Form 990 for tax year 2022
Filed by PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS.
Totals
- Total revenue
- $160,798
- Total expenses
- $8,700
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $125,798
- Investment income
- $0
- Other revenue
- $35,000
- Total assets, end of year
- $428,681
- Total liabilities, end of year
- $23,001,115
- Net assets or fund balances, end of year
- -$22,572,434
- Program services expenses (Part IX)
- $4,610
- Management and general expenses
- $4,090
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,610
Program services were 53.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: Net Patient Revenue
total $125,798 · related or exempt $125,798
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
11a · Other revenue: Misc Revenue
total $35,000 · related or exempt $35,000
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$35,000
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $0 · program services $0 · management and general $0 · fundraising $0
-
13 · Office expenses
total $8,700 · program services $4,610 · management and general $4,090
-
24e · All other expenses
total $0 · program services $0 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
4 · Accounts receivable
beginning of year $0 · end of year $9,000
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $77,867 · end of year $77,867
-
15 · Other assets
beginning of year $341,814 · end of year $341,814
-
17 · Accounts payable and accrued expenses
beginning of year $92,203 · end of year $18,647
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $23,279,718 · end of year $22,982,468
-
27 · Net assets without donor restrictions
beginning of year -$22,952,240 · end of year -$22,572,434
Mission and programs · 2022
Mission
TO SERVE POOR, DISTRESSED, OR UNDERPRIVILEGED POPULATIONS THROUGH THE DESIGN AND IMPLEMENTATION OF PHYSICIAN-LED AND FAMILY-DIRECTED MODELS OF CARE.
-
THE MISSION OF PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS (PQA) IS TO SERVE POOR, DISTRESSED, OR UNDERPRIVILEGED POPULATIONS THROUGH THE DESIGN AND IMPLEMENTATION OF PHYSICIAN-LED AND FAMILY-DIRECTED MODELS OF CARE.
Expenses $4,610 · Revenue $160,798
As filed on the 2022 return.
Listed in Part VII
-
Dai H Chung MD
Chair & President
- Total calculated
- $596,486
- From this org
- $0
- From related orgs
- $596,486
- Other
- $0
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $596,486 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $596,486 related
-
Samir Pandya MD
Director & Medical Director
- Total calculated
- $0
- Hours/week
- 1
-
Erik Hansen MD
Director
- Total calculated
- $0
- Hours/week
- 1
-
Doris E Hunt
Vice President
- Total calculated
- $1,036,345
- From this org
- $0
- From related orgs
- $829,876
- Other
- $206,469
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $488,609 related
- Bonus
- $0 + $194,388 related
- Other
- $0 + $146,879 related
- Deferred
- $0 + $173,853 related
- Nontaxable benefits
- $0 + $32,616 related
- Filer's total
- $0 + $1,036,345 related
-
Lisa M Frenkel
Secretary
- Total calculated
- $580,672
- From this org
- $0
- From related orgs
- $508,188
- Other
- $72,484
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $319,644 related
- Bonus
- $0 + $101,602 related
- Other
- $0 + $86,942 related
- Deferred
- $0 + $56,798 related
- Nontaxable benefits
- $0 + $15,686 related
- Filer's total
- $0 + $580,672 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
- Physicians Quality Alliance of North Texas (The "Corporation") has no employees. Certain individuals identified herein as Director or Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, Compensation decisions for the officers were determined by the related organization following CHST compensation's policy. In their duties as Officers of the Corporation, 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, non-employee 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 HR 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: Doris Hunt - $118,918 Lisa Frenkel - $77,261 Employees who participated in and have contributions to the EDCRP include: Doris Hunt - $157,096 Lisa Frenkel - $39,110
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Children's Health Clinical Operations
501(c)(3) · Hospital · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
CHILDREN'S MEDICAL CENTER FOUNDATION
501(c)(3) · FOUNDATION · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
DALLAS PHYS MED SVCS FOR CHILDREN INC
501(c)(3) · PHYSICIANS · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
501(c)(3) · MEDICAL SERVICES · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
CHILDREN'S MEDICAL CENTER HEALTH PLAN
501(c)(3) · HMO · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
501(c)(3) · RESEARCH INSTITUTE · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
501(c)(3) · CLINICALLY INTEGRATED NETWORK · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
ANESTHESIOLOGISTS FOR CHILDREN
501(c)(3) · PHYSICIANS · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
501(c)(3) · MEDICAL DISTRICT · TX
Directly controlled by NA
-
WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER
501(c)(3) · WOMEN'S AUXILIARY · TX
Directly controlled by CHILDREN'S MEDICAL CENTER FOUNDATION
-
501(c)(3) · Hospital · TX
Directly controlled by Children's Health Clinical Operations
-
CHILDREN'S HEALTH SYSTEM OF TEXAS
501(c)(3) · MANAGEMENT COMPANY · TX
Directly controlled by NA
-
Bradford Memorial Hospital for Babies
501(c)(3) · Hospital · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
The Children's Hospital of Texas
501(c)(3) · Hospital · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
-
Richmond Freeman Memorial Clinic
501(c)(3) · Hospital · TX
Directly controlled by CHILDREN'S HEALTH SYSTEM OF TEXAS
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
ALTERNATIVE CARE SYSTEMS
C Corporation · OTHER MEDICAL SERVICES · TX
Directly controlled by NA
-
NTPSS INC
C Corporation · PHYSICIAN SOLUTIONS · TX
Directly controlled by NA
-
Texas Bluebonnet Insurance Company
C Corporation · Insurance Company · TX
Directly controlled by NA
-
Texas Trinity River Assurance Company
C Corporation · Self-insurance · CJ
Directly controlled by NA
-
Children's Health
C Corporation · Other Medical Services · TX
Directly controlled by NA
-
CHFH Inc
C Corporation · Other Medical Services · TX
Directly controlled by NA
-
Children's Health Care Network
C Corporation · Other Medical Services · TX
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313179349311736
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