2021-11-12T13:06:38-06:00 2020-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2020-01-01 752854505 Physicians for Children PHYS 2144567000 1935 Medical District Drive Dallas TX 75235 Robert Fries EVP and Chief Financial Officer 2021-11-12 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2020 2022-09-23 18:48:47Z Children's Health Pediatric Group David Berry 1935 Medical District Drive Dallas TX 75235 846223 false X N/A X 1999 TX TO DELIVER PRIMARY CARE TO CHILDREN IN UNDERSERVED AREAS OF NORTH CENTRAL TEXAS. 4 0 71 0 0 0 1582281 29232 3316834 816991 0 -644972 0 0 4899115 201251 0 0 0 11512435 797582 0 0 0 12636261 320165 24148696 1117747 -19249581 -916496 3175660 2163702 119562279 119466817 -116386619 -117303115 To deliver primary care to children in critically under served areas of the North Central Texas community in a private physician office setting. false false 834874 0 816991 Physicians for Children dba Children's Health Pediatric Group (CHPG) provides a medical home for children when they are both sick and well. CHPG cares for all aspects of children and their health care needs, from well child exams and treatment of common illnesses like cold and flu, to treatment of chronic conditions such as asthma. Our main objective is to improve the lives of children in our community by providing them with a high-quality, affordable patient centered medical home. 834874 true true false false false false false false false false 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 23 0 true 71 true false false false false false false false false false false false false X 4 0 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Ray Tsai MD President (Term. 2/7/2020) & Chair 1.0 54.0 X X 0 804864 190570 John D Polousky MD Director 1.0 39.0 X 0 676423 36319 Michael Day MD Director 1.0 39.0 X 0 484144 51456 Michael Tate MD Director 1.0 39.0 X 0 430568 148406 David T Berry President (Effec. 2/7/2020) 1.0 54.0 X 0 1124048 240422 Lisa M Frenkel Secretary 1.0 39.0 X 0 378324 55864 Amrita Nagra MD Physician 1.0 39.0 X 45655 132101 21532 Dawn Johnson MD Medical Director 1.0 39.0 X 75625 198653 25768 Jason Isham Dir Integrated Behavioral Health 1.0 39.0 X 43855 102905 30049 Rachel Davis MD Physician 1.0 39.0 X 39818 124901 29835 Ranjana Chandramouli MD Physician 1.0 39.0 X 49854 113641 24826 Stephanie K Smith Former Corporate Secretary 0.0 40.0 X 0 204254 25397 254807 4774827 880446 0 true true false CHARTIS GROUP 203 N LASALLE ST STE 2100 CHICAGO IL 60601 Health Care Advisory Services 360730 UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Servcies 160132 B WELL CONNECTED HEALTH INC 875 Hollins Street Suite 102 Baltimore MD 21201 Integrated health management 125000 3 29232 29232 NET PATIENT REVENUE 621110 703500 703500 Other Medical Services 622110 113491 113491 0 0 0 0 816991 0 0 644972 0 -644972 -644972 -644972 0 0 0 0 0 201251 816991 0 -644972 495679 346431 149248 52092 36407 15685 164560 115011 49549 85251 59582 25669 103148 103148 0 0 1283 1283 49167 34363 14804 49460 34568 14892 17257 12061 5196 21744 15197 6547 Medical Surgical Supplies 78106 78106 0 0 0 0 1117747 834874 282873 0 104248 22 0 0 0 0 750000 0 0 2321412 0 0 0 0 2163680 3175660 2163702 1521310 212960 0 0 118040969 119253857 119562279 119466817 -116386619 -117303115 -116386619 -117303115 3175660 2163702 -916496 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED INTERCOMPANY ASSET 2163680 2163680 LT ADVANCES-Affiliates 119253857 119253857 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Physicians for Children's financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2020, reads as follows: "The authoritative guidance in ASC 740 Income Taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. 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. The statute of limitations remains open for tax years 2017 through 2020 in Children's Health main taxing jurisdictions." false true false false false false false false false Ray Tsai MD President (Term. 2/7/2020) & Chair 0 380257 0 214957 0 209649 0 144723 0 45847 0 995434 0 0 Michael Day MD Director 0 423986 0 54067 0 6090 0 14590 0 36866 0 535600 0 0 John D Polousky MD Director 0 465882 0 186667 0 23874 0 11390 0 24929 0 712742 0 0 Michael Tate MD Director 0 387586 0 39628 0 3354 0 90955 0 57451 0 578974 0 0 Stephanie K Smith Former Corporate Secretary 0 173878 0 27497 0 2879 0 9932 0 15465 0 229651 0 0 David T Berry President (Effec. 2/7/2020) 0 622506 0 283091 0 218451 0 208430 0 31993 0 1364471 0 0 Lisa M Frenkel Secretary 0 302144 0 66075 0 10105 0 38013 0 17852 0 434188 0 0 Ranjana Chandramouli MD Physician 36296 111837 12865 0 693 1804 0 3892 1081 19853 50934 137386 0 0 Rachel Davis MD Physician 34334 105027 5000 18219 485 1655 0 6742 1378 21715 41197 153358 0 0 Jason Isham Dir Integrated Behavioral Health 28532 100543 14670 0 653 2362 0 6077 1878 22094 45733 131076 0 0 Dawn Johnson MD Medical Director 52391 179592 21857 14470 1377 4591 0 9132 1413 15223 77039 223008 0 0 Amrita Nagra MD Physician 39108 130297 6000 0 547 1804 0 8035 747 12750 46402 152886 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Physicians for Children (The "Corporation") has no employees. Certain individuals identified herein as Director or Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, Compensation decisions for the officers were determined by the related organization following CHST compensation's policy. In their duties as Officers of the Corporation, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Savings Restoration Plan: Ray Tsai participated in the Savings Restoration Plan and received $8,306 of taxable income during 2020. Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Ray Tsai - $177,802 and David Berry- $182,830. Employees who participated in and have contributions to the EDCRP include: Ray Tsai - $125,223, Lisa Frenkel - $30,946, and David Berry- $197,030. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL Physicians for Children (The "Corporation") has no employees. Certain individuals identified herein as Director and Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, Compensation decisions for the directors and officers were determined by the related organization following CHST compensation's policy. In their duties as Officers of the Corporation, they have no influence over the compensation process performed by CHST. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES Line 15b is answered no in accordance with the IRS Form 990 instructions because compensation is paid and determined by a related party, Children's Health System of Texas (CHST). CHST is the sole member and officers are employed and paid by CHST. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Lisa Frenkel, Michael Brad Tate, and Ray Tsai - Business relationship, Lisa Frenkel and David Berry - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas (CHST) is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Directors are appointed by the member and approved by the current Physicians for Children Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Physicians for Children has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Health Clinical Operations false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHST Physician Group 1 1935 Medical District Drive Dallas TX 75235 813582843 Physician TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX NA C Corporation false false false true false false false false false false false false true true true true false false false true