TCH PEDIATRIC ASSOCIATES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TCH PEDIATRIC ASSOCIATES INC (EIN 76-0460242)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201112279349301981
Schema version
2009v1.7
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)
Timestamp2011-08-15T11:06:00-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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
Phone8328242982Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameBENJAMIN MELSONName
TitleCFOTitle
Date Signed2011-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Texas Childrens Pediatric AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKay TittleNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11919 S Braeswood BlvdAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
Gross Receipts144857928GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Members4NbrIndependentVotingMembers
Total Nbr Employees1138TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year185662ContributionsGrantsPriorYear
Contributions Grants Current Year66891ContributionsGrantsCurrentYear
Program Service Revenue Prior Year136480688ProgramServiceRevenuePriorYear
Program Service Revenue CY143485398ProgramServiceRevenueCY
Investment Income Prior Year8896InvestmentIncomePriorYear
Investment Income Current Year-1515InvestmentIncomeCurrentYear
Other Revenue Prior Year6173154OtherRevenuePriorYear
Other Revenue Current Year1305394OtherRevenueCurrentYear
Total Revenue Prior Year142848400TotalRevenuePriorYear
Total Revenue Current Year144856168TotalRevenueCurrentYear
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 Year90520118SalariesEtcPriorYear
Salaries Etc Current Year95307951SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49765792OtherExpensePriorYear
Other Expenses Current Year48030069OtherExpensesCurrentYear
Total Expenses Prior Year140285910TotalExpensesPriorYear
Total Expenses Current Year143338020TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2562490RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1518148RevenuesLessExpensesCY
Total Assets BOY40185629TotalAssetsBOY
Total Assets EOY38457258TotalAssetsEOY
Total Liabilities BOY26360509TotalLiabilitiesBOY
Total Liabilities EOY23114011TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13825120NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15343247NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense133891007Expense
Grants0Grants
Revenue144790792Revenue
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 9/30/2010 WERE 1,078,231.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue0Revenue
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)
Expense0Expense
Grants0Grants
Revenue0Revenue
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 Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense133891007TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096123NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1138NumberOfEmployees
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
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRACHEL SHUPENamePerson
Telephone Number8328242951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11919 S Braeswood BlvdAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JAN E DRUTZ MD
BOARD OF DIRECTORS/SECRETARY1.0X000
MARTIN I LORIN MD
BOARD OF DIREC./VICE CHAIRMAN1.0X000
JOAN E SHOOK MD
BOARD OF DIRECTORS/MEMBER1.0X000
JAMES E ALLISON III MD
BOARD OF DIRECTORS/MEMBER40.0X246350017961
MARK W KLINE MD
BOARD OF DIRECTORS/MEMBER1.0X000
STANLEY W SPINNER MD
BOARD OF DIRECTORS/MEMBER40.0X266622019744
ELIZABETH SMITH
BOARD OF DIRECTORS/MEMBER40.0X10259105534
KAY TITTLE
PRESIDENT40.00595268224013X
MARKETTEA BENEKE
COO40.0019969611933X
HUBERT HO
PHYSICIAN40.0590755034745X
KATHLEEN HASSEL
PHYSICIAN40.0513731030065X
RICHARD THALLER
PHYSICIAN40.0642827027805X
RICHARD VADALA
PHYSICIAN40.0619139032968X
MARIA ROSSELL
PHYSICIAN40.0749020023793X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3731035TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs794964TotalReportableCompFrmRltdOrgs
Total Other Compensation428561TotalOtherCompensation
Number Individuals GT100 K180NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACCESS NURSE PM INC
PO BOX 635013CINCINNATIOH452635013STAFFING511112
ADVANCED HR SOLUTIONS LTD
PO BOX 200834HOUSTONTX772160834STAFFING264327
PHYSICIAN RESOURCES INC
1818 MEMORIAL DRIVE SUITE 200HOUSTONTX77007STAFFING219315
ETACTICS INC
4835 DARROW RDSTOWOH442241403EPIC BILLING STMTS201984
MINT MEDICAL PHYSICIAN STAFFING LP
PO BOX 62073HOUSTONTX77205STAFFING189020
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions66891AllOtherContributions
Total Contributions66891TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient CareDescription
Total Revenue Column143485398TotalRevenueColumn
Related Or Exempt Function Income143485398RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue143485398TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column245TotalRevenueColumn
Exclusion$245ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1760Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1760Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1760TotalRevenueColumn
Exclusion-$1,760ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Incentives from Managed Care Companies900099801118801118
Assets Released from Restrictions900099465432465432
CLEAN CLAIMS INTEREST NON-TCHP9000992705627056

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11788TotalRevenueColumn
Related Or Exempt Function Income11788RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1305394TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column144856168TotalRevenueColumn
Related Or Exempt Function Income144790792RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$1,515ExclusionAmount

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)
Total615563Total
Program Services573826ProgramServices
Management And General41737ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total80122054Total
Program Services74689562ProgramServices
Management And General5432492ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1360401Total
Program Services1255728ProgramServices
Management And General104673ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8998019Total
Program Services8204802ProgramServices
Management And General793217ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4211914Total
Program Services3840417ProgramServices
Management And General371497ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2000000Total
Management And General2000000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2318Total
Program Services2318ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2600Total
Program Services2600ProgramServices

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)
Total1296050Total
Program Services873310ProgramServices
Management And General422740ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total170153Total
Program Services168402ProgramServices
Management And General1751ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30378146Total
Program Services30284834ProgramServices
Management And General93312ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7834589Total
Program Services7834589ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total86765Total
Program Services65918ProgramServices
Management And General20847ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total152585Total
Program Services134283ProgramServices
Management And General18302ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2092977Total
Program Services2075256ProgramServices
Management And General17721ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1363Total
Program Services1363ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT PROVISION23788182378818
MALPRACTICE EXPENSE900056900056
FEES & LICENCES1834661809682498
RECORDS STORAGE11584011582416
COLLECTION EXPENSE7860078600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total355743Total
Program Services308133ProgramServices
Management And General47610ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total143338020Total
Program Services133891007ProgramServices
Management And General9447013ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15234896BOY
EOY-48776EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2150000BOY
EOY16520000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7265133BOY
EOY5537478EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2582522BOY
EOY3343411EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY376960BOY
EOY358369EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24098431LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11657871LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12380450BOY
EOY12440560EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY95668BOY
EOY206216EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40185629BOY
EOY38457258EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19695938BOY
EOY17245364EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY775021BOY
EOY1921932EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5889550BOY
EOY3946715EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26360509BOY
EOY23114011EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13825120BOY
EOY15343247EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13825120BOY
EOY15343247EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40185629BOY
EOY38457258EOY
FieldValueIRS element (for citing)
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEXAS CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN741100555EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$18,749,500Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts18749500SumOfAmounts

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

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 Basis15208795OtherCostOrOtherBasis
Depreciation7151624Depreciation
Book Value8057171BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7504583OtherCostOrOtherBasis
Depreciation4491040Depreciation
Book Value3013543BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1369846OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1369846BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12440560TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO TCH$3,780,048
TCH MANAGEMENT FEE PAYABLE$166,667
FieldValueIRS element (for citing)
Total Of Amounts3946715TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48/ASC 740 FOOTNOTE DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 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
JAMES E ALLISON III MD
133375073296039679053800151100266840000
STANLEY W SPINNER MD
214538036596015488071630131660286951000
KAY TITTLE
02470180303553044697021681701623308283180162135
MARKETTEA BENEKE
016552301985001432302636012711021504300
HUBERT HO
40043801559040344130221640132960626215000
KATHLEEN HASSEL
32747601529920332630174840135890544804000
RICHARD THALLER
1784070423596040824022431057620671020000
RICHARD VADALA
3530610224481041597024309094350652883000
MARIA ROSSELL
5115530200477036990018419061540773593000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4BReturnReference
ExplanationSHORT-TERM INCENTIVE PLAN PAID/DEFERRED KAY TITTLE - $56,600/NONE MARKETTEA BENEKE - $19,850/$19,850 CAPITAL ACCUMULATION PAID/DEFERRED: KAY TITTLE - $14,282/$40,599 MARKETTEA BENEKE - NONE/$43,215 SCHEDULE J, PART I, LINES 5A, 5B, 6A & 6B LONG-TERM INCENTIVE PLAN PAID/DEFERRED KAY TITTLE - $246,953/$116,800 FY - 2009 Capital Accumulation Account: The Compensation Committee of the Board of Trustees has established the Capital Accumulation Account ("CAA") program for the organization's executive leaders. CAA is a supplemental deferred compensation plan to allow executives to save for retirement, as their retirement benefits in broad-based plans covering all employees are capped and do not recognize their full salaries. Contingent Compensation: FY 2007- 2009 EXECUTIVE LONG-TERM INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") ESTABLISHES THE SYSTEM-WIDE PERFORMANCE MEASURES FOR THE THREE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, HUMAN RESOURCES, AND PROGRESS TOWARDS NEW PROGRAMS AND CAPITAL PROJECTS. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE FOR THE FINANCIAL GOALS USE TOTAL OPERATING REVENUE AS A FACTOR IN DETERMINING SOME MEASURES ASSOCIATED WITH OPERATING CASH FLOWS. FY 2009 EXECUTIVE ANNUAL INCENTIVE PLAN: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") ESTABLISHES THE PERFORMANCE MEASURES FOR THE ONE-YEAR PLAN AND THE INCENTIVE AWARD OPPORTUNITY FOR EACH PARTICIPANT IN THIS PLAN. PERFORMANCE MEASURES AND GOALS ARE DEFINED FOR EACH ENTITY. THE INCENTIVE AWARDS ARE DETERMINED ON THE WEIGHTED BLEND OF ALL THE ENTITIES' PERFORMANCE. THE PERFORMANCE MEASURES INCLUDE THE FOLLOWING INDICATORS: STRATEGIC, OPERATIONAL, FINANCIAL, PATIENT SATISFACTION, CLINICAL AND SERVICE QUALITY, AND HUMAN RESOURCES. THE PERFORMANCE MEASURES ESTABLISHED BY THE COMMITTEE USE REVENUE AS A FACTOR IN DETERMINING SOME MEASURES FOR THE FINANCIAL TARGETS. THE PAYMENT OF ANNUAL INCENTIVES IS CONTINGENT ON ACHIEVING SYSTEM BUDGETED OPERATING MARGIN.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mission StatementForm 990, Part III, Question 1TCH Pediatric Associates, Inc. (TCPA) 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.
Description of Classes of Members or StockholdersForm 990, Part VI, Question 6The organization has one Member, Texas Children's Hospital.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aThe Member annually appoints the organization's Board of Directors.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting RightsForm 990, Part VI, Question 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. ~ 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. ~ Take any action which would be inconsistent with the governing documents or policies of the Member.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11aPer 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.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cPer 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 Board'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 is taken in accordance with the organization's Board-approved Code of Conduct.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, Question 15a & 15bTexas Children's Hospital (TCH) consults with Integrated Healthcare Strategies (IHS) to conduct a market review every 2-3 years of the executives' total compensation, including base salary, incentive pay, and benefits. IHS conducts the survey, analyzes the data, and provides a summary of our market position to comparable peer organizations. They review their findings with Mark Wallace (CEO) and the Compensation Committee of our Board of Trustees. Mark Wallace makes recommendations for base salary increases for the executives reporting to him. The Board approves Mark Wallace's compensation and ensures that compensation and benefits for all positions within the scope of the committee are consistent with the compensation philosophy of TCH Integrated Delivery System and that the total value of compensation and benefits provided by TCH to any disqualified persons is reasonable and represents fair market value for the services they render to TCH.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19The governing documents, conflict of interest policy and financial statements are made available upon request.
Related HoursForm 990, Part VIIAlthough Form 990, Part VII reports compensation from related organizations for Kay Tittle and Markettea Beneke, they work only for TCH Pediatric Associates, Inc.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
TCH System Inc
1919 S Braeswood BlvdHoustonTX77030760461578HEALTH CARETX501(C)(3)11 TYPE INA
Texas Children's Women's Specialists
PO Box 300630HoustonTX77230261482195HEALTH CARETX501(C)(3)11 TYPE 1NA
Texas Children's Health Plan
2450 HolcombeHoustonTX77021760486264HEALTH CARETX501(C)(3)9NA
Texas Children's Physician Group Inc
6621 Fannin StreetHoustonTX77030260834681HEALTH CARETX501(C)(3)9NA
Texas Children's Hospital
6621 Fannin StreetHoustonTX77030741100555HOSPITALTX501(C)(3)3NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TCH Insurance Company LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line123 Lime Tree Bay AveAddressLine1
CityGrand Cayman, CJCity
CountryCJCountry
Postal CodeKY1-1102PostalCode
FieldValueIRS element (for citing)
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
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 FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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