DRISCOLL CHILDRENS HEALTH PLAN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
DRISCOLL CHILDRENS HEALTH PLAN (EIN 74-2838488)
Tax period
2014-01-01 to 2014-12-31
Filed
2016-07-27
IRS object ID
201602099349300015
Schema version
2014v6.0
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)
Return2016-07-27T09:51:48-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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 STAddressLine1Txt
CityCORPUS CHRISTICityNm
State AbbreviationTXStateAbbreviationCd
ZIP784010764ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY D PETERSONPersonNm
Person TitleCEOPersonTitleTxt
Phone7134994600PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM P GerichPreparerPersonNm
PTINP00226776PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
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$385,749,393GrossReceiptsAmt
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 Employee129TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$35,154PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$317,186,494PYProgramServiceRevenueAmt
CY Program Service Revenue$385,359,959CYProgramServiceRevenueAmt
PY Investment Income-$133,513PYInvestmentIncomeAmt
CY Investment Income$370,605CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$136CYOtherRevenueAmt
PY Total Revenue$317,088,135PYTotalRevenueAmt
CY Total Revenue$385,730,700CYTotalRevenueAmt
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$8,125,906PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,057,070CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$307,560,635PYOtherExpensesAmt
CY Other Expenses$385,986,013CYOtherExpensesAmt
PY Total Expenses$315,686,541PYTotalExpensesAmt
CY Total Expenses$395,043,083CYTotalExpensesAmt
PY Revenues Less Expenses$1,401,594PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,312,383CYRevenuesLessExpensesAmt
Total Assets BOY$68,285,876TotalAssetsBOYAmt
Total Assets EOY$77,241,043TotalAssetsEOYAmt
Total Liabilities BOY$32,763,453TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,076,876TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,522,423NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,164,167NetAssetsOrFundBalancesEOYAmt
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$364,846,327ExpenseAmt
Revenue$385,360,095RevenueAmt
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 141,115 AND 110,227 AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY.Desc
Total Program Service Expenses$364,846,327TotalProgramServiceExpensesAmt
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
Employee129EmployeeCnt
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 DocumentsYes (true)ChangeToOrgDocumentsInd
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BILL STERETT
CHAIRMAN OF THE BOARD1.02.0Yes (X)$0$0$0
MARY DAHLEN PETERSON
PRESIDENT40.01.0Yes (X)$342,418$0$161,555Yes (X)
D ERIC HAMON
SECRETARY/TREASURER5.040.0Yes (X)$0$356,938$316,130Yes (X)
C IVAN WILSON
MEMBER1.02.0Yes (X)$0$10,000$0
STEVE WOERNER
MEMBER1.042.0Yes (X)$0$544,360$434,822
S LOYD NEAL JR
MEMBER1.02.0Yes (X)$0$10,000$0
JOE R FULTON
MEMBER1.01.0Yes (X)$0$10,000$0
SAM L SUSSER
MEMBER1.01.0Yes (X)$0$0$0
MICHAEL PIERCE LANCE
VICE PRESIDENT OF OPERATIONS40.00.0$247,413$0$28,617Yes (X)
RICARDO JAVIER VILLARREAL
VICE PRESIDENT OF FINANCE40.00.0$236,591$0$38,074Yes (X)
ERNEST DALE BUCK
CHIEF MEDICAL OFFICER40.00.0$314,516$0$30,473Yes (X)
WILLIAM BRIAN BRENDEL
MEDICAL DIRECTOR40.00.0$288,923$0$32,427Yes (X)
DONALD WELL
DIR PROV REL CONTCTG & CLAIMS40.00.0$139,031$0$11,317Yes (X)
HEATHER PIGOTT
SENIOR DIRECTOR OF HEALTH SERV40.00.0$135,902$0$21,758Yes (X)
JUDITH KRAFT
DIRECTOR OF REGULATORY AFFAIRS40.00.0$136,509$0$18,237Yes (X)
DONNA DEEB
DIR MEMBER SVS & OUTREACH40.00.0$104,951$0$5,473Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,946,254TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$931,298TotReportableCompRltdOrgAmt
Total Other Compensation$1,098,883TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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$12,200,203
HEALTH MANAGEMENT SYSTEMS
5615 HIGH POINT DRIVE 900NEW YORKNY100877151BENEFIT SERVICES$1,239,222
CORPORATE PRINTING INC
3509 OAK FOREST DRIVEHOUSTONTX77018PRINTING$164,995
MURDOCK INFORMATION SYSTEMS
7830 MARINETTEHOUSTONTX77074HEALTH INFO. EX SVCS$542,903
SHELBY KILLION RD
7221 ST JAMES COURTCORPUS CHRISTITX78413NUTRITION CONSULTANT$180,205
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$385,246,449$385,246,449
Net Reinsurance524292-$292,490-$292,490
Other Income900099$406,000$406,000
FieldValueIRS element (for citing)
Total Program Service Revenue$385,359,959TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,424TotalRevenueColumnAmt
Exclusion$343,424ExclusionAmt

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$45,874SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,693SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$27,181SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,181TotalRevenueColumnAmt
Exclusion$27,181ExclusionAmt

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER DONATIONSDesc
Business900099BusinessCd
Total Revenue Column$136TotalRevenueColumnAmt
Related Or Exempt Func Income$136RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$136OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$385,730,700TotalRevenueColumnAmt
Related Or Exempt Func Income$385,360,095RelatedOrExemptFuncIncomeAmt
Exclusion$370,605ExclusionAmt

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$1,259,727TotalAmt
Program Services$1,259,727ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,994,028TotalAmt
Program Services$1,814,602ProgramServicesAmt
Management And General$4,179,426ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$400,688TotalAmt
Program Services$168,289ProgramServicesAmt
Management And General$232,399ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$943,978TotalAmt
Program Services$368,718ProgramServicesAmt
Management And General$575,260ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$458,649TotalAmt
Program Services$192,633ProgramServicesAmt
Management And General$266,016ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$14,895,728TotalAmt
Program Services$1,590,792ProgramServicesAmt
Management And General$13,304,936ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$24,934TotalAmt
Management And General$24,934ManagementAndGeneralAmt

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$2,685,095TotalAmt
Management And General$2,685,095ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$152,245TotalAmt
Management And General$152,245ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,634,073TotalAmt
Management And General$1,634,073ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$435,886TotalAmt
Management And General$435,886ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$315,996TotalAmt
Management And General$315,996ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$251,007TotalAmt
Management And General$251,007ManagementAndGeneralAmt

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$55,972TotalAmt
Management And General$55,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$132,810TotalAmt
Management And General$132,810ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Expenses$353,259,961$353,259,961
Premium Taxes$6,730,005$6,191,605$538,400
Member Value Add Expense$3,580,395$3,580,395
ALLOCATED COSTS$888,236$888,236

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$935,170TotalAmt
Management And General$935,170ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$395,043,083TotalAmt
Program Services$364,846,327ProgramServicesAmt
Management And General$30,196,756ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$23,552,437BOYAmt
EOY$42,178,041EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,206,461BOYAmt
EOY$9,206,156EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,490,051BOYAmt
EOY$5,773,540EOYAmt

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$0BOYAmt
EOY$53,573EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$732,489LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$624,909LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$177,277BOYAmt
EOY$107,580EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,645,601BOYAmt
EOY$16,233,087EOYAmt

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$6,214,049BOYAmt
EOY$3,689,066EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,285,876BOYAmt
EOY$77,241,043EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,413,338BOYAmt
EOY$44,819,601EOYAmt

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$5,350,115BOYAmt
EOY$6,257,275EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,763,453BOYAmt
EOY$51,076,876EOYAmt
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$35,522,423BOYAmt
EOY$26,164,167EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,522,423BOYAmt
EOY$26,164,167EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,285,876BOYAmt
EOY$77,241,043EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$9,312,383ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$45,873NetUnrlzdGainsLossesInvstAmt
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$423,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$185,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$162,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,154CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$806,772TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,114,133CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$150,430,135CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$290,937,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$317,186,494CurrentTaxYearMinus1YearAmt
Current Tax Year$385,360,095CurrentTaxYearAmt
Total$1,296,028,044TotalAmt

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$152,537,357CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$150,615,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$291,099,830CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$317,221,648CurrentTaxYearMinus1YearAmt
Current Tax Year$385,360,095CurrentTaxYearAmt
Total$1,296,834,816TotalAmt

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$1,296,834,816PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,081CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$525,837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$441,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$387,321CurrentTaxYearMinus1YearAmt
Current Tax Year$343,424CurrentTaxYearAmt
Total$2,059,846TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,081CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$525,837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$441,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$387,321CurrentTaxYearMinus1YearAmt
Current Tax Year$343,424CurrentTaxYearAmt
Total$2,059,846TotalAmt

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$152,899,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,141,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$291,541,013CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$317,608,969CurrentTaxYearMinus1YearAmt
Current Tax Year$385,703,519CurrentTaxYearAmt
Total$1,298,894,662TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99841PublicSupportCY509Pct
Public Support PY5090.99812PublicSupportPY509Pct
Investment Income CY0.00159InvestmentIncomeCYPct
Investment Income PY0.00188InvestmentIncomePYPct
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$112,267GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$112,267TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

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$624,909DepreciationAmt
Book Value$107,580BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$107,580TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescVANGUARD - MUTUAL FUNDSDesc
Book Value$16,233,087BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$16,233,087TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Rebate Liability$500,000
Due to CPSST$240,441
Due to DM&FPG$2,465,063
A/P-DVPG$433
DUE TO DHC$3,757
DUE TO DPG$29,462
UNEARNED PREMIUMS$3,018,119
FieldValueIRS element (for citing)
Total Liability$6,257,275TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$385,033,383TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$385,033,383RevenueSubtotalAmt
Other Revenues Not Included$697,317OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$697,317RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$385,730,700TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$394,345,766TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$394,345,766ExpensesSubtotalAmt
Other Expenses Not Included$697,317OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$697,317ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$395,043,083TotalExpensesPerForm990Amt

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 $ 697,317
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 AUDIT EXPENSES NETTED WITH INCOME ON FORM 990 $ 697,317
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)
Independent ConsultantYes (X)IndependentConsultantInd
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$241,118$0$83,800$0$17,500$0$140,268$0$21,287$0$503,973$0$0$0
D ERIC HAMON
SECRETARY/TREASURER$0$194,439$0$109,593$0$52,906$0$288,804$0$27,326$0$673,068$0$0
STEVE WOERNER
MEMBER$0$322,353$0$200,813$0$21,194$0$414,629$0$20,193$0$979,182$0$0
WILLIAM BRIAN BRENDEL
MEDICAL DIRECTOR$251,048$0$37,875$0$0$0$10,405$0$22,022$0$321,350$0$0$0
DONALD WELL
DIR PROV REL CONTCTG & CLAIMS$117,335$0$17,940$0$3,756$0$9,430$0$1,887$0$150,348$0$0$0
HEATHER PIGOTT
SENIOR DIRECTOR OF HEALTH SERV$119,286$0$16,616$0$0$0$8,197$0$13,561$0$157,660$0$0$0
JUDITH KRAFT
DIRECTOR OF REGULATORY AFFAIRS$115,711$0$17,138$0$3,660$0$7,806$0$10,431$0$154,746$0$0$0
MICHAEL PIERCE LANCE
VICE PRESIDENT OF OPERATIONS$196,682$0$49,558$0$1,173$0$10,517$0$18,100$0$276,030$0$0$0
RICARDO JAVIER VILLARREAL
VICE PRESIDENT OF FINANCE$186,254$0$47,500$0$2,837$0$18,386$0$19,688$0$274,665$0$0$0
ERNEST DALE BUCK
CHIEF MEDICAL OFFICER$250,709$0$40,804$0$23,003$0$12,752$0$17,721$0$344,989$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 $ 221,758 DRISCOLL CHILDREN'S HOSPITAL STEVE WOERNER $ 327,264 DRISCOLL CHILDREN'S HOSPITAL NO PAYMENTS WERE RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 2014.
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 2014.
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 VI, SECTION A, LINE 4SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE DECEMBER 8, 2014. THE GOVERNING BOARD OF DRISCOLL CHILDREN'S HOSPITAL (DCH) APPOINTED A BYLAWS COMMITTEE TO REVIEW AND MAKE PROPOSED RECOMMENDATIONS TO THE BYLAWS OF DRISCOLL HEALTH PLAN (DHP) FOR THE PURPOSE OF ENSURING PROPER OVERSIGHT OF THE CORPORATION AND ITS RELATED ENTITIES AND DELEGATION OF AUTHORITY AS APPROPRIATE. THE DHP BYLAWS WERE REFORMATTED TO MAINTAIN CONSISTENCY WITH THE 2013 REVISED DCH BYLAWS. THE FOLLOWING IS A SUMMARY OF THE MAJOR CHANGES: ARTICLE II. MEMBER THE RESERVED POWERS OF DCH WERE EXPANDED TO REFLECT ACTUAL PRACTICE AND CONSISTENCY AMONG THE SUBSIDIARIES ARTICLE III. BOARD OF DIRECTORS COMPOSITION OF THE BOARD WAS CLARIFIED. - NUMBER AND QUALIFICATION OF THE DIRECTORS DEFINED. - PREVIOUS BYLAWS DO NOT DEFINE STATUS OF EX-OFFICIO MEMBERS, SUCH AS THE PRESIDENT OF DHP, PRESIDENT AND EXECUTIVE VICE PRESIDENT OF DCH. - THERE WAS NO CHANGE IN THE NUMBER OF VOTING MEMBERS (7) WHICH INCLUDES THE 3 LISTED ABOVE PLUS 4 ADDITIONAL DIRECTORS. - CMO WAS ADDED EX-OFFICIO WITHOUT VOTE, WHICH REFLECTS CURRENT PRACTICE. ARTICLE IV. BOARD CHAIR AND OFFICERS SIMPLE CLARIFICATIONS WERE MADE TO THE DESCRIPTIONS. THE DUTIES OF THE DHP PRESIDENT WERE EXPANDED. AUTHORITY FOR VICE PRESIDENTS ADDED. CLARIFIED THE ROLE OF TREASURER VERSUS THE CORPORATION'S FINANCIAL OFFICER. ARTICLE V. COMMITTEES STANDING COMMITTEES OF THE BOARD WERE ADDED TO THE BYLAWS TO MEET BEST PRACTICES FOR BOARD DELEGATED AUTHORITY. THESE INCLUDE THE QUALITY MANAGEMENT COMMITTEE AND IT SUBCOMMITTEES AND THE WASTE, FRAUD AND ABUSE COMMITTEE. COMPOSITION, TERMS AND VOTING RIGHTS OF COMMITTEES ADDED. ARTICLE VI. CONFLICTS OF INTEREST THIS SECTION WAS COMPLETELY REWRITTEN TO BRING THE LANGUAGE UP TO DATE BASED UPON LEGAL AND REGULATORY REQUIREMENTS. PREVIOUS BYLAWS CONTAINED ONLY ONE SMALL AND INADEQUATE SECTION ON CONFLICTS OF INTEREST. ARTICLE VII. INDEMNIFICATION AND INSURANCE INDEMNIFICATION LANGUAGE WAS UPDATED AND BROADENED TO ALLOW FOR THE ADVANCE REIMBURSEMENT OF EXPENSES INCURRED BY BOARD MEMBERS PRIOR TO FINAL RESOLUTION OF THE MATTER.
AMENDED RETURNRETURN IS BEING AMENDED TO CORRECT THE COMPENSATION REPORTING ON FORM 990, PART VII AND SCHEDULE J, PART II. ON THE ORIGINALLY FILED FORM SOME ELEMENTS OF COMPENSATION WERE INADVERTENTLY EXCLUDED FOR SOME OF THE INDIVIDUALS LISTED.

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)3DCHfalse
DRISCOLL VALLEY PHYSICIANS GROUP
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234322HOSPITALTX501(C)(3)3DCHfalse
DRISCOLL MATERNAL & FETAL PHYSICIAN'S GR
3533 SOUTH ALAMEDACORPUS CHRISTITX78411201234461HEALTH CARETX501(C)(3)7DCHfalse
CHILDRENS PHYSICIAN SERVICES OF SOUTH TX
3533 SOUTH ALAMEDACORPUS CHRISTITX78401742620408HOSPITALTX501(C)(3)3DCHfalse
DRISCOLL FOUNDATION
615 NORTH UPPER BROADWAY 1635CORPUS CHRISTITX784010765741170270CHAR. TRUSTTX501(C)(3)11ANAfalse
DRISCOLL HEALTHCARE SERVICES
3533 SOUTH ALAMEDACORPUS CHRISTITX78411010962276HEALTH CARETX501(C)(3)11ADCHfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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