ANESTHESIOLOGISTS FOR CHILDREN: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ANESTHESIOLOGISTS FOR CHILDREN (EIN 75-2917570)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201643169349302094
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T11:00:34-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | 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 | JERRY LEE | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2016-11-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERRY LEE | 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 | $35,445,002 | 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 IN DALLAS, TEXAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 41 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,082 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,436 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,916,906 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,431,960 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,897 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,606 | CYInvestmentIncomeAmt |
| PY Other Revenue | $461,250 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $29,439,135 | PYTotalRevenueAmt |
| CY Total Revenue | $35,445,002 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,716,036 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,245,880 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,486,770 | PYOtherExpensesAmt |
| CY Other Expenses | $1,897,161 | CYOtherExpensesAmt |
| PY Total Expenses | $28,202,806 | PYTotalExpensesAmt |
| CY Total Expenses | $30,143,041 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,236,329 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,301,961 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,812,518 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,765,632 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,965,166 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,616,319 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,152,648 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,149,313 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER IN DALLAS, TEXAS. 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 | $28,832,856 | ExpenseAmt |
| Revenue | $35,431,960 | RevenueAmt |
| Desc | PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER IN DALLAS, TEXAS. THESE SERVICES ARE PROVIDED WITHOUT REGARD TO PATIENT'S ABILITY TO PAY FOR THE SERVICES. | Desc |
| Total Program Service Expenses | $28,832,856 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 41 | 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 | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|
| Desmond Henry MD | ||||||||
| Chairman, Pres, Director, Physician | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $153,750 | $0 | |
| Stephen Hoang MD | ||||||||
| Director, Anesthesiologist | 50.0 | 0 | Yes (X) | $476,437 | $0 | $6,431 | ||
| Ron Mitchell MD | ||||||||
| Physician, Director | 1.0 | 49.0 | Yes (X) | $0 | $433,512 | $0 | ||
| Nancy Rollins MD | ||||||||
| Physician, Director | 1.0 | 49.0 | Yes (X) | $0 | $352,694 | $0 | ||
| Charles Whitten MD | ||||||||
| Physician, Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jerry D Lee | ||||||||
| CHST VP, AFC Treasurer | 1.0 | 49.0 | Yes (X) | $0 | $393,636 | $33,484 | ||
| Stephanie K Smith | ||||||||
| CHST Sr Legal Counsel, AFC Secretary | 1.0 | 49.0 | Yes (X) | $0 | $121,525 | $11,465 | ||
| Gary Turner MD | ||||||||
| Anesthesiologist | 40.0 | 0 | $523,023 | $0 | $14,376 | Yes (X) | ||
| Jesse Dadson MD | ||||||||
| Anesthesiologist | 40.0 | 0 | $480,215 | $0 | $16,022 | Yes (X) | ||
| Shannon Ternan MD | ||||||||
| Anesthesiologist | 40.0 | 0 | $482,709 | $0 | $11,032 | Yes (X) | ||
| Weiwei Boone MD | ||||||||
| Anesthesiologist | 40.0 | 0 | $476,511 | $0 | $14,124 | Yes (X) | ||
| Brian Kravitz MD | ||||||||
| Anesthesiologist | 40.0 | 0 | $474,638 | $0 | $14,832 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,913,532 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,455,116 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $121,767 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UTSW | |||||
| 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | ANESTHESIOLOGIST | $11,405,276 |
| MEDAC INC | |||||
| 804 SCOTT NIXON MEMORIAL DR | AUGUSTA | GA | 30907 | BILLING & PRAC. MGMT | $762,143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,436 | RelatedOrganizationsAmt |
| Total Contributions | $7,436 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL SVC REV | 621110 | $36,382,139 | $36,382,139 |
| PROV FOR DBTFUL ACCTS | 621110 | -$950,179 | -$950,179 |
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 | $35,431,960 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,606 | TotalRevenueColumnAmt |
| Exclusion | $5,606 | ExclusionAmt |
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 | $35,445,002 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,431,960 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,606 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,869 | TotalAmt |
| Program Services | $482,869 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,477,825 | TotalAmt |
| Program Services | $24,971,520 | ProgramServicesAmt |
| Management And General | $506,305 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,532 | TotalAmt |
| Program Services | $373,111 | ProgramServicesAmt |
| Management And General | $7,421 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,174,024 | TotalAmt |
| Program Services | $1,151,127 | ProgramServicesAmt |
| Management And General | $22,897 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $730,630 | TotalAmt |
| Program Services | $716,381 | ProgramServicesAmt |
| Management And General | $14,249 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,013 | TotalAmt |
| Management And General | $739,013 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,123 | TotalAmt |
| Program Services | $36,123 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,438 | TotalAmt |
| Program Services | $122,438 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,264 | TotalAmt |
| Program Services | $761,783 | ProgramServicesAmt |
| Management And General | $14,481 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,461 | TotalAmt |
| Program Services | $11,461 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,682 | TotalAmt |
| Program Services | $14,421 | ProgramServicesAmt |
| Management And General | $1,261 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,359 | TotalAmt |
| Program Services | $50,202 | ProgramServicesAmt |
| Management And General | $157 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,752 | TotalAmt |
| Management And General | $1,752 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,613 | TotalAmt |
| Program Services | $137,613 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Dietary and Food Costs | Desc |
| Total | $6,456 | TotalAmt |
| Program Services | $3,807 | ProgramServicesAmt |
| Management And General | $2,649 | ManagementAndGeneralAmt |
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 | $30,143,041 | TotalAmt |
| Program Services | $28,832,856 | ProgramServicesAmt |
| Management And General | $1,310,185 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,673,883 | BOYAmt |
| EOY | $11,435,028 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,128,122 | BOYAmt |
| EOY | $2,296,241 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,265 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,504 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,513 | BOYAmt |
| EOY | $8,761 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,812,518 | BOYAmt |
| EOY | $13,765,632 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,161,268 | BOYAmt |
| EOY | $6,813,700 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,803,898 | BOYAmt |
| EOY | $5,802,619 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,965,166 | BOYAmt |
| EOY | $12,616,319 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,152,648 | BOYAmt |
| EOY | $1,149,313 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,152,648 | BOYAmt |
| EOY | $1,149,313 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,812,518 | BOYAmt |
| EOY | $13,765,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,301,961 | 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 | $30,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,915 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,082 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,436 | CurrentTaxYearAmt |
| Total | $113,699 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,455,696 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,738,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,819,857 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,378,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,431,960 | CurrentTaxYearAmt |
| Total | $232,824,080 | 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 | $49,486,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,749,211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,836,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,426,238 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,439,396 | CurrentTaxYearAmt |
| Total | $232,937,779 | 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 | $232,937,779 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $14,727 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,606 | CurrentTaxYearAmt |
| Total | $33,230 | 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 | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,727 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,606 | CurrentTaxYearAmt |
| Total | $33,230 | 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 | $49,486,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,749,211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,851,499 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,439,135 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,445,002 | CurrentTaxYearAmt |
| Total | $232,971,009 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9999 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9999 | PublicSupportPY509Pct |
| Investment Income CY | 0.0001 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0001 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,265 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,504 | DepreciationAmt |
| Book Value | $8,761 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,761 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LT ADVANCES-AFC | $5,802,619 |
| LT RECEIVABLE/PAYABLE-CMC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,802,619 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 2 | FormAndLineReferenceDesc |
| Explanation | THE ANESTHESIOLOGISTS FOR CHILDREN'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDING DECEMBER 31, 2015 DO NOT CONTAIN A FIN 48 FOOTNOTE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Desmond Henry MD | ||||||||||||||
| Chairman, Pres, Director, Physician | $0 | $153,750 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,750 | $0 | $0 |
| Stephen Hoang MD | ||||||||||||||
| Director, Anesthesiologist | $468,504 | $0 | $0 | $0 | $7,933 | $0 | $0 | $0 | $6,431 | $0 | $482,869 | $0 | $0 | $0 |
| Ron Mitchell MD | ||||||||||||||
| Physician, Director | $0 | $433,512 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $433,512 | $0 | $0 |
| Nancy Rollins MD | ||||||||||||||
| Physician, Director | $0 | $352,694 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $352,694 | $0 | $0 |
| Jerry D Lee | ||||||||||||||
| CHST VP, AFC Treasurer | $0 | $274,148 | $0 | $91,095 | $0 | $28,393 | $0 | $14,641 | $0 | $18,843 | $0 | $427,120 | $0 | $0 |
| Gary Turner MD | ||||||||||||||
| Anesthesiologist | $460,520 | $0 | $0 | $0 | $62,503 | $0 | $0 | $0 | $14,376 | $0 | $537,398 | $0 | $0 | $0 |
| Jesse Dadson MD | ||||||||||||||
| Anesthesiologist | $458,918 | $0 | $3,400 | $0 | $17,896 | $0 | $0 | $0 | $16,022 | $0 | $496,237 | $0 | $0 | $0 |
| Shannon Ternan MD | ||||||||||||||
| Anesthesiologist | $463,904 | $0 | $7,100 | $0 | $11,705 | $0 | $0 | $0 | $11,032 | $0 | $493,741 | $0 | $0 | $0 |
| Weiwei Boone MD | ||||||||||||||
| Anesthesiologist | $460,739 | $0 | $4,100 | $0 | $11,672 | $0 | $0 | $0 | $14,124 | $0 | $490,635 | $0 | $0 | $0 |
| Brian Kravitz MD | ||||||||||||||
| Anesthesiologist | $460,052 | $0 | $0 | $0 | $14,586 | $0 | $0 | $0 | $14,832 | $0 | $489,470 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 the academic affiliate for Children's Medical Center of Dallas (CMCD), but it not a related organization of AFC or CMCD. CMCD is a related organization of AFC under the common control of Children's Health System of Texas. The reported compensation for the top management official is based on a contractual agreement between CMCD and UTSWMC with payment made to UTSWMC for services rendered to CMCD. 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). 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 those executives compensated by CHST, 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. 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 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 the academic affiliate for Children's Medical Center of Dallas (CMCD), but it not a related organization of AFC or CMCD. CMCD is a related organization of AFC under the common control of Children's Health System of Texas. The reported compensation for the top management official is based on a contractual agreement between CMCD and UTSWMC with payment made to UTSWMC for services rendered to CMCD. 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). 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 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 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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 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 | false | N/A | |
| 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 | false | N/A | |
| WOMEN'S AUXILIARY OF CMCD | |||||||||||
| 12720 HILLCREST RD | DALLAS | TX | 75230 | 752485538 | WOMEN'S AUXILIARY | TX | 501(c)(3 | 9 | false | N/A | |
| 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 | |
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 |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.0 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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