ANESTHESIOLOGISTS FOR CHILDREN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ANESTHESIOLOGISTS FOR CHILDREN (EIN 75-2917570)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201503169349301750
Schema version
2014v5.0
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)
Return2015-11-12T09:51:46-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11717 Main Street Suite 1500AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752917570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anesthesiologists For ChildrenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANESBusinessNameControlTxt
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJerry LeePersonNm
Person TitleTreasurer, VP Acctng & TreasuryPersonTitleTxt
Phone2144567000PhoneNum
Signature2015-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebecca Zecha CPAPreparerPersonNm
PTINP00648970PTIN
Phone2145612300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJerry LeePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DrAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,439,135GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionProvide anesthesia services to patients at Children's Medical Center in Dallas, TexasActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee37TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,915PYContributionsGrantsAmt
CY Contributions Grants$48,082CYContributionsGrantsAmt
PY Program Service Revenue$24,431,606PYProgramServiceRevenueAmt
CY Program Service Revenue$28,916,906CYProgramServiceRevenueAmt
PY Investment Income$14,727PYInvestmentIncomeAmt
CY Investment Income$12,897CYInvestmentIncomeAmt
PY Other Revenue$278,125PYOtherRevenueAmt
CY Other Revenue$461,250CYOtherRevenueAmt
PY Total Revenue$24,741,373PYTotalRevenueAmt
CY Total Revenue$29,439,135CYTotalRevenueAmt
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$10,007,800PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,716,036CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,110,854PYOtherExpensesAmt
CY Other Expenses$16,486,770CYOtherExpensesAmt
PY Total Expenses$26,118,654PYTotalExpensesAmt
CY Total Expenses$28,202,806CYTotalExpensesAmt
PY Revenues Less Expenses-$1,377,281PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,236,329CYRevenuesLessExpensesAmt
Total Assets BOY$6,420,394TotalAssetsBOYAmt
Total Assets EOY$10,812,518TotalAssetsEOYAmt
Total Liabilities BOY$11,809,371TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,965,166TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,388,977NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$4,152,648NetAssetsOrFundBalancesEOYAmt
MissionProvide 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,753,206ExpenseAmt
Revenue$29,378,156RevenueAmt
DescProvide anesthesia services to patients at Children's Medical Center inDallas, Texas. These services are provided without regard to thepatient's ability to pay for the services.Desc
Total Program Service Expenses$26,753,206TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee37EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJeffrey VawrinekPersonNm
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Desmond Henry MD
Chairman, Pres, Director, Physician1.0050.00Yes (X)Yes (X)$0$166,563$0
Stephen Hoang MD
Anesthesiologist, Director40.000.00Yes (X)$476,215$0$7,306
Ron Mitchell MD
Physician, Director1.0040.00Yes (X)$0$270,567$0
Nancy Rollins MD
Physician, Director1.0040.00Yes (X)$0$482,266$0
Charles Whitten MD
Physician, Director1.000.00Yes (X)$0$0$0
Jerry Lee
Treasurer1.0050.00Yes (X)$0$353,382$29,554
Stephanie Smith
Corporate Secretary1.0050.00Yes (X)$0$108,947$10,101
Gary Turner MD
Anesthesiologist40.000.00$491,470$0$10,837Yes (X)
Christopher Meggyesy MD
Anesthesiologist40.000.00$486,009$0$9,979Yes (X)
Hadi Sakhai MD
Anesthesiologist40.000.00$484,873$0$13,527Yes (X)
Kim Lopez MD
Anesthesiologist40.000.00$479,348$0$909Yes (X)
Cynthia Gonzales MD
Anesthesiologist40.000.00$478,579$0$6,427Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,896,494TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,381,725TotReportableCompRltdOrgAmt
Total Other Compensation$88,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K30IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UTSW
5323 Harry Hines BlvdDallasTX75390Anesthesiologist$14,218,396
Medac Inc
804 Scott Nixon Memorial DrAugustaGA30907Billing & Prac. Mgmt$647,759
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$48,082RelatedOrganizationsAmt
Total Contributions$48,082TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Professional Svc Rev621110$29,274,543$29,274,543
Coverage Revenue621110$613,870$613,870
Prov for Dbtful Accts621110-$971,507-$971,507
FieldValueIRS element (for citing)
Total Program Service Revenue$28,916,906TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,897TotalRevenueColumnAmt
Exclusion$12,897ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescChief StipendDesc
Business621110BusinessCd
Total Revenue Column$461,250TotalRevenueColumnAmt
Related Or Exempt Func Income$461,250RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$461,250OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,439,135TotalRevenueColumnAmt
Related Or Exempt Func Income$29,378,156RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,897ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$483,521TotalAmt
Program Services$483,521ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,875,124TotalAmt
Program Services$9,403,582ProgramServicesAmt
Management And General$471,542ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$377,815TotalAmt
Program Services$360,616ProgramServicesAmt
Management And General$17,199ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$587,764TotalAmt
Program Services$561,009ProgramServicesAmt
Management And General$26,755ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$391,812TotalAmt
Program Services$373,976ProgramServicesAmt
Management And General$17,836ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$875,947TotalAmt
Management And General$875,947ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,046TotalAmt
Program Services$22,046ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,180,434TotalAmt
Program Services$15,177,492ProgramServicesAmt
Management And General$2,942ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,936TotalAmt
Program Services$5,861ProgramServicesAmt
Management And General$14,075ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,263TotalAmt
Program Services$17,461ProgramServicesAmt
Management And General$9,802ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,003TotalAmt
Program Services$19,344ProgramServicesAmt
Management And General$3,659ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$80,488TotalAmt
Program Services$75,488ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,752TotalAmt
Program Services$1,662ProgramServicesAmt
Management And General$90ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$218,906TotalAmt
Program Services$218,906ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Collection Fees$28,317$28,317
Catering, Meals, Coffee$8,678$3,925$4,753

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,202,806TotalAmt
Program Services$26,753,206ProgramServicesAmt
Management And General$1,449,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,431,784BOYAmt
EOY$8,673,883EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,976,345BOYAmt
EOY$2,128,122EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,265LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,752LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,265BOYAmt
EOY$10,513EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,420,394BOYAmt
EOY$10,812,518EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,913,339BOYAmt
EOY$5,161,268EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,896,032BOYAmt
EOY$9,803,898EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,809,371BOYAmt
EOY$14,965,166EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,388,977BOYAmt
EOY-$4,152,648EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,388,977BOYAmt
EOY-$4,152,648EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,420,394BOYAmt
EOY$10,812,518EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,236,329ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$33,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,466CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,915CurrentTaxYearMinus1YearAmt
Current Tax Year$48,082CurrentTaxYearAmt
Total$139,913TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,463,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,455,696CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,738,411CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,819,857CurrentTaxYearMinus1YearAmt
Current Tax Year$29,378,156CurrentTaxYearAmt
Total$238,855,181TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,496,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,486,162CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,749,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,836,772CurrentTaxYearMinus1YearAmt
Current Tax Year$29,426,238CurrentTaxYearAmt
Total$238,995,094TotalAmt

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$238,995,094PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$14,727CurrentTaxYearMinus1YearAmt
Current Tax Year$12,897CurrentTaxYearAmt
Total$27,624TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$14,727CurrentTaxYearMinus1YearAmt
Current Tax Year$12,897CurrentTaxYearAmt
Total$27,624TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,496,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,486,162CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,749,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,851,499CurrentTaxYearMinus1YearAmt
Current Tax Year$29,439,135CurrentTaxYearAmt
Total$239,022,718TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,265OtherCostOrOtherBasisAmt
Depreciation$1,752DepreciationAmt
Book Value$10,513BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,513TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LT Advances-AFC$5,502,808
LT Receivable/Payable-CMC$4,301,090
FieldValueIRS element (for citing)
Total Liability$9,803,898TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2FormAndLineReferenceDesc
ExplanationThe Anesthesiologists for Children's consolidated financial statements for the year ending December 31, 2014 do not contain a FIN 48 footnote.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

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
Desmond Henry MD
Chairman, Pres, Director, Physician$0$166,563$0$0$0$0$0$0$0$0$0$166,563$0$0
Stephen Hoang MD
Anesthesiologist, Director$467,713$0$0$0$8,502$0$0$0$7,306$0$483,521$0$0$0
Ron Mitchell MD
Physician, Director$0$270,567$0$0$0$0$0$0$0$0$0$270,567$0$0
Nancy Rollins MD
Physician, Director$0$482,266$0$0$0$0$0$0$0$0$0$482,266$0$0
Jerry Lee
Treasurer$0$260,107$0$88,560$0$4,715$0$13,978$0$15,577$0$382,937$0$0
Gary Turner MD
Anesthesiologist$464,182$0$0$0$27,288$0$0$0$10,837$0$502,307$0$0$0
Christopher Meggyesy MD
Anesthesiologist$465,039$0$0$0$20,970$0$0$0$9,979$0$495,988$0$0$0
Hadi Sakhai MD
Anesthesiologist$461,491$0$0$0$23,382$0$0$0$13,527$0$498,400$0$0$0
Kim Lopez MD
Anesthesiologist$474,110$0$0$0$5,238$0$0$0$909$0$480,257$0$0$0
Cynthia Gonzales MD
Anesthesiologist$468,592$0$0$0$9,987$0$0$0$6,427$0$485,006$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The corporation's (AFC) top management official and other officers are employed and compensated by Children's Medical Center of Dallas (Children's). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except the President and CEO of Children's, 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.
Part I, Line 4bNon-Qualified Retirement Plan: * Children's Medical Center of Dallas Savings Restoration Plan - There were no employees that received taxable income from the Savings Restoration Plan. Jerry Lee participated in the Savings Restoration Plan.
Part I, Line 7Non-Fixed Payments - The Human Resources Committee of the Board of Directors retains the authority to adjust annual payout percentages solely at their discretion.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4The organization's by-laws were ammended and approved, during the tax year, to identify the change of sole member of the corporation from the prior sole member as Children's Medical Center of Dallas to Children's Health System of Texas.
Form 990, Part VI, Section A, line 6Children's Health System of Texas (CHST) is the sole member.
Form 990, Part VI, Section A, line 7aDirectors are appointed by the sole member and approved by the current AFC Board of Directors.
Form 990, Part VI, Section A, line 7bMember reserve powers are specified in AFC's Bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors.
Form 990, Part VI, Section B, line 11A draft of the Form 990 is presented to the CHST Audit Committee, which has certain delineated authority for the organization, for review with discussion of the draft led by the CHST Chief Financial Officer. A copy of the Form 990 is made available to the directors through our board portal before it is filed.
Form 990, Part VI, Section B, line 12cThe Board members, including any director, officer, or member of a committee with Board delegated powers, receive a copy of the policy, along with a Statement of Interest form to complete, with their annual Board appointment letter. All disclosures made are reviewed by the Chief Compliance Officer and Vice President, Associate General Counsel and Secretary, and discussed as necessary at the appropriate Board meeting to determine if further action is required. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction or arrangement.
Form 990, Part VI, Section B, line 15The corporation's (AFC) top management official and other officers are employed and compensated by Children's Medical Center of Dallas (Children's). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except the President and CEO of Children's, 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. For physicians, AFC retains an outside compensation survey data to provide compensation analysis regarding the fair market value of AFC's salary structure, which is presented to the AFC Board of Directors for approval.
Form 990, Part VI, Section C, line 19Certificate of Formation is publically available and the conflict of interest policy is made available upon request. Financial statements are available upon request.
Form 990, Part IX, line 11gContract Medical: Program service expenses 14,520,535. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,520,535. Consulting & Professional fees: Program service expenses 656,957. Management and general expenses 2,942. Fundraising expenses 0. Total expenses 659,899.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Children's Medical Center of Dallas
1935 Medical District DriveDallasTX75235750800628HospitalTX501(c)(3)Line 3Children's Health System of Texas0
Children's Medical Center Foundation
1935 Medical District DriveDallasTX75235752062015FoundationTX501(c)(3)Line 7Children's Health System of Texas0
Dallas Phys Med Svcs for Children Inc
1935 Medical District DriveDallasTX75235810584868PhysiciansTX501(c)(3)Line 3Children's Health System of Texas0
Children's Health System of Texas
1935 Medical District DriveDallasTX75235752062019Management CompanyTX501(c)(3)Line 11b, II0N/A
Physicians For Children
1935 Medical District DriveDallasTX75235752854505PhysiciansTX501(c)(3)Line 3Children's Health System of Texas0
Children's Med Ctr Research Inst at UTSWMC
1935 Medical District DriveDallasTX75235433462044Research InstituteTX501(c)(3)Line 11a, IChildren's Health System of Texas0
Complex Care Med Svc Corp
1935 Medical District DriveDallasTX75235461893597Medical ServicesTX501(c)(3)Line 3Children's Health System of Texas0
Pediatric Partners For Children
1935 Medical District DriveDallasTX75235461917702Clinically Integrated NetworkTX501(c)(3)Line 11a, IChildren's Health System of Texas0
Children's Medical Center Services
1935 Medical District DriveDallasTX75235461934007Medical ServicesTXPendingPendingChildren's Health System of Texas0
Children's Medical Center Health Plan
1935 Medical District DriveDallasTX75235462737696HMOTX501(c)(3)Line 9Children's Health System of Texas0
Children's Population Health
1935 Medical District DriveDallasTX75235463104601Population HealthTX501(c)(3)Line 11a, IChildren's Health System of Texas0
The Health and Wellness Alliance For Children
1935 Medical District DriveDallasTX75235463080586PhysiciansTX501(c)(3)Line 11a, IChildren's Health System of Texas0
Specialists For Children
1935 Medical District DriveDallasTX75235463110125PhysiciansTXPendingPendingChildren's Health System of Texas0
Physicians Quality Alliance of North Texas
1935 Medical District DriveDallasTX75235464049491PhysiciansTX501(c)(3)Line 11a, IChildren's Health System of Texas0
Community Providers for Children
1935 Medical District DriveDallasTX75235463675742PhysiciansTX501(c)(3)Line 11a, IChildren's Health System of Texas0
Southwestern Medical District
5323 Harry Hines DrDallasTX75390204101612Medical DistrictTX501(c)(3)Line 11a, I0N/A
Women's Auxiliary of CMCD
12720 Hillcrest RdDallasTX75230752485538Women's AuxiliaryTX501(c)(3)Line 90N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Children's Insurance Company
76 St Paul Street Suite 500BurlingtonVT05401030328102Insurance CompanyVTChildren's Health System of TexasC0
Alternative Care Systems
1935 Medical District DriveDallasTX75235752244475Other Medical ServicesTXChildren's Health System of TexasC0
NTPSS Inc
1935 Medical District DriveDallasTX75235471036641Physician SolutionsTXChildren's Health System of TexasC0
Texas Bluebonnet Health Plan
1935 Medical District DriveDallasTX75235472252673Health PlanTXChildren's Health System of TexasC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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