2024-11-12T11:34:29+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2023-01-01 742838488 Driscoll Children's Health Plan DRIS 3616946432 4525 Ayers Street Corpus Christi TX 78415 Gregory Ward CFO 3616946432 2024-11-12 true true Patrick Shields P01508556 2149698000 2024-11-05 2023 2024-10-15 13:58:12Z Gregory Ward 4525 Ayers Street Corpus Christi TX 78415 1225578447 false X www.dchpkids.com X 1997 TX Committed to providing efficient, cost-effective, quality care through a dedicated and compassionate health care team & respectful collaboration with its provider network. 6 5 551 0 0 0 0 0 1181931302 1220146212 38388393 5432235 0 0 1220319695 1225578447 0 0 0 0 47551206 54020977 0 0 0 1124322997 1198744175 1171874203 1252765152 48445492 -27186705 482409975 476071494 201332732 240691158 281077243 235380336 DRISCOLL CHILDREN'S HEALTH PLAN IS COMMITTED TO PROVIDING EFFICIENT, COST-EFFECTIVE, QUALITY CARE THROUGH A DEDICATED AND COMPASSIONATE, HEALTH CARE TEAM AND RESPECTFUL COORDINATION WITH ITS PROVIDER NETWORK. false false 1145403268 0 1220146212 SEE SCHEDULE O. 1145403268 true false false true false false false false false true false false false false true true 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 false true 2509 0 true 551 true false false false false false false false false false false false false X 6 5 false false false false true true true true true false false true true true true true true false false false TX X Gregory Ward 3616946781 4525 Ayers St Corpus Christi TX 78415 ERIC HAMON Board Member/SECRETARY 1.0 39.0 X X 0 1688545 295463 BOB PARKER Board Member 1.0 1.0 X 0 0 0 BOB SHOCKNEY Board Vice Chair 1.0 2.0 X 0 0 0 JIM DEVLIN BOARD CHAIR 1.0 1.0 X 0 0 0 MIKE CARRELL Board Member 1.0 1.0 X 0 0 0 VAL LAMANTIA PEISEN Board Member 1.0 1.0 X 0 0 0 GREGORY A WARD CHIEF FINANCIAL OFFICER 40.0 0.0 X 0 505714 126995 JAMES SMITH PRESIDENT & CHIEF EXECUTIVE OFFICER 40.0 0 X 0 626827 108303 JENNIFER S BROOKS CHIEF OPERATING OFFICER 40.0 0 X 0 308606 81224 STEPHEN P COLLINS VP Provider Relations & Network Strategy 40.0 0 X 0 463613 84764 TIMOTHY NEYER Senior Director Finance DCHP 40.0 0 X 0 216767 31116 DANIEL DOUCET Medical Director 40.0 0 X 0 319083 31756 HEATHER PIGOTT Senior Director of Utilization Management 40.0 0 X 0 225280 38413 KARL SERRAO MD CHIEF MEDICAL OFFICER 40.0 0 X 0 556893 134041 LISA D SPRENGER Pharmacy Program Director 40.0 0 X 0 234328 47871 ROY OAKS SENIOR DIRECTOR DATA ANALYTICS 40.0 0.0 X 0 215280 39201 ERNEST BUCK MD Former Chief Medical Director 1.0 39.0 X 0 422766 48052 MARY D PETERSON MD Former President 1.0 39.0 X 0 859900 128872 0 6643600 1196070 119 true true false Doctors Hospital Laredo 10700 McPherson Laredo TX 78045 Medical Services & Hospitals 14082601 Rio Grande Regional Hospital 101 E Ridge Rd McAllen TX 78503 Medical Services & Hospitals 11124077 Detar Healthcare System PO Box 2089 Victoria TX 77902 Medical Services & Hospitals 7599686 Navitus Health Solution LLC 361 Integrity Dr Madison WI 53717 Pharmacy services 4760681 Harlingen Medical Center 5501 US 77 Hargingen TX 78550 Medical Services & Hospitals 2713596 40 0 Premium Revenue 524292 1220146212 1220146212 0 0 0 0 1220146212 5432235 5432235 0 0 0 0 0 0 0 0 0 1225578447 1220146212 0 5432235 0 0 41911633 16424714 25486919 2679505 742626 1936879 6509480 2600343 3909137 2920359 1226550 1693809 5262491 574316 4688175 5708 5708 464047 464047 7743691 0 7743691 0 1073230 1073230 1481746 1481746 5100036 5100036 1550757 1550757 3903057 3903057 1629655 1629655 MEDICAL EXPENSES 1100171522 1100157836 13686 PREMIUM TAXES 23676883 23676883 MEMBER VALUE ADD EXPENSE 2689995 2689995 ALLOCATED COSTS 28719316 28719316 15272041 0 15272041 0 1252765152 1145403268 107361884 0 169206958 158065704 0 0 0 0 42143215 30087368 0 0 0 0 0 0 0 262008 1020153 11680565 7874127 3981271 3806438 265551523 281826831 0 0 0 0 1265000 1265000 482409975 476071494 201332732 240691158 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 201332732 240691158 0 0 0 0 X 0 0 0 0 281077243 235380336 281077243 235380336 482409975 476071494 -27186705 -18510202 0 X false true X false false X 0 709268025 781685191 1041032605 1181931301 1220146212 4934063334 0 0 0 709268025 781685191 1041032605 1181931301 1220146212 4934063334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4934063334 2407198 -1403030 14410918 38388393 5432235 59235714 0 2407198 -1403030 14410918 38388393 5432235 59235714 0 0 0 0 0 0 0 711675223 780282161 1055443523 1220319694 1225578447 4993299048 0.9881 0.9874 0.01 0.01 X false false false false false false false false true 5708 5708 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PAYMENTS MADE TO VARIOUS ORGANIZATIONS FOR THE PURPOSE OF MEETING WITH AND CALLING GOVERNMENT OFFICIALS OR LEGISLATORS AND SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS AND LEGISLATORS REGARDING ISSUES THAT HAVE AN IMPACT ON THE EXEMPT PURPOSE OF THE HOSPITAL. DCHP PAYS MEMBERSHIP DUES TO CERTAIN MEDICAL ASSOCIATIONS. A PORTION OF THESE DUES, $5,708, IS ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES AND INCLUDED IN THE AMOUNT REPORTED ON LINE 1I. 3663267 2992549 670718 230391 230391 0 7786907 4651187 3135720 3806438 DUE TO AFFILIATES 0 X 1206604198 -18510202 0 -18510202 1225114400 464047 0 464047 1225578447 1252301105 0 0 1252301105 464047 0 464047 1252765152 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false false false false false ERIC HAMON Board Member/SECRETARY 0 1199428 0 355028 0 134089 0 266970 0 28493 0 1984007 0 0 MARY D PETERSON MD Former President 0 670876 0 152754 0 36271 0 101930 0 26942 0 988772 0 0 JENNIFER S BROOKS CHIEF OPERATING OFFICER 0 234216 0 49228 0 25162 0 57739 0 23484 0 389829 0 0 STEPHEN P COLLINS VP Provider Relations & Network Strategy 0 279848 0 65126 0 118639 0 57447 0 27316 0 548376 0 90160 JAMES SMITH PRESIDENT & CHIEF EXECUTIVE OFFICER 0 479476 0 105857 0 41493 0 83628 0 24675 0 735129 0 0 GREGORY A WARD CHIEF FINANCIAL OFFICER 0 379879 0 85514 0 40321 0 99280 0 27715 0 632709 0 0 ERNEST BUCK MD Former Chief Medical Director 0 344204 0 50255 0 28307 0 28275 0 19777 0 470819 0 0 TIMOTHY NEYER Senior Director Finance DCHP 0 189401 0 25037 0 2328 0 15896 0 15220 0 247883 0 0 DANIEL DOUCET Medical Director 0 281168 0 36653 0 1262 0 8090 0 23667 0 350839 0 0 ROY OAKS SENIOR DIRECTOR DATA ANALYTICS 0 182581 0 24224 0 8475 0 16174 0 23026 0 254481 0 0 HEATHER PIGOTT Senior Director of Utilization Management 0 189133 0 24396 0 11751 0 24433 0 13980 0 263693 0 0 KARL SERRAO MD CHIEF MEDICAL OFFICER 0 361588 0 166924 0 28381 0 105987 0 28055 0 690934 0 0 LISA D SPRENGER Pharmacy Program Director 0 198668 0 26445 0 9214 0 24501 0 23369 0 282199 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE FILING ORGANIZATION, DRISCOLL CHILDREN'S HEALTH PLAN, DOES NOT COMPENSATE OR PROVIDE BENEFITS. ALL COMPENSATION AND BENEFITS ARE DETERMINED AND PAID BY DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE NONQUALIFIED 457(F) PLAN COVERED THE EXECUTIVE LEADERSHIP TEAM DURING 2023. VESTING OCCURS WHEN EMPLOYEES MEET A PRESELECTED DATE THEY CHOOSE AT THE TIME OF ENROLLMENT. THE FOLLOWING INDIVIDUAL RECEIVED A TAXABLE DISTRIBUTION FROM THE PLAN IN 2023. THE AMOUNT WAS INCLUDED IN COLUMN (B)(III) AS OTHER COMPENSATION. STEPHEN COLLINS $90,160 Schedule J, Part I, Line 7 NON-FIXED PAYMENTS CERTAIN EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR DISCRETIONARY INCENTIVE BONUSES DETERMINED THROUGH A REVIEW OF SYSTEM AND INDIVIDUAL ACCOMPLISHED GOALS. ALL BONUSES REQUIRE BOARD APPROVAL. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION DRISCOLL HEALTH PLAN, INC. (DHP) IS CONTRACTED FOR THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) IN A FOURTEEN COUNTY AREA COMPRISED OF ARANSAS, BEE, BROOKS, CALHOUN, DUVAL, GOLIAD, JIM WELLS, KARNES, KENEDY, KLEBERG, LIVE OAK, NUECES, REFUGIO, SAN PATRICIO AND VICTORIA COUNTIES. DHP ALSO IS CONTRACTED FOR STAR (MEDICAID MANAGED CARE) BEGINNING SEPTEMBER 1, 2006 FOR A NINE COUNTY AREA, WHICH ARE ARANSAS, BEE, CALHOUN, JIM WELLS, KLEBERG, NUECES, REFUGIO, SAN PATRICIO AND VICTORIA. BEGINNING SEPTEMBER 1, 2011, STAR EXPANDED TO INCLUDE FIVE ADDITIONAL RURAL CONTIGUOUS COUNTIES SO THAT BOTH CHIP AND STAR MEDICAID WOULD ENCOMPASS THE SAME FOURTEEN (14) COUNTIES CALLED THE NUECES SERVICE DELIVERY AREA (SDA). ADDITIONALLY, DHP CONTRACTED FOR STAR IN THE HIDALGO SDA (MEDICAID MANAGED CARE) EFFECTIVE MARCH 1, 2012, IN A TEN COUNTY AREA COMPRISED OF CAMERON, DUVAL, HIDALGO, JIM HOGG, MAVERICK, MCMULLEN, STARR, WEBB, WILLACY AND ZAPATA. ON MARCH 1, 2012, DHP ALSO STARTED MANAGING ALL PHARMACEUTICALS ADMINISTERED TO ITS MEMBERS AS THIS BENEFIT WAS CARVED INTO THE SERVICES PROVIDED TO ITS MEMBERS IN THE NEW TEXAS STATEWIDE MANAGED CARE CONTRACTS. IN FACILITATING THE ADMINISTRATION OF PHARMACEUTICALS, DHP CONTRACTED WITH AN EXPERIENCED PHARMACY BENEFIT MANAGER (PBM) OFFERING A ROBUST PHARMACY NETWORK TO ENSURE THE SERVICES WERE ADMINISTERED IN A COMPLIANT, EFFECTIVE AND EFFICIENT MANNER. EFFECTIVE NOVEMBER 1, 2016, DHP CONTRACTED FOR STAR KIDS IN BOTH THE NUECES AND HIDALGO SDA FOR BOTH THE MEDICAL SERVICES AND PHARMACEUTICALS ADMINISTERED TO CHILDREN ENROLLED IN STAR KIDS WHICH IS A TEXAS MEDICAID MANAGED CARE PROGRAM THAT PROVIDES MEDICAID BENEFITS TO CHILDREN AND ADULTS 20 AND YOUNGER WHO HAVE DISABILITIES. DHP IS A HEALTH MAINTENANCE ORGANIZATION (HMO) COMMITTED TO PROVIDING HIGH QUALITY ACCESSIBLE HEALTH CARE TO THE MEDICAID AND CHIP POPULATIONS OF SOUTH TEXAS. ITS AFFILIATION WITH DRISCOLL CHILDREN'S HOSPITAL (DCH), A REGIONAL TERTIARY CARE REFERRAL CENTER FOR ALL SOUTH TEXAS, LENDS TO ITS SUCCESS BY OFFERING ITS MEMBERS DRISCOLL'S DISTINGUISHED, EXTENSIVE NETWORK OF PROVIDERS AND SERVICES. DHP HAS ALSO EXPANDED ITS NETWORK TO INCLUDE PHYSICIANS, HOSPITALS AND SERVICES IN ITS TOTAL EXPANDED SERVICE DELIVERY AREAS, THUS OFFERING DHP MEMBERS A FULL CONTINUUM OF HIGH QUALITY HEALTH CARE SERVICES TAILORED TO MEET THE NEEDS OF THE POPULATION. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE FILING ORGANIZATION DOES NOT DETERMINE COMPENSATION FOR OFFICERS OR KEY EMPLOYEES. THE PROCESSES IS THAT OF DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. THE ORGANIZATION USES MGMA AND SULLIVAN COTTER PERCENTILES TO SET BASE COMPENSATION AND SKILL LEVELS. IF COMPENSATION LEVELS EXCEED CERTAIN PERCENTILES, A THIRD OUTSIDE CONSULTING FIRM IS USED TO VALUE THE MARKET VALUE FOR SERVICES RENDERED AND FOR GROUP COVERAGE AGREEMENTS. FOR CERTAIN COVERAGE AGREEMENTS, A FOURTH CONSULTING FIRM ASSISTS IN DETERMINING MARKET VALUE. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY WITH THE DELIBERATION AND DECISION DOCUMENTED CONTEMPORANEOUSLY. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2023. Form 990, Part VI, Line 6 Classes of members or stockholders DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HEALTH PLAN. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER SHALL ELECT AND APPOINT A CANDIDATE TO FILL ANY VACANCY OCCURRING ON THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING MATTERS ARE RESERVED TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO EFFECTIVE: (A) ANNUAL OPERATING & CAPITAL BUDGETS OF THE CORPORATION, (B) MERGER, ACQUISITION OR CONSOLIDATION OF THE CORPORATION, (C) BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTEE OF ANOTHER DEBT OR SIMILAR ACTION AND, (D) APPOINTMENT & REMOVAL OF DIRECTORS IN ACCORDANCE WITH THE BY-LAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, ALL DIRECTORS, OFFICERS AND KEY PERSONNEL FILL OUT A CONFLICT OF INTEREST FORM. THE COMPLIANCE OFFICER MAKES SURE ALL CONFLICT OF INTEREST FORMS ARE TURNED IN AND REVIEWED ANNUALLY. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA Corpus Christi TX 78411 742577746 Hospital TX 501(c)(3) 3 NA false CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA Corpus Christi TX 78411 742620408 Healthcare TX 501(c)(3) 3 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA Corpus Christi TX 78411 201234322 Healthcare TX 501(c)(3) 3 DCH true DCH DEVELOPMENT FOUNDATION 3533 SOUTH ALAMEDA Corpus Christi TX 78411 742358461 Charitable TX 501(c)(3) 7 DCH true DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA Corpus Christi TX 78411 010962276 Aviation TX 501(c)(3) Type I DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085GT WEST BAY ROAD GRAND CAYMAN CJ KY11109 980704641 CAPTIVE INSURANCE CJ NA C Corporation true false false false false false false false false false false true false false true true true false false false