2023-11-13T19:45:12+00:00 2022-12-31 350921680 Crowe LLP 5810 Tennyson Parkway Suite 450 Plano TX 750244112 990 2022-01-01 752917570 Anesthesiologists for Children ANES 2144567000 1935 Medical District Drive Dallas TX 75235 Robert Fries Senior Vice President, Finance 2144567000 2023-11-14 true Robert Fries 999009999 Amy Bellanca P01572961 2147775200 2022 2023-04-26 12:10:37Z Stephen Kimatian MD 1935 Medical District Drive Dallas TX 75235 38649589 false X N/A X 2000 TX PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS. 5 4 119 4 0 0 3762 405839 36664979 38243750 0 0 0 0 36668741 38649589 0 0 0 22263096 24676986 0 0 0 33604435 33937559 55867531 58614545 -19198790 -19964956 1276305 2256786 45166619 66112056 -43890314 -63855270 PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS. THESE SERVICES ARE PROVIDED WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY FOR THE SERVICES. false false 46762632 0 38243750 PROVIDE ANESTHESIA SERVICES TO PATIENTS AT CHILDREN'S MEDICAL CENTER OF DALLAS. THESE SERVICES ARE PROVIDED WITHOUT REGARD TO PATIENT'S ABILITY TO PAY FOR THE SERVICES. 46762632 true true false false false false false false false false false false false true 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 false false false true 22 0 true 119 true false false false false false false false false false false false false X 5 4 false false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Stephen Kimatian MD Chair & President 55.0 0 X X 0 0 0 Charles Whitten MD Director & Anesthesiologist 1.0 0 X 0 0 0 Craig Peters MD Anesthesiologist & Director 1.0 0 X 0 0 0 Maeve Sheehan MD Director & Anesthesiologist 1.0 0 X 0 0 0 Stephen Q Hoang MD Director & Anesthesiologist 40.0 0 X 513727 0 44576 Lisa M Frenkel Secretary 1.0 54.0 X 0 508188 72484 John McGrimley MD Anesthesiologist 40.0 0 X 576970 0 52165 Kristen Ogg MD Anesthesiologist 40.0 0 X 552614 0 38619 Shannon Ternan MD Anesthesiologist 40.0 0 X 523465 0 48197 Shelly Ragsdale MD Anesthesiologist 40.0 0 X 521361 0 36996 Umar T Khan MD Anesthesiologist 40.0 0 X 527742 0 64505 3215879 508188 357542 79 false true false UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Svcs 25236957 MEDAC INC 804 SCOTT NIXON MEMORIAL DR AUGUSTA GA 30907 Billing & Practice Management 942197 2 4914 400925 405839 Net Patient Revenue 621110 24013745 24013745 Medicaid Subsidy Revenue 621110 12971943 12971943 Other Medical Services 621110 1258062 1258062 0 0 0 0 38243750 0 0 0 0 0 0 0 0 0 38649589 38243750 0 0 X 558303 558303 20431976 16490212 3941764 1014241 818572 195669 1535279 1239091 296188 1137187 917799 219388 25490859 25490859 0 0 6086 6086 1109017 895064 213953 55505 44797 10708 121309 97906 23403 15761 12720 3041 176490 176490 Shared Services 6941713 6941713 Medical & Surgical Supplies 20819 20819 0 0 0 0 58614545 46762632 11851913 0 1276107 2256786 0 0 0 0 0 0 0 0 0 0 198 0 1276305 2256786 6688418 8382986 0 0 38478201 57729070 45166619 66112056 X -43890314 -63855270 -43890314 -63855270 1276305 2256786 -19964956 0 X false true X true false X 1632 9630 3936 3762 405839 424799 33113898 38522347 29333423 36664979 38243750 175878397 0 0 0 33115530 38531977 29337359 36668741 38649589 176303196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176303196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33115530 38531977 29337359 36668741 38649589 176303196 1 1.0 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED LT ADVANCES-AFC 57729070 57729070 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Anesthesiologist for Children's financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2022, reads as follows: "The authoritative guidance in ASC 740 Income Taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The statute of limitations remains open for tax years 2019 through 2022 in Children's Health main taxing jurisdictions." false true false false false false false false false Stephen Q Hoang MD Director & Anesthesiologist 383696 0 0 0 130031 0 20500 0 24076 0 558303 0 0 0 Lisa M Frenkel Secretary 0 319644 0 101602 0 86942 0 56798 0 15686 0 580672 0 77261 Umar T Khan MD Anesthesiologist 374256 0 0 0 153486 0 20500 0 44005 0 592247 0 0 0 John McGrimley MD Anesthesiologist 241661 0 220140 0 115169 0 11618 0 40547 0 629135 0 0 0 Kristen Ogg MD Anesthesiologist 246659 0 257733 0 48222 0 3440 0 35179 0 591233 0 0 0 Shelly Ragsdale MD Anesthesiologist 265099 0 159115 0 97147 0 11438 0 25558 0 558357 0 0 0 Shannon Ternan MD Anesthesiologist 380321 0 0 0 143144 0 20500 0 27697 0 571662 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The President of is not an employee of nor compensated by Anesthesiologists for Children (AFC). He is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC is not a related organization of AFC. Therefore, there is no compensation reported for the President on AFC's Form 990. A certain individual identified herein as an officer of AFC is employed and compensated by a related organization, Children's Health System of Texas (CHST). The individual performs services for AFC, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, compensation decisions for the officer were determined by the related organization following CHST compensation's policy. In their duties as officer of AFC, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The human resources committee (committee) of the CHST board is responsible for setting the compensation for executives. The committee is comprised of independent, nonemployee directors. A written compensation philosophy has been developed by the human resources committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The H.R. committee engages the services of an independent compensation consultant for executive compensation. Compensation program components: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the committee to be appropriate and reasonable in relation to marketplace practices. compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). Peer group: The committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. this group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS intermediate sanctions rules of Federal tax law, to reflect what is dinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Lisa Frenkel - $77,261 Employees who participated in and have contributions to the EDCRP include: Lisa Frenkel - $39,110 Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The President of is not an employee of nor compensated by Anesthesiologists for Children (AFC). He is an employee of the University of Texas Southwestern Medical Center (UTSWMC). UTSWMC is not a related organization of AFC. Therefore, there is no compensation reported for the President on AFC's Form 990. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS Certain individual identified herein as Officer of AFC are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for AFC, and in some cases other related organizations, by arrangement between CHST and such organization(s). As set forth in the Schedule R, AFC and CHST are related organizations. In their duties as Officers of AFC, they have no influence over the compensation process performed by CHST, which is explained in Schedule J, Part I, Line 3. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas (CHST) is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Directors are appointed by the sole member and approved by the current AFC Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's bylaws and represent those actions by the organization which require member approval to be effective. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Anesthesiologist for Children has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 25490859, Program Service Expense: 25490859, Management and General Expenses: , Fundraising Expenses: ; Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Health Clinical Operations false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false CHILDREN'S HEALTH CARE NETWORK 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 834560427 OTHER MEDICAL SERVICES TX NA C Corporation false false false true false false false false false false false false true false true true false false false false