2013-01-03T11:10:43-06:00 2012-04-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2011-05-01 742620408 CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS % ERIC HAMON CHIL 3616945043 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 784110721 DALE OBERMUELLER 2013-01-15 true M Paige Gerich 7134994600 2011 2016-02-25 16:41:14Z DALE OBERMUELLER 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 16563362 false X N/A X 1996 TX PROVISION OF PEDIATRIC PRIMARY AND SUBSPECIALTY HEALTHCARE TO PATIENTS IN CORPUS CHRISTI AND SURROUNDING AREAS OF SOUTH TEXAS REGARDLESS OF THEIR ABILITY TO PAY. 3 0 113 0 0 0 132033 112387 9666583 16450975 15000 0 0 0 9813616 16563362 0 0 0 0 13052920 14703542 0 0 0 2205847 2321198 15258767 17024740 -5445151 -461378 967331 857179 0 0 967331 857179 PROVISION OF PEDIATRIC PRIMARY AND SUBSPECIALTY HEALTHCARE TO PATIENTS IN CORPUS CHRISTI AND SURROUNDING AREAS OF SOUTH TEXAS REGARDLESS OF THEIR ABILITY TO PAY. false false 16385641 16450975 THE PURPOSE OF CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS IS TO PROVIDE MEDICAL SERVICES TO THOSE INDIVIDUALS IN THE SOUTH TEXAS REGION WHO COULD NOT AFFORD TO PAY FOR SUCH SERVICES. THE FUNDS RECEIVED FROM THOSE ABLE TO PAY FOR MEDICAL SERVICES AND FUNDS RECEIVED TO TRAIN DOCTORS AT DRISCOLL CHILDREN'S HOSPITAL ENABLE THE ORGANIZATION TO EMPLOY ENOUGH PHYSICIANS SO AS TO PUT IN PLACE A PROGRAM THAT PROVIDES MEDICAL CARE FOR CHILDREN IN NEED. THIS PROGRAM PROVIDES MEDICAL CARE TO CHILDREN REGARDLESS OF THEIR ABILITY TO PAY. 16385641 true true false false false false false false false false true 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 false true 0 0 113 true false false false false false false false false false false X 3 0 false false false false true false false true true false false true true false false true true true false false X ERIC HAMON 3616945146 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 X NANCY HARPER MD 40.0 X X 208871 27841 WILLIAM REED MD 40.0 X 182781 33399 LEONI I SMITH-HARRISON MD 40.0 X 431853 15859 ALLISTER ARNOLD MD 40.0 X 713590 35756 CINDY MANTINEO 40.0 X 45705 14072 DALE V OBERMUELLER 40.0 X 263180 43916 MOHAMMAD A EMRAN MD 40.0 X 541167 34262 HAROON I PATEL MD 40.0 X 682365 34285 MARTHA S CHINNERY MD 40.0 X 442891 37290 ELENA ROMERO MD 40.0 X 440386 37290 KEVIN HOPKINS MD 40.0 X 434632 21148 JANE B LYON MD 40.0 X 424926 34208 STEPHEN ALMOND MD 40.0 X 768519 37585 ASHOK K JAIN MD 40.0 X 321820 40254 5639506 263180 447165 35 true true false COMPHEALTH 6440 S MILLROCK DR STE 175 SALT LAKE CITY UT 84121 PHYSICIANS 182904 SCHNEIER WEINMAN CONSULTANTS LLC 7716 TRAILSIDE ESTATES BLVD AUSTIN TX 78724 PHYSICIANS 106724 2 112387 112387 Net Patient Service Revenue 621110 7720619 7720619 Teaching Stipend 611710 8289246 8289246 Miscellaneous 900099 441110 441110 16450975 0 0 0 0 0 0 0 0 16563362 16450975 0 0 0 0 2285156 2285156 0 10575176 10354630 220546 555740 536068 19672 725600 662846 62754 561870 543925 17945 0 980 980 0 0 0 0 1161746 1111555 50191 28055 2087 25968 105049 67949 37100 149876 138632 11244 0 283513 273211 10302 10554 9485 1069 0 0 0 0 131486 131486 284767 250287 34480 Medical Supplies 55437 55024 413 MISCELLANEOUS 109735 94786 14949 17024740 16385641 639099 0 -24263 -13687 0 0 0 0 676700 708572 0 0 0 0 21113 0 0 0 0 0 1616719 1454425 293781 162294 0 0 0 0 0 0 0 0 0 0 967331 857179 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 967331 857179 0 0 0 0 967331 857179 967331 857179 X -461378 351226 X false true true X true true X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38580 38580 1578139 1454425 123714 162294 16563362 17024740 -461378 351226 351226 -110152 16563362 16563362 16563362 16673514 16673514 351226 351226 17024740 SCHEDULE D, PART XIII, LINE 4B OTHER INTERCOMPANY SUPPORT $ (153,445) ALLOCATED COSTS BETWEEN PHYSICIAN SERVICES 504,671 ----------- $ 351,226 X true true X X X false false false false false false false false false ALLISTER ARNOLD MD 697090 0 16500 21438 14318 749346 0 STEPHEN ALMOND MD 752019 0 16500 21438 16147 806104 0 ASHOK K JAIN MD 307810 0 14010 24500 15754 362074 0 NANCY HARPER MD 208871 0 0 12167 15674 236712 0 WILLIAM REED MD 182781 0 0 17772 15627 216180 0 DALE V OBERMUELLER 205649 50350 7181 34160 9756 307096 0 HAROON I PATEL MD 665727 0 16638 18375 15910 716650 0 MOHAMMAD A EMRAN MD 524667 0 16500 18375 15887 575429 0 MARTHA S CHINNERY MD 442891 0 0 21438 15852 480181 0 ELENA ROMERO MD 440386 0 0 21438 15852 477676 0 KEVIN HOPKINS MD 434632 0 0 12250 8898 455780 0 JANE B LYON MD 408426 0 16500 18375 15833 459134 0 LEONI I SMITH-HARRISON MD 431853 0 0 0 15859 447712 0 INFORMATION REGARDING BENEFITS PROVIDED PART I, QUESTION 1A COUNTRY CLUB MEMBERSHIP DUES WERE PAID FOR DALE OBERMUELLER. ANY PERSONAL USE WAS INCLUDED IN MR. OBERMUELLER'S TAXABLE INCOME. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, QUESTION 11 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF, ASSISTANT CONTROLLER, AND ADMINISTRATOR PRIOR TO FILING. THE FORM IS THEN PRESENTED AT THE BOARD MEETING BEFORE FILING. REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION FORM 990, PART VI, QUESTION 15A 2011 & 2012 COMPENSATION WAS REVIEWED BY THE CONSULTING GROUP SULLIVAN COTTER ASSOCIATES. THEY REVIEW ALL SENIOR OFFICER COMPENSATION AND MAKE RECOMMENDATIONS REGARDING THEIR COMPENSATION LEVELS. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY. DESCRIBE WHETHER ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 Intercompany support $ (153,445) Allocated costs b/t physician services 504,671 ------------ $ 351,226 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CINDY MANTINEO TITLE:SECRETARY HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DALE V OBERMUELLER TITLE:CPSST PRESIDENT HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MOHAMMAD A EMRAN MD TITLE:CHAIRMAN HOURS:2 DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 HOSPITAL TX 501(C)(3) 3 NA false DRISCOLL CHILDREN'S HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(C)(3) 7 DCH false DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(C)(3) 3 DCH false DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(C)(3) 3 DCH false DRISCOLL MATERNAL & FETAL PHYS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(C)(3) 7 DCH false DCH HOLDING COMPANY 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 743011381 HOLDING CO TX 501(C)(2) N/A DCH false DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(C)(3) 11A DCH false false false false false false false false false true false false false true true false false false