2024-07-12T16:40:09+00:00 2023-08-31 350921680 CROWE LLP 5810 TENNYSON PARKWAY Suite 450 Plano TX 750244112 990 2022-09-01 844596436 Pediatric Health Management Services PEDI 2144567000 1935 Medical District Drive Dallas TX 752357701 Lindsey Tyra Co-Chair 2144567000 2024-07-12 true Lindsey Tyra 999009999 true Amy Bellanca P01572961 2147775200 2022 2023-04-26 12:10:37Z Lindsey Tyra 1935 Medical District Drive Dallas TX 752357701 742628 false X N/A X 2019 TX To provide overall governance and strategic planning for a joint pediatric clinical enterprise of University of Texas Southwestern Medical Center, a state agency, and Children's Health System of Texas, a charitable 501(c)(3) pediatric health system. 7 7 0 7 0 0 0 0 0 0 5668 742628 0 0 5668 742628 0 0 0 908220 3514044 0 0 0 421876 1710966 1330096 5225010 -1324428 -4482382 10005223 75796317 1329651 20727631 8675572 55068686 To provide support to a strategic alignment between the University of Texas Southwestern Medical Center ("UTSW") and Children's Health System of Texas ("Children's") with respect to a joint enterprise relating to certain charitable pediatric health facilities, medical groups, and other clinical and professional pediatric services in North Texas. false false 5225010 0 0 To provide support to a strategic alignment between The University of Texas Southwestern Medical Center ("UTSW") and Children's Health System of Texas ("Children's") with respect to a joint enterprise relating to certain charitable pediatric health facilities, medical groups, and other clinical and professional pediatric services in North Texas. 5225010 true false false false false false false false false true false false false false false 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 0 0 0 false false false false false false false false false false false false X 7 7 false false false false true true true true false false false true true true true false false true true false X Jonathan Nowlin 2144567000 1935 Medical District Drive Dallas TX 752357701 CHRISTOPHER MADDEN MD CO-CHAIR EFFECT. 03/01/2023 0.1 X 0 0 0 HOLLY CRAWFORD DIRECTOR EFFECT. 09/01/2022 0.1 X 0 0 0 JOHN WARNER MD CO-CHAIR THRU. 03/01/2023 0.1 X 0 0 0 LINDSEY TYRA CO-CHAIR EFFECT. 01/11/2023 0.1 3.0 X 0 0 0 MARCIA SCHNEIDER DIRECTOR EFFECT. 03/01/2023 0.1 X 0 0 0 PETER PERIALAS JR CO-CHAIR THRU. 01/11/2023 0.1 3.0 X 0 0 0 ROBERT S FRIES DIRECTOR 0.1 1.0 X 0 0 0 STEPHEN SKAPEK MD DIRECTOR THRU. 09/01/2022 0.1 X 0 0 0 TAMMY WEBB RN DIRECTOR 0.1 1.0 X 0 0 0 WP ANDREW LEE MD DIRECTOR 0.1 X 0 0 0 DAI CHUNG MD CHIEF MEDICAL OFFICER 51.0 4.0 X 0 596486 0 JOHN BRENNAN MD PRESIDENT AND CHIEF EXECUTIVE OFFICER 55.0 0.1 X 0 642491 598336 JONATHAN NOWLIN SECRETARY 0.1 X 0 0 0 0 1238977 598336 0 false true false WINSTEAD PC 2728 N Harwood St Suite 500 Dallas TX 752011743 Legal Services 350689 1 0 0 0 0 0 0 742628 742628 0 0 0 0 0 0 0 0 0 742628 0 0 742628 2924582 2924582 130665 130665 346931 346931 62754 62754 49112 49112 482403 482403 472859 472859 30000 30000 13865 13865 0 0 1914 1914 359685 359685 10176 10176 398 398 9170 9170 330496 330496 0 0 0 0 5225010 5225010 0 0 0 0 10005223 29594611 0 0 0 0 46210876 9170 0 46201706 0 0 0 0 10005223 75796317 1329651 20727631 0 0 0 0 1329651 20727631 X 10000000 60875495 -1324428 -5806809 8675572 55068686 10005223 75796317 X -4482382 486586 50388910 X false true X true false X X 6 Children's Health System of Texas 750800628 3 true 25194455 0 The University of Texas Southwestern Medical Center 756002868 6 true 25194455 0 OCH Holdings 474837308 3 true 0 0 Dallas Physician Medical Services for Children 810584868 3 false 0 0 Anesthesiologists for Children 752917570 9 false 0 0 Complex Care Medical Services Corporation 461893597 3 false 0 0 6 50388910 0 false false false false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE ORGANIZATION'S BYLAWS DO NOT SPECIFICALLY NAME DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN, ANESTHESIOLOGISTS FOR CHILDREN, OR COMPLEX CARE MEDICAL SERVICES CORPORATION AS SUPPORTED ORGANIZATIONS. THE BYLAWS DO, HOWEVER, STATE THAT THE ORGANIZATION WILL PROVIDE SUPPORT FOR OTHER TAX-EXEMPT HOSPITALS AND MEDICAL GROUPS OWNED OR OPERATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS. DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN, ANESTHESIOLOGISTS FOR CHILDREN AND COMPLEX CARE MEDICAL SERVICES CORPORATION HAVE A COMMON PARENT, CHILDREN'S HEALTH SYSTEM OF TEXAS, WHO IS A MEMBER OF SUPPORTED ORGANIZATION, AND THEY ARE THUS CONTROLLED IN CONNECTION WITH CHILDREN'S HEALTH SYSTEM OF TEXAS. 27510 9170 18340 46183366 46183366 46201706 742628 0 0 742628 0 0 742628 5225010 0 0 5225010 0 0 5225010 X X X X X false true false false false false false false false DAI CHUNG MD CHIEF MEDICAL OFFICER 0 596486 0 0 0 0 0 0 0 0 0 596486 0 0 JOHN BRENNAN MD PRESIDENT AND CHIEF EXECUTIVE OFFICER 0 483258 0 100000 0 59233 0 562119 0 36217 0 1240827 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PHMS ("CEO") IS EMPLOYED BY AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS POSITION AS AN OFFICER OF PHMS, THE CEO HAS NO INFLUENCE OVER THE COMPENSATION PROVIDED BY CHST. THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION IS AS FOLLOWS: THE EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS OF PHMS IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR THE PHMS CEO. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NONEMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE EXECUTIVE COMPENSATION COMMITTEE THAT DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION BENCHMARKING AND GUIDES DECISIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO PROVIDE MARKET DATA AND GUIDANCE ON GOVERNANCE AND COMPLIANCE MATTERS. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO PHMS EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, ANNUAL 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, INCLUDING MEDICAL, DENTAL, DISABILITY AND LIFE INSURANCE; AND - QUALIFIED AND NONQUALIFIED RETIREMENT PLANS CONSISTENT WITH PEER HEALTH CARE ORGANIZATION PRACTICES. PEER GROUP REVIEW: THE COMMITTEE HAS DEFINED ITS PEER GROUP FOR EXECUTIVE COMPENSATION AS NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SIMILAR IN SIZE, STRUCTURE, AND COMPLEXITY. EXECUTIVE COMPENSATION MARKET DATA ARE PROVIDED BY AN INDEPENDENT CONSULTANT 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". THE COMMITTEE'S COMPENSATION AND BENEFITS DECISIONS ARE MADE IN CONSIDERATION OF THE SCOPE OF RESPONSIBILITY, SKILLS, PERFORMANCE AND EXPERIENCE IN RELATION TO DOCUMENTED PRACTICES WITHIN THE APPROPRIATE PEER GROUP. 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: JOHN BRENNAN - $549,919 Form 990, Part VI, Line 6 Classes of members or stockholders CHILDREN'S HEALTH SYSTEM OF TEXAS and The University of Texas Southwestern Medical Center are both joint members. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Directors are appointed by the members. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserved powers are specified in the organization's Bylaws and represent those actions by the organization which require member approval. 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 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body Members of the Children's Health System of Texas Accounting department coordinated and completed all the information required for THE form 990, accessing various resources including, legal, corporate compliance and other departments as needed. The following is the process for review: Crowe, Paid Preparer, reviews the form 990 prior to submission to the Board of Directors. A copy of the form 990 is made available to the directors through an online portal before it is filed with the IRS. The corporation files the 990 upon final review. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Pediatric Health Management Services Disclosure Statement form to complete. All disclosures (as defined in the Organization's Conflict of Commitment and Conflict of Interest Policy) are reviewed by the Compliance Officer(s) to determine if a conflict exists. A Statement of Interest must be completed annually and officers, directors, and key employees 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 15a Process to establish compensation of top management official PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PHMS ("CEO") IS EMPLOYED BY AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS POSITION AS AN OFFICER OF PHMS, THE CEO HAS NO INFLUENCE OVER THE COMPENSATION PROVIDED BY CHST. THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION IS AS FOLLOWS: THE EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS OF PHMS IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR THE PHMS CEO. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NONEMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE EXECUTIVE COMPENSATION COMMITTEE THAT DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION BENCHMARKING AND GUIDES DECISIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO PROVIDE MARKET DATA AND GUIDANCE ON GOVERNANCE AND COMPLIANCE MATTERS. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO PHMS EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, ANNUAL 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, INCLUDING MEDICAL, DENTAL, DISABILITY AND LIFE INSURANCE; AND - QUALIFIED AND NONQUALIFIED RETIREMENT PLANS CONSISTENT WITH PEER HEALTH CARE ORGANIZATION PRACTICES. Form 990, Part VI, Line 15b Process to establish compensation of other employees Pediatric Health Management Services ("PHMS") has no employees. The Chief Medical Officer of PHMS is employed and compensated by The University of Texas Southwestern Medical Center (UTSW), an institution of higher education organized and operated by the State of Texas. In his duties as an executive of PHMS, he has no influence over the compensation process performed by UTSW. UTSW is charged with setting compensation levels for highly compensated personnel and uses a third-party vendor to provide independent, fair market valuations of highly compensated personnel. THE SECRETARY OF PHMS IS EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS DUTIES AS OFFICER OF PHMS, HE HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST. IN THIS POSITION, THEY PERFORM SERVICES FOR PHMS AND IN SOME CASES OTHER RELATED ORGANIZATIONS, BY ARRANGEMENT BETWEEN CHST AND SUCH ORGANIZATION(S). AS SET FORTH IN THE SCHEDULE R, PHMS AND CHST ARE RELATED ORGANIZATIONS. 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 XI, Line 9 Other changes in net assets or fund balances Capital contribution from CHILDREN'S HEALTH SYSTEM OF TEXAS - 25194455; Capital contribution from the UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER - 25194455; Children's Health System of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 NA 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 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS TX 75390 756002868 GOVERNMENT ENTITY TX NA false OCH HOLDINGS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 474837308 HOSPITAL TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false false false true false false false false false false false false false false true true false false false false