2013-10-30T10:22:24-05:00 2012-12-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2012-01-01 742838488 Driscoll Childrens Health Plan % RICK VILLARREAL DRIS 3616944889 615 N Upper Broadway St Suite 1621 Corpus Christi TX 784010746 MARY D PETERSON 3616946781 2012-11-15 true M Paige Gerich 7134994600 2012 2016-02-25 16:41:14Z DR MARY DALE PETERSON 615 N UPPER BROADWAY ST 1621 CORPUS CHRISTI TX 784010746 295529666 false X WWW.DCHPKIDS.COM X 1997 TX Driscoll Children's Health Plan is committed to providing efficient, cost-effective, quality care through a dedicated and compassionate health care team & respectful collaboration with its provider network. 9 4 108 0 185751 162643 150430135 290937187 679637 540177 0 0 151295523 291640007 0 0 0 0 3751231 7191751 0 0 0 143765392 262482264 147516623 269674015 3778900 21965992 37384603 67073622 17744195 32854447 19640408 34219175 DRISCOLL CHILDREN'S HEALTH PLAN IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED & COMPASSIONATE HEALTHCARE TEAM & RESPECTFUL COLLABORATION WITH ITS PROVIDER NETWORK. false false 244586155 290937187 SEE SCHEDULE O FOR FULL PROGRAM SERVICE DESCRIPTION. 244586155 true true false true false false false false false true true false true true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 108 true false false false false false false false false false false X 9 4 false false false false true true true true true false false true true true true true true true true false X RICK VILLARREAL 3616946781 615 N UPPER BROADWAY ST STE 1621 Corpus Christi TX 78401 X WILLIAM J STERETT 1.0 2.0 X X 0 0 D ERIC HAMON 1.0 40.0 X X 194712 403658 C IVAN WILSON 1.0 2.0 X 10000 JOE FULTON 1.0 2.0 X 10000 MARY D PETERSON 40.0 10.0 X X 356039 62406 STEVE WOERNER 1.0 40.0 X 843151 91136 S LOYD NEAL JR 1.0 2.0 X 10000 ERNEST BUCK 40.0 1.0 X 229102 15508 WILLIAM BRENDEL 40.0 1.0 X 181001 8022 RICARDO VILLARREAL 40.0 1.0 X 208243 21958 JUDITH KRAFT 40.0 1.0 X 118690 13892 DON WELLS 40.0 1.0 X 128886 3869 HEATHER JOHNSON 40.0 1.0 X 110998 18928 MICHAEL P LANCE 40.0 1.0 X 163138 5485 1496097 1067863 644862 8 false true false VALENCE HEALTH 600 W JACKSON SUITE 800 CHICAGO IL 60661 THIRD PARTY ADMIN 10588343 AVANCE RIO GRANDE VALLEY 1205 S Galveston Rd MCALLEN TX 78501 PATIENT EDUCATION 216265 CORPORATE PRINTING INC 3509 OAK FOREST DR HOUSTON TX 77018 PRINTING 1199242 ALLIED MANAGEMENT GROUP INC 825 N PARKCENTER DR STE 102 SANTA ANA CA 92705 SIU SERVICES 470089 Sherry Matthews Advocacy Marketing 200 South Congress Avenue AUSTIN TX 78704 ADVERTISING 740556 10 162643 162643 PREMIUM REVENUE 524292 291064060 291064060 Net Reinsurance 524292 -1230424 -1230424 Other Income 900099 1103551 1103551 290937187 441183 441183 0 0 0 0 0 3988653 3889659 98994 98994 98994 0 0 0 0 291640007 290937187 540177 0 0 0 0 1082279 1082279 0 0 0 4972279 1523214 3449065 161254 28311 132943 578925 219986 358939 397014 166746 230268 12397199 1278085 11119114 100820 100820 0 0 0 2000 2000 3231958 3231958 1017532 1017532 1465047 1465047 309518 309518 0 281575 281575 161336 161336 0 0 0 0 62356 62356 119642 119642 Medical Expenses 235540682 235540682 0 Premium Taxes 5159622 4746852 412770 Member Value Add Expense 986382 986382 Misc Expense 324571 324571 1322024 1322024 269674015 244586155 25087860 0 3331896 31774595 6808484 4507715 0 0 1766847 4372982 0 0 0 0 0 0 0 0 0 0 2625223 2523977 169912 101246 0 0 25307464 23080468 0 0 0 0 0 3236616 37384603 67073622 13847875 27183000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3896320 5671447 17744195 32854447 X 0 0 0 0 19640408 34219175 19640408 34219175 37384603 67073622 X 21965992 115567 -7502792 X false true X false true true X 103906 357701 423224 185751 162643 1233225 56299110 134848007 152114133 150430135 290937187 784628572 0 0 0 56403016 135205708 152537357 150615886 291099830 785861797 0 0 0 785861797 336324 254370 362081 525837 441183 1919795 0 336324 254370 362081 525837 441183 1919795 0 0 56739340 135460078 152899438 151141723 291541013 787781592 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 false false false false false true 89912 false false false 89912 false 0 2625223 2525977 101246 0 0 0 101246 VANGUARD - MUTUAL FUNDS 23080468 F 23080468 Due from Driscoll Health Sys 1971616 DEPOSITS 1265000 3236616 0 Rebate Liability 5604817 DUE TO DVPG 29392 Due to Affiliate 37238 5671447 290555674 290555674 1084333 1084333 291640007 268589682 268589682 1084333 1084333 269674015 RECONCILIATION OF AUDIT REPORT REVENUE/EXPENSES TO FORM 990 SCH D, PARTS XI & XII LINE 4B INCOME ON RETURN, NOT ON BOOKS: AUDIT EXPENSES NETTED WITH INCOME ON 990 $1,084,333 EXPENSE ON RETURN, NOT ON BOOKS: AUDIT EXPENSES NETTED WITH INCOME ON 990 $1,084,333. FIN 48 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X X false true false false false false false false false D ERIC HAMON 58226 112105 24381 387523 16135 598370 MARY D PETERSON 269411 69628 17000 49913 12493 418445 STEVE WOERNER 610969 215182 17000 80949 10187 934287 RICARDO VILLARREAL 168243 40000 14909 7049 230201 ERNEST BUCK 200872 14568 13662 3136 12372 244610 WILLIAM BRENDEL 168953 12048 8022 189023 MICHAEL P LANCE 137845 25293 5485 168623 PARTICIPANTS IN/PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, QUESTION 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME DEFERRAL AMOUNT D. ERIC HAMON $324,815 NO PAYMENTS WERE RECEIVED. PROGRAM SERVICE ACCOMPLISHMENT FORM 990, PART III, QUESTION 4A DRISCOLL CHILDREN'S HEALTH PLAN IS THE CONTRACTOR FOR THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) THIS SERVICE AREA INCLUDES 14 COUNTIES COMPRISED OF ARANSAS, BEE, BROOKS, CALHOUN, GOLIAD, JIM WELLS, KARNES, KENEDY, KLEBERG, LIVE OAK, NUECES, REFUGIO, SAN PATRICIO, AND VICTORIA. THE PLAN ALSO PROVIDES HEALTH BENEFITS FOR CHILDREN ENROLLED IN THE STATE OF TEXAS ACCESS REFORM (STAR) PROGRAM FOR 24 COUNTIES. THE PLAN IS A HEALTH MAINTENANCE ORGANIZATION (HMO) COMMITTED TO PROVIDING ITS MEMBERS A NETWORK OF HEALTH SERVICE PROVIDERS. ITS AFFILIATION WITH DRISCOLL CHILDREN'S HOSPITAL (DCH), THE SOLE CORPORATE MEMBER, LENDS TO THE PLAN'S SUCCESS BY OFFERING ITS MEMBERS DCH'S EXTENSIVE NETWORK INCLUDING PHYSICIANS, HOSPITAL, AND SERVICES IN ITS TOTAL EXPANDED SERVICE AREA, THUS OFFERING CHIP AND STAR MEMBERS WHO LIVE IN THE ADJACENT COUNTIES A FULL CONTINUUM OF QUALITY SERVICES TAILORED TO MEET THE NEEDS OF THE CHIP AND STAR POPULATION. THE PLAN'S ENROLLMENT WAS 106,041 AND 58,721 AT DECEMBER 31, 2012 AND 2011, RESPECTIVELY. CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part IV, Question 6 Driscoll Children's Hospital is the sole member of Driscoll Children's Health Plan. CLASS OF PERSONS AND NATURE OF THEIR RIGHTS Form 990, Part IV, Question 7a Any vacancy occurring in the board of directors shall be filled in accordance with the following procedure: the Member shall elect and appoint a candidate to fill the vacancy. CLASS OF THE PERSON, DECISIONS THAT REQUIRE APPROVAL, AND VOTING RIGHTS Form 990, Part IV, Question 7b The following matters are reserved to the member and shall require the affirmative action of the member to be effective: A. annual operating & capital budgets of the corporation; B. Merger, acquisition or consolidation of the corporation; c. borrowing or lending of money or the creation of indebtedness through the guarantee of another debt or similar action; and d. appointment & removal of directors in accordance with the by-laws. FORM 990 PROVIDED TO GOVERNING BODY 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 INTERNAL ACCOUNTANTS AND DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. COMPENSATION REVIEW OF CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL FORM 990, PART VI, QUESTION 15A BOARD OF DIRECTORS REVIEW THE APPLICABLE MARKETING DATA PROVIDED BY A THRID PARTY COMPENSATION FIRM AND MATCHES THE PRESIDENT/CEO SALARY TO THE APPROPRIATE MARKET RATE FOR THE DUTIES. SULLIVAN COTTER REVIEWED 2011. COMPENSATION REVIEW OF OFFICERS OR KEY EMPLOYEES FORM 990, PART VI, QUESTION 15B MANAGEMENT REVIEWS APPLICABLE MARKET DATA AND SLOTS THE SALARY ACCORDING TO APPROPRIATE MARKET DATA. Organizational documents made available to public form 990, part VI, question 19 The organization does not make its governing documents, policies, and financial statements available to the public. ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICY FORM 990, PART VI, QUESTION 12C ANNUALLY, ALL DIRECTORS, OFFICERS, AND KEY PERSONNEL FILL OUT A CONFLICT OF INTEREST FORM. STAFF MAKES SURE ALL CONFLICT OF INTEREST FORMS ARE TURNED IN AND REVIEWED ANNUALLY. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 Transfer to Driscoll Children's Hospital $ (7,502,792) Driscoll Children's Hospital 3533 South Alameda Corpus Christi TX 78411 742577746 Hospital TX 501(C)(3) 3 na false Driscoll Physician's Group 3533 South Alameda Corpus Christi TX 78411 742988134 Hospital TX 501(C)(3) 3 DCH false Driscoll Valley Physicians Group 3533 South Alameda Corpus Christi TX 78411 201234322 Hospital TX 501(C)(3) 3 DCH false Driscoll Maternal & Fetal Physician's Gr 3533 South Alameda Corpus Christi TX 78411 201234461 Health Care TX 501(C)(3) 7 DCH false Childrens Physician Services of South TX 3533 South Alameda Corpus Christi TX 78411 742620408 Hospital TX 501(C)(3) 3 DCH false Driscoll Foundation 615 North Upper Broadway ste 1635 Corpus Christi TX 78401 741170270 Char. Trust TX 501(C)(3) 11a NA false Driscoll Healthcare Services 3533 south alameda corpus christi TX 78411 010962276 health care TX 501(C)(3) 11a dch false false false false false false false false false false true false true true true true true false false