2016-11-11T11:03:50-06:00 2015-12-31 990 2015-01-01 461893597 Complex Care Medical Services Corporation COMP 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 JERRY LEE TREASURER 2016-11-10 2015 2017-02-10 21:41:12Z JERRY LEE 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 121676 false X N/A X 2012 TX TO SERVE AS THE MEDICAL HOME FOR CHILDREN WITH COMPLEX MEDICAL ILLNESSES. 4 2 10 2 0 0 0 0 1770185 121676 0 0 0 0 1770185 121676 0 0 0 0 398699 1386265 0 0 0 2023311 828489 2422010 2214754 -651825 -2093078 3323468 3257854 4183932 6211398 -860464 -2953544 TO SERVE AS THE MEDICAL HOME FOR CHILDREN WITH COMPLEX MEDICAL ILLNESSES WHERE A MULTI-DISCIPLINARY TEAM OF CARE GIVERS OVERSEE AND COORDINATE THEIR CARE. false false 1692333 121676 TO SERVE AS THE MEDICAL HOME FOR CHILDREN WITH COMPLEX MEDICAL ILLNESSES WHERE A MULTI-DISCIPLINARY TEAM OF CARE GIVERS OVERSEE AND COORDINATE THEIR CARE. 1692333 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 2 0 true 10 true false false false false false false false false false false X 4 2 true false false false true true true true true false false false true true true true true false false false X STEPHANIE K SMITH 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Michelle Thomas MD Chair 1.0 0 X 0 0 0 John Anderson MD Director 1.0 0 X 0 0 0 Andrew Gelfand MD Director, Physician 1.0 9.0 X 0 16500 0 William Scott MD Director, Physician 1.0 49.0 X 0 190181 0 W Robert Morrow MD President, Pres Phys Orgs Acdmc Rel CCO CHST 1.0 54.0 X 0 798164 19499 Stephanie K Smith Secretary, Sr Legal Counsel CHST 1.0 49.0 X 0 121525 11465 Jerry D Lee Treasurer, VP Accounting and Treasury CHST 1.0 49.0 X 0 393636 33484 Douglas G Hock Pres COO CMC and Pres Clinical Services CHST 0.0 55.0 X 0 1013374 39974 Peter W Roberts Pres Pop Hlth Insurance Svcs 0.0 55.0 X 0 1021968 26295 0 3555348 130717 0 true true false UTSW HI 108 5323 HARRY HINES BLVD DALLAS TX 75390 PHYS & MEDICAL SVCS 502205 1 0 Net Patient Revenue 621110 121676 121676 0 0 0 0 121676 0 0 0 0 0 0 0 0 0 121676 121676 0 0 1250950 1096043 154907 27441 24043 3398 74215 65025 9190 33659 29491 4168 113532 113532 2850 2850 150710 105685 45025 0 14206 9806 4400 4082 4082 158253 6026 152227 995 64 931 1235 725 510 104838 79344 25494 COMMUNITY RELATIONS 233526 233526 Dietary and Food Costs 15655 14732 923 Medical Surgical Supplies 11143 8973 2170 Special Events & Projects 1000 1000 16464 16000 464 0 2214754 1692333 522421 0 83877 1446932 1767804 443972 0 0 1478486 111536 1471787 1366950 0 0 0 0 3323468 3257854 219195 1083858 3964737 5127540 4183932 6211398 -860464 -2953544 -860464 -2953544 3323468 3257854 X -2093078 -2 X false true X true false X 1406298 99030 1307268 72188 12506 59682 1366950 LT Advances - Affiliates 5110448 LT Deferred Rent 17092 5127540 Schedule D, Part X, Line 2 THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDING DECEMBER 31, 2015 DID NOT REQUIRE A FIN 48 FOOTNOTE. false true false false false false false true false William Scott MD Director, Physician 0 190181 0 0 0 0 0 0 0 0 0 190181 0 0 Douglas G Hock Pres COO CMC and Pres Clinical Services CHST 0 525384 0 415277 0 72713 0 18768 0 21205 0 1053348 0 98100 Peter W Roberts Pres Pop Hlth Insurance Svcs 0 534452 0 335196 0 152320 0 10600 0 15695 0 1048262 0 0 W Robert Morrow MD President, Pres Phys Orgs Acdmc Rel CCO CHST 0 495272 0 297763 0 5129 0 10600 0 8899 0 817664 0 0 Jerry D Lee Treasurer, VP Accounting and Treasury CHST 0 274148 0 91095 0 28393 0 14641 0 18843 0 427120 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR COMPLEX CARE MEDICAL SERVICES CORPORATION (CCMSC). THEREFORE, CCMSC'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE CHILDREN'S HEALTH PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: 1. The Human Resources Committee of the CHST Board is responsible for setting the compensation for executives, except the President and CEO which is set by the Board of Directors. The Committee is comprised of independent, non-employee directors with no conflict of interest regarding executive compensation. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness. The philosophy defined desired comparator groups for compensation surveys. The comparator groups are from domestic healthcare industry sectors only and do not include any non-healthcare organizations. 2. The compensation philosophy also defines target levels relative to the marketplace comparator groups for base pay, base pay plus incentive pay, and fringe benefits provided to Children's Health executives. A third-party consultant, Sullivan Cotter, is engaged by the Human Resources Committee and provides independent, expert consulting services in the area of executive compensation market surveying, pay and benefits program design, and administrative services. Salaries for Children's Health executives (except for the President and CEO) are set by comparing the salaries paid for comparable positions in integrated systems, academic medical centers, and children's hospitals in similar size and scope of services to Children's Health. 3. The salary for the President and CEO is set in reference to salaries paid for Presidents and CEOs of children's hospitals in similar size and scope of services to Children's Health. The data is compiled by Sullivan Cotter and they develop and update annually salary ranges unique to each executive position. The Human Resources Committee approves base pay for each executive (except the President and CEO, whose base pay is approved by the Board of Directors) aimed in the aggregate at approximately the middle of executive pay ranges. 4. For other officers and key employees, Children's Health uses a combination of job evaluation and survey data to determine the market pay range. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Non-Qualified Retirement Plan: * Children's Health Savings Restoration Plan - There were no employees that received taxable income from the Savings Restoration Plan. Dr. W. Robert Morrow and Jerry Lee participated in the Savings Restoration Plan. Schedule J, Part I, Line 7 Non-fixed payments Non-Fixed Payments - The Human Resources Committee of the Board of Directors retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2015. Form 990, Part V, Line 2a CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR COMPLEX CARE MEDICAL SERVICES CORPORATION (CCMSC) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CCMSC. CCMSC HAS APPROXIMATELY 10 EMPLOYEES. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR COMPLEX CARE MEDICAL SERVICES CORPORATION (CCMSC). THEREFORE, CCMSC'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE CHILDREN'S HEALTH PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: 1. THE HUMAN RESOURCES COMMITTEE OF THE CHST BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR EXECUTIVES, EXCEPT THE PRESIDENT AND CEO WHICH IS SET BY THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NON-EMPLOYEE DIRECTORS WITH NO CONFLICT OF INTEREST REGARDING EXECUTIVE COMPENSATION. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE HUMAN RESOURCES COMMITTEE FOR TIMELINESS AND APPROPRIATENESS. THE PHILOSOPHY DEFINED DESIRED COMPARATOR GROUPS FOR COMPENSATION SURVEYS. THE COMPARATOR GROUPS ARE FROM DOMESTIC HEALTHCARE INDUSTRY SECTORS ONLY AND DO NOT INCLUDE ANY NON-HEALTHCARE ORGANIZATIONS. 2. THE COMPENSATION PHILOSOPHY ALSO DEFINES TARGET LEVELS RELATIVE TO THE MARKETPLACE COMPARATOR GROUPS FOR BASE PAY, BASE PAY PLUS INCENTIVE PAY, AND FRINGE BENEFITS PROVIDED TO CHILDREN'S EXECUTIVES. A THIRD-PARTY CONSULTANT, SULLIVAN COTTER, IS ENGAGED BY THE HUMAN RESOURCES COMMITTEE AND PROVIDES INDEPENDENT, EXPERT CONSULTING SERVICES IN THE AREA OF EXECUTIVE COMPENSATION MARKET SURVEYING, PAY AND BENEFITS PROGRAM DESIGN, AND ADMINISTRATIVE SERVICES. SALARIES FOR CHILDREN'S EXECUTIVES (EXCEPT FOR THE PRESIDENT AND CEO) ARE SET BY COMPARING THE SALARIES PAID FOR COMPARABLE POSITIONS IN INTEGRATED SYSTEMS ACADEMIC MEDICAL CENTERS AND CHILDREN'S HOSPITALS IN SIMILAR SIZE AND SCOPE OF SERVICES TO CHILDREN'S. 3. THE SALARY FOR THE PRESIDENT AND CEO IS SET IN REFERENCE TO SALARIES PAID FOR PRESIDENTS AND CEOS OF CHILDREN'S HOSPITALS IN SIMILAR SIZE AND SCOPE OF SERVICES TO CHILDREN'S. THE DATA IS COMPILED BY SULLIVAN COTTER AND THEY DEVELOP AND UPDATE ANNUALLY SALARY RANGES UNIQUE TO EACH EXECUTIVE POSITION. THE HUMAN RESOURCES COMMITTEE APPROVES BASE PAY FOR EACH EXECUTIVE (EXCEPT THE PRESIDENT AND CEO, WHOSE BASE PAY IS APPROVED BY THE BOARD OF DIRECTORS) AIMED IN THE AGGREGATE AT APPROXIMATELY THE MIDDLE OF EXECUTIVE PAY RANGES. 4. FOR OTHER OFFICERS AND KEY EMPLOYEES, CHILDREN'S USES A COMBINATION OF JOB EVALUATION AND SURVEY DATA TO DETERMINE THE MARKET PAY RANGE. 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 CCMSC Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's Bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Complex Care Medical Services Corporation 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 received a copy of the Statement of Interest form to execute. Disclosures made are reviewed by the CHST Executive Vice President, Chief Legal Officer and General Counsel and the Chief Compliance Officer and discussed as necessary at the appropriate Board meeting to determine if further action is needed. Form 990, Part VI, Line 19 Required documents available to the public Certificate of Formation and Consolidated Financial Statements are publicly available. The conflict of interest policy is made available to the public upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Rounding - -2; Children's Medical Center of Dallas 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 9 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 433462044 RESEARCH INSTITUTE TX 501(c)(3 Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS FOR CHILDREN 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 MEDICAL CENTER SERVICES 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461934007 MEDICAL SERVICES TX 501(c)(3 9 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S POPULATION HEALTH 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463104601 POPULATION HEALTH 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 N/A false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3 9 CHILDREN'S HEALTH SYSTEM OF TEXAS false SPECIALISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463110125 PHYSICIANS TX 501(c)(3 9 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 COMMUNITY PROVIDERS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463675742 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 N/A false WOMEN'S AUXILIARY OF CMCD 12720 HILLCREST RD DALLAS TX 75230 752485538 WOMEN'S AUXILIARY TX 501(c)(3 9 N/A false THE HEALTH AND WELLNESS ALLIANCE FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463080586 PHYSICIANS TX 501(c)(3 Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3 3 Children's Medical Center of Dallas false Children's BMG dba One Care Domain 1935 Medical District Drive Dallas TX 75235 475057374 Physician TX 501(c)(3 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physician TX 501(c)(3 3 Wellness Innovations LLC false Wellness Innovations LLC 1935 Medical District Drive Dallas TX 75235 475246461 Physicians TX CHST Investment Holdings LLC Unrelated 0 0 false false 0.0 CHILDREN'S INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 030328102 INSURANCE COMPANY VT CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 0 false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 0 false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX Pediatric Partners C Corporation 0 0 0 false TEXAS BLUEBONNET HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472252673 HEALTH PLAN TX CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 0 false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX Children's Health System of Texas C Corporation 0 0 0 false false false false false true false false false false false false true false true true true true false false