2023-11-08T04:30:39+00:00 2022-12-31 350921680 CROWE LLP 9 Greenway Plaza Suite 1700 Houston TX 770460946 990 2022-01-01 461392824 Texas Children's Health Plan The Center TEXA 8009908247 6330 West Loop South 800 BELLAIRE TX 77401 Weldon Gage Executive Vice President & CFO 8009908247 2023-11-08 true Weldon Gage 999009999 RACHEL SPURLOCK P00520729 7136679147 2022 2023-04-26 12:10:37Z X Texas Children's Health Plan-The Center for Children and Women Weldon Gage 6330 West Loop South 800 BELLAIRE TX 77401 131567505 false X WWW.JOINTHECENTER.ORG X 2008 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH. 4 0 217 2 0 0 2097 0 140707129 131274504 199313 0 140709226 131473817 0 0 14971765 16144588 0 0 125737461 115329230 140709226 131473818 0 -1 56669032 34626316 30180740 8138024 26488292 26488292 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH. false false 127513586 0 131274504 TEXAS CHILDREN'S HEALTH PLAN - THE CENTER FOR CHILDREN AND WOMEN (CCW), IN FULFILLING ITS PURPOSE OF SUPPORTING TEXAS CHILDREN'S HEALTH PLAN, ESTABLISHES PATIENT AND FAMILY-CENTERED MEDICAL HOMES PROVIDING CARE TO PRIMARILY MEDICAID AND CHIP PATIENTS THAT ARE MEMBERS OF TEXAS CHILDREN'S HEALTH PLAN. THE MEDICAL HOMES ARE SPECIFICALLY IN SUPPORT OF TEXAS CHILDREN'S HEALTH PLAN'S MISSION TO PROVIDE CARE THAT IS ACCESSIBLE, COORDINATED, COMPREHENSIVE, CONTINUOUS, CULTURALLY SENSITIVE, COMMUNITY-BASED AND FAMILY-CENTERED. 127513586 true false false false false false false false false true false false true true true true false 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 X 0 0 217 true false false false false false false false false false false false false X 4 0 false false false false true true true true false false false true true true true true true false false false X JESSICA ANDERSON 8328240336 6330 WEST LOOP S STE 1300 BELLAIRE TX 77401 CATHERINE GORDON MD BOARD MEMBER THROUGH 4/26/22 / VICE CHAIR 3/3/22 - 4/26/22 1.0 5.0 X X 0 0 0 ERIC K WILLIAMS MD BOARD MEMBER 3/3/22-9/30/22 / CMO & MEDICAL DIRECTOR THROUGH 3/3/22 1.0 2.0 X X 0 0 0 James Versalovic MD PHD BOARD MEMBER / VICE CHAIR THROUGH 3/2/2022 1.0 3.0 X X 0 1410515 0 LARA S SHEKERDEMIAN MD BOARD MEMBER / VICE CHAIR AS OF 4/27/2022 1.0 0.0 X X 0 180500 100000 MICHAEL A BELFORT MD PHD BOARD MEMBER / CHAIR 1.0 3.0 X X 0 1086000 0 JEFFREY S SHILT MD BOARD MEMBER AS OF 10/1/2022 1.0 0.0 X 0 155700 0 LANCE A LIGHTFOOT BOARD SECRETARY 1.0 39.0 X 0 1653642 311254 MICHELLE M RILEY-BROWN PRESIDENT AS OF 3/3/2022 1.0 39.0 X 0 1820170 421507 SUSAN RICHELLE MONTGOMERY PRESIDENT & TREASURER THROUGH 3/2/2022 1.0 39.0 X 0 1383810 226160 IVETT T SHAH SENIOR VICE PRESIDENT THROUGH 9/27/2022 1.0 39.0 X 0 719282 17072 IJEOMA BURNS NURSE PRACTITIONER 40.0 0 X 142263 0 29332 JENNIFER DALTON ASSISTANT CLINICAL DIRECTOR NURSING 40.0 0 X 161633 0 40040 JODI HARRIS DIR HPC PT CENTERED MED HOME 40.0 0 X 226566 0 28135 RODNEY DAVID ASSISTANT DIRECTOR BUSINESS OPERATIONS 40.0 0 X 144551 0 49286 TONJA NEELY MANAGER AMBULATORY CLINICS 40.0 0 X 144996 0 38617 820009 8409618 1261403 34 false true false BAYLOR COLLEGE OF MEDICINE 1 Baylor Plaza Houston TX 77030 PHYSCN & FACULTY SVC 12671386 1 0 Premium Revenue 525120 129809093 129809093 Net Patient Service Revenue 622310 1298280 1298280 Program Service Rental 531120 167131 167131 0 0 0 0 131274504 184841 184841 0 0 108160 93688 0 14472 14472 14472 0 0 0 0 0 131473817 131274504 0 199313 12491399 11238438 1252961 686547 630793 55754 2010197 1892654 117543 956445 839562 116883 12741211 12403190 338021 0 615 28 587 131412 124832 6580 51032 27277 23755 1777139 1777139 10193 6656 3537 8459 8459 1945622 1945622 239003 78599 160404 Hospital and Pharmacy Claims 90227593 90227593 Vended Services from TCH 6356356 4905617 1450739 Pharmaceutical and Medical Supplies 1666450 1660072 6378 Linen & Uniforms 55944 53138 2806 118201 92562 25639 0 131473818 127912231 3561587 0 47984257 6019619 17732177 0 0 3201397 2097333 24971883 21650776 5212608 3321107 0 0 270770 5456080 56669032 34626316 10182122 4205112 30275 3447261 0 19968343 485651 30180740 8138024 X 26488292 26488292 26488292 26488292 56669032 34626316 -1 0 X false true X true false X X X 1 TEXAS CHILDREN'S HEALTH PLAN 760486264 9 true 131473817 0 1 131473817 0 true false false false false false false false false false false false false false false true false 18501690 15484646 3017044 6470193 6166130 304063 3321107 Other Assets 5456080 5456080 DEFERRED RENT DUE TO AFFILIATES FICA TAX DEFERRED DUE TO AFFILIATES 485651 485651 X 131274505 0 0 131274505 199312 199312 131473817 131473817 0 0 131473817 0 0 131473817 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING BALANCE SHEETS AS OF DECEMBER 31, 2022 AND 2021. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements NET NONOPERATING GAINS - 199312 true true false false false false false false false MICHAEL A BELFORT MD PHD BOARD MEMBER / CHAIR 0 0 0 1086000 0 0 0 0 0 0 0 1086000 0 930300 James Versalovic MD PHD BOARD MEMBER / VICE CHAIR THROUGH 3/2/2022 0 0 0 1410515 0 0 0 0 0 0 0 1410515 0 1254815 LARA S SHEKERDEMIAN MD BOARD MEMBER / VICE CHAIR AS OF 4/27/2022 0 0 0 180500 0 0 0 100000 0 0 0 280500 0 0 JEFFREY S SHILT MD BOARD MEMBER AS OF 10/1/2022 0 0 0 155700 0 0 0 0 0 0 0 155700 0 0 SUSAN RICHELLE MONTGOMERY PRESIDENT & TREASURER THROUGH 3/2/2022 0 549136 0 784700 0 49974 0 187775 0 38385 0 1609970 0 668333 MICHELLE M RILEY-BROWN PRESIDENT AS OF 3/3/2022 0 862093 0 866350 0 91726 0 370278 0 51229 0 2241676 0 728394 LANCE A LIGHTFOOT BOARD SECRETARY 0 753413 0 737560 0 162668 0 275313 0 35941 0 1964896 0 627694 IVETT T SHAH SENIOR VICE PRESIDENT THROUGH 9/27/2022 0 326450 0 0 0 392832 0 9150 0 7922 0 736354 0 196536 JODI HARRIS DIR HPC PT CENTERED MED HOME 205130 0 19100 0 2336 0 13614 0 14521 0 254701 0 0 0 JENNIFER DALTON ASSISTANT CLINICAL DIRECTOR NURSING 152383 0 9056 0 194 0 15466 0 24574 0 201674 0 0 0 TONJA NEELY MANAGER AMBULATORY CLINICS 129837 0 8969 0 6189 0 13396 0 25221 0 183613 0 0 0 RODNEY DAVID ASSISTANT DIRECTOR BUSINESS OPERATIONS 136100 0 8337 0 114 0 14165 0 35121 0 193837 0 0 0 IJEOMA BURNS NURSE PRACTITIONER 132107 0 7978 0 2178 0 10235 0 19097 0 171595 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment IVETT T SHAH RECEIVED SEVERANCE IN THE AMOUNT OF $105,577. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED BY TEXAS CHILDREN'S AND TEXAS CHILDREN'S HOSPITAL, USING THE FOLLOWING METHODS: *COMPENSATION COMMITTEE *INDEPENDENT COMPENSATION CONSULTANT *COMPENSATION SURVEY OR STUDY *APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b 457 (F) PLAN 457 (F) PLAN: PAID/DEFERRED LANCE A LIGHTFOOT 132,705 / 125,500 SUSAN RICHELLE MONTGOMERY 17,521 / 85,500 MICHELLE M RILEY-BROWN 80,768 / 162,000 IVETT T SHAH 260,869 / 0 THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO RECEIVE SUPPLEMENT EXECUTIVE RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST THE EARLIER OF FIVE YEARS, THE ATTAINMENT OF AGE 60 AND 75-POINTS DETERMINED AS OF THEIR AGE AND YEARS OF SERVICE, OR AT AGE 65. THE 457(F) PLAN ALSO CONTAINS RESIDUAL CAPITAL ACUMULATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. Schedule J, Part I, Line 4b SPLIT-DOLLAR LIFE INSURANCE PLAN Certain individuals listed at Form 990, Part VII have split-dollar life insurance policies. The premiums were paid by Texas Children's and will be recovered partially or fully when the policy is terminated or transferred to the executive. Premiums were paid to: Michelle M Riley-Brown Lance A Lightfoot Form 990, Part V, Line 1a NON-EMPLOYEE COMPENSATION TEXAS CHILDREN'S HOSPITAL (74-1100555) IS RESPONSIBLE FOR ALL INFORMATIONAL FILINGS, INCLUDING INDEPENDENT CONTRACTORS. AS SUCH, THIS INFORMATION IS REPORTED ON TCH FORM 990. Form 990, Part VI, Line 6 Classes of members or stockholders TEXAS CHILDREN'S HEALTH PLAN IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S HEALTH PLAN - THE CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body TEXAS CHILDREN'S HEALTH PLAN, AS THE SOLE MEMBER CORPORATION, HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PER THE ORGANIZATION'S BYLAWS THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER OF DIRECTORS AND 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 SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS OF THE CORPORATION, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION, IF ANY. -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 AND STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS AND LEGAL COUNSEL. -CREATION OR SALE OF ANY SUBSIDIARIES OF THE CORPORATION. -ANY AFFILIATION, JOINT VENTURE, CONTRACT, EMPLOYMENT, RETENTION, INDEMNIFICATION, OR OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, HEALTH MAINTENANCE ORGANIZATION, PREFERRED PROVIDER ORGANIZATION, MEDICAL SCHOOL, HOSPITAL, CLINIC, PHARMACY, PHYSICIAN, TEXAS CHILDREN'S HEALTH PLAN AFFILIATE, OR OTHER PROVIDER OF HEALTH OR RELATED SERVICES, INCLUDING, WITHOUT LIMITATION, ALL SERVICE TERMS AND COMPENSATION ARRANGEMENTS. -ESTABLISHMENT BY THE CORPORATION OF ANY TRAINING OR RESIDENCY PROGRAM. -THE GIVING, SEEKING, OR RECEIVING OF GRANTS. -ADOPTION OR AMENDMENT OF ANY INDEMNIFICATION RIGHTS, OBLIGATIONS, OR AGREEMENTS AFFECTING THE CORPORATION. -PURCHASE, ADOPTION, AMENDMENT, CANCELLATION, OR REPLACEMENT OF ANY INSURANCE COVERAGE FOR THE CORPORATION OR ITS DIRECTORS, OFFICERS AND AGENTS, AS WELL AS COPIES OF ANY NOTICES OF CANCELLATION RECEIVED BY THE CORPORATION. -THE COMMENCEMENT OF LITIGATION OR THE SETTLEMENT OF LITIGATION OR OTHER CLAIMS. -APPROVAL OF THE ADOPTION OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBER(S). -TAKE ANY ACTION WHICH WOULD BE CONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body NO SUCH COMMITTEES EXIST. Form 990, Part VI, Line 11b Review of form 990 by governing body PER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF TRUSTEES, THE MEMBER BOARD'S AUDIT, COMPLIANCE & RISK COMMITTEE HAS DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. PLEASE NOTE THE AUDIT AND COMPLIANCE COMMITTEE AND THE RISK, MANAGEMENT & INSURANCE COMMITTEE WERE CONSOLIDATED INTO ONE COMMITTEE THIS YEAR. FOLLOWING THE AC&R COMMITTEE'S REVIEW AND APPROVAL, THE COMPLETED FORM 990 IS SHARED WITH THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: 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'S AUDIT, COMPLIANCE, & RISK 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 (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VII, Section A INCENTIVE COMPENSATION DRS. BELFORT, SHEKERDEMIAN, SHILT, AND VERSALOVIC, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVE AS IN-CHIEFS DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO THEIR SENIOR LEADERSHIP ROLES, THEY ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THEIR CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN THEIR CAPACITY AS PHYSICIAN LEADERS. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS TEXAS CHILDREN'S HOSPITAL (74-1100555) IS RESPONSIBLE FOR ALL INFORMATIONAL FILINGS, INCLUDING INDEPENDENT CONTRACTORS. AS SUCH, THIS INFORMATION IS REPORTED ON TCH FORM 990. FORM 990, PART VI, LINE 15A Process used to establish compensation of top management official COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS PAID BY TEXAS CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. BECAUSE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS NOT PAID BY THE FILING ORGANIZATION, QUESTION 15A HAS BEEN ANSWERED NO. FORM 990, PART VI, LINE 15B Process used to establish compensation of other officer or key employees COMPENSATION FOR THE ORGANIZATION'S OFFICERS IS PAID BY TEXAS CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. BECAUSE THE ORGANIZATION'S OTHER OFFICERS ARE NOT PAID BY THE FILING ORGANIZATION, QUESTION 15B HAS BEEN ANSWERED NO. TEXAS CHILDREN'S 1919 S BRAESWOOD BLVD 4TH FLOOR HOUSTON TX 77030 760461578 PARENT TX 501(c)(3) Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S GLOBAL PO BOX 300630 HOUSTON TX 77230 261482195 HEALTH CARE TX 501(c)(3) Type II TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 HOSPITAL TX 501(c)(3) 3 TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 202380599 SUPPORTING ORG TX 501(c)(3) Type II TEXAS CHILDREN'S false TCH PEDIATRIC ASSOCIATES INC PO BOX 300630 HOUSTON TX 77230 760460242 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 800 8TH FLOOR HOUSTON TX 77401 760486264 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S URGENT CARE 1919 S BRAESWOOD BLVD 4TH FLOOR HOUSTON TX 77030 472029489 HEALTH CARE TX 501(c)(3) 10 TCH PEDIATRIC ASSOCIATES INC false THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION 9 GREENWAY PLAZA HOUSTON TX 77046 760246858 SUPPORTING ORG TX 501(c)(3) Type I TEXAS CHILDREN'S HOSPITAL false TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C Corporation false CVI GVF HOLDINGS 3 LTD PO BOX 309GT UGLAND HOUSE S CHURCH ST GRAND CAYMAN CJ KY11004 981078282 INVESTMENT CJ NA C Corporation false false false false false false false false false false false false false true false true false false true false