ANESTHESIOLOGISTS FOR CHILDREN: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ANESTHESIOLOGISTS FOR CHILDREN (EIN 75-2917570)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201903199349301045
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T08:01:32-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 N St Paul Suite 850 | AddressLine1Txt |
| City | Dallas | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752917570 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anesthesiologists for Children | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANES | BusinessNameControlTxt |
| Phone | 2144567000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 MEDICAL DISTRICT DRIVE | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75235 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeremiah Radandt | PersonNm |
| Person Title | EVP Finance & CFO | PersonTitleTxt |
| Signature | 2019-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Spurlock | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 2147775200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephen Kimatian MD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 MEDICAL DISTRICT DRIVE | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75235 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,115,530 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,029 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,632 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,763,381 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,113,898 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $403,116 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $38,181,526 | PYTotalRevenueAmt |
| CY Total Revenue | $33,115,530 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,739,957 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,409,767 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,558,773 | PYOtherExpensesAmt |
| CY Other Expenses | $5,371,796 | CYOtherExpensesAmt |
| PY Total Expenses | $36,298,730 | PYTotalExpensesAmt |
| CY Total Expenses | $37,781,563 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,882,796 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,666,033 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,069,832 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,290,041 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,369,407 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,255,649 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,700,425 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,392 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS. THESE SERVICES ARE PROVIDED WITHOUT REGARD TO PATIENT'S ABILITY TO PAY FOR THE SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $34,599,855 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $33,113,898 | RevenueAmt |
| Desc | PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS. THESE SERVICES ARE PROVIDED WITHOUT REGARD TO PATIENT'S ABILITY TO PAY FOR THE SERVICES. | Desc |
| Total Program Service Expenses | $34,599,855 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 45 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephanie K Smith | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2144567000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 MEDICAL DISTRICT DRIVE | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75235 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Stephen Kimatian MD | |||||||||
| Chair & President | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Stephen Q Hoang MD | |||||||||
| Director & Anesthesiologist | 40.0 | 0 | Yes (X) | $489,066 | $0 | $25,939 | |||
| Ron Mitchell MD | |||||||||
| Director & Anesthesiologist | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Maeve Sheehan MD | |||||||||
| Director & Anesthesiologist | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Charles Whitten MD | |||||||||
| Director & Anesthesiologist | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Rollins MD | |||||||||
| Director & Anesthesiologist (until 2/7/2018) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Tammie L Sibley | |||||||||
| Treasurer (CHST SVP Finance) | 1.0 | 49.0 | Yes (X) | $0 | $347,144 | $63,065 | |||
| Lisa M Frenkel | |||||||||
| Secretary | 1.0 | 49.0 | Yes (X) | $0 | $275,033 | $5,732 | |||
| Jerry D Lee | |||||||||
| Treasurer (until 4/13/2018) | 1.0 | 49.0 | Yes (X) | $0 | $906,965 | $37,689 | |||
| David T Bui | |||||||||
| Anesthesiologist | 40.0 | 0 | $535,279 | $0 | $8,548 | Yes (X) | |||
| Cynthia R Gonzales | |||||||||
| Anesthesiologist | 40.0 | 0 | $485,805 | $0 | $11,125 | Yes (X) | |||
| Amy Hogge | |||||||||
| Anesthesiologist | 40.0 | 0 | $501,248 | $0 | $6,348 | Yes (X) | |||
| Gary R Turner | |||||||||
| Anesthesiologist | 40.0 | 0 | $483,895 | $0 | $11,970 | Yes (X) | |||
| Weiwei Boone | |||||||||
| Anesthesiologist | 40.0 | 0 | $489,703 | $0 | $35,954 | Yes (X) | |||
| Stephanie K Smith | |||||||||
| Former Corporate Secretary | 0.0 | 40.0 | $0 | $162,833 | $4,591 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,984,995 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,691,975 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $210,961 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UTSW | |||||
| HI 108 5323 Harry Hines Blvd | Dallas | TX | 753908886 | Phys & Medical Svcs | $22,608,131 |
| MEDAC INC | |||||
| 804 SCOTT NIXON MEMORIAL DR | AUGUSTA | GA | 30907 | BILLING & PRAC. MGMT | $901,912 |
| AEGIS ANESTHESIA ASSOCIATES | |||||
| 1900 ENCHANTED WAY 100 | Grapevine | TX | 76051 | Medical Services | $178,903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,632 | RelatedOrganizationsAmt |
| Total Contributions | $1,632 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL SVC REV | 621110 | $17,958,211 | $17,958,211 |
| Medicaid Subsidy Revenue | 621110 | $14,496,277 | $14,496,277 |
| Chief Stipend Revenue | 621110 | $315,000 | $315,000 |
| Other Medical Services Revenue | 621110 | $344,410 | $344,410 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,113,898 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,115,530 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,113,898 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,005 | TotalAmt |
| Program Services | $515,005 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,628,786 | TotalAmt |
| Program Services | $30,013,363 | ProgramServicesAmt |
| Management And General | $615,423 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,671 | TotalAmt |
| Program Services | $415,299 | ProgramServicesAmt |
| Management And General | $8,372 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,301 | TotalAmt |
| Program Services | $552,532 | ProgramServicesAmt |
| Management And General | $10,769 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,004 | TotalAmt |
| Program Services | $273,491 | ProgramServicesAmt |
| Management And General | $5,513 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,767 | TotalAmt |
| Program Services | $196,767 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,099 | TotalAmt |
| Program Services | $774,792 | ProgramServicesAmt |
| Management And General | $3,307 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,625 | TotalAmt |
| Program Services | $15,625 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913 | TotalAmt |
| Program Services | $750 | ProgramServicesAmt |
| Management And General | $163 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,314 | TotalAmt |
| Program Services | $11,314 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,484 | TotalAmt |
| Program Services | $118,782 | ProgramServicesAmt |
| Management And General | $3,702 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,702 | TotalAmt |
| Program Services | $219,702 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Shared Services | $2,487,800 | $2,487,800 | |
| Bad Debt Expense | $1,485,322 | $1,485,322 | |
| Collection Fees | $43,002 | $43,002 | |
| Dietary and Food Costs | $10,768 | $3,657 | $7,111 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,781,563 | TotalAmt |
| Program Services | $34,599,855 | ProgramServicesAmt |
| Management And General | $3,181,708 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,009,945 | BOYAmt |
| EOY | $1,395,815 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,625 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,054,262 | BOYAmt |
| EOY | $4,894,226 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,069,832 | BOYAmt |
| EOY | $6,290,041 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,369,407 | BOYAmt |
| EOY | $6,255,649 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,369,407 | BOYAmt |
| EOY | $6,255,649 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,700,425 | BOYAmt |
| EOY | $34,392 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,700,425 | BOYAmt |
| EOY | $34,392 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,069,832 | BOYAmt |
| EOY | $6,290,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,666,033 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,739 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,632 | CurrentTaxYearAmt |
| Total | $76,918 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,378,156 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,431,960 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,722,026 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,166,497 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,113,898 | CurrentTaxYearAmt |
| Total | $170,812,537 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,426,238 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,439,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,726,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,181,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,115,530 | CurrentTaxYearAmt |
| Total | $170,889,455 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $170,889,455 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,897 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,606 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $18,503 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,897 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,606 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $18,503 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,439,135 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,445,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,726,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,181,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,115,530 | CurrentTaxYearAmt |
| Total | $170,907,958 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9999 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9998 | PublicSupportPY509Pct |
| Investment Income CY | 0.0001 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0002 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LT Advances - Affiliates | Desc |
| Book Value | $4,894,226 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,894,226 | TotalBookValueOtherAssetsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Q Hoang MD | ||||||||||||||
| Director & Anesthesiologist | $479,436 | $0 | $0 | $0 | $9,630 | $0 | $18,500 | $0 | $7,439 | $0 | $515,005 | $0 | $0 | $0 |
| Stephanie K Smith | ||||||||||||||
| Former Corporate Secretary | $0 | $128,098 | $0 | $14,598 | $0 | $20,137 | $0 | $0 | $0 | $4,591 | $0 | $167,424 | $0 | $0 |
| Tammie L Sibley | ||||||||||||||
| Treasurer (CHST SVP Finance) | $0 | $277,938 | $0 | $67,464 | $0 | $1,742 | $0 | $52,448 | $0 | $10,616 | $0 | $410,209 | $0 | $0 |
| Lisa M Frenkel | ||||||||||||||
| Secretary | $0 | $228,264 | $0 | $42,092 | $0 | $4,677 | $0 | $0 | $0 | $5,732 | $0 | $280,765 | $0 | $0 |
| Jerry D Lee | ||||||||||||||
| Treasurer (until 4/13/2018) | $0 | $85,821 | $0 | $111,213 | $0 | $709,931 | $0 | $31,756 | $0 | $5,933 | $0 | $944,655 | $0 | $0 |
| David T Bui | ||||||||||||||
| Anesthesiologist | $478,327 | $0 | $0 | $0 | $56,953 | $0 | $0 | $0 | $8,548 | $0 | $543,828 | $0 | $0 | $0 |
| Cynthia R Gonzales | ||||||||||||||
| Anesthesiologist | $475,750 | $0 | $1,000 | $0 | $9,055 | $0 | $0 | $0 | $11,125 | $0 | $496,929 | $0 | $0 | $0 |
| Amy Hogge | ||||||||||||||
| Anesthesiologist | $480,527 | $0 | $0 | $0 | $20,720 | $0 | $0 | $0 | $6,348 | $0 | $507,595 | $0 | $0 | $0 |
| Gary R Turner | ||||||||||||||
| Anesthesiologist | $474,904 | $0 | $0 | $0 | $8,990 | $0 | $0 | $0 | $11,970 | $0 | $495,865 | $0 | $0 | $0 |
| Weiwei Boone | ||||||||||||||
| Anesthesiologist | $469,421 | $0 | $0 | $0 | $20,282 | $0 | $18,500 | $0 | $17,454 | $0 | $525,657 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The top management official is neither an employee of nor compensated by Anesthesiologists for Children (AFC). Rather, the top management official is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC IS NOT A RELATED ORGANIZATION OF AFC. THEREFORE, THERE IS NO COMPENSATION REPORTED for the Top management official on AFC's Form 990. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | Severance Payment: *Severance - Jerry Lee - $475,800. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Non-Qualified Retirement Plan: * Children's Health Savings Restoration Plan - Jerry Lee received $13,682 as taxable income from the Savings Restoration Plan. *Children's Health Executive Defined Contribution Retirement Plan (EDCRP) - Jerry Lee received $177,633 as taxable income from the EDCRP. Employees who received compensation reported as deferred in column C from the EDCRP include: Jerry Lee - $18,351, Tammie Sibley - $41,448. |
| Schedule J, Part I, Line 7 Non-fixed payments | Non-Fixed Payments - The Human Resources Committee of the Board of Directors of Children's Health System of Texas retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | The top management official is neither an employee of nor compensated by Anesthesiologists for Children (AFC). Rather, the top management official is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC IS NOT A RELATED ORGANIZATION OF AFC. THEREFORE, THERE IS NO COMPENSATION REPORTED FOR the top management official. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS | CHILDREN'S HEALTH SYSTEM OF TEXAS IS THE SOLE MEMBER FOR ANESTHESIOLOGISTS FOR CHILDREN (AFC). THEREFORE, AFC'S Officers, other than the top management official, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (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 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 sole member and approved by the current AFC 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 to be effective. 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 | Anesthesiologist 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| PHYSICIANS FOR CHILDREN | |||||||||||
| 1935 MEDICAL DISTRICT DRIVE | DALLAS | TX | 75235 | 752854505 | PHYSICIANS | TX | 501(c)(3) | 3 | 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 | |
| CHILDREN'S HEALTH SYSTEM OF TEXAS | |||||||||||
| 1935 MEDICAL DISTRICT DRIVE | DALLAS | TX | 75235 | 752062019 | MANAGEMENT COMPANY | TX | 501(c)(3) | Type II | false | N/A | |
| OCH Holdings | |||||||||||
| 1935 MEDICAL DISTRICT DRIVE | DALLAS | TX | 75235 | 474837308 | Hospital | TX | 501(c)(3) | 3 | 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 | false | N/A | |
| WOMEN'S AUXILIARY OF CMCD | |||||||||||
| 12720 HILLCREST RD | DALLAS | TX | 75230 | 752485538 | WOMEN'S AUXILIARY | TX | 501(c)(3) | 10 | false | N/A | |
| CHST Physician Group 1 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 813582843 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
| CHST Physician Group 2 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 813679995 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
| CHST Physician Group 3 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 813691209 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
| CHST Physician Group 4 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 814577909 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
| CHST Physician Group 5 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 814848085 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
| CHST Physician Group 6 | |||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 814865847 | Physician | TX | 501(c)(3) | 10 | CHILDREN'S HEALTH SYSTEM OF TEXAS | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wellness Innovations LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1935 Medical District Drive | AddressLine1Txt |
| City | Dallas | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75235 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475246461 | EIN |
| Primary Activities | Physicians | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHST Investment Holdings LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Unrelated | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 LTD | ||||||||||||||||
| 981318151 | Self-insurance | NA | C Corporation | false | 878 West Bay Road | PO Box 1159 | Grand Cayman | Grand Cayman | CJ | KY11202 | CJ | |||||
| Wellness Innovations Physician Partners | ||||||||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 811734937 | Physicians | TX | NA | C Corporation | false | |||||||
| Children's Health | ||||||||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 833809987 | Other Medical Services | TX | NA | C Corporation | false | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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