and compliance committee and the risk, management & insurance committee were consolidated into one Committee this year. Following the AC&R Committee's review and approval, the completed Form 990 are shared with the members of the organization's board of directors and board of trustees prior to filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy 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, & RISK 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, Line 15b Process to establish compensation of other employees THE ANNUAL 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, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VII, Section A AVERAGE HOURS AUTUMN PRUETTE, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. STANLEY W. SPINNER, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED Executive. BRIAN TALBOT, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. Form 990, Part VII, Section B, Line 1 NON-EMPLOYEE COMPENSATION Texas Children's Hospital (74-1100555) is responsible for all informational filings, including independent contractors. As such, this information is reported on TCH Form 990. Form 990, Part VIII, Line 2f Other Program Service Revenue Fund Revenue - Total Revenue: 36560, Related or Exempt Function Revenue: 36560, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Grant Funded Capital - -75370; Other Contributed Capital - -21; TEXAS CHILDREN'S 1919 S BRAESWOOD BLVD 4TH FL HOUSTON TX 77030 760461578 PARENT TX 501(c)(3) Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 800 8TH FLOOR BELLAIRE TX 77401 760486264 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S GLOBAL PO BOX 300630 HOUSTON TX 77230 261482195 HEALTH CARE TX 501(c)(3) Type II TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 HOSPITAL TX 501(c)(3) 3 TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 202380599 SUPPORTING ORG TX 501(c)(3) Type II TEXAS CHILDREN'S false TEXAS CHILDREN'S HEALTH PLAN - THE CENTER 6621 FANNIN STREET HOUSTON TX 77030 461392824 HEALTH CARE TX 501(c)(3) Type I TEXAS CHILDREN'S HEALTH PLAN false TEXAS CHILDREN'S URGENT CARE 1919 S BRAESWOOD BLVD 4TH FLOOR HOUSTON TX 77030 472029489 HEALTH CARE TX 501(c)(3) 10 TCH PEDIATRIC ASSOCIATES INC true THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION 9 GREENWAY PLAZA HOUSTON TX 77046 760246858 SUPPORTING ORG TX 501(c)(3) Type I TEXAS CHILDREN'S false TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C Corporation false CVI GVF HOLDINGS 3 LTD PO BOX 309GT UGLAND HOUSE S CHURCH ST GRAND CAYMAN CJ KY11004 981078282 INVESTMENT CJ NA C Corporation false false false true false false false false false false false true true true true true false false false true