DRISCOLL CHILDRENS HEALTH PLAN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DRISCOLL CHILDRENS HEALTH PLAN (EIN 74-2838488)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-07
IRS object ID
201603129349301330
Schema version
2015v2.1
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

FieldValueIRS element (for citing)
Return2016-11-07T11:40:35-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742838488EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DRISCOLL CHILDREN'S HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RICK VILLARREALInCareOfNm
Business Name ControlDRISBusinessNameControlTxt
Phone3616946432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N UPPER BROADWAY ST Suite 1621AddressLine1Txt
CityCORPUS CHRISTICityNm
State AbbreviationTXStateAbbreviationCd
ZIP784010764ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY D PETERSONPersonNm
Person TitleCEOPersonTitleTxt
Phone7134994600PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM P GerichPreparerPersonNm
PTINP00226776PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR MARY DAHLEN PETERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N UPPER BROADWAY ST 1621AddressLine1Txt
CityCORPUS CHRISTICityNm
State AbbreviationTXStateAbbreviationCd
ZIP784010764ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$438,714,445GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DCHPKIDS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionDCHP IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTH CARE TEAM & RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee140TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$385,359,959PYProgramServiceRevenueAmt
CY Program Service Revenue$436,170,194CYProgramServiceRevenueAmt
PY Investment Income$370,605PYInvestmentIncomeAmt
CY Investment Income$330,102CYInvestmentIncomeAmt
PY Other Revenue$136PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$385,730,700PYTotalRevenueAmt
CY Total Revenue$436,500,296CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,057,070PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,152,285CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$385,986,013PYOtherExpensesAmt
CY Other Expenses$440,966,539CYOtherExpensesAmt
PY Total Expenses$395,043,083PYTotalExpensesAmt
CY Total Expenses$452,118,824CYTotalExpensesAmt
PY Revenues Less Expenses-$9,312,383PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,618,528CYRevenuesLessExpensesAmt
Total Assets BOY$77,241,043TotalAssetsBOYAmt
Total Assets EOY$83,473,281TotalAssetsEOYAmt
Total Liabilities BOY$51,076,876TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,040,769TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,164,167NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,432,512NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDRISCOLL CHILDREN'S HEALTH PLAN IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTHCARE TEAM AND RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$417,779,057ExpenseAmt
Revenue$436,170,194RevenueAmt
DescDRISCOLL CHILDREN'S HEALTH PLAN IS THE CONTRACTOR FOR THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). THIS SERVICE AREA INCLUDES 14 COUNTIES COMPRISED OF ARANSAS, BEE, BROOKS, CALHOUN, GOLIAD, JIM WELLS, KARNES, KENEDY, KLEBERG, LIVE OAK, NUECES, REFUGIO, SAN PATRICIO, AND VICTORIA. THE PLAN ALSO PROVIDES HEALTH BENEFITS FOR CHILDREN ENROLLED IN THE STATE OF TEXAS ACCESS REFORM (STAR) PROGRAM FOR 24 COUNTIES. THE PLAN IS A HEALTH MAINTENANCE ORGANIZATION (HMO) COMMITTED TO PROVIDING ITS MEMBERS A NETWORK OF HEALTH SERVICE PROVIDERS. ITS AFFILIATION WITH DRISCOLL CHILDREN'S HOSPITAL (DCH), THE SOLE CORPORATE MEMBER, LENDS TO THE PLAN'S SUCCESS BY OFFERING ITS MEMBERS DCH'S EXTENSIVE NETWORK INCLUDING PHYSICIANS, HOSPITAL, AND SERVICES IN ITS TOTAL EXPANDED SERVICE AREA, THUS OFFERING CHIP AND STAR MEMBERS WHO LIVE IN THE ADJACENT COUNTIES A FULL CONTINUUM OF QUALITY SERVICES TAILORED TO MEET THE NEEDS OF THE CHIP AND STAR POPULATION. THE PLAN'S ENROLLMENT WAS 148,473 AND 141,115 AT DECEMBER 31, 2015 AND 2014, RESPECTIVELY.Desc
Total Program Service Expenses$417,779,057TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee140EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICK VILLARREALPersonNm
Phone3616946781PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N UPPER BROADWAY ST STE 1621AddressLine1Txt
CityCORPUS CHRISTICityNm
State AbbreviationTXStateAbbreviationCd
ZIP784010764ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM JAMES STERETT
CHAIRMAN OF THE BOARD1.02.0Yes (X)Yes (X)$0$0$0
MARY DAHLEN PETERSON
PRESIDENT40.01.0Yes (X)Yes (X)$438,679$0$45,002
D ERIC HAMON
SECRETARY/TREASURER1.040.0Yes (X)Yes (X)$0$423,939$268,351
C IVAN WILSON
MEMBER1.02.0Yes (X)$0$10,000$0
STEVE WOERNER
MEMBER1.039.0Yes (X)$0$525,869$484,750
S LOYD NEAL JR
MEMBER1.02.0Yes (X)$0$10,000$0
SAM L SUSSER
MEMBER1.01.0Yes (X)$0$0$0
MICHAEL PIERCE LANCE
VICE PRESIDENT OF OPERATIONS40.00.0$256,083$0$35,874Yes (X)
RICARDO JAVIER VILLARREAL
VICE PRESIDENT OF FINANCE40.00.0$242,923$0$40,532Yes (X)
ERNEST DALE BUCK
CHIEF MEDICAL DIRECTOR40.00.0$327,314$0$35,834Yes (X)
WILLIAM BRIAN BRENDEL
MEDICAL DIRECTOR40.00.0$292,291$0$44,025Yes (X)
DONALD WELL
DIR PROV REL CONTCTG & CLAIMS40.00.0$143,446$0$11,731Yes (X)
HEATHER PIGOTT
SENIOR DIRECTOR OF HEALTH SERV40.00.0$160,741$0$20,604Yes (X)
TAMARA MERSHON
DIRECTOR OF QUALITY40.00.0$167,500$0$18,963Yes (X)
LAUREN ANN PARSONS
EXEC DIRECTOR OF COMPLIANCE40.00.0$134,148$0$13,861Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,163,125TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$969,808TotReportableCompRltdOrgAmt
Total Other Compensation$1,019,527TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VALENCE HEALTH
540 W MADISON 1500CHICAGOIL60661THIRD PARTY ADMIN$13,540,935
NAVITUS HEALTH SYSTEMS
2601 W BELTLINE HWY 600MADISONWI53713PRESCRIPTION BENEFIT$2,553,938
HEALTH MANAGEMENT SYSTEMS
5615 HIGH POINT DRIVE 900NEW YORKNY100877151BENEFIT SERVICES$1,080,879
CORPORATE PRINTING INC
3509 OAK FOREST DRIVEHOUSTONTX77018PRINTING$870,571
HARMONY INFORMATION SYSTEMS INC
11700 PLAZA AMERICA DR SUITE 1000RESTONVA20190INFORMATION SYSTEMS$225,953
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Preimum Revenue524292$436,279,529$436,279,529
Net Reinsurance524292-$129,023-$129,023
Other Income900099$19,688$19,688
FieldValueIRS element (for citing)
Total Program Service Revenue$436,170,194TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,076TotalRevenueColumnAmt
Exclusion$327,076ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,217,175SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,214,149SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,026SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,026TotalRevenueColumnAmt
Exclusion$3,026ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$436,500,296TotalRevenueColumnAmt
Related Or Exempt Func Income$436,170,194RelatedOrExemptFuncIncomeAmt
Exclusion$330,102ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,422,241TotalAmt
Program Services$1,422,241ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,604,039TotalAmt
Program Services$2,459,997ProgramServicesAmt
Management And General$5,144,042ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$370,425TotalAmt
Program Services$110,952ProgramServicesAmt
Management And General$259,473ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,169,972TotalAmt
Program Services$444,814ProgramServicesAmt
Management And General$725,158ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$585,608TotalAmt
Program Services$245,955ProgramServicesAmt
Management And General$339,653ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,500,130TotalAmt
Program Services$1,820,112ProgramServicesAmt
Management And General$14,680,018ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,148TotalAmt
Management And General$14,148ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,500TotalAmt
Management And General$8,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,067,559TotalAmt
Management And General$3,067,559ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,015TotalAmt
Management And General$116,015ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,350,349TotalAmt
Management And General$1,350,349ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$682,018TotalAmt
Management And General$682,018ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$378,213TotalAmt
Management And General$378,213ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$271,317TotalAmt
Management And General$271,317ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,822TotalAmt
Management And General$47,822ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$132,460TotalAmt
Management And General$132,460ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Expenses$404,188,739$404,188,739
Premium Taxes$7,702,442$7,086,247$616,195
Member Value Add Expense$3,708,496$3,708,496
ALLOCATED COSTS$1,865,967$1,865,967

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$932,364TotalAmt
Management And General$932,364ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$452,118,824TotalAmt
Program Services$417,779,057ProgramServicesAmt
Management And General$34,339,767ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$42,178,041BOYAmt
EOY$48,833,921EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,206,156BOYAmt
EOY$11,589,600EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,773,540BOYAmt
EOY$5,729,476EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$53,573BOYAmt
EOY$52,062EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$732,489LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$672,730LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$107,580BOYAmt
EOY$59,759EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,233,087BOYAmt
EOY$14,298,191EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,689,066BOYAmt
EOY$2,910,272EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$77,241,043BOYAmt
EOY$83,473,281EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,819,601BOYAmt
EOY$43,392,125EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,257,275BOYAmt
EOY$7,648,644EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,076,876BOYAmt
EOY$51,040,769EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$26,164,167BOYAmt
EOY$32,432,512EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,164,167BOYAmt
EOY$32,432,512EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,241,043BOYAmt
EOY$83,473,281EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,618,528ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$113,127NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$22,000,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$185,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$162,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$383,548TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,430,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$290,937,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,186,494CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385,360,095CurrentTaxYearMinus1YearAmt
Current Tax Year$436,170,194CurrentTaxYearAmt
Total$1,580,084,105TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,615,886CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$291,099,830CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,221,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385,360,095CurrentTaxYearMinus1YearAmt
Current Tax Year$436,170,194CurrentTaxYearAmt
Total$1,580,467,653TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,580,467,653PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$525,837CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$441,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$387,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,424CurrentTaxYearMinus1YearAmt
Current Tax Year$327,076CurrentTaxYearAmt
Total$2,024,841TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$525,837CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$441,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$387,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,424CurrentTaxYearMinus1YearAmt
Current Tax Year$327,076CurrentTaxYearAmt
Total$2,024,841TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,141,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$291,541,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,608,969CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385,703,519CurrentTaxYearMinus1YearAmt
Current Tax Year$436,497,270CurrentTaxYearAmt
Total$1,582,492,494TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99872PublicSupportCY509Pct
Public Support PY5090.99841PublicSupportPY509Pct
Investment Income CY0.00128InvestmentIncomeCYPct
Investment Income PY0.00159InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$94,707GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$94,707TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationGRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES TOTALED $ 94,707.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$732,489OtherCostOrOtherBasisAmt
Depreciation$672,730DepreciationAmt
Book Value$59,759BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$59,759TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescVanguardDesc
Book Value$14,298,191BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$14,298,191TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Rebate Liability$500,000
A/P-DVPG$45,509
Unearned Premiums$7,103,135
FieldValueIRS element (for citing)
Total Liability$7,648,644TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$435,874,843TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$435,874,843RevenueSubtotalAmt
Other Revenues Not Included$625,453OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$625,453RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$436,500,296TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$451,493,371TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$451,493,371ExpensesSubtotalAmt
Other Expenses Not Included$625,453OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$625,453ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$452,118,824TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 625,453
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 625,453
SCHEDULE D, PART X, LINE 2MANAGEMENT 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY DAHLEN PETERSON
PRESIDENT$334,354$0$86,325$0$18,000$0$22,670$0$22,332$0$483,681$0$0$0
D ERIC HAMON
SECRETARY/TREASURER$0$256,657$0$112,860$0$54,422$0$240,039$0$28,312$0$692,290$0$0
STEVE WOERNER
MEMBER$0$301,032$0$206,837$0$18,000$0$460,816$0$23,934$0$1,010,619$0$0
WILLIAM BRIAN BRENDEL
MEDICAL DIRECTOR$252,901$0$39,390$0$0$0$19,625$0$24,400$0$336,316$0$0$0
DONALD WELL
DIR PROV REL CONTCTG & CLAIMS$121,103$0$18,478$0$3,865$0$9,693$0$2,038$0$155,177$0$0$0
HEATHER PIGOTT
SENIOR DIRECTOR OF HEALTH SERV$139,781$0$20,910$0$50$0$10,044$0$10,560$0$181,345$0$0$0
TAMARA MERSHON
DIRECTOR OF QUALITY$120,826$0$44,938$0$1,736$0$0$0$18,963$0$186,463$0
MICHAEL PIERCE LANCE
VICE PRESIDENT OF OPERATIONS$203,339$0$51,541$0$1,203$0$16,888$0$18,986$0$291,957$0$0$0
RICARDO JAVIER VILLARREAL
VICE PRESIDENT OF FINANCE$191,138$0$48,925$0$2,860$0$19,496$0$21,036$0$283,455$0$0$0
ERNEST DALE BUCK
CHIEF MEDICAL DIRECTOR$260,526$0$42,436$0$24,352$0$17,888$0$17,946$0$363,148$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4BFormAndLineReferenceDesc
ExplanationPARTICIPANTS IN/PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT PAID BY D. ERIC HAMON $ 171,303 DRISCOLL CHILDREN'S HOSPITAL STEVE WOERNER $ 370,457 DRISCOLL CHILDREN'S HOSPITAL NO PAYMENTS WERE RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6CLASSES 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 7ACLASS OF PERSONS AND NATURE AND THEIR RIGHTS ANY VACANCY OCCURRING IN THE BOARD OF DIRECTORS SHALL BE FILLED IN ACCORDANCE WITH THE FOLLOWING PROCEDURE: THE MEMBER SHALL ELECT AND APPOINT A CANDIDATE TO FILL THE VACANCY.
FORM 990, PART VI, SECTION A, LINE 7BCLASS OF THE PERSON, DECISIONS THAT REQUIRE APPROVAL, AND VOTING RIGHTS THE FOLLOWING MATTERS ARE RESERVED TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE 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 11BFORM 990 PROVIDED TO GOVERNING BODY 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, SECTION B, LINE 12CORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH 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, LINE 15ACOMPENSATION REVIEW OF OFFICERS OR KEY EMPLOYEES THE BOARD OF DIRECTORS REVIEW THE APPLICABLE MARKETING DATA PROVIDED BY A THIRD PARTY COMPENSATION FIRM AND MATCHES THE PRESIDENT/CEO SALARY TO THE APPROPRIATE MARKET RATE FOR THE DUTIES. SULLIVAN COTTER REVIEWED 2015.
FORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION REVIEW OF OFFICERS OR KEY EMPLOYEES THE BOARD OF DIRECTORS REVIEW THE APPLICABLE MARKETING DATA PROVIDED BY A THIRD PARTY COMPENSATION FIRM AND MATCHES THE PRESIDENT/CEO SALARY TO THE APPROPRIATE MARKET RATE FOR THE DUTIES. SULLIVAN COTTER REVIEWED 2015.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATIONAL DOCUMENTS MADE 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES CAPITAL CONTRIBUTION $ 22,000,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DRISCOLL CHILDREN'S HOSPITAL
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742577746HOSPITALTX501(C)(3)3NAfalse
DRISCOLL PHYSICIAN'S GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411742988134HOSPITALTX501(C)(3)3DCHYes (true)
DRISCOLL VALLEY PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234322HOSPITALTX501(C)(3)3DCHYes (true)
DRISCOLL MATERNAL AND FETAL PHYSICIAN'S
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234461HEALTH CARETX501(C)(3)7DCHYes (true)
CHILDRENS PHYSICIAN SERVICES OF SOUTH TX
3533 SOUTH ALAMEDACORPUS CHRISTITX78401742620408HOSPITALTX501(C)(3)3DCHYes (true)
DRISCOLL FOUNDATION
615 NORTH UPPER BROADWAY 1635CORPUS CHRISTITX784010765741170270CHAR. TRUSTTX501(C)(3)11ANAfalse
DRISCOLL HEALTHCARE SERVICES
3533 SOUTH ALAMEDACORPUS CHRISTITX78411010962276HEALTH CARETX501(C)(3)11ADCHYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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