2021-10-28T23:42:20-05:00 2020-12-31 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2020-01-01 742838488 DRISCOLL CHILDREN'S HEALTH PLAN % GREGORY WARD DRIS 3616946432 4525 Ayers Street CORPUS CHRISTI TX 78415 GREGORY WARD CFO 3616946432 2021-10-28 true GREGORY WARD 999009999 PATRICK SHIELDS P01508556 6023223000 2021-10-28 2 2020 2022-09-23 18:48:47Z X GREGORY WARD SAME AS C ABOVE CORPUS CHRISTI TX 78415 780282161 false X www.DCHPKIDS.COM X 1997 TX COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTH CARE TEAM & RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK. 8 7 535 0 0 0 0 709268025 781685191 2407198 -1403030 0 0 711675223 780282161 0 0 0 0 40441788 41691712 0 0 0 730424136 671093232 770865924 712784944 -59190701 67497217 183126283 330360795 97538098 151765428 85588185 178595367 X DRISCOLL CHILDREN'S HEALTH PLAN IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND 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RANDOLPH STREET CHICAGO IL 60601 REINSURANCE BROKER 2282680 RISK STRATEGIES CO PO BOX 970069 BOSTON MA 02297 REINSURANCE BROKER 1891161 HEALTH MANAGEMENT SYSTEMS PO BOX 27151 NEW YORK NY 10087 RESOURCE RECOVERIES 1112329 WELLS FARGO BANK TOWER 3003 ENGLISH CREEK AVENUE SUITE D1 EGG HARBOR TOWNSHIP NJ 08234 OFFICE LESSOR 1034173 43 0 0 0 PREMIUM REVENUE 524292 781685191 781685191 0 0 781685191 -1403030 -1403030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 780282161 781685191 0 -1403030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32599479 12775382 19824097 0 2088280 578768 1509512 0 4779146 1909126 2870020 0 2224807 934418 1290389 0 4286678 467822 3818856 0 65438 0 65438 0 78339 0 78339 0 74817 0 74817 0 0 0 163836 0 163836 0 4596459 0 4596459 0 464106 0 464106 0 1523947 0 1523947 0 3474463 0 3474463 0 0 0 0 0 3254431 0 3254431 0 45784 0 45784 0 0 0 0 0 91184 0 91184 0 0 0 0 0 0 0 0 0 1463738 0 1463738 0 225 0 225 0 MEDICAL EXPENSES 629974328 629974328 0 0 PREMIUM TAXES 14829370 14829370 0 0 MEMBER VALUE ADD EXPENSE 2682104 0 2682104 0 ALLOCATED COSTS 3364164 0 3364164 0 659821 659821 712784944 661469214 51315730 0 0 55213081 47086720 16590483 19999645 0 0 11040630 12729902 0 0 0 0 0 0 0 0 4980 164035 10860218 3750733 7142039 7109485 91870070 242006008 0 0 0 0 0 0 1265000 1265000 183126283 330360795 77492692 139542460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20045406 12222968 97538098 151765428 X 0 0 0 0 85588185 178595367 85588185 178595367 183126283 330360795 X 67497217 5458944 0 0 0 20051021 X false true X false false X 0 8194 644 0 0 8838 523498054 663466548 669262700 709268025 781685191 3347180518 0 0 0 523498054 663474742 669263344 709268025 781685191 3347189356 0 0 0 3347189356 562737 1722784 2346291 2407198 -1403030 5635980 0 562737 1722784 2346291 2407198 -1403030 5635980 0 0 524060791 665197526 671609635 711675223 780282161 3352825336 0.99832 0.99760 0.00168 0.00240 X false false false 0 false 0 false 0 false 0 false 0 false 0 true 74817 74817 false SCHEDULE C, PART II-B, LINE 1I PAYMENTS MADE TO VARIOUS ORGANIZATIONS FOR THE PURPOSE OF MEETING WITH AND CALLING GOVERNMENT OFFICIALS OR LEGISLATORS AND SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS AND LEGISLATORS REGARDING ISSUES THAT HAVE AN IMPACT ON THE EXEMPT PURPOSE OF THE HOSPITAL. DCHP PAYS MEMBERSHIP DUES TO CERTAIN MEDICAL ASSOCIATIONS. A PORTION OF THESE DUES, $32,842, IS ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES AND INCLUDED IN THE AMOUNT REPORTED ON LINE 1I. 0 2287213 1488419 798794 8573005 2262314 6310691 7109485 0 DUE TO AFFILIATES 12222968 12222968 X 785577269 5458944 5458944 780118325 163836 163836 780282161 712621109 0 0 712621109 163835 163835 712784944 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true false false false false false false false STEPHEN P COLLINS CHIEF OPERATING OFFICER 0 289578 0 53200 0 73131 0 48224 0 22469 0 486602 0 0 ERNEST DALE BUCK FORMER CHIEF MEDICAL DIRECTOR 0 337161 0 41764 0 25637 0 21542 0 18780 0 444884 0 0 JOSEPH CECIL Vice President, STAR Kids 0 274042 0 30324 0 5014 0 17951 0 17239 0 344570 0 0 MICHAEL PIERCE LANCE VICE PRESIDENT (TERM 10/01/20) 0 196462 0 0 0 75215 0 18879 0 16167 0 306723 0 0 FREDRICK McCURDY Medical Director 0 259161 0 33388 0 24772 0 21133 0 22508 0 360962 0 0 KARL SERRAO CHIEF Medical Director 0 338273 0 115469 0 880 0 20990 0 25289 0 500901 0 0 LISA D SPRENGER PHARMACY PROGRAM DIRECTOR 0 181978 0 21766 0 7680 0 15243 0 23153 0 249820 0 0 JENNIFER S BROOKS SENIOR DIRECTOR OF OPERATIONS 0 194518 0 22427 0 8527 0 18836 0 19819 0 264127 0 0 MARY DAHLEN PETERSON FORMER PRESIDENT 0 590747 0 114600 0 19500 0 86498 0 24491 0 835836 0 0 DAVID E HAMON SECRETARY/TREASURER 0 811922 0 260800 0 89806 0 148999 0 30462 0 1341989 0 0 MIKE MINOR PRESIDENT/CEO 0 490866 0 68700 0 0 0 39193 0 23161 0 621920 0 0 GREGORY A WARD CFO (EFF 03/01/20) 0 312895 0 59800 0 18585 0 44658 0 22398 0 458336 0 0 WILLIAM BRENDEL MEDICAL DIRECTOR 0 275865 0 37949 0 0 0 25051 0 20972 0 359837 0 0 SCHEDULE J, PART I, LINES 1-3 THE FILING ORGANIZATION, DRISCOLL CHILDREN'S HEALTH PLAN, DOES NOT COMPENSATE OR PROVIDE BENEFITS. ALL COMPENSATION AND BENEFITS ARE DETERMINED AND PAID BY DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. SCHEDULE J, PART I, LINE 4A Michael PIERCE Lance, VICE PRESIDENT THROUGH OCTOBER 1, 2020, received severance payments totaling $74,084. SCHEDULE J, PART I, LINE 4B THE NONQUALIFIED 457(F) PLAN COVERED THE EXECUTIVE LEADERSHIP TEAM DURING 2020. VESTING OCCURS WHEN EMPLOYEES MEET A PRESELECTED DATE THEY CHOOSE AT THE TIME OF ENROLLMENT. THE FOLLOWING INDIVIDUAL RECEIVED A TAXABLE DISTRIBUTION FROM THE PLAN IN 2020. THE AMOUNT WAS INCLUDED IN COLUMN (B)(III) AS OTHER COMPENSATION. STEPHEN P. COLLINS $59,117 Schedule J, Part I, Line 7 CERTAIN EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR DISCRETIONARY INCENTIVE BONUSES DETERMINED THROUGH A REVIEW OF SYSTEM AND INDIVIDUAL ACCOMPLISHED GOALS. ALL BONUSES REQUIRE BOARD APPROVAL. FORM 990, PART III, LINE 4A Driscoll Health Plan, Inc. (DHP) is contracted for the Children's Health Insurance Program (CHIP) in a fourteen county area comprised of Aransas, Bee, Brooks, Calhoun, Duval, Goliad, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, Nueces, Refugio, San Patricio and Victoria counties. DHP also is contracted for STAR (Medicaid Managed Care) beginning September 1, 2006 for a nine county area, which are Aransas, Bee, Calhoun, Jim Wells, Kleberg, Nueces, Refugio, San Patricio and Victoria. Beginning September 1, 2011, STAR expanded to include five additional rural contiguous counties so that both CHIP and STAR Medicaid would encompass the same fourteen (14) counties called the Nueces Service Delivery Area (SDA). Additionally, DHP contracted for STAR in the Hidalgo SDA (Medicaid Managed Care) effective March 1, 2012, in a ten county area comprised of Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy and Zapata. On March 1, 2012, DHP also started managing all pharmaceuticals administered to its members as this benefit was carved into the services provided to its members in the new Texas Statewide Managed Care contracts. In facilitating the administration of pharmaceuticals, DHP contracted with an experienced Pharmacy Benefit Manager (PBM) offering a robust pharmacy network to ensure the services were administered in a compliant, effective and efficient manner. Effective November 1, 2016, DHP contracted for STAR Kids in both the Nueces and Hidalgo SDA for both the medical services and pharmaceuticals administered to children enrolled in the SSI program. DHP is a Health Maintenance Organization (HMO) committed to providing high quality accessible health care to the Medicaid and CHIP populations of South Texas. Its affiliation with Driscoll Children's Hospital (DCH), a regional tertiary care referral center for all South Texas, lends to its success by offering its members Driscoll's distinguished, extensive network of providers and services. DHP has also expanded its network to include physicians, hospitals and services in its total expanded service delivery areas, thus offering DHP members a full continuum of high quality health care services tailored to meet the needs of the population. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HEALTH PLAN. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF GOVERNING BODY THE MEMBER SHALL ELECT AND APPOINT A CANDIDATE TO FILL ANY VACANCY OCCURRING ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL THE FOLLOWING MATTERS ARE RESERVED TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO EFFECTIVE: (A) ANNUAL OPERATING & CAPITAL BUDGETS OF THE CORPORATION, (B) MERGER, ACQUISITION OR CONSOLIDATION OF THE CORPORATION, (C) BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTEE OF ANOTHER DEBT OR SIMILAR ACTION AND, (D) APPOINTMENT & REMOVAL OF DIRECTORS IN ACCORDANCE WITH THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY, ALL DIRECTORS, OFFICERS AND KEY PERSONNEL FILL OUT A CONFLICT OF INTEREST FORM. THE COMPLIANCE OFFICER MAKES SURE ALL CONFLICT OF INTEREST FORMS ARE TURNED IN AND REVIEWED ANNUALLY. FORM 990, PART VI, SECTION B, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION THE FILING ORGANIZATION DOES NOT DETERMINE COMPENSATION FOR OFFICERS OR KEY EMPLOYEES. THE PROCESSES IS THAT OF DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. THE ORGANIZATION USES MGMA AND SULLIVAN COTTER PERCENTILES TO SET BASE COMPENSATION AND SKILL LEVELS. IF COMPENSATION LEVELS EXCEED CERTAIN PERCENTILES, A THIRD OUTSIDE CONSULTING FIRM IS USED TO VALUE THE MARKET VALUE FOR SERVICES RENDERED AND FOR GROUP COVERAGE AGREEMENTS. FOR CERTAIN COVERAGE AGREEMENTS, A FOURTH CONSULTING FIRM ASSISTS IN DETERMINING MARKET VALUE. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY WITH THE DELIBERATION AND DECISION DOCUMENTED CONTEMPORANEOUSLY. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS EQUITY TRANSFER FROM DRISCOLL CHILDREN'S HOSPITAL $20,051,021 DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 HOSPITAL TX 501(c)(3) 3 NA false CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL MATERNAL AND FETAL PHYS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(c)(3) 10 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(c)(3) 3 DCH true DCH DEVELOPMENT FOUNDATION 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742358461 CHARITABLE TX 501(c)(3) 7 DCH true DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(c)(3) 12a-I DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085GT WEST BAY ROAD GRAND CAYMAN CJ KY1-1109 980704641 CAPTIVE INSURANCE CJ NA C Corp true false false true false false false false false false false true false false true true true false false false