2016-05-11T11:25:03-05:00 2015-08-31 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2014-09-01 752624210 Texas Tech Physicians Associates % Jill Holden TEXA 8067437172 3601 4th Street MS 8300 Lubbock TX 79430 Elmo Cavin TREASURER 8067437172 2016-05-11 true STEPHANIE LEW P01080011 2149698000 2014 2016-08-17 19:52:53Z X Elmo Cavin 3601 4th Street MS 8300 Lubbock TX 79430 21402272 false X N/A X 1995 TX TO SUPPORT MEDICAL EDUCATION AT TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER THROUGH THE PROVISION OF HEALTH CARE SERVICES. 9 0 0 0 0 98 98 20284974 21317846 8250 10984 35166 73344 20328488 21402272 0 0 0 0 0 0 0 0 0 20445220 21463228 20445220 21463228 -116732 -60956 4047780 4021731 1644632 1679539 2403148 2342192 THE MISSION OF TEXAS TECH PHYSICIAN ASSOCIATES IS TO SUPPORT MEDICAL EDUCATION AT TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER THROUGH THE PROVISION OF HEALTH CARE SERVICES. false false 21267055 0 21391190 TO SUPPORT MEDICAL EDUCATION OPPORTUNITIES FOR THE RESIDENT STAFF AND MEDICAL STUDENTS AT TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER THROUGH THE PROVISION OF HEALTH CARE SERVICES TO AN EXPANDED PATIENT BASE. 21267055 true false false false false false false false true false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false X 9 0 false false false false true true true true true false false false true true true true true false false false X Jill Holden 8067431830 3601 4TH ST MS 8300 Lubbock TX 79430 JM de la Rosa MD Director until May 2015 3.0 40.0 X X 0 489820 0 William DaviS MD Director 3.0 40.0 X 0 295046 0 Cynthia Jumper MD Director 3.0 40.0 X 0 411737 0 Eric Levy MD Director 3.0 40.0 X 0 360000 0 Michael Romano MD Director 3.0 40.0 X 0 390333 0 Rodney Young MD Director 3.0 40.0 X 0 335668 0 Surendra Varma MD Director 3.0 40.0 X 0 252529 0 Richard Lange MD Director (Began May 2015) 3.0 40.0 X 0 578280 0 Steven Berk MD DIRECTOR 3.0 40.0 X X 0 592316 0 Timothy Benton MD Director 3.0 40.0 X 0 299290 0 Elmo Cavin Secretary/Treasury(Non-Voting) 5.0 40.0 X 0 369116 0 Dale Dunn M D Medical Director (Non-Voting) 3.0 40.0 X 0 652431 0 Brent Magers Exec. Director (Non-Voting) 5.0 40.0 X 0 256206 0 0 5282772 0 0 false true false NONE 0 0 98 0 98 HEALTH CARE SERVICES 621110 21317846 21317846 0 0 21317846 10984 10984 0 0 0 0 0 0 0 0 0 FROM RELATED ORGANIZATION FOR OH 900099 73344 73344 0 0 73344 21402272 21391190 0 10984 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93280 0 93280 0 6900 0 6900 0 0 0 0 0 0 0 0 0 0 0 19976222 19880229 95993 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13728 13728 0 0 BILLING SERVICES 1367440 1367440 0 0 TRAILBLAZER ADMIN FEES 5050 5050 0 0 MISC EXPENSES 608 608 0 0 21463228 21267055 196173 0 3993398 3980166 0 0 0 0 44016 20960 0 0 0 0 0 0 0 0 10366 20605 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4047780 4021731 1143813 1173670 0 0 0 0 0 0 500819 505869 0 0 0 0 0 0 0 0 1644632 1679539 X 0 0 0 0 2403148 2342192 2403148 2342192 4047780 4021731 -60956 X false true X false false X X X 1 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER 752668014 5 true 21267055 0 1 21267055 0 true false false false false false false false false false false false false false false true false false true X Schedule D, Part IV, Line 2b TEXAS TECH PHYSICIAN ASSOCIATES ("TTPA") ENTERED INTO A CONTRACTUAL ARRANGEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ("CMS") TO CONDUCT A PILOT PROJECT CALLED TEXAS SENIOR TRAILS. AS PART OF THIS PROJECT, TEXAS SENIOR TRAILS OFFERED SERVICES TO A SELECTED GROUP OF FEE-FOR-SERVICES MEDICARE BENEFICIARIES WHO HAD ONE OR MORE CHRONIC CONDITIONS. THE PROJECT WAS INTENDED TO IMPROVE QUALITY OF CARE AND REDUCE COSTS BY HELPING PARTICIPANTS MANAGE THEIR HEALTH AND AVOID EMERGENCY ROOM VISITS AND HOSPITALIZATION. THE CONTRACT REQUIRES THAT CERTAIN FUNDS BE SET ASIDE AS "INSURANCE" AGAINST THE RETURN OF SOME PORTION OF THE FEES PAID TO TTPA FROM CMS. ALTHOUGH THE TEXAS SENIOR TRAILS PROJECT ENDED ON 7/31/07, THE FUND CONTINUES TO EARN INTEREST, IN WHICH 54.55% IS PAYABLE TO TRAIL BLAZER. false false false false false false false false false Elmo Cavin Secretary/Treasury(Non-Voting) 0 340376 0 27840 0 900 0 0 0 0 0 369116 0 0 JM de la Rosa MD Director until May 2015 0 462500 0 26420 0 900 0 0 0 0 0 489820 0 0 William DaviS MD Director 0 279626 0 15000 0 420 0 0 0 0 0 295046 0 0 Dale Dunn M D Medical Director (Non-Voting) 0 373336 0 187760 0 91335 0 0 0 0 0 652431 0 0 Cynthia Jumper MD Director 0 409229 0 1608 0 900 0 0 0 0 0 411737 0 0 Eric Levy MD Director 0 360000 0 0 0 0 0 0 0 0 0 360000 0 0 Michael Romano MD Director 0 379433 0 10000 0 900 0 0 0 0 0 390333 0 0 Rodney Young MD Director 0 300000 0 18000 0 17668 0 0 0 0 0 335668 0 0 Surendra Varma MD Director 0 237780 0 1000 0 13749 0 0 0 0 0 252529 0 0 Richard Lange MD Director (Began May 2015) 0 451500 0 89880 0 36900 0 0 0 0 0 578280 0 0 Steven Berk MD DIRECTOR 0 476716 0 114700 0 900 0 0 0 0 0 592316 0 0 Brent Magers Exec. Director (Non-Voting) 0 254486 0 820 0 900 0 0 0 0 0 256206 0 0 Timothy Benton MD Director 0 276810 0 22000 0 480 0 0 0 0 0 299290 0 0 Schedule J, Part I, Line 3 THE ORGANIZATION DOES NOT HAVE ANY EMPLOYEES AND DOES NOT COMPENSATE ITS OFFICERS OR DIRECTORS. ALL OFFICERS, DIRECTORS, AND EMPLOYEES ARE COMPENSATED BY THE SUPPORTED ORGANIZATION, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER. THE SUPPORTED ORGANIZATION DETERMINES THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES. FORM 990, PART VI, LINES 6 & 7A THE ORGANIZATION HAS ONE MEMBER; TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER, AN ORGANIZATION EXEMPT UNDER IRC 170(B)(1)(A)(IV) (THE MEMBER). THIS MEMBER MAY, AT ITS DISCRETION; HOLD AN ANNUAL MEETING AT SUCH DATE, TIME AND LOCATION IS DESIGNATED BY THE MEMBER TO TRANSACT ANY NECESSARY BUSINESS. THE MEMBER MAY ALSO CALL SPECIAL MEETINGS AS DEEMED NECESSARY. THE MEMBER ALSO HAS THE SOLE AND EXCLUSIVE RIGHT TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS AND ANY SUCCESSOR BOARD MEMBER. FORM 990, PART VI, LINE 7B AS STATED IN THE BYLAWS OF THE ORGANIZATION, THE MEMBER HAS THE ABILITY TO RATIFY AND APPROVE THE FOLLOWING: - ANNUAL OPERATING AND CAPITAL BUDGETS; - ANY FINANCIAL EXPENDITURE WHICH DEVIATES FROM THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IF THE SUM OF THE EXPENDITURE AND ALL PREVIOUS EXPENDITURES WHICH THEMSELVES DEVIATE FROM THE OPERATING AND CAPITAL BUDGETS, PER FISCAL YEAR, EXCEEDS $100,000; - THE SALE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE OF THE REAL PROPERTY OF THE CORPORATION; -ANY SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF PERSONAL PROPERTY AND ASSETS OF THE CORPORATION, IF THE TRANSFER EXCEEDS $5,000; -MERGER, ACQUISITION OR CONSOLIDATION OF THE CORPORATION; -BORROWING AND LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; -GIVING OR SEEKING OF GRANTS; -SETTLEMENT OF CLAIMS OR LITIGATION; -APPOINTMENT OR REMOVAL OF DIRECTORS; -APPOINTMENT OR REMOVAL OF OFFICERS; -CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; -APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN OR MISSION PLAN OF THE CORPORATION; -CONTRACT IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, EMPLOYMENT CONTRACTS, AND PHYSICIAN PRACTICE ACQUISITION CONTRACTS AND ALTERATION, AMENDMENT OR REPEAL OF THE BYLAWS OF THE CORPORATION. FORM 990, PART VI, LINE 11B THE GOVERNING BODY DOES NOT REVIEW THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. THE FORM 990 IS PREPARED BY AN EXTERNAL THIRD PARTY. A DRAFT COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S MANAGEMENT BY THE TAX PREPARER FOR REVIEW AND DISCUSSION PURPOSES. THE FILED VERSION OF THE 990 IS THEN MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS SUBJECT TO A PERIODIC REVIEW THAT COINCIDES WITH THE ANNUAL AFFIRMATION COMPLETED BY THE ORGANIZATION'S OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. WHEN CERTAIN TRANSACTIONS ARE CONSIDERED BY THE BOARD OF DIRECTORS, ANY OFFICER OR DIRECTOR IS REQUIRED TO DISCLOSE SUCH AFFILIATION AND RECUSE THEMSELVES FROM THE MEETING. THE REMAINING BOARD MEMBERS THEN DETERMINE IF AN ACTUAL CONFLICT EXISTS AND NOTIFY THE AFFECTED BOARD MEMBER OF ANY ACTION. FORM 990, PART VI, LINES 13 & 14 THE WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES FOR TEXAS TECH PHYSICIAN ASSOCIATES ARE MAINTAINED AND ADMINISTERED BY TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER, THE PARENT ORGANIZATION. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ESTABLISHES VARIOUS POLICIES AND IT IS THEN IMPLIED THAT THE SUBSIDIARY ORGANIZATION WILL OPERATE UNDER THESE POLICIES. FORM 990, PART VI, LINES 15A & 15B THE ORGANIZATION DOES NOT HAVE ANY EMPLOYEES AND DOES NOT COMPENSATE ITS OFFICERS OR DIRECTORS. ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE COMPENSATED BY THE SUPPORTED ORGANIZATION, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER. THE SUPPORTED ORGANIZATION DETERMINES THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES. FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:19976222 Texas Tech Univ Health Sciences Center 3601 4th Street Lubbock TX 79430 752668014 Education TX 501(C)(3) 5 NA false false false false false false false false false false false false true true true true false false false true