Pediatric Health Management Services

“Children's health system of texas and the university of texas southwestern medical center are both joint members.”

“Directors are appointed by the members.”

“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.”

“There are no committees with the authority to act on behalf of the 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: Forvis Mazars, 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.”

“Officers, directors, and key employees receive annually a copy of the pediatric heal th 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.”

“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.”

“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.”

“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.”

“Capital contribution from children's heal th system of texas - xxx-xx-xxxx; capital contribution from the university of texas southwestern medical center - 29805172;”