2016-11-07T11:40:35-06:00 2015-12-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2015-01-01 742838488 DRISCOLL CHILDREN'S HEALTH PLAN % RICK VILLARREAL DRIS 3616946432 615 N UPPER BROADWAY ST Suite 1621 CORPUS CHRISTI TX 784010764 MARY D PETERSON CEO 7134994600 2016-11-15 true M P Gerich P00226776 7134994600 2015 2017-02-10 21:41:12Z DR MARY DAHLEN PETERSON 615 N UPPER BROADWAY ST 1621 CORPUS CHRISTI TX 784010764 438714445 false X WWW.DCHPKIDS.COM X 1997 TX DCHP IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE HEALTH CARE TEAM & RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK. 7 4 140 4 0 0 0 385359959 436170194 370605 330102 136 0 385730700 436500296 0 0 0 0 9057070 11152285 0 0 0 385986013 440966539 395043083 452118824 -9312383 -15618528 77241043 83473281 51076876 51040769 26164167 32432512 X DRISCOLL 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. false false 417779057 436170194 DRISCOLL 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. 417779057 true false false true false false false false false false true true false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 140 true false false false false false false false false false false X 7 4 false false false false true true true true true false false true true true true true true true true false X RICK VILLARREAL 3616946781 615 N UPPER BROADWAY ST STE 1621 CORPUS CHRISTI TX 784010764 X WILLIAM JAMES STERETT CHAIRMAN OF THE BOARD 1.0 2.0 X X 0 0 0 MARY DAHLEN PETERSON PRESIDENT 40.0 1.0 X X 438679 0 45002 D ERIC HAMON SECRETARY/TREASURER 1.0 40.0 X X 0 423939 268351 C IVAN WILSON MEMBER 1.0 2.0 X 0 10000 0 STEVE WOERNER MEMBER 1.0 39.0 X 0 525869 484750 S LOYD NEAL JR MEMBER 1.0 2.0 X 0 10000 0 SAM L SUSSER MEMBER 1.0 1.0 X 0 0 0 MICHAEL PIERCE LANCE VICE PRESIDENT OF OPERATIONS 40.0 0.0 X 256083 0 35874 RICARDO JAVIER VILLARREAL VICE PRESIDENT OF FINANCE 40.0 0.0 X 242923 0 40532 ERNEST DALE BUCK CHIEF MEDICAL DIRECTOR 40.0 0.0 X 327314 0 35834 WILLIAM BRIAN BRENDEL MEDICAL DIRECTOR 40.0 0.0 X 292291 0 44025 DONALD WELL DIR PROV REL CONTCTG & CLAIMS 40.0 0.0 X 143446 0 11731 HEATHER PIGOTT SENIOR DIRECTOR OF HEALTH SERV 40.0 0.0 X 160741 0 20604 TAMARA MERSHON DIRECTOR OF QUALITY 40.0 0.0 X 167500 0 18963 LAUREN ANN PARSONS EXEC DIRECTOR OF COMPLIANCE 40.0 0.0 X 134148 0 13861 2163125 969808 1019527 11 false true false VALENCE HEALTH 540 W MADISON 1500 CHICAGO IL 60661 THIRD PARTY ADMIN 13540935 NAVITUS HEALTH SYSTEMS 2601 W BELTLINE HWY 600 MADISON WI 53713 PRESCRIPTION BENEFIT 2553938 HEALTH MANAGEMENT SYSTEMS 5615 HIGH POINT DRIVE 900 NEW YORK NY 100877151 BENEFIT SERVICES 1080879 CORPORATE PRINTING INC 3509 OAK FOREST DRIVE HOUSTON TX 77018 PRINTING 870571 HARMONY INFORMATION SYSTEMS INC 11700 PLAZA AMERICA DR SUITE 1000 RESTON VA 20190 INFORMATION SYSTEMS 225953 14 0 Preimum Revenue 524292 436279529 436279529 Net Reinsurance 524292 -129023 -129023 Other Income 900099 19688 19688 436170194 327076 327076 0 0 0 0 0 2217175 2214149 3026 3026 3026 0 0 0 0 436500296 436170194 330102 0 0 0 0 1422241 1422241 0 7604039 2459997 5144042 0 370425 110952 259473 1169972 444814 725158 585608 245955 339653 16500130 1820112 14680018 14148 14148 0 0 0 8500 8500 3067559 3067559 116015 116015 1350349 1350349 682018 682018 0 378213 378213 271317 271317 0 0 0 0 47822 47822 132460 132460 Medical Expenses 404188739 404188739 Premium Taxes 7702442 7086247 616195 Member Value Add Expense 3708496 3708496 ALLOCATED COSTS 1865967 1865967 932364 932364 452118824 417779057 34339767 0 42178041 48833921 9206156 11589600 0 0 5773540 5729476 0 0 0 0 0 0 0 0 53573 52062 732489 672730 107580 59759 0 0 16233087 14298191 0 0 0 0 3689066 2910272 77241043 83473281 44819601 43392125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6257275 7648644 51076876 51040769 X 0 0 0 0 26164167 32432512 26164167 32432512 77241043 83473281 X -15618528 -113127 22000000 X false true X false true true X 185751 162643 35154 0 0 383548 150430135 290937187 317186494 385360095 436170194 1580084105 0 0 0 150615886 291099830 317221648 385360095 436170194 1580467653 0 0 0 1580467653 525837 441183 387321 343424 327076 2024841 0 525837 441183 387321 343424 327076 2024841 0 0 151141723 291541013 317608969 385703519 436497270 1582492494 0.99872 0.99841 0.00128 0.00159 X false false false false false true 94707 false false false 94707 false SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES TOTALED $ 94,707. 732489 672730 59759 59759 Vanguard 14298191 F 14298191 0 Rebate Liability 500000 A/P-DVPG 45509 Unearned Premiums 7103135 7648644 435874843 435874843 625453 625453 436500296 451493371 451493371 625453 625453 452118824 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 625,453 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 625,453 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X X X X false true false false false false false false false MARY DAHLEN PETERSON PRESIDENT 334354 0 86325 0 18000 0 22670 0 22332 0 483681 0 0 0 D ERIC HAMON SECRETARY/TREASURER 0 256657 0 112860 0 54422 0 240039 0 28312 0 692290 0 0 STEVE WOERNER MEMBER 0 301032 0 206837 0 18000 0 460816 0 23934 0 1010619 0 0 WILLIAM BRIAN BRENDEL MEDICAL DIRECTOR 252901 0 39390 0 0 0 19625 0 24400 0 336316 0 0 0 DONALD WELL DIR PROV REL CONTCTG & CLAIMS 121103 0 18478 0 3865 0 9693 0 2038 0 155177 0 0 0 HEATHER PIGOTT SENIOR DIRECTOR OF HEALTH SERV 139781 0 20910 0 50 0 10044 0 10560 0 181345 0 0 0 TAMARA MERSHON DIRECTOR OF QUALITY 120826 0 44938 0 1736 0 0 0 18963 0 186463 0 MICHAEL PIERCE LANCE VICE PRESIDENT OF OPERATIONS 203339 0 51541 0 1203 0 16888 0 18986 0 291957 0 0 0 RICARDO JAVIER VILLARREAL VICE PRESIDENT OF FINANCE 191138 0 48925 0 2860 0 19496 0 21036 0 283455 0 0 0 ERNEST DALE BUCK CHIEF MEDICAL DIRECTOR 260526 0 42436 0 24352 0 17888 0 17946 0 363148 0 0 0 SCHEDULE J, PART I, LINE 4B PARTICIPANTS 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. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HEALTH PLAN. FORM 990, PART VI, SECTION A, LINE 7A CLASS 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 7B CLASS 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 11B FORM 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 12C ORGANIZATION'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 15A COMPENSATION 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 15B COMPENSATION 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 19 ORGANIZATIONAL 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 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CAPITAL CONTRIBUTION $ 22,000,000 DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 HOSPITAL TX 501(C)(3) 3 NA false DRISCOLL PHYSICIAN'S GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HOSPITAL TX 501(C)(3) 3 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HOSPITAL TX 501(C)(3) 3 DCH true DRISCOLL MATERNAL AND FETAL PHYSICIAN'S 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTH CARE TX 501(C)(3) 7 DCH true CHILDRENS PHYSICIAN SERVICES OF SOUTH TX 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78401 742620408 HOSPITAL TX 501(C)(3) 3 DCH true DRISCOLL FOUNDATION 615 NORTH UPPER BROADWAY 1635 CORPUS CHRISTI TX 784010765 741170270 CHAR. TRUST TX 501(C)(3) 11A NA false DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 HEALTH CARE TX 501(C)(3) 11A DCH true false false true false false false false false false false true false false true true true false false false