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 260834681 Texas Children's Physician Group Inc TEXA 8328242982 6621 Fannin St Houston TX 77030 BENJAMIN MELSON 2011-08-12 7137501500 2009 2016-02-24 21:20:13Z Texas Children's Physician Svcs Org Susan MacDonald 6621 Fannin St Houston TX 77030 236988934 false X N/A X 2005 TX SEE SCHEDULE O. 6 6 216 6 0 0 0 0 189769083 236667879 506 55 691827 321000 190461416 236988934 0 0 0 0 3437612 14418799 0 0 0 180498566 210276800 183936178 224695599 6525238 12293335 24032509 62003074 17462890 43184500 6569619 18818574 SEE SCHEDULE O. false false 209229267 0 236988879 TEXAS CHILDREN'S PHYSICIAN GROUP (TCGP) PERFORMS MANAGED CARE CONTRACTING, BILLING AND COLLECTION SERVICES FOR BAYLOR COLLEGE OF MEDICINE FACULTY AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE SERVICES AT TEXAS CHILDREN'S HOSPITAL, OR WHO PARTICIPATE IN TEXAS CHILDREN'S PROGRAMS. 209229267 true false 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 3 0 true 216 true false false false false false false false false false 6 6 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 X MILTON J FINEGOLD MD 1.0 X 0 0 0 DEAN B ANDROPOULOS MD 1.0 X 0 0 0 DALE BROWN MD 1.0 X 0 0 0 RICHARD A FRIEDMAN MD 1.0 X 0 3349 0 EDMOND T GONZALES MD 1.0 X 0 0 0 STEPHEN SPANN MD 1.0 X 0 0 0 SUSAN MACDONALD 5.0 X 0 579488 243984 MARK MULLARKEY 20.0 X 0 206419 14930 JOHN NICKENS 38.0 X 0 325028 154672 KIMBERLY BOBO MD 40.0 X 114590 250558 22253 EDWARD YOSOWITZ 40.0 X 114584 177569 28219 WANDA MOTT MD 40.0 X 133088 252714 30687 DAVID ZEPEDA MD 40.0 X 136845 259187 21451 DAMLA DRYDEN MD 40.0 X 147467 278549 25551 646574 2332861 541747 5 false true false SUMMIT HMR 4916 OVERTON PLAZA FORT WORTH TX 76109 ANESTHESIOLOGY CHRGS 397676 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INSTALLATN/TECH SUPT 182886 2 0 Net Patient Service Revenue 621511 146457978 146457978 Program Support Revenue 900099 89013724 89013724 BILLING AND COLLECTIONS 541219 720607 720607 Pediatric Surgery Clinic - St. Joseph 621111 438000 438000 Vended Service Revenue 900099 37570 37570 236667879 55 55 0 0 0 0 0 0 EPIC 900099 227962 227962 CLEAN CLAIMS INCENTIVE 900099 93038 93038 321000 236988934 236988879 0 55 0 0 0 0 0 0 11824423 3827713 7996710 308647 308647 1572214 71086 1501128 713515 709791 3724 0 0 0 0 0 0 1939769 43818 1895951 0 1039419 1039419 0 0 560877 195 560682 16167 3851 12316 0 25428 8764 16664 0 0 324942 324942 0 PROFESSIONAL FEES - BAYLOR 184694263 183866336 827927 BAD DEBT 14588045 14588045 VENDED SERVICES 6546562 6040218 506344 BANK SERVICE CHARGES 194210 194210 COLLECTION EXPENSE 116501 24245 92256 230617 45205 185412 224695599 209229267 15466332 0 1595 103188 1810001 3785000 7502118 11715068 0 4126 2484201 407196 1470244 2077005 13248551 44318687 24032509 62003074 16344724 22515400 0 718819 1118166 19950281 17462890 43184500 X 6525238 18818574 44381 6569619 18818574 24032509 62003074 X false true true X false X 189868847 236988844 426857691 189868847 236988844 426857691 426857691 506 55 561 23217 0 23217 23723 55 23778 189892570 236988899 426881469 X 1174988 157223 1017765 1309213 249973 1059240 2077005 OTHER MISC RECEIVABLE - BAYLOR 44312016 RETURNED CHECKS RECEIVABLE 3812 DUE FROM TC HEALTH PLAN 2643 SALES TAX RECEIVABLE 216 44318687 0 DUE TO TCH 15024316 DUE TO TCWS 4853293 DUE TO TCHPA 72672 19950281 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 false true false false SUSAN MACDONALD 0 267251 0 264156 0 48081 0 232809 0 11175 0 823472 0 123064 MARK MULLARKEY 0 164112 0 30650 0 11657 0 5472 0 12969 0 224860 0 9500 JOHN NICKENS 0 206281 0 102150 0 16597 0 142091 0 14415 0 481534 0 0 KIMBERLY BOBO MD 110646 186084 0 34182 3944 30292 858 16021 2223 4200 117671 270779 0 0 EDWARD YOSOWITZ 86636 164845 10000 0 17948 12724 2290 17270 3307 6247 120181 201086 0 0 WANDA MOTT MD 109936 204947 0 0 23152 47767 2750 19278 3405 6431 139243 278423 0 0 DAVID ZEPEDA MD 135574 256486 0 0 1271 2701 0 11928 3792 6305 140637 277420 0 0 DAMLA DRYDEN MD 142497 249205 0 0 4970 29344 0 16892 3431 6480 150898 301921 0 0 SUPPLEMENTAL Compensation Information Schedule J, Part I, Line 4b SHORT-TERM INCENTIVE PLAN PAID/DEFERRED: SUSAN MACDONALD - $62,950/NONE JOHN NICKENS - $38,900/NONE MARK MULLARKEY - $30,650/$42,750 CAPITAL ACCUMULATION PAID/DEFERRED: SUSAN MACDONALD - $25,408/$42,588 JOHN NICKENS - NONE/$33,209 Supplemental Compensation Information Schedule J, Part I, Lines 5a, 5B & 6B LONG-TERM INCENTIVE PLAN PAID/DEFERRED: SUSAN MACDONALD - $201,206/$123,450 JOHN NICKENS - $63,250/$63,250 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. Organization's mission or most significant activities Form 990, Part I, Line 1 TCPG PERFORMS MANAGED CARE CONTRACTING, BILLING AND COLLECTION SERVICES FOR BAYLOR COLLEGE OF MEDICINE FACULTY AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE SERVICES AT TEXAS CHILDREN'S HOSPITAL. ALSO, IN PREPARATION FOR THE OPENING OF THE TEXAS CHILDREN'S HOSPITAL PAVILION FOR WOMEN, TCPG ALSO EMPLOYS PHYSICIANS WHO SPECIALIZE IN OBSTETRICS/GYNECOLOGY. Organization's Mission Statement Form 990, Part III, Line 1 TCPG seeks to bridge the gap between the practice and business of medicine by providing transparent, efficient and cost-effective support services to Texas Children's-Affiliated Physicians and other healthcare providers, allowing them to focus on the provision of quality patient care. 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, Questions 15a & 15b Texas Children's 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 IDS 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 Susan MacDonald is an employee of Texas Children's Hospital (Senior Vice President). She works 5 hours a week for Texas Children's Physician Group, Inc. and 35 hours for Texas Children's Hospital. Mark Mullarkey is an employee of Texas Children's Hospital (Vice President of Operations) who spends 50% of his time (20 hours), working with Texas Children's Physician Group, Inc. and 50% of his time (20 hours) working with Texas Children's Hospital. John Nickens is an employee of Texas Children's Hospital (Vice President). He works 38 hours a week for Texas Children's Physician Group, Inc. and 2 hours a week for Texas Children's Hospital. 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 Pediatric Associates PO Box 300630 Houston TX 77230 760460242 HEALTH CARE TX 501(C)(3) 11 TYPE I NA Texas Children's Hospital 6621 Fannin St 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 true true false false false false false false TEXAS CHILDREN'S WOMEN'S SPECIALISTS L 6039999 TEXAS CHILDREN'S WOMEN'S SPECIALISTS K 332781