2011-08-15T11:06:00-05:00 2010-09-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2009-10-01 760460242 TCH Pediatric Associates Inc TCHP 8328242982 PO Box 300630 Houston TX 772300630 BENJAMIN MELSON 2011-08-12 7137501500 2009 2016-02-24 21:20:13Z Texas Childrens Pediatric Associates Kay Tittle 1919 S Braeswood Blvd Houston TX 77030 144857928 false X www.texaschildrenspediatrics.org X 1994 TX TCH 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. 7 4 1138 3 0 0 185662 66891 136480688 143485398 8896 -1515 6173154 1305394 142848400 144856168 0 0 0 0 90520118 95307951 0 0 0 49765792 48030069 140285910 143338020 2562490 1518148 40185629 38457258 26360509 23114011 13825120 15343247 SEE SCHEDULE O false false 133891007 0 144790792 Patient 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. 0 0 0 Medical 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. 0 0 0 Medical 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. 0 0 0 133891007 true true false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false true 123 0 true 1138 true false false false false false false false false false 7 4 false false false false true true true true true false false true true true true true true true true false X RACHEL SHUPE 8328242951 1919 S Braeswood Blvd Houston TX 77030 JAN E DRUTZ MD 1.0 X 0 0 0 MARTIN I LORIN MD 1.0 X 0 0 0 JOAN E SHOOK MD 1.0 X 0 0 0 JAMES E ALLISON III MD 40.0 X 246350 0 17961 MARK W KLINE MD 1.0 X 0 0 0 STANLEY W SPINNER MD 40.0 X 266622 0 19744 ELIZABETH SMITH 40.0 X 102591 0 5534 KAY TITTLE 40.0 X 0 595268 224013 MARKETTEA BENEKE 40.0 X 0 199696 11933 HUBERT HO 40.0 X 590755 0 34745 KATHLEEN HASSEL 40.0 X 513731 0 30065 RICHARD THALLER 40.0 X 642827 0 27805 RICHARD VADALA 40.0 X 619139 0 32968 MARIA ROSSELL 40.0 X 749020 0 23793 3731035 794964 428561 180 false true false ACCESS NURSE PM INC PO BOX 635013 CINCINNATI OH 452635013 STAFFING 511112 ADVANCED HR SOLUTIONS LTD PO BOX 200834 HOUSTON TX 772160834 STAFFING 264327 PHYSICIAN RESOURCES INC 1818 MEMORIAL DRIVE SUITE 200 HOUSTON TX 77007 STAFFING 219315 ETACTICS INC 4835 DARROW RD STOW OH 442241403 EPIC BILLING STMTS 201984 MINT MEDICAL PHYSICIAN STAFFING LP PO BOX 62073 HOUSTON TX 77205 STAFFING 189020 11 66891 66891 Patient Care 143485398 143485398 143485398 245 245 0 0 0 1760 -1760 -1760 -1760 0 0 0 Incentives from Managed Care Companies 900099 801118 801118 Assets Released from Restrictions 900099 465432 465432 CLEAN CLAIMS INTEREST NON-TCHP 900099 27056 27056 11788 11788 1305394 144856168 144790792 0 -1515 0 0 0 0 615563 573826 41737 0 80122054 74689562 5432492 1360401 1255728 104673 8998019 8204802 793217 4211914 3840417 371497 2000000 2000000 0 2318 2318 2600 2600 0 0 1296050 873310 422740 170153 168402 1751 30378146 30284834 93312 0 0 7834589 7834589 86765 65918 20847 0 152585 134283 18302 0 0 2092977 2075256 17721 1363 1363 BAD DEBT PROVISION 2378818 2378818 MALPRACTICE EXPENSE 900056 900056 FEES & LICENCES 183466 180968 2498 RECORDS STORAGE 115840 115824 16 COLLECTION EXPENSE 78600 78600 355743 308133 47610 143338020 133891007 9447013 0 15234896 -48776 2150000 16520000 100000 100000 7265133 5537478 2582522 3343411 376960 358369 24098431 11657871 12380450 12440560 95668 206216 40185629 38457258 19695938 17245364 775021 1921932 5889550 3946715 26360509 23114011 X 13825120 15343247 13825120 15343247 40185629 38457258 X false true true X false X X X X false false false TEXAS CHILDREN'S HOSPITAL 741100555 03 true 18749500 1 18749500 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 15207 15207 0 15208795 7151624 8057171 7504583 4491040 3013543 1369846 0 1369846 12440560 0 DUE TO TCH 3780048 TCH MANAGEMENT FEE PAYABLE 166667 3946715 FIN 48/ASC 740 FOOTNOTE DISCLOSURE SCHEDULE D, PART X, LINE 2 THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF SEPTEMBER 30, 2010. X X X X false true false true true true true false false JAMES E ALLISON III MD 133375 0 73296 0 39679 0 5380 0 15110 0 266840 0 0 0 STANLEY W SPINNER MD 214538 0 36596 0 15488 0 7163 0 13166 0 286951 0 0 0 KAY TITTLE 0 247018 0 303553 0 44697 0 216817 0 16233 0 828318 0 162135 MARKETTEA BENEKE 0 165523 0 19850 0 14323 0 2636 0 12711 0 215043 0 0 HUBERT HO 400438 0 155904 0 34413 0 22164 0 13296 0 626215 0 0 0 KATHLEEN HASSEL 327476 0 152992 0 33263 0 17484 0 13589 0 544804 0 0 0 RICHARD THALLER 178407 0 423596 0 40824 0 22431 0 5762 0 671020 0 0 0 RICHARD VADALA 353061 0 224481 0 41597 0 24309 0 9435 0 652883 0 0 0 MARIA ROSSELL 511553 0 200477 0 36990 0 18419 0 6154 0 773593 0 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 4B SHORT-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. Mission Statement Form 990, Part III, Question 1 TCH 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 Stockholders Form 990, Part VI, Question 6 The organization has one Member, Texas Children's Hospital. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a The Member annually appoints the organization's Board of Directors. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b Per 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 990 Form 990, Part VI, Question 11a Per 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 Interest Form 990, Part VI, Question 12c 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 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 Begun Form 990, Part VI, Question 15a & 15b Texas 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 Public Form 990, Part VI, Question 19 The governing documents, conflict of interest policy and financial statements are made available upon request. Related Hours Form 990, Part VII Although Form 990, Part VII reports compensation from related organizations for Kay Tittle and Markettea Beneke, they work only for TCH Pediatric Associates, Inc. TCH System Inc 1919 S Braeswood Blvd Houston TX 77030 760461578 HEALTH CARE TX 501(C)(3) 11 TYPE I NA Texas Children's Women's Specialists PO Box 300630 Houston TX 77230 261482195 HEALTH CARE TX 501(C)(3) 11 TYPE 1 NA Texas Children's Health Plan 2450 Holcombe Houston TX 77021 760486264 HEALTH CARE TX 501(C)(3) 9 NA Texas Children's Physician Group Inc 6621 Fannin Street Houston TX 77030 260834681 HEALTH CARE TX 501(C)(3) 9 NA Texas Children's Hospital 6621 Fannin Street Houston TX 77030 741100555 HOSPITAL TX 501(C)(3) 3 NA TCH Insurance Company LTD 23 Lime Tree Bay Ave Grand Cayman, CJ CJ KY1-1102 INSURANCE CJ NA C CORP false false false false false false false false false false false true false false true false false false