ANESTHESIOLOGISTS FOR CHILDREN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ANESTHESIOLOGISTS FOR CHILDREN (EIN 75-2917570)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201423179349300737
Schema version
2013v3.0
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)
Return2014-11-13T08:35:35-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11717 Main Street Suite 1500AddressLine1
CityDallasCity
StateTXState
ZIP Code75201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752917570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anesthesiologists For ChildrenBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlANESBusinessNameControlTxt
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1
CityDallasCity
StateTXState
ZIP Code75235ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJerry LeePersonNm
Person TitleTreasurer, VP Acctng & Rev CyclePersonTitleTxt
Phone2144567000PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKimberly Temple CPAPreparerPersonNm
PTINP00669176PTIN
Phone2145612300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJerry LeePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DrAddressLine1
CityDallasCity
StateTXState
ZIP Code75235ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$24,741,373GrossReceiptsAmt
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 Body6VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee34TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,800PYContributionsGrantsAmt
CY Contributions Grants$16,915CYContributionsGrantsAmt
PY Program Service Revenue$24,409,231PYProgramServiceRevenueAmt
CY Program Service Revenue$24,431,606CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$14,727CYInvestmentIncomeAmt
PY Other Revenue$281,441PYOtherRevenueAmt
CY Other Revenue$278,125CYOtherRevenueAmt
PY Total Revenue$24,701,472PYTotalRevenueAmt
CY Total Revenue$24,741,373CYTotalRevenueAmt
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$11,218,129PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,007,800CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,552,287PYOtherExpensesAmt
CY Other Expenses$16,110,854CYOtherExpensesAmt
PY Total Expenses$25,770,416PYTotalExpensesAmt
CY Total Expenses$26,118,654CYTotalExpensesAmt
PY Revenues Less Expenses-$1,068,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,377,281CYRevenuesLessExpensesAmt
Total Assets BOY$4,898,945TotalAssetsBOYAmt
Total Assets EOY$6,420,394TotalAssetsEOYAmt
Total Liabilities BOY$8,910,641TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,809,371TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,011,696NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,388,977NetAssetsOrFundBalancesEOYAmt
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$24,867,363ExpenseAmt
Revenue$24,709,731RevenueAmt
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$24,867,363TotalProgramServiceExpensesAmt
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 Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee34EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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)
PersonStephanie K SmithPersonNm
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1
CityDallasCity
StateTXState
ZIP Code75235ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (13 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, President, Dir.1.0050.00Yes (X)Yes (X)$0$140,000$0
David Bui MD
Director, Anesthesiologist40.00Yes (X)$476,080$0$18,232
Alan Farrow-Gillespie MD
Director1.0040.00Yes (X)$0$50,625$0
Robert Foglia MD
Director1.0050.00Yes (X)$0$150,000$0
Charles Whitten MD
Director1.00Yes (X)$0$0$0
Thomas Zellers MD
Director1.0050.00Yes (X)$0$150,000$0
Jerry Lee
Treasurer1.0050.00Yes (X)$0$318,998$23,640
Stephanie K Smith
Corporate Secretary1.0040.00Yes (X)$0$110,048$4,796
Christopher Meggyesy MD
Anesthesiologist40.00$482,428$0$828Yes (X)
Cynthia Gonzales MD
Anesthesiologist40.00$480,919$0$3,781Yes (X)
Jesse Dadson MD
Anesthesiologist40.00$491,171$0$5,054Yes (X)
Kim Lopez MD
Anesthesiologist40.00$488,929$0$6,834Yes (X)
Weiwei Boone MD
Anesthesiologist40.00$480,868$0$13,032Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,900,395TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$919,671TotReportableCompRltdOrgAmt
Total Other Compensation$76,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
UTSW
5323 Harry Hines BlvdDallasTX75390Anesthesiologist$14,670,021
Medac Inc
804 Scott Nixon Memorial DrAugustaGA30907Billing & Prac. Mgmt$563,674
Mike C Murphy
1813 Creekside CtGarlandTX75040Anesthesiologist$420,970
Linda Bolanos Diaz
8088 Parklane Apt 613DallasTX75231Anesthesiologist$159,088
Carol Burns
4423 Hollow Oak DrDallasTX75287Anesthesiologist$121,950
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$16,915RelatedOrganizationsAmt
Total Contributions$16,915TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Professional Svc Rev621110$18,204,672$18,204,672
Coverage Revenue621110$7,164,887$7,164,887
Prov for Dbtful Accts621110-$937,953-$937,953
FieldValueIRS element (for citing)
Total Program Service Revenue$24,431,606TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,727TotalRevenueColumnAmt
Exclusion$14,727ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescChief StipendDesc
Business621110BusinessCd
Total Revenue Column$278,125TotalRevenueColumnAmt
Related Or Exempt Func Income$278,125RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$278,125OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,741,373TotalRevenueColumnAmt
Related Or Exempt Func Income$24,709,731RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,727ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$494,312TotalAmt
Program Services$494,312ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,483,322TotalAmt
Program Services$8,027,180ProgramServicesAmt
Management And General$456,142ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$273,666TotalAmt
Program Services$259,762ProgramServicesAmt
Management And General$13,904ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$409,674TotalAmt
Program Services$388,859ProgramServicesAmt
Management And General$20,815ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$346,826TotalAmt
Program Services$329,204ProgramServicesAmt
Management And General$17,622ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$713,313TotalAmt
Management And General$713,313ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,211TotalAmt
Program Services$12,211ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,972,049TotalAmt
Program Services$14,971,604ProgramServicesAmt
Management And General$445ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,418TotalAmt
Program Services$3,708ProgramServicesAmt
Management And General$9,710ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$51,510TotalAmt
Program Services$51,510ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,326TotalAmt
Program Services$4,132ProgramServicesAmt
Management And General$14,194ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$77,011TotalAmt
Program Services$77,007ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$215,937TotalAmt
Program Services$215,937ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Collection Fees$25,082$25,082
Catering, Meals, Coffee$11,257$6,665$4,592
Patient Dietary$740$190$550

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,118,654TotalAmt
Program Services$24,867,363ProgramServicesAmt
Management And General$1,251,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,980,856BOYAmt
EOY$4,431,784EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,752,083BOYAmt
EOY$1,976,345EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$166,006BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,265LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$12,265EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,898,945BOYAmt
EOY$6,420,394EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,345,349BOYAmt
EOY$3,913,339EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,565,292BOYAmt
EOY$7,896,032EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,910,641BOYAmt
EOY$11,809,371EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,011,696BOYAmt
EOY-$5,388,977EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,011,696BOYAmt
EOY-$5,388,977EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,898,945BOYAmt
EOY$6,420,394EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,377,281ReconcilationRevenueExpnssAmt
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 Minus3 Years$33,650CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,466CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,800CurrentTaxYearMinus1YearAmt
Current Tax Year$16,915CurrentTaxYearAmt
Total$91,831TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,227,440CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,463,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,455,696CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,738,411CurrentTaxYearMinus1YearAmt
Current Tax Year$68,819,857CurrentTaxYearAmt
Total$249,704,465TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,227,440CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,496,711CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,486,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,749,211CurrentTaxYearMinus1YearAmt
Current Tax Year$68,836,772CurrentTaxYearAmt
Total$249,796,296TotalAmt

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$249,796,296PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$14,727CurrentTaxYearAmt
Total$14,727TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$14,727CurrentTaxYearAmt
Total$14,727TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,227,440CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,496,711CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,486,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,749,211CurrentTaxYearMinus1YearAmt
Current Tax Year$68,851,499CurrentTaxYearAmt
Total$249,811,023TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
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
Book Value$12,265BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,265TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LT Advances-AFC$5,502,808
LT Receivable/Payable-CMC$2,393,224
FieldValueIRS element (for citing)
Total Liability$7,896,032TotalLiabilityAmt

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, 2013 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 (7 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
David Bui MD
Director, Anesthesiologist$456,787$0$0$0$19,293$0$0$0$18,232$0$494,312$0$0$0
Jerry Lee
Treasurer$0$254,661$0$59,795$0$4,542$0$9,352$0$14,289$0$342,639$0$0
Christopher Meggyesy MD
Anesthesiologist$474,190$0$0$0$8,238$0$0$0$828$0$483,256$0$0$0
Cynthia Gonzales MD
Anesthesiologist$471,237$0$0$0$9,682$0$0$0$3,781$0$484,700$0$0$0
Jesse Dadson MD
Anesthesiologist$469,965$0$0$0$21,206$0$0$0$5,054$0$496,225$0$0$0
Kim Lopez MD
Anesthesiologist$468,184$0$0$0$20,745$0$0$0$6,834$0$495,763$0$0$0
Weiwei Boone MD
Anesthesiologist$461,986$0$0$0$18,882$0$0$0$13,032$0$493,900$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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Children's Medical Center of Dallas (Children's) 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 7bSole member reserve powers are specified in AFC's bylaws and represent actions by the organization which require sole member approval. These powers generally include specified financial decisions, appointment of directors, and strategic planning.
Form 990, Part VI, Section B, line 11The draft Form 990 is presented to the Board of Directors by their treasurer at either a scheduled meeting or sent electronically for their review.
Form 990, Part VI, Section B, line 12cDirectors execute a conflict of interest disclosure statement each year at the annual meeting of the AFC Board of Directors. Any disclosures made in the statements are presented to the Board of Directors for discussion and review at that time.
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 19The governing documents, conflict of interest policy, and financial statements are made available to the public when they are requested.
Form 990, Part IX, line 11gContract Medical: Program service expenses 14,392,574. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,392,574. Consulting & Professional fees: Program service expenses 579,030. Management and general expenses 445. Fundraising expenses 0. Total expenses 579,475.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Children's Medical Center of Dallas
1935 Medical District DriveDallasTX75235750800628HospitalTX501(c)(3)Line 3Children's Hlth Svc of TX0
Children's Medical Center Foundation
1935 Medical District DriveDallasTX75235752062015FoundationTX501(c)(3)Line 7Children's Hlth Svc of TX0
Dallas Phys Med Svcs Inc
1935 Medical District DriveDallasTX75235810584868PhysiciansTX501(c)(3)Line 9Children's Medical Center of Dallas0
Children's Health Svc of Texas
1935 Medical District DriveDallasTX75235752062019Management CompanyTX501(c)(3)Line 11a, I0N/A
Physicians For Children
1935 Medical District DriveDallasTX75235752854505PhysiciansTX501(c)(3)Line 9Children's Medical Center of Dallas0
Children's Med Ctr Research Inst at UTSWMC
1935 Medical District DriveDallasTX75235433462044Research InstituteTX501(c)(3)Line 11a, IChildren's Hlth Svc of TX0
Complex Care Med Svcs Corp
1935 Medical District DriveDallasTX75235461893597Medical ServicesTXPendingPendingChildren's Medical Center of Dallas0
Pediatric Partners For Children
1935 Medical District DriveDallasTX75235461917702Clinically Integrated NetworkTXPendingPendingChildren's Medical Center of Dallas0
Children's Medical Center Services
1935 Medical District DriveDallasTX75235461934007Medical ServicesTXPendingPendingChildren's Medical Center of Dallas0
Children's Medical Center Health Plan
1935 Medical District DriveDallasTX75235462737696HMOTXPendingPendingChildren's Hlth Svc of TX0
Children's Population Health
1935 Medical District DriveDallasTX75235463104601Population HealthTXPendingPendingChildren's Hlth Svc of TX0
The Health and Wellness Alliance For Children
1935 Medical District DriveDallasTX75235463080586PhysiciansTX501(c)(3)Line 11a, IChildren's Hlth Svc of TX0
Specialists For Children
1935 Medical District DriveDallasTX75235463110125PhysiciansTXPendingPendingChildren's Medical Center of Dallas0
Physicians Quality Alliance of North Texas
1935 Medical District DriveDallasTX75235464049491PhysiciansTXPendingPendingChildren's Hlth Svc of TX0
Community Providers for Children
1935 Medical District DriveDallasTX75235463675742PhysiciansTXPendingPendingChildren's Hlth Svc of TX0
Southwestern Medical District
1935 Medical District DriveDallasTX75235204101612Medical DistrictTX501(c)(3)Line 11a, I0N/A
Women's Auxiliary of CMCD
1935 Medical District DriveDallasTX75235752485538Women's AuxiliaryTX501(c)(3)Line 90N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Children's Insurance Company
76 St Paul Street Suite 500BurlingtonVT05401030328102Insurance CompanyVTChildren's Medical Center of DallasC0
Alternative Care Systems
1935 Medical District DriveDallasTX75235752244475Other Medical ServicesTXChildren's Hlth Svc of TXC0
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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