TCH PEDIATRIC ASSOCIATES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TCH PEDIATRIC ASSOCIATES INC (EIN 76-0460242)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201342269349304074
Schema version
2011v1.2
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)
Timestamp2013-08-14T18:00:18-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760460242EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TCH PEDIATRIC ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTCHPNameControl
Phone8328422982Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 300630AddressLine1
CityHoustonCity
StateTXState
ZIP Code772300630ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBENJAMIN MELSONName
TitleEXECUTIVE VICE PRESIDENT/CFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGeralyn HurdName
PTINP00933422PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1TEXAS CHILDREN'S PEDIATRICSBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BENJAMIN MELSONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 300630AddressLine1
CityHoustonCity
StateTXState
ZIP Code772300630ZIPCode
FieldValueIRS element (for citing)
Gross Receipts159967153GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TEXASCHILDRENSPEDIATRICS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTCH PEDIATRIC ASSOCIATES, INC. PROVIDES THE FINEST PEDIATRIC CARE BY PHYSICIANS AND STAFF WHO ARE DEDICATED TO DELIVERING COMPREHENSIVE QUALITY PRIMARY CARE AND EDUCATION TO THE CHILDREN OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees1221TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6118174ContributionsGrantsPriorYear
Contributions Grants Current Year6453189ContributionsGrantsCurrentYear
Program Service Revenue Prior Year145198113ProgramServiceRevenuePriorYear
Program Service Revenue CY153513964ProgramServiceRevenueCY
Investment Income Prior Year-7380InvestmentIncomePriorYear
Investment Income Current Year-18904InvestmentIncomeCurrentYear
Other Revenue Prior Year397OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year151309304TotalRevenuePriorYear
Total Revenue Current Year159948249TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year96899000SalariesEtcPriorYear
Salaries Etc Current Year104572509SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year50947895OtherExpensePriorYear
Other Expenses Current Year51585022OtherExpensesCurrentYear
Total Expenses Prior Year147846895TotalExpensesPriorYear
Total Expenses Current Year156157531TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3462409RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3790718RevenuesLessExpensesCY
Total Assets BOY48134854TotalAssetsBOY
Total Assets EOY48499766TotalAssetsEOY
Total Liabilities BOY28395542TotalLiabilitiesBOY
Total Liabilities EOY24294757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19739312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24205009NetAssetsOrFundBalancesEOY
Mission DescriptionDEDICATED TO DELIVERING COMPREHENSIVE QUALITY PRIMARY CARE AND EDUCATION TO THE CHILDREN OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense142908864Expense
Revenue146605836Revenue
DescriptionPATIENT CARE: PROVIDING A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY TO THE DIAGNOSIS AND TREATMENT OF THE ILL CHILD FROM THE PERIOD OF BIRTH THROUGH ADOLESCENCE. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 9/30/2012 WERE 1,115,736 .Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4489284Expense
Revenue4605419Revenue
DescriptionMEDICAL EDUCATION: CONDUCTING PARENT AND PUBLIC EDUCATION PROGRAMS NECESSARY TO PROMOTE THE PREVENTION OF ILLNESS IN CHILDREN AND TO ENCOURAGE THE EARLY RECOGNITION OF THE NEED FOR HEALTH SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2244642Expense
Revenue2302709Revenue
DescriptionMEDICAL RESEARCH: INCLUDES OUTCOMES OF STUDIES FOR PEDIATRIC IMMUNIZATION. MEDICAL STAFF HAVE PUBLISHED ARTICLES IN PROFESSIONAL PUBLICATIONS AS WELL AS HAVE BEEN ACTIVELY INVOLVED IN COMMUNITY MEDICAL EDUCATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense149642790TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096109NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1221NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Rachel ShupeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8328242951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11919 S Braeswood BlvdAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ELIZABETH SMITH MD
Schedule O40.00XX282854027455
MARK W KLINE MD
Board Chairman / Chief Medical Officer1.00XX000
CHERYL HARDIN MD
Schedule O40.00X219972011844
CHUWEY TSAI-WEINBERG MD
Schedule O40.00X338888034858
JAMES E ALLISON III MD
Schedule O40.00X233589028813
JAN E DRUTZ MD
Board Member1.00X06000
JOAN E SHOOK MD
Board Member1.00X0271890
MARTIN LORIN MD
Board Member / Vice Chairman / Secretary1.00X000
STANLEY SPINNER MD
Board Member40.00X246644037576
KAY TITTLE
PRESIDENT40.00X0389840127586
MELISSA FISCHER
Director40.001744111112040678X
PATRICIA COLEMAN
Director40.00152851933130993X
THERESA LEBLANC
Director40.001744011111542593X
HUBERT HO MD
Physician40.00621961037238X
IAN KAVIN MD
Physician40.00572187036438X
MARIE ROSSELL MD
Physician40.00655093028663X
RAZAALI RAZAK MD
Physician40.00628826039161X
RICHARD THALLER MD
Physician40.00619623029082X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4921301TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs449195TotalReportableCompFrmRltdOrgs
Total Other Compensation552978TotalOtherCompensation
Number Individuals GT100 K184NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ETACTICS INC
4825 DARROW RDSTOWOH44224EPIC BILLING STATEMENTS232685
FISK ELECTRIC COMPANY
111 TC JESTER BLVDHOUSTONTX77007INSTALLATION144792
VOTER CONSUMER RESEARCH INC
325 SAWDUSTTHE WOODLANDSTX77380MARKET RESEARCH126506
RJ AUSTIN CONSULTING DEV & TRAIN LLC
11918 DUANE STREETHOUSTONTX77047CONSULTING SERVICES115000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations6453189RelatedOrganizations
Total Contributions6453189TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OP - REVENUE621400152726520152726520
NON-PATIENT OPERATING900099744741744741
CLEAN CLAIMS INTEREST9000994270342703

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue153513964TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other18904Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-18904Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-18904TotalRevenueColumn
Exclusion-$18,904ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column159948249TotalRevenueColumn
Related Or Exempt Function Income153513964RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$18,904ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2389508Total
Program Services1731870ProgramServices
Management And General657638ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total85510682Total
Program Services83558918ProgramServices
Management And General1951764ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2349739Total
Program Services2323723ProgramServices
Management And General26016ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9699861Total
Program Services9243851ProgramServices
Management And General456010ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4622719Total
Program Services4487865ProgramServices
Management And General134854ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1999996Total
Management And General1999996ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7645Total
Management And General7645ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1357704Total
Program Services1318995ProgramServices
Management And General38709ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total358515Total
Program Services356103ProgramServices
Management And General2412ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3598732Total
Program Services3500272ProgramServices
Management And General98460ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34775Total
Program Services27826ProgramServices
Management And General6949ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8261486Total
Program Services8212822ProgramServices
Management And General48664ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total138203Total
Program Services134405ProgramServices
Management And General3798ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total199221Total
Program Services193409ProgramServices
Management And General5812ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3949914Total
Program Services3835244ProgramServices
Management And General114670ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total869365Total
Management And General869365ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES2892740528927405
AFTER HOURS CALL CENTER10291181029118
BAD DEBT498137498137
FEES & LICENSE1922141866075607

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total162592Total
Program Services76220ProgramServices
Management And General86372ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total156157531Total
Program Services149642790ProgramServices
Management And General6514741ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-263360BOY
EOY16362348EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19315000BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY100000BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5976675BOY
EOY6654490EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3258747BOY
EOY3496510EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY451603BOY
EOY436192EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis38971454LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18413319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18481411BOY
EOY20558135EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY653452BOY
EOY671445EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY161326BOY
EOY320646EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48134854BOY
EOY48499766EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18658191BOY
EOY21086568EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1509448BOY
EOY2131726EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8227903BOY
EOY1076463EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28395542BOY
EOY24294757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19739312BOY
EOY24205009EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19739312BOY
EOY24205009EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48134854BOY
EOY48499766EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3790718ReconcilationRevenueExpenses
Reconcilation Other Changes674979ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years816080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years185662CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66891CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6118174CurrentTaxYearMinus1Year
Current Tax Year6453189CurrentTaxYear
Total13639996Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years132872073CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142653842CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144790792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year145198510CurrentTaxYearMinus1Year
Current Tax Year153513964CurrentTaxYear
Total719029181Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years133688153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142839504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144857683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151316684CurrentTaxYearMinus1Year
Current Tax Year159967153CurrentTaxYear
Total732669177Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509732669177PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years462165CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117CurrentTaxYearMinus1Year
Total491485Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years462165CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total491485Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years134150318CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142868462CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144857928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151316801CurrentTaxYearMinus1Year
Current Tax Year159967153CurrentTaxYear
Total733160662Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99930PublicSupportPercentage509
Prior Year Support Percentage0.99840PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$688OtherActivitiesAmount
Total Lobbying Expenditures IIB688TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTCH PEDIATRICS ASSOCIATES PAID DUES TO AMERICAN MEDICAL GROUP ASSOICATION OF WHICH 20% ($688) WAS ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15207OtherCostOrOtherBasis
Depreciation15207Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23979831OtherCostOrOtherBasis
Depreciation10889780Depreciation
Book Value13090051BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11369677OtherCostOrOtherBasis
Depreciation7508332Depreciation
Book Value3861345BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3606739OtherCostOrOtherBasis
Book Value3606739BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20558135TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO TEXAS CHILDREN'S HOSPITALDescription
Amount$1,076,463Amount
FieldValueIRS element (for citing)
Total Of Amounts1076463TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationMANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING COMBINED BALANCE SHEETS AS OF SEPTEMBER 30, 2012.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHERYL HARDIN MD
14644505928001424701163802050231816000
CHUWEY TSAI-WEINBERG MD
2894920317680176280244310104270373746000
ELIZABETH SMITH MD
251975021970089090147000127550310309000
HUBERT HO MD
42811501759140179320240900131480659199000
IAN KAVIN MD
3994910151038021658026709097290608625000
JAMES E ALLISON III MD
1422700737580175610170370117760262402000
KAY TITTLE
028240408295002448601129070146790517427022935
MARIE ROSSELL MD
4328610203745018487022349063140683756000
MELISSA FISCHER
1591310797011120730902791001276802150891112000
PATRICIA COLEMAN
1372080675393318889022487085060183844933100
RAZAALI RAZAK MD
33618902749250177130243410148200667987000
RICHARD THALLER MD
1996070400991019026023688053940648706000
STANLEY SPINNER MD
215003030045015960243290132480284220000
THERESA LEBLANC
15723401102611115614102683401575902169941111500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION TO TOP MANAGEMENTSCHEDULE J, PART I, LINE 3COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED BY TEXAS CHILDREN'S AND TEXAS CHILDREN'S HOSPITAL, USING THE FOLLOWING METHODS: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bCY 2011 457(F) PLAN: PAID / DEFERRED KAY TITTLE 105,885 / 87,359 DIRECTOR INCENTIVE PLAN: PAID / DEFERRED ELIZABETH SMITH 21,970 / 0 PATRICIA COLEMAN 16,084 / 9,331 MELISSA FISCHER 19,090 / 11,120 THERESA LEBLANC 22,141 / 11,115 457(F): THE 457(F) PLAN IS A DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO CONTRIBUTE MONEY ON A PRE-TAX BASIS. FUNDS MAY BE DEFERRED INTO THIS ACCOUNT FROM ANY OF FOUR SOURCES: BASE SALARY, ANNUAL INCENTIVE PLAN, LONG-TERM INCENTIVE PLAN, AND CAPITAL ACCUMULATION ACCOUNT FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE VEST AFTER THREE YEARS IN THE 457(F) WITH THE EXCEPTION OF THE CAPITAL ACCUMULATION ACCOUNT WHICH VESTS AFTER FIVE YEARS IN THE 457(F) PLAN. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND/OR YEAR.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Significant changes to organizational documentsForm 990, Part VI, Section A, Line 4TEXAS CHILDREN'S IS THE PARENT AND SOLE MEMBER OF TEXAS CHILDREN'S PEDIATRIC ASSOCIATES EFFECTIVE 12/2011.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S PEDIATRIC ASSOCIATES.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bPER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS OF THE CORPORATION, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION, IF ANY. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS AND LEGAL COUNSEL. -CREATION OR SALE OF ANY SUBSIDIARIES OF THE CORPORATION. -ANY AFFILIATION, JOINT VENTURE, CONTRACT, EMPLOYMENT, RETENTION, INDEMNIFICATION, OR OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, HEALTH MAINTENANCE ORGANIZATION, PREFERRED PROVIDER ORGANIZATION, MEDICAL SCHOOL, HOSPITAL, CLINIC, PHARMACY, PHYSICIAN, HOSPITAL AFFILIATE, OR OTHER PROVIDER OF HEALTH OR RELATED SERVICES, INCLUDING, WITHOUT LIMITATION, ALL SERVICE TERMS AND COMPENSATION ARRANGEMENTS. -ESTABLISHMENT BY THE CORPORATION OF ANY TRAINING OR RESIDENCY PROGRAM. -THE GIVING, SEEKING, OR RECEIVING OF GRANTS. -ADOPTION OR AMENDMENT OF ANY INDEMNIFICATION RIGHTS, OBLIGATIONS, OR AGREEMENTS AFFECTING THE CORPORATION. -PURCHASE, ADOPTION, AMENDMENT, CANCELLATION, OR REPLACEMENT OF ANY INSURANCE COVERAGE FOR THE CORPORATION OR ITS DIRECTORS, OFFICERS AND AGENTS, AS WELL AS COPIES OF ANY NOTICES OF CANCELLATION RECEIVED BY THE CORPORATION. -THE COMMENCEMENT OF LITIGATION OR THE SETTLEMENT OF LITIGATION OR OTHER CLAIMS. -APPROVAL OF THE ADOPTION OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBER(S). -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER.
Documentation of meetings held by committees of governing bodyForm 990, Part VI, Section A, Line 8bNO SUCH COMMITTEES EXIST.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF DIRECTORS, THE MEMBER BOARD'S AUDIT & COMPLIANCE COMMITTEE HAS THE DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. FOLLOWING THE COMMITTEE'S REVIEW, THE COMPLETED FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: -REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. -COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. -CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
TITLESFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (A)CHERYL HARDIN, M.D.: BOARD MEMBER APPOINTED 1/12/12 CHUWEY TSAI-WEINBERG, M.D.: BOARD MEMBER APPOINTED 5/27/12 ELIZABETH SMITH, M.D.: CHIEF MEDICAL OFFICER AND BOARD MEMBER UNTIL 10/8/11 JAMES E. ALLISON, III, M.D.: BOARD MEMBER THROUGH 1/12/12
AVERAGE HOURSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)KAY TITTLE'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PEDIATRIC ASSOCIATES PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. JAMES E ALLISON, III, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TEXAS CHILDREN'S PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. ELIZABETH SMITH, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TEXAS CHILDREN'S PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. STANLEY W SPINNER, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TEXAS CHILDREN'S PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. CHERYL HARDIN, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TEXAS CHILDREN'S PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. CHUWEY TSAI-WEINBERG, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TEXAS CHILDREN'S PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5CONTRIBUTED CAPITAL/PHYSICIAN PRACTICE - 39000; ASSETS RELEASED FROM RESTRICTION - 635979;
FORM 5471 DISCLOSURESCHEDULE OUNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: -TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANNIN ST HOUSTON, TX 77030 -TEXAS CHILDREN'S EIN: 76-0461578 1919 S. BRAESWOOD BLVD, 4TH FL HOUSTON, TX 77030

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TEXAS CHILDREN'S
1919 S BRAESWOOD BLVDHOUSTONTX77030760461578PARENTTX501(C)(3)11 - Type IINAfalse
TEXAS CHILDREN'S PHYSICIAN GROUP INC
6621 FANNIN STHOUSTONTX77030260834681HEALTH CARETX501(C)(3)9TEXAS CHILDREN'Strue
TEXAS CHILDREN'S HEALTH PLAN
2450 HOLCOMBEHOUSTONTX77030760486264HEALTH CARETX501(C)(3)9TEXAS CHILDREN'Strue
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
PO BOX 300630HOUSTONTX77030261482195HEALTH CARETX501(C)(3)11 - Type IITEXAS CHILDREN'Strue
TEXAS CHILDREN'S HOSPITAL
6621 FANNIN STHOUSTONTX77030741100555HOSPITALTX501(C)(3)3TEXAS CHILDREN'Strue
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STHOUSTONTX77030202380599SUPPORTING ORGTX501(C)(3)11 - Type IITEXAS CHILDREN'Strue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
TCH INSURANCE COMPANY LTD
23 LIME BAY AVEGRAND CAYMANCJKY1-1102INSURANCECJNAC CORPORATION
CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STGEORGE TOWNCJKY1-1104INVESTMENTCJNAC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TEXAS CHILDREN'S HOSPITAL
L1999996COST
TEXAS CHILDREN'S HOSPITAL
O24280925COST
TEXAS CHILDREN'S HOSPITAL
C6453189COST

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