TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (EIN 75-0818178)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-14
IRS object ID: 202302269349303260
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-14T23:30:12+00:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818178	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Scottish Rite Hospital for Crippled Children	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TEXA	BusinessNameControlTxt
Phone	2145595000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT L WALKER	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Signature	2023-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHELLE	PersonFirstNm
Person Last	HAYS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Stephanie Lew	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Scottish Rite Hospital for Children	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT L WALKER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$920,049,895	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCOTTISHRITEFORCHILDREN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE LIVES OF CHILDREN WITH ORTHOPEDIC RELATED CONDITIONS THROUGH PATIENT CARE, RESEARCH AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	34	VotingMembersGoverningBodyCnt
Voting Members Independent	34	VotingMembersIndependentCnt
Total Employee	1407	TotalEmployeeCnt
Total Volunteers	332	TotalVolunteersCnt
Total Gross UBI	$2,636,669	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,042,181	PYContributionsGrantsAmt
CY Contributions Grants	$52,522,335	CYContributionsGrantsAmt
PY Program Service Revenue	$98,666,753	PYProgramServiceRevenueAmt
CY Program Service Revenue	$97,311,930	CYProgramServiceRevenueAmt
PY Investment Income	$266,189,030	PYInvestmentIncomeAmt
CY Investment Income	$140,364,806	CYInvestmentIncomeAmt
PY Other Revenue	$127,397,652	PYOtherRevenueAmt
CY Other Revenue	$225,274,644	CYOtherRevenueAmt
PY Total Revenue	$515,295,616	PYTotalRevenueAmt
CY Total Revenue	$515,473,715	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,385,839	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$892,406	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$127,413,319	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$136,675,666	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,798,394	CYTotalFundraisingExpenseAmt
PY Other Expenses	$108,823,640	PYOtherExpensesAmt
CY Other Expenses	$111,614,088	CYOtherExpensesAmt
PY Total Expenses	$237,622,798	PYTotalExpensesAmt
CY Total Expenses	$249,182,160	CYTotalExpensesAmt
PY Revenues Less Expenses	$277,672,818	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$266,291,555	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,728,441,137	TotalAssetsBOYAmt
Total Assets EOY	$3,378,125,210	TotalAssetsEOYAmt
Total Liabilities BOY	$201,475,007	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$140,818,700	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,526,966,130	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,237,306,510	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE HIGHEST QUALITY CARE TO IMPROVE THE LIVES OF CHILDREN WITH ORTHOPEDIC AND RELATED CONDITIONS AND SPECIFIC LEARNING DISABILITIES. TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FOCUSES ON PATIENT CARE, RESEARCH AND EDUCATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$158,307,381	ExpenseAmt
Grant	$892,406	GrantAmt
Revenue	$97,311,930	RevenueAmt
Desc	PATIENT CARE TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS ONE OF THE NATION'S LEADING PEDIATRIC CENTERS FOR THE TREATMENT OF ORTHOPEDIC CONDITIONS, CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND LEARNING DISORDERS, SUCH AS DYSLEXIA. PATIENTS RECEIVE TREATMENT REGARDLESS OF THE FAMILY'S ABILITY TO PAY. THE ORTHOPEDICS PROGRAM INCLUDES OUTPATIENT CLINIC VISITS AND INPATIENT STAYS FOR THE DIAGNOSIS AND TREATMENT OF SUCH CONDITIONS AS SCOLIOSIS, CLUBFOOT, DISLOCATED HIP, LEGG-PERTHES, LIMB-LENGTH DIFFERENCES AND LIMB DEFICIENCIES, HAND DIFFERENCES AND SPORTS INJURIES. (CONTINUED ON SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,935,368	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH THE HOSPITAL'S DEDICATED RESEARCH CENTER, THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS OF EXCELLENCE - SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND FOOT DISORDERS, HIP DISORDERS, LIMB LENGTH AND RECONSTRUCTION, HAND DIFFERENCES AND SPORTS MEDICINE - SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES. (CONTINUED ON SCHEDULE O)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,476,037	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	EDUCATION TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAINING TO ORTHOPEDIC RESIDENTS AND POST-GRADUATE ORTHOPEDIC FELLOWS. IN ADDITION , THE HOSPITAL CONTRIBUTES TO THE EDUCATION OF ALLIED HEALTH PROFESSIONALS BY PROVIDING CLINICAL EXPERIENCE AND DIDACTIC EDUCATION FOR STUDENTS AS WELL AS CONTINUING EDUCATION FOR HEALTH CARE PROFESSIONALS. THE HOSPITAL IS CURRENTLY AFFILIATED WITH 57 INSTITUTIONS, INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL PROGRAMS. (CONTINUED ON SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$180,718,786	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	226	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1407	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	34	GoverningBodyVotingMembersCnt
Independent Voting Member	34	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER DEASON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2145597862	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (65 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GUY F STOVALL JR
VP & ASST. TREASURER	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
HAROLD D CARTER
VICE CHAIRMAN	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES E LANEY
VP & TREASURER	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
JERRY C GILMORE
VP/AST SECRETARY (DEC 3/30/22)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
LYNDON L OLSON JR
CHAIRMAN & TRUSTEE	6.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
M DOUGLAS ADKINS
VICE CHAIRMAN	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
RONALD L SKAGGS
VP & SECRETARY	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
BERT V MASSEY II
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
BRACK JONES JR
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
BRADY G ELLIOTT
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
CLAUDE O ERVIN
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
DAN F DAVIDSON
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
DONNY BROUGHTON
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
DOUGLAS S MAXEY
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
H FINLAY WATKINS
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
JAMES C PENN
TRUSTEE	4.0	1.0	Yes (X)		$0	$0	$0
JAMES D NYFELER SR
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
JAMES F CHAMBERS
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
JAMES L WILLIAMS
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
JEFF W SMITH
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
JOE H TYDLASKA
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
JOHN E WOOD
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
JOSEPH M DEALEY JR
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
KENNETH C CURRY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
KIM ASKEW
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
MICHAEL K PICKENS
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
MICHAEL L WIGGINS PHD
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
PATSY WOODS MARTIN
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
RALPH WAYNE
TRUSTEE	3.0	0	Yes (X)		$0	$0	$0
RONALD L CARTER
TRUSTEE	4.0	1.0	Yes (X)		$0	$0	$0
RUSSELL C BROWN
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
STEPHEN F CROSS
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
W EUGENE BROOKSHIRE
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
W M GOWER
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
W VERNON BURKE
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
ASHLEY C GIVENS
VP, DEVELOPMENT/EVENTS	40.0	1.0		Yes (X)	$161,990	$0	$92,529
DEBRA A SAYLES
VP, CNO (RET 12/31/21)	40.0	0		Yes (X)	$416,044	$0	$13,080
DONALD E KATZ
VP FACILITIES & PROCESS DESIGN (SEE SCH J**)	40.0	0		Yes (X)	$321,185	$0	$189,301
FREDRIC D RICHMOND
SR VP, CHIEF INVESTMENT OFFICER	40.0	0		Yes (X)	$535,729	$0	$54,181
JENNY J JOHNSON
VP, REVENUE CYCLE	40.0	0		Yes (X)	$218,081	$0	$35,764
JEREMY L HOWELL
VP, NORTH CAMPUS	40.0	0		Yes (X)	$271,100	$0	$54,728
KRISTINA L KEEVER-SMITH
VP, INVESTMENTS	40.0	1.0		Yes (X)	$319,863	$0	$196,169
LESLIE A CLONCH JR
VP CHIEF INFORMATION OFFICER	40.0	0		Yes (X)	$499,245	$0	$56,681
LORI L DALTON
SR VP, GENERAL COUNSEL	40.0	4.0		Yes (X)	$559,909	$0	$55,951
MARK G BATEMAN
SVP PUBLIC RELATIONS	40.0	0		Yes (X)	$451,751	$0	$43,163
MATTHEW S CHANCE
SR VP & COO	40.0	0		Yes (X)	$554,180	$0	$55,681
ROBERT L WALKER
PRESIDENT & CEO	40.0	2.0		Yes (X)	$1,417,166	$0	$44,132
STEPHANIE K BRIGGER
VP DEVELOPMENT	40.0	0		Yes (X)	$260,485	$0	$196,394
TAMMIE L SIBLEY
SVP & CFO (RESIGNED 7/26/22)	40.0	3.0		Yes (X)	$509,528	$0	$27,711
BRANDON A RAMO MD
ASST. CHIEF OF QUALITY	40.0	1.0			$810,650	$53,300	$56,681	Yes (X)
DANIEL J SUCATO MD MS
CHIEF OF STAFF	40.0	1.0			$1,279,542	$34,000	$885,138	Yes (X)
KARL E RATHJEN MD
ASST COS (SEE SCH J**)	40.0	3.0			$609,564	$5,200	$212,610	Yes (X)
PHILIP L WILSON MD
ASST COS/MED DIR NORTH CAMPUS (SEE SCH J**)	40.0	1.0			$783,091	$37,700	$331,501	Yes (X)
AMY L MCINTOSH MD
ORTHOPEDIC SURGEON	40.0	1.0			$784,679	$36,700	$53,925		Yes (X)
ANTHONY I RICCO MD
ORTHOPEDIC SURGEON	40.0	1.0			$762,386	$50,300	$56,181		Yes (X)
COREY S GILL MD
ORTHOPEDIC SURGEON	40.0	1.0			$766,730	$41,200	$39,420		Yes (X)
HENRY B ELLIS MD
ORTHOPEDIC SURGEON	40.0	1.0			$779,883	$45,700	$56,681		Yes (X)
ROBERT L WIMBERLY MD
ORTHOPEDIC SURGEON	40.0	1.0			$756,134	$42,900	$56,181		Yes (X)
B STEPHENS RICHARDS MD
CMO (SEE SCH J)** (RET 6/30/21)	40.0	1.0			$637,266	$0	$88,773			Yes (X)
CHARLES E JOHNSTON III MD
FRM ASST CHIEF OF STAFF (RET 4/16/2021)	40.0	0.0			$455,359	$0	$121,094			Yes (X)
CONNIE B WRIGHT
FRM VP, HUMAN RESOURCES (RESIGNED 6/2020)	0.0	0			$259,882	$0	$0			Yes (X)
ELLEN E HAYNES
FRM VP MAJOR GIVING (RES 1/8/2021)	40.0	0			$140,012	$0	$3,098			Yes (X)
JC MONTGOMERY JR
PRESIDENT EMERITUS (RET. 6/18)	40.0	0.0			$132,389	$0	$150,367			Yes (X)
JOHN A HERRING MD
CHIEF OF STAFF EMERITUS (RET 8/31/2020)	40.0	0.0			$284,043	$0	$307,715			Yes (X)
LORI A KAROL MD
FMR ASST COS/COQ (DEC 2/26/22)	40.0	0.0			$73,681	$0	$81,375			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,811,547	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$347,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,616,205	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	261	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HCBECK LTD
1601 ELM STREET STE 2800	DALLAS	TX	75201	CONSTRUCTION	$28,772,607
UT SOUTHWESTERN MEDICAL CENTER
5323 HARRY HINES BLVD	DALLAS	TX	75390	RESEARCH & MEDICAL	$1,348,968
SHARON JEAN LARSON
120 SAN BERNARD DRIVE	IRVING	TX	75039	CONSULTING	$544,737
TEXAS A&M UNVERSITY COLLEGE OF DENTISTRY
6000 TAMU	COLLEGE STATION	TX	77843	MEDICAL EDUCATION	$508,983
MEDICAL SOLUTIONS LLC
1010 NORTH 102ND STE 300	OMAHA	NE	68114	TEMPORARY STAFFING	$420,021

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,440,416	FundraisingAmt
Related Organizations	$93,550	RelatedOrganizationsAmt
Government Grants	$779,020	GovernmentGrantsAmt
All Other Contributions	$49,209,349	AllOtherContributionsAmt
Noncash Contributions	$16,631,747	NoncashContributionsAmt
Total Contributions	$52,522,335	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT REVENUE	622310	$187,347,560	$187,347,560
INPATIENT REVENUE	622310	$75,127,420	$75,127,420
DEDUCTIONS FROM REVENUE	622310	-$171,300,791	-$171,300,791
OTHER PATIENT RELATED REV	622310	$6,137,741	$6,137,741

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$97,311,930	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,702,138	TotalRevenueColumnAmt
Unrelated Business Revenue	$947,891	UnrelatedBusinessRevenueAmt
Exclusion	$72,754,247	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,116,145	TotalRevenueColumnAmt
Exclusion	$217,116,145	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$586,629	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$586,629	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$586,629	TotalRevenueColumnAmt
Exclusion	$586,629	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$463,799,238	SecuritiesAmt
Other	$3,772,195	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$400,657,895	SecuritiesAmt
Other	$250,870	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$63,141,343	SecuritiesAmt
Other	$3,521,325	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,662,668	TotalRevenueColumnAmt
Exclusion	$66,662,668	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$375,117	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,440,416	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$661,807	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$286,690	TotalRevenueColumnAmt
Exclusion	-$286,690	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$33,847	GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,847	TotalRevenueColumnAmt
Exclusion	$33,847	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$5,484,314	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$3,005,608	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,478,706	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,373,781	UnrelatedBusinessRevenueAmt
Exclusion	$1,104,925	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
SURFACE DAMAGE/WATER SALE	110000	$3,626,680	$3,626,680
CAFETERIA/CATERING SALES	722310	$666,753	$666,753
CONFERENCES & SEMINARS	611430	$42,534	$42,534

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,010,040	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$314,997	UnrelatedBusinessRevenueAmt
Exclusion	$695,043	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,346,007	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$515,473,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$97,311,930	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,636,669	UnrelatedBusinessRevenueAmt
Exclusion	$363,002,781	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$892,406	TotalAmt
Program Services	$892,406	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,102,325	TotalAmt
Program Services	$2,736,570	ProgramServicesAmt
Management And General	$5,829,787	ManagementAndGeneralAmt
Fundraising	$1,535,968	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$98,550,883	TotalAmt
Program Services	$85,551,849	ProgramServicesAmt
Management And General	$10,552,809	ManagementAndGeneralAmt
Fundraising	$2,446,225	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,756,698	TotalAmt
Program Services	$7,813,830	ProgramServicesAmt
Management And General	$596,331	ManagementAndGeneralAmt
Fundraising	$346,537	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,136,895	TotalAmt
Program Services	$11,944,925	ProgramServicesAmt
Management And General	$813,873	ManagementAndGeneralAmt
Fundraising	$378,097	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,128,865	TotalAmt
Program Services	$5,402,044	ProgramServicesAmt
Management And General	$545,223	ManagementAndGeneralAmt
Fundraising	$181,598	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$806,689	TotalAmt
Management And General	$806,689	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$527,239	TotalAmt
Management And General	$527,239	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,795	TotalAmt
Management And General	$8,795	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,527,558	TotalAmt
Management And General	$8,527,558	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,548,683	TotalAmt
Program Services	$3,082,124	ProgramServicesAmt
Management And General	$2,443,022	ManagementAndGeneralAmt
Fundraising	$23,537	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,268,026	TotalAmt
Program Services	$814,444	ProgramServicesAmt
Management And General	$3,161,877	ManagementAndGeneralAmt
Fundraising	$2,291,705	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,161,783	TotalAmt
Program Services	$7,334,262	ProgramServicesAmt
Management And General	$4,624,106	ManagementAndGeneralAmt
Fundraising	$1,203,415	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,181,393	TotalAmt
Program Services	$8,836,507	ProgramServicesAmt
Management And General	$2,180,409	ManagementAndGeneralAmt
Fundraising	$164,477	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,161,253	TotalAmt
Program Services	$7,549,901	ProgramServicesAmt
Management And General	$1,433,729	ManagementAndGeneralAmt
Fundraising	$177,623	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$479,851	TotalAmt
Program Services	$375,115	ProgramServicesAmt
Management And General	$90,664	ManagementAndGeneralAmt
Fundraising	$14,072	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$145,247	TotalAmt
Program Services	$101,314	ProgramServicesAmt
Management And General	$43,001	ManagementAndGeneralAmt
Fundraising	$932	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,157	TotalAmt
Management And General	$5,157	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,088,619	TotalAmt
Program Services	$18,631,302	ProgramServicesAmt
Management And General	$2,643,651	ManagementAndGeneralAmt
Fundraising	$813,666	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$747,673	TotalAmt
Program Services	$223,272	ProgramServicesAmt
Management And General	$496,541	ManagementAndGeneralAmt
Fundraising	$27,860	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & OTHER SUPPLIES	$20,108,912	$19,428,921	$487,309	$192,682
RANCH OPERATIONS	$3,538,862		$3,538,862
BAD DEBT EXPENSE	$9,035,319		$9,035,319
CGA ACTUARIAL EXPENSE	$273,029		$273,029

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,182,160	TotalAmt
Program Services	$180,718,786	ProgramServicesAmt
Management And General	$58,664,980	ManagementAndGeneralAmt
Fundraising	$9,798,394	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$721,996	BOYAmt
EOY	$701,421	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,257,871	BOYAmt
EOY	$2,543,539	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$51,796,727	BOYAmt
EOY	$58,882,445	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,712,530	BOYAmt
EOY	$5,853,157	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,211,499	BOYAmt
EOY	$8,201,499	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$581,846,336	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$217,076,834	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$307,144,799	BOYAmt
EOY	$364,769,502	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,250,126,837	BOYAmt
EOY	$2,850,476,166	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$157,721	BOYAmt
EOY	$459,288	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$100,311,157	BOYAmt
EOY	$86,238,193	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,728,441,137	BOYAmt
EOY	$3,378,125,210	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,213,816	BOYAmt
EOY	$24,916,289	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$563,063	BOYAmt
EOY	$386,540	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$175,698,128	BOYAmt
EOY	$115,515,871	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$201,475,007	BOYAmt
EOY	$140,818,700	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,372,107,723	BOYAmt
EOY	$3,095,919,404	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,858,407	BOYAmt
EOY	$141,387,106	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,526,966,130	BOYAmt
EOY	$3,237,306,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,728,441,137	BOYAmt
EOY	$3,378,125,210	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$266,291,555	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$585,238,588	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$29,287,413	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$8,795	OtherActivitiesAmt
Total Lobbying Expenditures	$8,795	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	TEXAS HOSPITAL ASSOCIATION $7,495 DUES WERE ALLOCATED TO LOBBYING. THE HOSPITAL RETAINED THE SERVICES OF GREENBERG TRAURIG LLP TO MEET WITH VARIOUS FEDERAL AND STATE LEGISLATORS OR STAFF AND INCURRED RELATED EXPENSES IN THE AMOUNT OF $1,300.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,492,468,691	BeginningYearBalanceAmt
Contributions	$223,445,894	ContributionsAmt
Investment Earnings Or Losses	-$353,213,687	InvestmentEarningsOrLossesAmt
Other Expenditures	$125,084,888	OtherExpendituresAmt
End Year Balance	$2,237,616,010	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,216,104,723	BeginningYearBalanceAmt
Contributions	$2,500	ContributionsAmt
Investment Earnings Or Losses	$294,544,855	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,183,387	OtherExpendituresAmt
End Year Balance	$2,492,468,691	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,061,276,404	BeginningYearBalanceAmt
Contributions	$10,690,156	ContributionsAmt
Investment Earnings Or Losses	$150,231,493	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,093,330	OtherExpendituresAmt
End Year Balance	$2,216,104,723	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$164,029,028	BeginningYearBalanceAmt
Contributions	$1,935,008,594	ContributionsAmt
Investment Earnings Or Losses	$63,090,266	InvestmentEarningsOrLossesAmt
Other Expenditures	$100,851,484	OtherExpendituresAmt
End Year Balance	$2,061,276,404	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$159,673,309	BeginningYearBalanceAmt
Contributions	$18,347,909	ContributionsAmt
Investment Earnings Or Losses	$5,735,433	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,727,623	OtherExpendituresAmt
End Year Balance	$164,029,028	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.97	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,822,787	OtherCostOrOtherBasisAmt
Book Value	$94,822,787	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$365,001,274	OtherCostOrOtherBasisAmt
Depreciation	$137,346,338	DepreciationAmt
Book Value	$227,654,936	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,442,405	OtherCostOrOtherBasisAmt
Depreciation	$615,817	DepreciationAmt
Book Value	$826,588	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,579,870	OtherCostOrOtherBasisAmt
Depreciation	$79,114,679	DepreciationAmt
Book Value	$41,465,191	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$364,769,502	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$40,329,805
MANAGEMENT BENEFIT PLAN	$15,097,561
EMPLOYEE BENEFITS PAYABLE	$1,371,000
RESERVE FOR MALPRACTICE CLAIMS	$1,243,896
CHARITABLE GIFT ANNUITIES	$3,120,410
TRUST OBLIGATIONS	$4,784,518
RESERVE FOR RESTORATION PLAN	$49,568,681

Field	Value	IRS element (for citing)
Total Liability	$115,515,871	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE INCOME FROM THE ORGANIZATION'S FUNDS WITH DONOR RESTRICTIONS AND FUNDS BOARD DESIGNATED ARE USED TO SUPPORT THE OPERATIONS OF THE MEDICAL, RESEARCH AND EDUCATION PROGRAMS OF THE HOSPITAL.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITY. THE HOSPITAL HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENT. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE TAX AUTHORITIES FOR YEARS PRIOR TO 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt	Specific Services ProvidedSpecificServicesProvidedTxt
East Asia and the Pacific	Investments	$89,649
Central America and the Caribbean	Investments	$318,162,347
North America (Canada & Mexico only)	Program Services	$67,960	0	0	Conference/Training
Europe (Including Iceland and Greenland)	Program Services	$125,243	0	0	Conference/Training
Central America and the Caribbean	Program Services	$3,500	0	0	Conference/Training

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$318,448,699	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$318,448,699	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AUCTION	Event1Nm
Gross Receipts Event1	$480,375	GrossReceiptsEvent1Amt
Charitable Contri Event1	$430,825	CharitableContriEvent1Amt
Gross Revenue Event1	$49,550	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$9,301	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$64,018	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$29,094	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$70,886	OtherDirectExpensesEvent1Amt
Event2	GOLF TOURN	Event2Nm
Gross Receipts Event2	$360,530	GrossReceiptsEvent2Amt
Charitable Contri Event2	$248,338	CharitableContriEvent2Amt
Gross Revenue Event2	$112,192	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$49,110	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$63,184	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$60,148	OtherDirectExpensesEvent2Amt
Other Events Total	13	OtherEventsTotalCnt
Gross Receipts Other Events	$1,974,628	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,761,253	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$213,375	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$92,466	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$26,935	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$81,222	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$115,443	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,815,533	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,440,416	CharitableContributionsTotAmt
Gross Revenue Total Events	$375,117	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$101,767	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$140,063	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$173,500	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$246,477	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$661,807	DirectExpenseSummaryEventsAmt
Net Income Summary	-$286,690	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$33,847	GrossRevenueOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$33,847	GrossRevenueTotalGamingAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	TX	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	THE STATE OF TEXAS DOES NOT REQUIRE A LICENSE FOR OCCASIONAL GAMING ACTIVITIES (UP TO TWO PER YEAR).	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.0	GamingOtherFacilityPct
Individual With Books	JENNIFER DEASON	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd
Distributed	$0	DistributedAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	1000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,051,449	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,051,449	NetCommunityBenefitExpnsAmt
Total Expense	0.0752	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,166,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,082,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,083,883	NetCommunityBenefitExpnsAmt
Total Expense	0.1669	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$94,217,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,082,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,135,332	NetCommunityBenefitExpnsAmt
Total Expense	0.2421	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,402,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,402,583	NetCommunityBenefitExpnsAmt
Total Expense	0.0433	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,685,358	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,660,419	NetCommunityBenefitExpnsAmt
Total Expense	0.0319	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,668,564	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$898,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,769,982	NetCommunityBenefitExpnsAmt
Total Expense	0.0615	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$797,702	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$797,702	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,554,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$923,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,630,686	NetCommunityBenefitExpnsAmt
Total Expense	0.1400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$128,772,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,006,185	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,766,018	NetCommunityBenefitExpnsAmt
Total Expense	0.3821	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$832,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$832,080	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$832,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$832,080	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,035,319	BadDebtExpenseAmt
Reimbursed By Medicare	$74,953	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,779	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$26,174	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SCOTTISHRITEHOSPITAL.ORG	WebsiteAddressTxt
State License	000054	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Other	ORTHOPEDIC, NEURODEVELOPMENT & MUSCULOSKELETAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://SCOTTISHRITEFORCHILDREN.ORG/GETATTACHMENT/B6C3EAA2-1811-41B6-A4B8- 408CFDF02ECB/2019-COMMUNI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	999.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SCOTTISHRITEHOSPITAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SCOTTISHRITEHOSPITAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SCOTTISHRITEHOSPITAL.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - TEXAS SCOTTISH RITE HOSPITAL. SCOTTISH RITE FOR CHILDREN (SCOTTISH RITE) AND ASCENDIENT HEALTHCARE ADVISORS (ASCENDIENT) COLLABORATED TO CONDUCT AND ASSESS THE NEEDS OF THE COMMUNITY IN PRODUCING THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT. PRIMARY DATA INCLUDED INFORMATION GATHERED FROM INTERNET-BASED AND PAPER SURVEYS, FOCUS GROUPS AND INTERVIEWS WITH VARIOUS PATIENT FAMILIES, LOCAL ORGANIZATIONS AND HEALTH SERVICE PROVIDERS AND LEADERS WITHIN SCOTTISH RITE. SECONDARY DATA INCLUDED INFORMATION REGARDING THE DEMOGRAPHICS, HEALTH AND HEALTH CARE RESOURCES, BEHAVIORAL HEALTH, DISEASE TRENDS AND COUNTY RANKINGS OF THE COMMUNITY SERVED BY SCOTTISH RITE. THE DATA COLLECTION AND ANALYSIS PROCESS BEGAN IN MAY 2022 AND CONTINUED THROUGH TO THE DEVELOPMENT OF THE DOCUMENT IN AUGUST 2022. IN CONJUNCTION WITH SCOTTISH RITE LEADERSHIP, ASCENDIENT DRAFTED THE SURVEY AND SCOTTISH RITE CONDUCTED A HEALTH SURVEY IN PERSON IN DALLAS AND FRISCO AND ALSO IN ELECTRONIC FORMAT TO CURRENT AND FORMER SCOTTISH RITE PATIENTS. COMMUNITY ENGAGEMENT AND FEEDBACK WAS OBTAINED THROUGH SEVERAL WAYS: A) PATIENT INTERNET-BASED AND PAPER SURVEYS DISTRIBUTED IN THE SCOTTISH RITE CLINICS WITH PERSONAL ASSISTANCE FOR FAMILIES THAT NEEDED HELP UNDERSTANDING/FILLING OUT THE INFORMATION B) FOUR PATIENT FAMILY FOCUS GROUPS WITH REPRESENTATION FROM 12 PATIENT FAMILIES, C) INTERNET-BASED SURVEYS AND INTERVIEWS WITH LEADERS FROM COMMUNITY PARTNERS, D) AS WELL AS SIGNIFICANT INPUT AND DIRECTION FROM SCOTTISH RITE LEADERSHIP AND THE STEERING COMMITTEE. ALL STAKEHOLDERS WERE ASKED TO PROVIDE THEIR FEEDBACK ABOUT THE HEALTH OF CHILDREN IN THE SCOTTISH RITE COMMUNITY AND FACTORS INFLUENCING THE HEALTH STATUS OF CHILDREN IN THE BROADER COMMUNITY. THE DATA WERE AGGREGATED BY SOURCE (I.E., PATIENTS, COMMUNITY LEADERS AND PARTNERS AND SCOTTISH RITE LEADERSHIP) AND THEN ANALYZED TO UNDERSTAND THE CURRENT PERCEIVED HEALTH NEEDS IN THE COMMUNITY THROUGH THE LENS OF THOSE WE SERVE, THOSE WE COLLABORATE WITH AND THOSE WHO LEAD US INTERNALLY. THANKS TO THE HARD WORK OF OUR DEDICATED STAFF, PARTNERS AND VOLUNTEERS, SCOTTISH RITE WAS ABLE TO GATHER AN ABUNDANCE OF PRIMARY DATA TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS IN THE COMMUNITY AND THE ROLE SCOTTISH RITE PLAYS IN HELPING KIDS LEAD HEALTHY, HAPPY LIVES. LEVERAGING THESE SOURCES, THE STEERING COMMITTEE WAS ABLE TO INCORPORATE INPUT FROM 1,680 SCOTTISH RITE PATIENTS, 22 COMMUNITY LEADERS/PARTNERS AND 31 SCOTTISH RITE LEADERS. OF NOTE, TO ENSURE THAT HISTORICALLY UNDERSERVED POPULATIONS INCLUDING MINORITIES, PERSONS WITH LOW-INCOME, UNINSURED OR UNDERINSURED AND THOSE WITH LIMITED ENGLISH PROFICIENCY WERE REPRESENTED IN THIS ASSESSMENT, SCOTTISH RITE DISTRIBUTED INTERNET-BASED AND PAPER PATIENT SURVEYS IN ENGLISH AND SPANISH FOR PATIENTS THAT MAY NOT HAVE INTERNET ACCESS AT HOME AND/OR PREFER TO RESPOND IN SPANISH. ROUGHLY 26 PERCENT OF PATIENT RESPONDENTS IDENTIFIED THEMSELVES AS HISPANIC/LATINX AND 13 PERCENT INDICATED THAT SPANISH WAS THE PRIMARY LANGUAGE SPOKEN IN THEIR HOMES. ADDITIONALLY, 27 PERCENT OF PATIENT RESPONDENTS HAVE MEDICAID OR HAVE NO INSURANCE AT ALL AND MORE THAN HALF OF THE PATIENT FOCUS GROUP PARTICIPANTS REPORTED HAVING MEDICAID AND/OR USING CRAYON CARE, WHICH IS SCOTTISH RITE'S FINANCIAL ASSISTANCE PROGRAM. NEARLY ALL SURVEY RESPONDENTS INDICATED THEY LIVED IN THE CHNA COMMUNITY. IN ADDITION, SCOTTISH RITE CONDUCTED FOUR PATIENT FOCUS GROUPS TO SOLICIT INPUT FROM PATIENTS' FAMILIES REGARDING THE HEALTH NEEDS OF THEIR CHILDREN. THE PATIENT FOCUS GROUPS WERE CONDUCTED AUGUST AND SEPTEMBER 2022, AT SCOTTISH RITE'S DALLAS AND FRISCO CAMPUSES. NINE QUESTIONS WERE ASKED AND DISCUSSED, THEN USED TO HELP GATHER DATA FROM THE PARTICIPANTS. INPUT WAS COLLECTED FROM 22 KEY STAKEHOLDERS THROUGH IN-PERSON INTERVIEWS AND ELECTRONIC SURVEYS IN 2022. THESE KEY STAKEHOLDERS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS OR THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS WHO ARE LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. SECONDARY DATA ASSESSED FACTORS, SUCH AS DEMOGRAPHICS, SOCIOECONOMIC INDICATORS (HOUSEHOLD INCOME AND POVERTY, INSURANCE COVERAGE AND CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS) AND COMMUNITY HEALTH STATUS INDICATORS RELEVANT TO THE SERVICES PROVIDED BY SCOTTISH RITE (RATES FOR CONDITIONS TREATED BY SCOTTISH RITE, NUMBER OF CHILDREN IN TEXAS WITH DISABILITIES AND RATE FOR HEALTH ISSUES IDENTIFIED BY STAKEHOLDERS AND PATIENTS, SUCH AS ASTHMA AND OBESITY). KEY SOURCES FOR SECONDARY DATA ON THE COMMUNITY SERVED BY SCOTTISH RITE INCLUDED DATA MADE AVAILABLE BY PARTICIPATING ORGANIZATIONS AND NUMEROUS PUBLIC DATA SOURCES RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, HEALTH EQUITY, HEALTH STATUS AND DISEASE TRENDS, MENTAL/BEHAVIORAL HEALTH TRENDS AND MODIFIABLE HEALTH RISKS. SOME OF THE SECONDARY DATA SOURCES INCLUDED BUT WERE NOT LIMITED TO TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, CDC, UNITED WAY, AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS BUREAU, USDA, OMH - OFFICE OF MINORITY HEALTH, COUNTY HEALTH RANKINGS AND ROADMAPS AND THE OPPORTUNITY ATLAS. THE PROCESS OF DETERMINING THE PRIORITY HEALTH NEEDS FOR THE 2022 CHNA BEGAN WITH THE COLLECTION AND ANALYSIS OF HUNDREDS OF DATA POINTS. ALL INDIVIDUAL DATA MEASURES FROM BOTH PRIMARY AND SECONDARY SOURCES WERE GATHERED, ANALYZED AND INTERPRETED. TO COMBINE DATA POINTS INTO MORE EASILY DISCUSSABLE CATEGORIES, ALL INDIVIDUAL DATA MEASURES WERE GROUPED INTO SIX CATEGORIES AND 20 CORRESPONDING FOCUS AREAS BASED ON COMMON THEMES. GIVEN THE LARGE NUMBER OF INDIVIDUAL DATA MEASURES THAT WERE COLLECTED, ANALYZED AND INTERPRETED THROUGHOUT THIS PROCESS TO DEVELOP THE 20 CATEGORIES, IT WAS NOT FEASIBLE TO MAKE EACH OF THEM A PRIORITY. THE STEERING COMMITTEE TOOK INTO CONSIDERATION NEED VARIATION BY GEOGRAPHY, PRIORITIES FROM SECONDARY DATA, PRIORITIES FROM PRIMARY DATA, SCOTTISH RITE LEADERSHIP RANKINGS AND SCOTTISH RITE'S ABILITY TO IMPACT THE NEED TO HELP DETERMINE WHICH HEALTH NEEDS SHOULD BE PRIORITIES. THE FOLLOWING FACTORS WERE USED TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS: SIZE OF THE PROBLEM; SERIOUSNESS OF THE PROBLEM; SCOPE OF THE ISSUES ON IMPACTED POPULATIONS; IMPORTANCE OF THE ISSUE TO THE COMMUNITY; AND THE PREVALENCE OF COMMON THEMES. MEMBERS OF SCOTTISH RITE'S LEADERSHIP PROVIDED INPUT REGARDING RATINGS FOR THE FACTORS DESCRIBED ABOVE. THE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED, TAKING INTO ACCOUNT THE IMPORTANCE OF THE NEED AS WELL AS THE PERCEIVED DEGREE OF INFLUENCE SCOTTISH RITE HAS TO IMPACT OR RESPOND TO THAT NEED. ALTHOUGH SOME KEY HEALTH ISSUES WERE IDENTIFIED AS PRIORITY AREAS BY THE COMMUNITY AT LARGE, THESE NEEDS WERE NOT FOUND TO BE IN ALIGNMENT WITH SCOTTISH RITE'S PRIMARY MISSION AND STRATEGIC PLAN AS A PREMIER PEDIATRIC ORTHOPEDIC PROVIDER.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - TEXAS SCOTTISH RITE HOSPITAL. SCOTTISH RITE ENGAGED THE SERVICES OF ASCENDIENT TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATED WITH ASCENDIENT IN PRODUCING THE ORGANIZATION'S CHNA REPORT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - TEXAS SCOTTISH RITE HOSPITAL. AS PART OF THE CHNA, SCOTTISH RITE AND ASCENDIENT CONDUCTED THE ASSESSMENT FROM JUNE 2022 TO SEPTEMBER 2022. THE PRIMARY AND SECONDARY DATA GATHERED WERE THEN ANALYZED TO IDENTIFY SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY SERVED BY SCOTTISH RITE. AS A RESULT OF THE ANALYSIS, EIGHT HEALTH NEEDS WERE IDENTIFIED AS BEING SIGNIFICANT TO THE COMMUNITY. THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AND SUBSEQUENTLY GROUPED AND PRIORITIZED BY MANAGEMENT INTO THREE PRIORITY AREAS BASED ON THEIR OVERALL ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. SCOTTISH RITE FOCUSED ON THE IDENTIFIED AREAS WHERE THE ORGANIZATION CAN MOST EFFECTIVELY USE ITS EXPERTISE AND RESOURCES TO HAVE A SIGNIFICANT IMPACT. THESE THREE AREAS ARE: 1. IMPROVE ACCESS TO HEALTH CARE SERVICES 2. OBSESITY/DIABETES/FITNESS/NUTRITION 3. IMPROVE SOCIAL DETERMINANTS OF HEALTH 1. SCOTTISH RITE STRATEGIES FOR IMPROVING ACCESS TO HEALTH CARE SERVICES: A: ACCESS TO CARE REPRESENTS THE PRESENCE OF SEVERAL COMPONENTS, INCLUDING COVERAGE (I.E., INSURANCE), A PHYSICAL LOCATION WHERE CARE IS PROVIDED, THE ABILITY TO RECEIVE TIMELY HEALTH CARE WHEN NEEDED AND AN ADEQUATE WORKFORCE OF PROVIDERS. TAKEN TOGETHER, THESE COMPONENTS ENABLE INDIVIDUALS TO OBTAIN TIMELY HEALTH CARE SERVICES THAT ACHIEVE THE BEST POSSIBLE HEALTH OUTCOMES. IT IS WIDELY ACKNOWLEDGED THAT UNDERREPRESENTED POPULATIONS, SUCH AS LOW INCOME, MINORITY AND LESS EDUCATED POPULATIONS, EXPERIENCE GREATER DISPARITIES IN OBTAINING HEALTH CARE SERVICES. THE INABILITY TO ACCESS HEALTH CARE SERVICES CONTRIBUTES TO POOR HEALTH STATUS. THUS, HEALTH DISPARITIES ARE WELL-KNOWN TO BE ASSOCIATED WITH ACCESS TO CARE. AS DESCRIBED IN FURTHER DETAIL BELOW, ACCESS TO CARE WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED FOR THE COMMUNITY IN PRIMARY AND SECONDARY DATA ANALYSIS. THESE DATA FINDINGS EMPHASIZED THE BURDEN, SCOPE AND SEVERITY OF ACCESS TO CARE AMONG OUR COMMUNITY, AS WELL AS THE IMPORTANCE THAT OUR COMMUNITY PLACES ON ADDRESSING THE NEED. SCOTTISH RITE RECOGNIZES ACCESS TO CARE AS A HEALTH NEED FOR WHICH THE ORGANIZATION CAN FEASIBLY MAKE EFFECTIVE INTERVENTIONS. WHILE SCOTTISH RITE HAS REMAINED COMMITTED TO OUR MISSION TO PROVIDE THE HIGHEST QUALITY CARE AVAILABLE FOR CHILDREN, WITHIN OUR SCOPE OF SERVICES, REGARDLESS OF THE FAMILY'S ABILITY TO PAY, WE ALSO RECOGNIZE THERE ARE CHILDREN IN NEED OF CARE WHOSE FAMILIES MAY BE UNAWARE OF FINANCIAL ASSISTANCE PROGRAMS OR THE HEALTH CARE RESOURCES AVAILABLE TO HELP THEIR CHILD, PARTICULARLY IN CIRCUMSTANCES INVOLVING RARE ORTHOPEDIC AND RELATED NEURODEVELOPMENTAL CONDITIONS THAT REQUIRE HIGHLY SPECIALIZED CARE. IN ADDITION, SCOTTISH RITE SERVES THOUSANDS OF PATIENTS ANNUALLY WITH FINITE RESOURCES AND TIME. IN OUR ROLE AS A HEALTH CARE PROVIDER, WE BELIEVE WE CAN MAKE CONTINUED STRIDES IN IMPROVING ACCESS TO CARE. RESOURCES TO ADDRESS ACCESS TO CARE AFFORDABILITY OF HEALTH SERVICES SCOTTISH RITE IS COMMITTED TO ITS MISSION TO PROVIDE THE HIGHEST QUALITY CARE AVAILABLE FOR CHILDREN, WITHIN OUR SCOPE OF SERVICES, REGARDLESS OF THE FAMILY'S ABILITY TO PAY. SCOTTISH RITE'S FINANCIAL ASSISTANCE PROGRAM, KNOWN AS CRAYON CARE, OFFERS CARE AT NO COST OR SIGNIFICANTLY DISCOUNTED COST TO ELIGIBLE FAMILIES. OUR FINANCIAL COUNSELORS STRIVE TO ENSURE THAT ALL FAMILIES ARE INFORMED AND FAMILIAR WITH THIS PROGRAM. ELIGIBILITY FOR CRAYON CARE IS BASED ON HOUSEHOLD INCOME AND MEDICAL EXPENSES, AND NO APPLICATIONS SUBMITTED BY ELIGIBLE FAMILIES ARE DENIED. INFORMATION ABOUT CRAYON CARE IS PROVIDED IN SEVERAL WAYS, INCLUDING A PLAIN LANGUAGE SUMMARY THAT IS POSTED AT THE REGISTRATION DESKS AND PROVIDED TO NEW PATIENTS IN REGISTRATION PACKETS THAT ARE GIVEN TO ALL PATIENT FAMILIES AT LEAST ANNUALLY. SCOTTISH RITE CONTINUES TO INFORM AND EDUCATE LOCAL ORGANIZATIONS AND SCHOOL DISTRICTS OUT IN THE COMMUNITY ABOUT CRAYON CARE. MORE DETAILED INFORMATION REGARDING OUR CRAYON CARE POLICY, APPLICATION, FINANCIAL ASSISTANCE SUMMARY AND OTHER FREQUENTLY ASKED QUESTIONS ARE ALSO AVAILABLE AT THE ORGANIZATION'S WEBSITE . ALL FAMILIES ARE ENCOURAGED TO APPLY. OF NOTE, FROM OCTOBER 2021 THROUGH JULY 2022, SCOTTISH RITE HAS RECEIVED AND APPROVED THE CRAYON CARE APPLICATIONS FOR 4,200 ELIGIBLE PATIENT FAMILIES OUT OF THE 5,155 APPLICANT PATIENT FAMILIES THAT WERE GIVEN CRAYON CARE APPLICATIONS DIRECTLY BY SCOTTISH RITE STAFF. FURTHERMORE, THROUGH OUR DEDICATED TEAM IN FAMILY SERVICES, WE ALSO PROVIDE INSURANCE ENROLLMENT ASSISTANCE TO UNDERINSURED/UNINSURED PATIENTS. IN ADDITION, SCOTTISH RITE PARTICIPATES IN A COMMUNITY RESOURCE COORDINATION GROUP (CRCG) MADE UP OF LOCAL PARTNERS AND COMMUNITY MEMBERS THAT WORK WITH PARENTS, CAREGIVERS, YOUTH AND ADULTS TO IDENTIFY AND COORDINATE SERVICES AND SUPPORT, INCLUDING FINANCIAL ASSISTANCE, INSURANCE COVERAGE, PRIMARY CARE AND SPECIALTY SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE AND MORE. ACCESS TO CARE WHEN A PATIENT'S NEEDS FALL OUTSIDE OF SCOTTISH RITE'S SCOPE OF SERVICES, OUR TEAM IDENTIFIES EXTERNAL RESOURCES THAT ARE AVAILABLE FOR CARE, FUNDING AND/OR EDUCATION. AS DETAILED IN CHAPTER 1, SCOTTISH RITE'S FAMILY RESOURCE CENTER EXISTS TO HELP CONNECT CURRENT AND FORMER PATIENTS, AS WELL AS OTHER COMMUNITY MEMBERS, WITH PROVIDERS AND ORGANIZATIONS THAT ARE WELL-EQUIPPED TO SERVE THEM. SCOTTISH RITE'S FAMILY RESOURCE CENTER ALSO CONNECTS FAMILIES WITH GRANTS FOR CARE OUTSIDE OF SCOTTISH RITE AND WORKS WITH EXTERNAL PROVIDERS TO FUND OFFSITE CARE FOR LOW-INCOME SCOTTISH RITE PATIENTS. EXAMPLES OF EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ACCESS CARE INCLUDE BUT ARE NOT LIMITED TO: * CHILDREN'S HEALTH * UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER * COOK CHILDREN'S MEDICAL CENTER * COOK CHILDREN'S PEDIATRIC SPECIALTIES PROSPER * MEDICAL CITY CHILDREN'S HOSPITAL * BAYLOR INSTITUTE FOR IMMUNOLOGY RESEARCH * TEXAS CHILD NEUROLOGY * ATHENA DIAGNOSTICS * COMMUNITY RESOURCE COORDINATION GROUP IN ADDITION, SCOTTISH RITE COORDINATES WITH OUTSIDE VENDORS TO DELIVER DURABLE MEDICAL EQUIPMENT TO PATIENTS SUCH AS WHEELCHAIRS, WALKERS, CANES, CRUTCHES, BATHROOM EQUIPMENT, HOSPITAL BEDS AND PRESSURE RELIEF CUSHIONS. MEDICAL SUPPLIES USED FOR FEEDING, WOUND CARE, RESPIRATORY CARE AND/OR INCONTINENCE ARE ALSO ORDERED FOR FAMILIES USING OUTSIDE VENDORS. EXAMPLES OF THESE ORGANIZATIONS INCLUDE BUT ARE NOT LIMITED TO: * ANGELS OF CARE * TRAVIS MEDICAL SUPPLY * J&R MEDICAL * UNIVERSAL MED SUPPLY * ALLUMED * C&R MEDICAL * APRIA * HEALTHLINE MEDICAL, MEDCO * MEDICAL PLUS SUPPLY * PATIENT SUPPORT SERVICES SCOTTISH RITE PROVIDES LIMITED PSYCHOLOGY SERVICES AND REGULARLY SCREENS PATIENTS FOR MENTAL AND BEHAVIORAL HEALTH CONCERNS. HOWEVER, WE RECOGNIZE THAT THERE ARE ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE HIGHLY SPECIALIZED AND DEDICATED TO WORKING WITH THE MENTAL AND BEHAVIORAL HEALTH OF CHILDREN AND FAMILIES. WHEN NEEDED, SCOTTISH RITE'S SOCIAL WORKERS AND/OR PSYCHOLOGISTS HELP COORDINATE WITH THESE SPECIALIZED FACILITIES TO ASSIST PATIENTS WITH THE SCHEDULING PROCESS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING ORGANIZATIONS: * CHILD AND FAMILY GUIDANCE CENTER * JEWISH FAMILY AND CHILDREN'S SERVICES * RICHLAND OAKS COUNSELING CENTER * THE FAMILY STUDY CENTER AT THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - TEXAS SCOTTISH RITE HOSPITAL - CONTINUED. 2. SCOTTISH RITE STRATEGIES FOR OBESITY/DIABETES/FITNESS/NUTRITION: A HEALTHY DIET, ACCESS TO NUTRITIOUS FOODS AND REGULAR PHYSICAL ACTIVITY HELP PROMOTE HEALTH BY REDUCING THE RISK OF HEART DISEASE, STROKE AND CERTAIN FORMS OF CANCER, STRENGTHENING MUSCLES, BONES AND JOINTS, IMPROVING MOOD AND ENERGY LEVELS AND MAINTAINING A HEALTHY WEIGHT. IN CONTRAST, DIABETES AND OBESITY - POTENTIAL CONSEQUENCES OF UNHEALTHY DIET AND INADEQUATE PHYSICAL ACTIVITY - ARE RISK FACTORS FOR MANY SERIOUS HEALTH CONDITIONS AND CHRONIC DISEASES. ACCORDING TO THE CDC, OBESITY PREVALENCE INCREASED FROM 14 PERCENT TO 20 PERCENT FOR CHILDREN AND ADOLESCENTS BETWEEN 1999 AND MARCH 2020. SIMILARLY, BETWEEN 2001 AND 2017, THE INCIDENCE OF YOUTH AGES 10-19 WITH TYPE 2 DIABETES INCREASED FROM 34 PER 100,000 CHILDREN TO 67 PER 100,000 CHILDREN. OBESITY OCCURS MORE FREQUENTLY AMONG UNDER-REPRESENTED POPULATIONS. AMONG CHILDREN AND ADOLESCENTS IN THE UNITED STATES BETWEEN 2017 AND 2020, OBESITY PREVALENCE WAS 26.2 PERCENT AMONG HISPANIC CHILDREN, 24.8 PERCENT AMONG NON-HISPANIC BLACK CHILDREN, 16.6 PERCENT AMONG NON-HISPANIC WHITE CHILDREN AND 9.0 PERCENT AMONG NON-HISPANIC ASIAN CHILDREN. OBESITY PREVALENCE IN CHILDREN AND ADOLESCENTS INCREASES AS THE HEAD OF HOUSEHOLD'S LEVEL OF EDUCATION DECREASES. IN A STUDY OF OBESITY IN CHILDREN BY HOUSEHOLD INCOME, OBESITY PREVALENCE WAS 18.9 PERCENT IN THE LOWEST INCOME GROUP, 19.9 PERCENT IN THE MIDDLE-INCOME GROUP AND 10.9 PERCENT IN THE HIGHEST INCOME GROUP. TYPE 2 DIABETES, WHICH IS PREVENTABLE, IS MORE COMMON IN YOUTH IN RACIAL OR ETHNIC MINORITY GROUPS THAN AMONG WHITE YOUTH. BETWEEN 2001 AND 2017, TYPE 2 DIABETES PREVALENCE INCREASED MOST RAPIDLY AMONG NON-HISPANIC BLACK AND HISPANIC CHILDREN. IN THIS ASSESSMENT, PRIMARY AND SECONDARY DATA AFFIRMED THAT DIET, EXERCISE, ACCESS TO HEALTHY FOOD, DIABETES AND OBESITY REPRESENT A NOTABLE HEALTH NEED AMONG CHILDREN IN THE COMMUNITY. THESE FINDINGS, DESCRIBED IN GREATER DETAIL BELOW, INDICATE THAT NUTRITION, FITNESS, DIABETES AND OBESITY ARE A SIGNIFICANT AND FAR-REACHING BURDEN THAT THE COMMUNITY CONSIDERS IMPORTANT TO ADDRESS. IN ADDITION TO THE DISPARITIES ASSOCIATED WITH THIS NEED, THE BURDEN OF THE NEED AND THE PERCEIVED IMPORTANCE THAT THE COMMUNITY PLACES ON ADDRESSING THE NEED, SCOTTISH RITE IDENTIFIED THIS AS A PRIORITY NEED AREA BASED ON THE RELEVANCE OF THIS CONCERN TO THE WORK OF SCOTTISH RITE AND THE FEASIBILITY OF INTERVENTIONS THAT SCOTTISH RITE CAN IMPLEMENT. AS A PEDIATRIC ORTHOPEDIC SURGERY PROVIDER, SCOTTISH RITE RECOGNIZES THAT OBESE AND DIABETIC CHILDREN ARE AT INCREASED RISK OF FRACTURES AND ARE MORE LIKELY TO EXPERIENCE ADVERSE PERIOPERATIVE EVENTS AND OUTCOMES. , , ADDITIONALLY, IMPROVED PHYSICAL ACTIVITY IS AN IMPORTANT GOAL OF MANY SCOTTISH RITE SERVICES. SUBSEQUENTLY, OBESITY, DIABETES, NUTRITION AND FITNESS WERE RECOGNIZED AS PARTICULARLY RELEVANT HEALTH NEEDS IN OUR COMMUNITY FOR WHICH SCOTTISH RITE CAN FEASIBLY AND EFFECTIVELY OFFER INTERVENTIONS. RESOURCES TO ADDRESS OBESITY/DIABETES/FITNESS/NUTRITION GIVEN THE UNIQUE CONDITIONS TREATED BY SCOTTISH RITE, THE SCOTTISH RITE THERAPEUTIC RECREATION DEPARTMENT HELPS CHILDREN WITH CHRONIC MEDICAL CONDITIONS OR DISABILITIES DEVELOP THE SKILLS AND KNOWLEDGE NEEDED TO ENABLE THEM TO PARTICIPATE IN RECREATION AND LEISURE ACTIVITIES. AS DESCRIBED IN CHAPTER 1, PHYSICIANS CAN REFER PATIENTS TO THERAPEUTIC RECREATION FOR INPATIENT AND OUTPATIENT SERVICES, SUCH AS: * ADAPTIVE SPORTS, INCLUDING TENNIS, DANCE AND GOLF * ADAPTED CYCLE EVALUATIONS * SUPPORT FOR CAMPS IN ADDITION, THE THERAPEUTIC RECREATION DEPARTMENT WORKS WITH COMMUNITY ORGANIZATIONS TO SUPPORT PATIENTS AND FAMILIES, INCLUDING: * RISE (RECOVERY, INSPIRATION, SUCCESS, EMPOWERMENT): A NONPROFIT CHARITABLE ORGANIZATION BASED IN THE DALLAS-FORT WORTH METROPLEX THAT OFFERS INCLUSIVE ADAPTIVE RECREATIONAL SPORTS PROGRAMS FREE OF CHARGE TO PARTICIPANTS. * AMBUCS: A NATIONAL NON-PROFIT ORGANIZATION THAT ENCOURAGES MOBILITY AND INDEPENDENCE THROUGH PROVISION OF ADAPTIVE TRYKES, SCHOLARSHIPS FOR THERAPISTS AND A RANGE OF COMMUNITY SERVICE EFFORTS. SCOTTISH RITE HAS NUMEROUS OTHER PROGRAMS AND PARTNERSHIPS THAT PROMOTE FITNESS, AS DESCRIBED IN CHAPTER 1. THESE INCLUDE PARTNERSHIPS WITH THE DALLAS MAVERICKS BASKETBALL ACADEMY, FC FAST SOCCER ACADEMY, WORLD OLYMPIC GYMNASTICS ACADEMY (WOGA) AND THE FRISCO YMCA. SCOTTISH RITE HAS DEVELOPED A BRIDGE PROGRAM, TO HELP YOUNG ATHLETES WHO HAVE COMPLETED THEIR PHYSICAL THERAPY PERFORM FOCUSED TRAINING TO SAFELY RETURN TO THEIR SPORT. FURTHER, SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS AT SCOTTISH RITE HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE AS ORDERED BY THE MEDICAL STAFF ASSOCIATED WITH OBESITY, FITNESS, NUTRITION AND DIABETES. A RANGE OF RESOURCES THROUGHOUT THE COMMUNITY SUPPORT THESE AREAS, INCLUDING (BUT NOT LIMITED TO) THOSE LISTED BELOW: WEIGHT MANAGEMENT, FITNESS, NUTRITION AND OBESITY SCOTTISH RITE PARTICIPATES IN COALITION-LED COMMUNITY AWARENESS CAMPAIGNS AND PROGRAMS THAT WE MAKE PATIENT REFERRALS TO, INCLUDING: * THE COACH CLINIC AT CHILDREN'S HEALTH- SCOTTISH RITE SUPPORTS THIS PROGRAM, WHICH WAS ESTABLISHED FOR CHILDREN WITH OBESITY AND WEIGHT-RELATED COMPLICATIONS. GET UP & GO (FORMERLY LEAN PROGRAM) WORKS IN CONJUNCTION WITH THE COACH CLINIC AND NUTRITION CLINICS AT CHILDREN'S HEALTH TO OFFER A FREE 10-WEEK WEIGHT MANAGEMENT PROGRAM. AS SCOTTISH RITE CONTINUES TO IDENTIFY CHILDREN WHO WOULD BENEFIT FROM THESE PROGRAMS, THE APPROPRIATE REFERRALS ARE MADE TO CHILDREN'S HEALTH. * MEDICAID AND CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CSHCN) PROGRAMS - THESE PROGRAMS ALSO PROVIDE SUPPORT TO THE SCOTTISH RITE PATIENTS AND FAMILIES AND WILL PAY FOR SEVERAL VISITS RELATED TO CERTAIN WEIGHT MANAGEMENT ISSUES WITH A CLINICAL DIETICIAN. AS CHILDREN WHO WOULD BENEFIT FROM THESE SERVICES ARE IDENTIFIED, REFERRALS ARE MADE. OTHER COMMUNITY RESOURCES FOR PEDIATRIC FITNESS, OBESITY AND WEIGHT MANAGEMENT INCLUDE: * THE YMCA OF METROPOLITAN DALLAS OFFERS A NUMBER OF PROGRAMS DESIGNED TO IMPROVE THE HEALTH OF FAMILIES, INCLUDING FIT FOR HEALTH (FREE HEALTHY LIFESTYLE PROGRAMS FOR PARENTS AND THEIR CHILDREN), GET UP AND GO (A WEIGHT MANAGEMENT PROGRAM FOR FAMILIES OFFERED IN PARTNERSHIP WITH CHILDREN'S HEALTH) AND KAMP K'AANA (A HEALTH AND WELLNESS SUMMER CAMP PROGRAM FOR CHILDREN ABOVE THEIR HEALTHY WEIGHT). ADDITIONALLY, THE YMCA OFFERS AFTERSCHOOL PROGRAMS THAT PROVIDE HEALTHY LUNCHES TO KIDS AND INCLUDES AT LEAST 30 MINUTES OF OUTDOOR OR INDOOR PHYSICAL ACTIVITY AND MOVEMENT A DAY. DIABETES * THE NORTHERN TEXAS AND OKLAHOMA CHAPTER OF THE JUVENILE DIABETES RESEARCH FOUNDATION (JDRF) OFFERS RESOURCES FOR CHILDREN LIVING WITH TYPE 1 DIABETES, INCLUDING COMMUNITY FORUMS, INFORMATIONAL GUIDES AND SUPPORT GROUPS. * PEDIATRIC DIABETES PROGRAMS AT COOK CHILDREN'S AND CHILDREN'S HEALTH PROVIDE HEALTH AND EDUCATION SERVICES FOR PATIENTS WITH TYPE 1 AND TYPE 2 DIABETES. 3. SCOTTISH RITE STRATEGIES FOR IMPROVING SOCIAL DETERMINANTS OF HEALTH: A: ACCORDING TO HEALTH.GOV , SOCIAL DETERMINANTS OF HEALTH (SDOH) ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. MANY CONDITIONS IN THE ENVIRONMENT, REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH (SDOH), AFFECT HEALTH, FUNCTIONING AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE AMERICAN HOSPITAL ASSOCIATION (AHA) CATEGORIZES THESE FACTORS INTO THE FOLLOWING DOMAINS: - FOOD - HOUSING - TRANSPORTATION - HEALTH BEHAVIORS - VIOLENCE - EDUCATION - SOCIAL SUPPORT - EMPLOYMENT WHILE MANY OF THE FACTORS THAT CONTRIBUTE TO HEALTH ARE EITHER NOT CONTROLLABLE OR ARE SOCIETAL IN NATURE, HEALTH CARE PROVIDERS NEED TO HOLISTICALLY EVALUATE THE UNDERLYING FACTORS THAT MAY IMPACT AN INDIVIDUAL'S HEALTH IN ADDITION TO THEIR CURRENT HEALTH CONDITIONS. SDOH CONTRIBUTE TO WIDE HEALTH DISPARITIES AND INEQUITIES. FOR EXAMPLE, LOWER EDUCATIONAL ATTAINMENT IS ASSOCIATED WITH LOW LITERACY SKILLS AND LIMITED LITERACY IS A KNOWN BARRIER TO ACCESSING HEALTH INFORMATION, PROPER MEDICATION USE AND UTILIZATION OF PREVENTATIVE SERVICES. AS DESCRIBED IN FURTHER DETAIL BELOW, SDOH WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY IN PRIMARY AND SECONDARY DATA ANALYSIS. SURVEY RESULTS AND CONVERSATIONS WITH STAKEHOLDERS HIGHLIGHTED THE BURDEN, SCOPE AND SEVERITY OF SOCIAL DETERMINANTS AMONG OUR COMMUNITY, AS WELL AS THE IMPORTANCE OUR COMMUNITY PLACES ON ADDRESSING THE NEED.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - TEXAS SCOTTISH RITE HOSPITAL - CONTINUED. WHILE SCOTTISH RITE RECOGNIZES THAT BROAD RANGE OF SOCIAL DETERMINANTS CANNOT BE ENTIRELY WITHIN THE PURVIEW OF THE ORGANIZATION, THE ORGANIZATION CAN FEASIBLY IMPLEMENT INTERVENTIONS TO EFFECTIVELY ADDRESS SOME KEY COMPONENTS OF SDOH. NOTABLY, GIVEN THE PEDIATRIC POPULATION SERVED BY SCOTTISH RITE, THE ORGANIZATION CONSIDERS PARTNERSHIP WITH EDUCATORS AN IMPORTANT OPPORTUNITY TO REDUCE DISPARITIES. OTHER BENEFITS: IN ADDITION TO ITS CORE ORTHOPEDIC SERVICES AND ADDRESSING THE NEEDS ARTICULATED, SCOTTISH RITE PROVIDES A NUMBER OF OTHER SERVICES TO THE COMMUNITY AS DESCRIBED IN THE TEXT BELOW: FRACTURE CLINIC: THE FRACTURE CLINIC SPECIALIZES IN THE DIAGNOSIS, MANAGEMENT AND TREATMENT OF NEW FRACTURES. THE CLINIC PROVIDES INCREASED ACCESS THROUGH WALK-IN HOURS AND SAME-DAY OR NEXT-DAY APPOINTMENTS. IN FY 2022, THERE WERE MORE THAN 6,100 PATIENTS EVALUATED AND MORE THAN 11,700 OUTPATIENT CLINIC VISITS. NEUROLOGY AND REHABILITATION MEDICINE: THE NEUROLOGY AND REHABILITATION MEDICINE DEPARTMENT AT SCOTTISH RITE PROVIDES CARE FOR ORTHOPEDIC PATIENTS WHO ALSO HAVE RELATED NEUROLOGICAL DISORDERS AND NEUROMUSCULAR DISEASES, SUCH AS DEVELOPMENTAL DELAY, CEREBRAL PALSY, BRAIN MALFORMATIONS, EPILEPSY AND OTHER CONDITIONS DUE TO BRAIN, SPINAL CORD AND PERIPHERAL NERVE ABNORMALITIES. THE INSTITUTION HAS SPECIALIZED CLINICS TAILORED TO THE SPECIFIC NEEDS OF CHILDREN WITH THESE NEUROLOGIC CONDITIONS. IN FY 2022, THERE WERE MORE THAN 3,100 OUTPATIENT CLINIC VISITS. PEDIATRIC DEVELOPMENTAL DISABILITIES: THE PEDIATRIC DEVELOPMENTAL DISABILITIES DEPARTMENT AT SCOTTISH RITE PROVIDES CARE FOR PATIENTS WHOSE ORTHOPEDIC PROBLEMS ARE ACCOMPANIED BY OTHER PEDIATRIC MEDICAL CONDITIONS. DEVELOPMENTAL DISABILITIES IS A BROAD TERM USED TO DESCRIBE A VARIETY OF CONDITIONS THAT CHILDREN ARE BORN WITH OR ACQUIRE. CHILDREN WITH DEVELOPMENTAL DISABILITIES OFTEN HAVE PHYSICAL, SOCIAL, LEARNING OR BEHAVIORAL CHALLENGES. SOME OF THE PEDIATRIC DEVELOPMENTAL DISABILITIES ASSOCIATED WITH ORTHOPEDIC CONDITIONS INCLUDE SPINA BIFIDA, CEREBRAL PALSY (LIMITED TO RELATED ORTHOPEDIC CONDITIONS) AND CERTAIN GENETIC CONDITIONS WITH ORTHOPEDIC COMPLICATIONS. THE DEPARTMENT TAKES AN INTERDISCIPLINARY APPROACH TO PROVIDING THE BEST POSSIBLE PATIENT-CENTERED CARE FOR THESE CHILDREN. THE STAFF INCLUDES PHYSICIANS WHOSE SUB-SPECIALTY IS NEURO-DEVELOPMENTAL DISABILITIES, DIETICIANS, PHYSICAL, OCCUPATIONAL, THERAPEUTIC AND RESPIRATORY THERAPISTS AND NURSE PRACTITIONERS. IN ADDITION TO WORKING WITH THE CHILD, THE DEPARTMENT FOCUSES ON TEACHING FAMILY MEMBERS ABOUT THE CONDITION AND HOW THEY CAN HELP THE CHILD ATTAIN OPTIMAL PHYSICAL, MENTAL AND SOCIAL HEALTH. IN FY 2022, THERE WERE MORE THAN 2,600 OUTPATIENT CLINIC VISITS. ORTHOTICS AND PROSTHETICS: THE ORTHOTICS AND PROSTHETICS (O&P) DEPARTMENT AT SCOTTISH RITE FOR CHILDREN PROVIDES STATE-OF-THE-ART, CUSTOM-MADE ORTHOSES AND PROSTHESES FOR PATIENTS WITH SPECIAL ORTHOPEDIC NEEDS. THE ORTHOTISTS AND PROSTHETISTS PROVIDE COMPREHENSIVE CARE THROUGH CONSULTATIONS, MEASURING, CASTING AND MOLDING, FITTING, ALIGNMENT, FABRICATION AND FOLLOW-UP VISITS AT THE DALLAS AND FRISCO CAMPUSES. SINCE THE O&P TEAM IS ONSITE, THEY HAVE THE ABILITY TO COLLABORATE WITH DOCTORS, THERAPISTS AND OTHER MEDICAL STAFF DURING THE CHILD'S VISITS. IN OPERATION FOR MORE THAN 40 YEARS, DURING FY 2022, THE SCOTTISH RITE O&P DEPARTMENT FITTED MORE THAN 8,000 PROSTHETIC AND ORTHOTIC DEVICES. PSYCHOLOGY: THE PSYCHOLOGY DEPARTMENT IS COMPRISED OF PEDIATRIC PSYCHOLOGISTS AND FELLOWS WHO HAVE EXPERTISE IN WORKING WITH CHILDREN WITH COMPLEX MEDICAL CONDITIONS, INJURIES AND REHABILITATION. PSYCHOLOGY PROVIDES QUALITY PSYCHOLOGICAL INTERVENTION AND CONSULTATION, IN COLLABORATION WITH THE MEDICAL TEAM, TO IMPROVE PATIENT CARE FOR CHILDREN AND ADOLESCENTS WITH HEALTH-RELATED CONDITIONS AND SPORT INJURIES. PSYCHOLOGISTS WORK SIDE-BY-SIDE WITH WORLD-RENOWNED PEDIATRIC ORTHOPEDIC SURGEONS, SPORTS MEDICINE PHYSICIANS AND OTHER CLINICAL TEAM MEMBERS TO PROVIDE CARE FOR THE WHOLE CHILD. PSYCHOLOGISTS COORDINATE AND PARTICIPATE IN INTERDISCIPLINARY HEALTH CARE, RELATED TEAMS, COMMITTEES AND RESEARCH. DIRECT SERVICES ARE PROVIDED TO SCOTTISH RITE PATIENTS, THEIR FAMILIES AND CAREGIVERS ON AN INPATIENT AND OUTPATIENT BASIS, AND IN FY 2022, THERE WERE MORE THAN 4,000 PATIENT VISITS. SEE FURTHER DETAIL ABOVE. DENTAL CLINIC ORAL HEALTH IS IMPORTANT PART OF OVERALL HEALTH CARE WHICH CAN AFFECT PATIENT OUTCOMES. MANY CHILDREN AT TSRHC ARE MEDICALLY COMPLEX AND ARE NOT ABLE TO RECEIVE DENTAL CARE IN A PRIVATE PRACTICE SETTING. TSRHC DENTAL CLINIC HAS A HIGHLY SPECIALIZED STAFF THAT ARE TRAINED IN THE CARE OF SPECIAL NEEDS CHILDREN. THE DENTAL CLINIC AT SRC PROVIDES THIS BENEFIT TO INSURE THE BEST CLINICAL OUTCOMES FOR OUR PATIENTS. IN FY 2022, THE DENTAL CLINIC HAD APPROXIMATELY 1,600 VISITS. RHEUMATOLOGY: RHEUMATOLOGY IS DEVOTED TO THE DIAGNOSIS AND THERAPY OF RHEUMATIC DISEASES. RHEUMATOLOGISTS DEAL MAINLY WITH CLINICAL PROBLEMS INVOLVING JOINTS, SOFT TISSUES, AUTOIMMUNE DISEASES, VASCULITIS AND HERITABLE CONNECTIVE TISSUE DISORDERS. MANY OF THESE DISEASES ARE NOW KNOWN TO BE DISORDERS OF THE IMMUNE SYSTEM, AND RHEUMATOLOGY IS INCREASINGLY THE STUDY OF IMMUNOLOGY. ARTHRITIS, WHICH MEANS INFLAMMATION OF A JOINT (WHERE TWO OR MORE BONES MEET), ACTUALLY REFERS TO MORE THAN 100 DIFFERENT CONDITIONS THAT ALL FALL INTO THE CATEGORY OF RHEUMATOLOGY. ARTHRITIS AND OTHER RHEUMATIC CONDITIONS ARE DIAGNOSED BY STIFFNESS, SWELLING, PAIN AND LIMITED MOVEMENT IN JOINTS AND OTHER SUPPORTING BODY STRUCTURES, SUCH AS MUSCLES, TENDONS, LIGAMENTS, CONNECTIVE TISSUES AND BONES. SCOTTISH RITE'S RHEUMATOLOGY CLINIC TREATS CHILDREN WITH CONDITIONS THAT CAN CAUSE INFLAMMATION IN MANY DIFFERENT PARTS OF THE BODY. IN FY 2022, THERE WERE MORE THAN 4,400 PATIENT VISITS. DYSLEXIA AND LEARNING DISORDERS: SCOTTISH RITE PROVIDES A VARIETY OF SERVICES TO CHILDREN BETWEEN THE AGES OF 5 AND 14 IN ITS LUKE WAITES CENTER FOR DYSLEXIA AND LEARNING DISORDERS (CENTER FOR DYSLEXIA). SERVICES INCLUDE EVALUATION AND DIAGNOSIS FOR CHILDREN WITH ACADEMIC LEARNING DISORDERS, DYSLEXIA INTERVENTION FOR STUDENTS, DYSLEXIA THERAPIST TRAINING, EDUCATIONAL OUTREACH AND RELATED RESEARCH. THE CENTER FOR DYSLEXIA OFFERS THE DYSLEXIA THERAPIST TRAINING PROGRAM TO CERTIFIED TEXAS PUBLIC SCHOOL TEACHERS. THE TWO-YEAR COMPREHENSIVE TRAINING, ACCREDITED BY THE INTERNATIONAL MULTISENSORY STRUCTURED LANGUAGE EDUCATIONAL COUNCIL, IS DESIGNED FOR TEACHERS OF STUDENTS WITH DYSLEXIA AND USES PROVEN INTERVENTION TECHNIQUES PUBLISHED AS TAKE FLIGHT: A COMPREHENSIVE INTERVENTION FOR STUDENTS WITH DYSLEXIA. THE CENTER FOR DYSLEXIA HAS CONTINUED TO DEVELOP INTERVENTION CURRICULA TO MEET THE NEEDS OF STUDENTS OF ALL AGES, INCLUDING BRIDGES: A DYSLEXIA INTERVENTION CONNECTING TEACHER, AVATAR & STUDENT (THE AVATAR WAS DESIGNED IN COLLABORATION WITH THE UNIVERSITY OF TEXAS AT DALLAS) BUILD: A K-1 EARLY READING INTERVENTION FOR CHILDREN IN KINDERGARTEN AND FIRST GRADE WHO ARE AT RISK FOR DYSLEXIA AND TAKE FLIGHT: A COMPREHENSIVE INTERVENTION FOR SECONDARY STUDENTS WITH DYSLEXIA. THE CENTER FOR DYSLEXIA'S OUTREACH SERVICES ALLOW THE ORGANIZATION TO EXPAND ITS MISSION AND HELP THOUSANDS OF STUDENTS THROUGH SUPPORT SERVICES FOR PARENTS AND EDUCATORS. IT OFFERS CONSULTATION AND TRAINING TO SCHOOLS IN THE IDENTIFICATION OF DYSLEXIA AND THE USE OF READING INTERVENTIONS DEVELOPED AT THE INSTITUTION. RESEARCH AT THE CENTER FOR DYSLEXIA FOCUSES ON THE CAUSES AND TREATMENT OF DYSLEXIA AND LEARNING DISORDERS. RESEARCH PROJECTS HAVE INCLUDED STUDIES ON THE EFFECTIVENESS OF THE TAKE FLIGHT AND BRIDGES, THE EFFECTS OF THE CURRICULA TAUGHT IN PUBLIC SCHOOLS AND LONG-TERM OUTCOMES OF THE CENTER'S DYSLEXIA INTERVENTION. DURING THE COVID-19 PANDEMIC, STUDENTS AND TEACHERS OF THE DYSLEXIA LAB SCHOOL TRANSITIONED HOME AND WERE USING ONLINE LEARNING, AND THERAPIST TRAINING ACTIVITIES TRANSITIONED TO ONLINE ONLY, ALL WITH A GOAL OF MINIMIZING DISRUPTION OF SERVICES. IN PERSON SERVICES AND TRAINING RESUMED AS SOON AS POSSIBLE IN ACCORDANCE WITH ALL GUIDELINES. IN FY 2022, THERE WERE MORE THAN 720 PATIENTS EVALUATION AND MORE THAN 1,400 CLINIC VISITS. . PHYSICAL AND OCCUPATIONAL THERAPY: THE PHYSICAL THERAPY DEPARTMENT AT SCOTTISH RITE WORKS WITH PATIENTS TO HELP THEM DEVELOP OR MAINTAIN MAXIMUM MOVEMENT AND ABILITY. PHYSICAL THERAPISTS PERFORM VARIOUS TESTS TO DETERMINE THE PATIENT'S RANGE OF MOTION AND MUSCLE STRENGTH AND MAKE RECOMMENDATIONS FOR WALKERS, CRUTCHES AND OTHER DURABLE MEDICAL EQUIPMENT BEST SUITED TO THE CHILD'S NEEDS.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - TEXAS SCOTTISH RITE HOSPITAL - CONTINUED. SCOTTISH RITE'S OCCUPATIONAL THERAPY DEPARTMENT TEACHES PATIENTS TO USE SPECIALIZED EQUIPMENT AND USE THEIR BODIES IN NEW WAYS THAT WILL HELP THEM WITH ACTIVITIES OF DAILY LIVING, SUCH AS EATING AND DRESSING ON THEIR OWN. PATIENTS LEARN SKILLS THAT WILL HELP THEM GAIN INDEPENDENCE AND PREPARE FOR LIVING INDEPENDENTLY AS AN ADULT. OCCUPATIONAL THERAPISTS ALSO ASSESS PATIENT DEVELOPMENT AND EVALUATE MOTOR SKILLS, PERSONAL AND SOCIAL INTERACTION AND LANGUAGE ABILITIES AND MAKE RECOMMENDATIONS FOR WHEELCHAIRS. IN FY 2022, THERE WERE MORE THAN 28,600 PHYSICAL AND OCCUPATIONAL THERAPY CLINIC VISITS. LODGING: MANY FAMILIES TRAVEL FROM OUTSIDE THE LOCAL AREA FOR TREATMENT AT SCOTTISH RITE. SOCIAL WORKERS REFER FAMILIES TO THE RONALD MCDONALD HOUSE (RMH), WHICH PROVIDES LODGING, MEALS AND TRANSPORTATION AT VERY LITTLE TO NO COST TO PATIENT FAMILIES. WHEN RMH DOES NOT HAVE A VACANCY, SOCIAL WORKERS PROVIDE A LIST OF OTHER HOTELS IN THE VICINITY WHERE FAMILIES MAY CHOOSE TO STAY. FAMILIES WITH MEDICAID MAY BE REIMBURSED BY MEDICAID FOR LODGING IN MANY SITUATIONS. THE WEBSITE HAS AN EXTENSIVE LIST OF HOTELS IN THE AREA. SOCIAL WORKERS ALSO HELP NAVIGATE OTHER LODGING ASSISTANCE OPTIONS AS AVAILABLE. RESOURCES TO ADDRESS CHILD HEALTH STATUS: SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE WITH THE SERVICES LISTED BELOW AS ORDERED BY THE MEDICAL STAFF. PATIENT FAMILIES CHOOSE THEIR PROVIDER(S) FROM A LIST OF OPTIONS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING SOURCE: - DURABLE MEDICAL EQUIPMENT - HOME HEALTH SERVICES - MEDICAL SUPPLIES - MENTAL HEALTH SERVICES - OUTPATIENT PHYSICAL REHABILITATION - TESTING AND SPECIALISTS - WEIGHT MANAGEMENT SCOTTISH RITE TRANSITIONS PATIENTS TO ADULT PROVIDERS AS THEY APPROACH THE AGE OF 18. A GROUP OF SCOTTISH RITE SOCIAL WORKERS, NURSES, ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION SCOTTISH RITE PATIENTS TO ENSURE THAT ALL PATIENTS NEEDING ADDITIONAL COORDINATION AS THEY MOVE FROM PEDIATRIC TO ADULT CARE RECEIVE THE NECESSARY ASSISTANCE. NEEDS NOT ADDRESSED IN THE CHNA: SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. SCOTTISH RITE CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUTSIDE THE SCOPE OF EXPERTISE AND RESOURCES OF THE ORGANIZATION AS A PEDIATRIC ORTHOPEDIC HOSPITAL AND AMBULATORY SURGICAL CENTER.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - TEXAS SCOTTISH RITE HOSPITAL. NEITHER THE ORGANIZATION NOR ANY AUTHORIZED THIRD PARTY PERFORMED ANY OF THE ACTIONS SET FORTH IN LINE 19 (A-E).

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SCOTTISH RITE FOR CHILDREN
5700 DALLAS PARKWAY	FRISCO	TX	75034	OUTPATIENT CLINIC DEPARTMENT OF HOSPITAL
SCOTTISH RITE FOR CHILDREN
3800 GAYLORD PARKWAY SUITE 850	FRISCO	TX	75034	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3b PART I, LINE 3B	FPG AS A FACTOR IN DETERMINING ELIGIBLITY FOR DISCOUNTED CARE FAMILY INCOME LIMIT FOR ELIGIBLITY FOR DISCOUNTED CARE: 1000%
Schedule H, Part I, Line 3c ELIGIBILITY FOR FINANCIAL ASSISTANCE	SINCE ITS FOUNDING IN 1921, TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (SCOTTISH RITE) HAS PROVIDED CARE TO PATIENTS WITH NEEDS WITHIN THE HOSPITAL'S SCOPE OF SERVICES AT NO CHARGE. AS THE HOSPITAL BEGAN ACCEPTING REIMBURSEMENT IN OCTOBER 2012, IT IMPLEMENTED A NEW CHARITY CARE/FINANCIAL ASSISTANCE POLICY. FINANCIALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPG), ARE ELIGIBLE FOR A 100 PERCENT DISCOUNT. ADDITIONALLY, MEDICALLY INDIGENT PATIENTS ARE ALSO ELIGIBLE FOR DISCOUNTED CARE, WITH ELIGIBILITY BASED ON FPG, MEDICAL EXPENSES AND ABILITY TO PAY.
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	A COMMUNITY BENEFIT REPORT WAS CREATED FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2022, A COMMUNITY BENEFIT REPORT WILL BE FILED WITH THE STATE OF TEXAS. THE COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH, continued	SCOTTISH RITE'S PATIENT EDUCATION IS CREATED AND MAINTAINED BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES AND ANCILLARY SERVICES THROUGHOUT THE ORGANIZATION. THE GUIDING PRINCIPLE IS BASED ON HEALTH LITERACY UNIVERSAL PRECAUTIONS, WHICH MEANS TREATING ALL PATIENTS IF THEY ARE AT RISK OF NOT UNDERSTANDING HEALTH INFORMATION. THIS APPROACH ACKNOWLEDGES THAT HEALTH CARE PROVIDERS CANNOT ACCURATELY IDENTIFY WHO UNDERSTANDS AND WHO DOES NOT; THAT HEALTH LITERACY IS SITUATIONAL AND CAN BE IMPACTED WHEN INDIVIDUALS OR THEIR CHILDREN ARE SICK, FRIGHTENED OR IN PAIN; AND THAT EVERY INDIVIDUAL BENEFITS FROM CLEAR, ACTIONABLE INFORMATION. THIS ROBUST LIBRARY OF MATERIALS INCLUDES EDUCATION PIECES ABOUT SPECIFIC SURGERIES, CONDITIONS AND MEDICAL PROCESSES, ALONG WITH MORE GENERAL AND BASIC HEALTH EDUCATION. AVAILABLE IN BOTH ENGLISH AND SPANISH, MORE THAN 450 PIECES OF EDUCATION ARE AVAILABLE FOR STAFF USE TO PROVIDE TO PATIENTS AND FAMILIES. THE MATERIAL IS WRITTEN BY SCOTTISH RITE STAFF AND MANAGED BY THE PATIENT EDUCATION COMMITTEE, WITH OVERSIGHT BY THE PATIENT EDUCATION ADVISORY BOARD. REFERRAL TO OTHER PROVIDERS: WHEN SCOTTISH RITE IS UNABLE TO PROVIDE SERVICES, SCOTTISH RITE IDENTIFIES EXTERNAL RESOURCES THAT ARE AVAILABLE TO THE FAMILY. EXAMPLES OF EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS INCLUDE BUT ARE NOT LIMITED TO: CHILDREN'S HEALTH; UT SOUTHWESTERN MEDICAL CENTER; COOK CHILDREN'S MEDICAL CENTER; MEDICAL CITY CHILDREN'S HOSPITAL; BAYLOR INSTITUTE FOR IMMUNOLOGY RESEARCH; TEXAS CHILD NEUROLOGY; AND ATHENA DIAGNOSTICS. RESOURCES TO ADDRESS COORDINATION OF CARE: RESOURCE DETAILS ARE MAINTAINED BY THE SCOTTISH RITE SOCIAL WORK TEAM AND ARE FOUND IN THE RESOURCE DIRECTORY AND ON THE STAFF INTRANET PAGE. RESOURCES FOUND WITHIN THIS DIRECTORY INCLUDE VENDOR INFORMATION FOR SERVICES, SUCH AS - DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, CUSTOM EQUIPMENT - HOME NURSING SERVICES AND SPECIALTY THERAPIES (EXAMPLES: AQUATIC, EQUESTRIAN THERAPY) - NUTRITION SUPPLIES - OUTPATIENT AND INPATIENT BEHAVIORAL HEALTH RESOURCES, SOCIAL SKILLS TRAINING AND PSYCHIATRY. THIS INFORMATION IS SEARCHABLE BY THE SERVICE NEEDED, COUNTIES SERVED AND INSURANCE ACCEPTED. OTHER COORDINATION EFFORTS INCLUDE SOCIAL WORK RESPONSE TO TRANSITION PLANNING, SCHOOL ACCOMMODATIONS, ACCESS TO HEALTH CARE, PSYCHOSOCIAL SUPPORT AND PARENT ADVOCACY. SCOTTISH RITE TRANSITIONS PATIENTS TO ADULT PROVIDERS AS THEY APPROACH THE AGE OF 18. A GROUP OF SCOTTISH RITE SOCIAL WORKERS, NURSES, ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION SCOTTISH RITE PATIENTS TO ENSURE THAT ALL PATIENTS NEEDING ADDITIONAL COORDINATION AS THEY REACH ADULTHOOD RECEIVE THE NECESSARY ASSISTANCE. CATEGORIES OF CARE THAT STAFF HELPS TRANSITION PATIENTS TO ADULT CARE INCLUDE LEGAL AND GUARDIANSHIP, PRIMARY AND SPECIALTY CARE, FUNDING, EDUCATION AND/OR VOCATIONAL PROGRAMS. MEDICAID TRANSPORTATION: SOCIAL WORKERS IN THE SCOTTISH RITE FAMILY SERVICES DEPARTMENT ARE AVAILABLE TO HELP FAMILIES UNDERSTAND AND NAVIGATE THE PROCESSES FOR MEDICAID TRANSPORTATION ASSISTANCE, LODGING AND MEALS WHEN ELIGIBLE FOR THESE SERVICES. SOUTHWEST AIRLINES TICKET VOUCHERS: SCOTTISH RITE SOCIAL WORKERS ARE ABLE TO FACILITATE AIRLINE TICKETS FROM SOUTHWEST AIRLINES FOR FAMILIES LIVING OUTSIDE THE DALLAS/FORT WORTH METROPLEX THAT DO NOT HAVE OTHER RESOURCES TO HELP WITH TRAVEL TO THE CAMPUSES FOR APPOINTMENTS. SOUTHWEST AIRLINES DONATES TICKET VOUCHERS TO BE USED BY FAMILIES WITH NO OTHER MEANS OF TRANSPORTATION. IF SUCH FAMILIES CAN GET TO A SOUTHWEST AIRLINES HUB, SOCIAL WORKERS WILL COORDINATE THE TRIP WITH THE FAMILY USING THE VOUCHERS.
Schedule H, Part I, Line 7 COSTING METHODOLOGY	LINES 7(A) AND (B) COMMUNITY BENEFIT EXPENSE IN COLUMN (C) WERE CALCULATED USING WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES. LINES 7(E), (F), AND (H) COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING A STEP-DOWN ALLOCATION METHOD.
Schedule H, Part II, Line 9 COMMUNITY BUILDING ACTIVITIES	ALTHOUGH MANY OF THESE ACTIVITIES WERE PUT ON HOLD DURING THE COVID-19 PANDEMIC, AS RESTRICTIONS WERE LIFTED, SCOTTISH RITE REENGAGED IN COMMUNITY BUILDING ACTIVITIES SUCH AS THERAPEUTIC RECREATION COMMUNITY OUTREACH PROGRAMS, WHICH HELP CONNECT PATIENTS TO RESOURCES IN THE COMMUNITY AND PROMOTE HEALTH. EXAMPLES OF PROGRAMS THE ORGANIZATION PROVIDES TO PATIENTS: SPORTS AND RECREATION PROGRAMS - LEARN TO GOLF, A PROGRAM THAT PROVIDES THE TOOLS AND INSTRUCTION NEEDED FOR YOUNG PATIENTS TO EXPERIENCE THE REHABILITATIVE BENEFITS OF THE GAME OF GOLF AND CONNECT WITH LOCAL JUNIOR GOLF PROGRAMS AND INSTRUCTORS - SUMMER ALL-STARS, WHICH EMPHASIZES FUN, FITNESS, HEALTHY COMPETITION AND TEAM SPIRIT FOR BOTH PATIENTS AND THEIR SIBLINGS. THE PROGRAM ALSO CONNECT PATIENTS WITH LOCAL JUNIOR TENNIS PROGRAMS AND INSTRUCTORS. - SPECIALTY CAMPS ARE AVAILABLE FOR CHILDREN UP TO AGE 17 - FAMILY HAND CAMP FOR YOUNGER PATIENTS WITH HAND DIFFERENCES AND THEIR FAMILIES - HAND CAMP FOR PATIENTS WITH HAND DIFFERENCES AGES 10 - 17 - CAMP TLC FOR PATIENTS WITH SPINA BIFIDA - CAMP BREAKING BOUNDARIES FOR PATIENTS WITH CEREBRAL PALSY - CAMP JOINT ADVENTURE FOR PATIENTS WITH ARTHRITIS, ARTHROGRYPOSIS AND MULTIPLE MISSING LIMBS - AMPUTEE SKI TRIP FOR TEENAGE PATIENTS WITH MISSING LIMBS THESE PROGRAMS ARE DESIGNED TO EMPOWER PARTICIPANTS IN THEIR DAILY LIVES AND HAVE A POSITIVE, ENDURING EFFECT ON SELF-ESTEEM. THE ORGANIZATION ALSO HOSTS VARIOUS PEER AND PARENT SUPPORT GROUPS FOR THE COMMUNITY, SUCH AS PALS (PROSTHETICS AND LIMB SUPPORT), HANDS DOWN SUPPORT GROUP, ETC. THE ORGANIZATION ANNUALLY HOSTS AN EVENT FOCUSED ON COMMUNITY DEVELOPMENT. BIKE RODEO AND CHILD SAFETY DAY, WHICH IS HELD AT NO CHARGE TO PARTICIPANTS, IS FOCUSED ON EDUCATION AND PREVENTION. SCOTTISH RITE REGULARLY ENGAGES WITH THE COMMUNITY, EDUCATING YOUNG ATHLETES, PARENTS, COACHES AND SCHOOL DISTRICTS ABOUT SPORTS SAFETY, INJURY PREVENTION AND CONCUSSION MANAGEMENT AT HEALTH FAIRS AND COACHING CLINICS. SCOTTISH RITE IS ALSO ENGAGED WITH COMMUNITY PARTNERS FOR REVERCHON PARK ROUND UP. THIS ANNUAL EVENT BRINGS TOGETHER COMMUNITY AND CITY DEPARTMENTS AS WELL AS VOLUNTEERS FROM THE COMMUNITY TO HELP BEAUTIFY AND MAINTAIN HISTORIC REVERCHON PARK, LOCATED IN SCOTTISH RITE'S BACKYARD. SCOTTISH RITE ALSO CONNECTS WITH THE COMMUNITY THROUGH ITS T. BOONE PICKENS TRAINING AND CONFERENCE CENTER BY ANNUALLY HOSTING MANY EVENTS TO EDUCATE AND INFORM COMMUNITY MEMBERS ON VARIOUS MEDICAL AND NON-MEDICAL TOPICS. THESE EVENTS TRADITIONALLY INCLUDE MEETINGS REGARDING CHILD HEALTH CARE ORGANIZED BY THE DALLAS-FORT WORTH HOSPITAL COUNCIL, ADVANCED MEDICAL TRAINING FOR NURSES AND PHYSICIANS IN CONJUNCTION WITH UT SOUTHWESTERN MEDICAL CENTER AND GATHERINGS OF PATIENT/FAMILY SUPPORT GROUPS FOR THOSE UNDERGOING TREATMENT FOR A CONDITION TREATED AT SCOTTISH RITE.
Schedule H, Part III, Line 9b COLLECTION PRACTICES	A PATIENT'S ACCOUNT WILL BE REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY AND THE APPROPRIATE APPLICATION OF ANY APPLICABLE THIRD-PARTY PAYMENT, AND/OR DISCOUNTS BEFORE INITIATING A STATEMENT TO THE PATIENT. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE PATIENT SHALL BE NOTIFIED OF THE AMOUNT QUALIFYING UNDER THE POLICY, AND NO FURTHER BILLING ACTIONS SHALL BE TAKEN FOR AMOUNTS QUALIFYING UNDER THE POLICY. AFTER A PATIENT'S ACCOUNT BALANCE IS REDUCED BY ANY DISCOUNTS AVAILABLE UNDER THIS POLICY, THE PATIENT WILL BE RESPONSIBLE FOR THE REMAINDER OF HIS OR HER OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL SEND THREE POST-DISCHARGE BILLING STATEMENTS OVER A 120-DAY PERIOD.
Schedule H, Part VI, Line 6 AFFILIATED HEALTHCARE SYSTEM	NOT APPLICABLE
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE IS COMPRISED OF ACTUAL UNCOLLECTIBLE AMOUNTS PLUS AN ALLOWANCE BASED ON HISTORICAL DATA. DISCOUNTS ARE NOT INCLUDED IN BAD DEBT.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT EXPENSE DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE ORGANIZATION ASSESSES THE REASONABLENESS OF THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS, CASH COLLECTIONS, THE AGING OF THE ACCOUNTS AND OTHER ECONOMIC FACTORS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS ARE UNSUCCESSFUL. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES. AS A RESULT OF THE NEW FASB ACCOUNTING STANDARDS CODIFICATION (ASC) REVENUE FROM CONTRACTS WITH CUSTOMERS, TOPIC 606 PRONOUCEMENT, FOOTNOTE FOR ALLOWANCE FOR DOUBTFUL ACCOUNT IS NOT REQUIRED FOR FINANCIAL STATEMENTS. THEREFORE, NO FOOTNOTE WAS INCLUDED FOR FISCAL YEAR END 2022 AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE HOSPITAL HAD AN ESTIMATED AMOUNT THAT AROSE FROM PROVIDING CHARITY CARE SERVICES OF APPROXIMATELY $17,000,000 AND 16,000,000 FOR YEARS ENDED SEPTEMBER 30, 2022, AND 2021, RESPECTIVELY. THE HOSPITAL UTILIZED THE COSTS TO CHARGE RATIOS AS CALCULATED BASED ON ITS MOST RECENT COST REPORTS FILED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	A PATIENT'S ACCOUNT WILL BE REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY AND THE APPROPRIATE APPLICATION OF ANY APPLICABLE THIRD-PARTY PAYMENT, AND/OR DISCOUNTS BEFORE INITIATING A STATEMENT TO THE PATIENT. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE PATIENT SHALL BE NOTIFIED OF THE AMOUNT QUALIFYING UNDER THE POLICY, AND NO FURTHER BILLING ACTIONS SHALL BE TAKEN FOR AMOUNTS QUALIFYING UNDER THE POLICY. AFTER A PATIENT'S ACCOUNT BALANCE IS REDUCED BY ANY DISCOUNTS AVAILABLE UNDER THIS POLICY, THE PATIENT WILL BE RESPONSIBLE FOR THE REMAINDER OF HIS OR HER OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL SEND THREE POST-DISCHARGE BILLING STATEMENTS OVER A 120-DAY PERIOD.
Schedule H, Part V, Section B, Line 16a FAP website	- TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Line 16a URL: WWW.SCOTTISHRITEHOSPITAL.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Line 16b URL: WWW.SCOTTISHRITEHOSPITAL.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Line 16c URL: WWW.SCOTTISHRITEHOSPITAL.ORG;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, THE HOSPITAL IS AN ACTIVE PARTICIPANT IN VARIOUS DALLAS-FORT WORTH HOSPITAL COUNCIL ACTION GROUPS. A MEMBER OF THE HOSPITAL LEADERSHIP TEAM CHAIRS THE HEALTHCARE COLLABORATIVE WITH THE COUNCIL. THROUGH THE COLLABORATIVE, THE OTHER MAJOR HOSPITAL REPRESENTATIVES WITHIN THE COMMUNITY COME TOGETHER TO GATHER AND ANALYZE DATA, RESOURCES, DISPARITIES AND ACCESS NEEDS, WHILE STRATEGIZING SOLUTIONS FOR CLOSING IDENTIFIED GAPS. IN RECENT YEARS, UNDERTAKINGS OF THIS COLLABORATIVE HAVE INCLUDED A HEALTH NEEDS ASSESSMENT RELATED TO MENTAL HEALTH ACCESS AND SUBSTANCE ABUSE, AS WELL AS THE CREATION, OPTIMIZATION AND MAINTENANCE OF A SEARCHABLE MENTAL HEALTH RESOURCE GUIDE AVAILABLE THROUGH A PUBLIC WEBSITE. THROUGH ADDITIONAL SUBGROUPS, OTHER HEALTH NEEDS ASSESSMENTS AND ACTION PLANS HAVE BEEN CREATED TO ADDRESS MENTAL HEALTH FIRST AID TRAINING, OBESITY AND HEALTH LITERACY. THE HOSPITAL MAINTAINS REPRESENTATION AND CONTRIBUTIONS ON THE MENTAL HEALTH AND HEALTH LITERACY SUBGROUPS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	FAMILIES ARE CONTACTED BY FAMILY SERVICES COUNSELORS PRIOR TO EACH PATIENT'S SCHEDULED SURGICAL PROCEDURES, INPATIENT VISITS, MRI, CT AND ORTHOTICS AND PROSTHETICS TO INFORM THEM ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND TO ASSESS THEIR POTENTIAL QUALIFICATION FOR FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. FAMILIES ARE NOTIFIED UPON CHECK-IN FOR OUTPATIENT APPOINTMENTS THAT FAMILY SERVICES COUNSELORS ARE AVAILABLE TO OFFER THE SAME APPLICATION. THE FACILITY HAS ALSO POSTED SPECIFICS ABOUT AVAILABLE FINANCIAL ASSISTANCE AT REGISTRATION, IN PATIENT WAITING AREAS, ON THE WEBSITE AND IN A SUMMARY PRINTED IN ENGLISH AND SPANISH THAT IS INSERTED INTO EACH PATIENT'S REGISTRATION PACKET. IN ADDITION, EACH POST-DISCHARGE BILLING STATEMENT WILL NOTIFY THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, INCLUDING A PHONE NUMBER FOR INQUIRIES ABOUT FINANCIAL ASSISTANCE AND A WEBSITE WHERE ADDITIONAL INFORMATION CAN BE OBTAINED. INFORMATION REGARDING THIS POLICY AND HOW TO APPLY FOR FINANCIAL ASSISTANCE WILL ALSO BE PROVIDED DURING PHONE CONVERSATIONS WITH PATIENTS REGARDING FINANCIAL CHARGES AND/OR ACCOUNT BALANCES.
Schedule H, Part VI, Line 4 Community information	THE COMMUNITY SERVED BY SCOTTISH RITE CAN BEST BE DEFINED BY UNDERSTANDING ITS PATIENT POPULATION AND CLINICAL FOCUS. THE ORGANIZATION IS A 501(C)(3) PEDIATRIC ORTHOPEDIC HOSPITAL IN DALLAS, TEXAS, AND AN OUTPATIENT DEPARTMENT, INCLUDING AN AMBULATORY SURGERY CENTER IN FRISCO, TEXAS. SCOTTISH RITE TREATS PEDIATRIC ORTHOPEDIC CONDITIONS, SPORTS INJURIES, FRACTURES, AS WELL AS CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND DYSLEXIA/LEARNING DISORDERS. SCOTTISH RITE PROVIDES PREMIER PEDIATRIC ORTHOPEDIC AND DYSLEXIA SERVICES TO PEDIATRIC PATIENTS FOR WHOM THE SERVICES PROVIDED BY THE ORGANIZATION OFFER HOPE OF IMPROVEMENT. THOUGH THE ORGANIZATION IS DEDICATED TO PROVIDING CARE TO CHILDREN FROM AROUND THE STATE OF TEXAS AND THROUGHOUT THE U.S., THE COMMUNITY SERVED BY SCOTTISH RITE IS COMPRISED OF EIGHT COUNTIES IN NORTH TEXAS THAT, IN TOTAL, SPAN 6,537 SQUARE MILES, WHICH COMPRISE APPROXIMATELY 80 PERCENT OF ALL SCOTTISH RITE'S INPATIENT DISCHARGES. SIMILARLY, ALTHOUGH SCOTTISH RITE HAS A BROAD REACH RELATIVE TO OUTPATIENT SERVICES, IN FY 2021, APPROXIMATELY 90 PERCENT OF ALL OUTPATIENT VISITS AT SCOTTISH RITE LOCATIONS ORIGINATED FROM THE EIGHT-COUNTY SERVICE AREA. DEFINING ITS PRIMARY COMMUNITY WILL ALLOW THE ORGANIZATION TO MORE EFFECTIVELY FOCUS ITS RESOURCES TO ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS TARGETING AREAS OF GREATEST NEED AND HEALTH DISPARITIES. POPULATION FIGURES WERE OBTAINED FROM ESRI, A LEADING GIS PROVIDER THAT UTILIZES U.S. CENSUS DATA PROJECTED FORWARD USING PROPRIETARY METHODOLOGIES. ACCORDING TO ESRI, THE 2021 ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA WAS 7,467,106 PEOPLE. BASED ON ESRI DATA, THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA WAS $77,035, WHILE TEXAS' AVERAGE MEDIAN HOUSEHOLD INCOME WAS $66,048. IN 2021, APPROXIMATELY 25.4 PERCENT OF THE PRIMARY SERVICE AREA POPULATION WAS YOUNGER THAN 18 YEARS OF AGE.
Schedule H, Part VI, Line 5 Promotion of community health	MEDICAL CARE IS PROVIDED TO CHILDREN WITH ORTHOPEDIC AND RELATED CONDITIONS NOT TREATED AT OTHER MEDICAL FACILITIES. MANY PROVIDERS AT SCOTTISH RITE RECEIVE REFERRALS FROM PHYSICIANS AND CHILDREN'S HOSPITALS IN THE PRIMARY SERVICE AREA BECAUSE THE PATIENT'S CONDITION IS EITHER TOO ACUTE OR, IN SOME CASES, SO RARE, THE REFERRING FACILITY DOES NOT HAVE ADEQUATELY TRAINED OR EXPERIENCED STAFF TO PROVIDE THE NECESSARY CARE. THE ORGANIZATION HAS A PROCESS TO DETERMINE IF IT IS THE APPROPRIATE FACILITY TO MEET A CHILD'S CLINICAL NEEDS. THE PROCESS BEGINS WITH A TELEPHONE CALL, REQUEST THROUGH THE WEBSITE, REFERRAL FROM A PHYSICIAN OR AN APPLICATION FOR SERVICES. AN INTERNAL MECHANISM IS UTILIZED TO DETERMINE IF SCOTTISH RITE CAN APPROPRIATELY MEET THE NEEDS OF THE CHILD. WHEN SCOTTISH RITE IS UNABLE TO PROVIDE SERVICES, SCOTTISH RITE, AS PART OF ITS CARE COORDINATION SERVICES, IDENTIFIES REFERRAL RESOURCES THAT ARE PROVIDED TO THE FAMILY. IN ADDITION TO GENERAL PEDIATRIC ORTHOPEDIC SERVICES, THE PEDIATRIC ORTHOPEDIC SERVICES FOR WHICH PATIENTS ARE PRIMARILY REFERRED TO THE INSTITUTION INCLUDE SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND OTHER FOOT DISORDERS, REDUCTION DEFICITS (LIMB LENGTHENING), HAND AND UPPER LIMB DIFFERENCES, HIP DISORDERS, SPORTS MEDICINE, FRACTURES, PROGRAMS RELATED TO CONGENITAL LIMB DEFICIENCIES AND AMPUTATIONS, NEUROLOGY, RHEUMATOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES TREATED IN ADDITION OR RELATED TO OTHER ORTHOPEDIC CONDITIONS. RESEARCH: SINCE OPENING ITS DOORS IN 1921, SCOTTISH RITE HAS COMMITTED TO DISCOVERING NEW AND BETTER WAYS TO CARE FOR CHILDREN AFFECTED BY PEDIATRIC ORTHOPEDIC CONDITIONS AND CERTAIN RELATED NEUROLOGICAL AND ARTHRITIC DISORDERS. THE INSTITUTION'S DEDICATED RESEARCH CENTER, THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS FOR EXCELLENCE SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES: SCOLIOSIS AND SPINE; CLUBFOOT AND FOOT DISORDERS; HIP DISORDERS; LIMB LENGTH DISCREPANCIES AND RECONSTRUCTION; HAND DIFFERENCES; AND SPORTS MEDICINE. THROUGH THE YEARS, SCOTTISH RITE RESEARCHERS AND PHYSICIANS HAVE GENERATED MORE THAN 50 PATENTS AND MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE. THESE FINDINGS AND INNOVATIONS ALLOW THE MEDICAL COMMUNITY TO FORM NEW HYPOTHESES TO EXPLAIN WHAT CAUSES CERTAIN CONDITIONS WHILE PROVIDING TOOLS FOR FUTURE RESEARCH. THE MAJOR DISCOVERIES AND RESEARCH APPLICATIONS AT SCOTTISH RITE INCLUDE: THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS; TWO MORE GENETIC MARKERS OF THE CONDITION; THE TSRH SILOTM 5.5 SPINAL SYSTEM; THE TRUE/LOKTM EXTERNAL FIXATION SYSTEM ; AND THE TRUE/LOK HEXAPOD SYSTEMTM. THE INSTITUTION IS COMMITTED TO TRANSLATING ITS SCIENTIFIC DISCOVERIES INTO IMPROVED CARE AND TREATMENT OUTCOMES FOR CHILDREN WITH MUSCULOSKELETAL CONDITIONS. TO THAT END, THE ORGANIZATION HAS LAUNCHED A MULTIDISCIPLINARY CENTER FOR PEDIATRIC BONE BIOLOGY AND TRANSLATIONAL RESEARCH. THE CENTER INCLUDES 3,200 SQUARE FEET OF LABORATORIES AND OFFICES DEDICATED TO BONE-RELATED RESEARCH. IN COLLABORATION WITH UT SOUTHWESTERN MEDICAL CENTER, RESEARCHERS WILL EXPLORE THE ROOT CAUSES OF BONE DISORDERS WITH A BENCH TO BEDSIDE TRANSLATIONAL RESEARCH AND TREATMENT APPROACH. IN ADDITION, IT WILL FURTHER EXPAND THE FACILITY'S ROLE AS A TRAINING SITE FOR FELLOWS, VISITING SCIENTISTS AND STUDENTS. IT WILL ALSO HOST INTERNATIONAL GATHERINGS DEDICATED TO COLLABORATIVE RESEARCH THAT WILL BENEFIT CHILDREN THROUGHOUT THE COMMUNITY AND AROUND THE WORLD. MEDICAL EDUCATION: FOR MORE THAN 40 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL, SCOTTISH RITE FOR CHILDREN HAS PROVIDED AN EXTRAORDINARY EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. NEARLY 200 PHYSICIANS HAVE BENEFITED FROM THE FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, GOING ON TO PROVIDE NEEDED PEDIATRIC SPECIALTY SERVICES ACROSS THE COUNTRY AND AROUND THE WORLD. THE FELLOWSHIP HAS RECENTLY BEEN EXPANDED TO INCLUDE ADDITIONAL FELLOWS IN THE FIELD OF PEDIATRIC ORTHOPEDIC SPORTS SURGERY. IN ADDITION TO THE FELLOWSHIP PROGRAM, THE INSTITUTION PARTICIPATES WITH 88 EDUCATIONAL INSTITUTIONS FOR 22 RESIDENT AND FELLOW LEVEL FIELDS OF STUDY, AS WELL AS 28 DISCIPLINES INVOLVING GRADUATE, UNDERGRADUATE AND HIGH SCHOOL STUDENTS. THE RESIDENCY TRAINING PROGRAM AFFLIATIONS ARE WITH MANY DIFFERENT INSTITUTIONS INCLUDING UTSW, BAYLOR UNIVERSITY MEDICAL CENTER, DALLAS COUNTY HOSPITAL DISTRICT (DCHC), UC SAN DIEGO, TEXAS A&M, CHILDREN'S MEDICAL CENTER OF DALLAS, AND TRIPLER ARMY MEDICAL CENTER. THE ORGANIZATION PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN AREAS AS DIVERSE AS NEUROLOGY, PEDIATRIC RHEUMATOLOGY, ORTHOPEDICS, RADIOLOGY, PEDIATRIC DEVELOPMENTAL DISABILITIES, PLASTIC SURGERY FOR HAND, PEDIATRIC REHABILITATION MEDICINE, ANESTHESIA, ORTHOPEDIC SPORTS MEDICINE, UROLOGY, DENTISTRY, PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, NEUROPHYSIOLOGY, PEDIATRIC HEADACHE MEDICINE AND PEDIATRIC EMERGENCY MEDICINE. SCOTTISH RITE FOR CHILDREN ALSO HAS EXTENSIVE AFFILIATION PROGRAMS FOR EDUCATION OF STUDENTS IN CLINICAL AREAS SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, ORTHOTIC AND PROSTHETICS, TRAINING OF PA STUDENTS, STEM EDUCATION FOR HIGH SCHOOL AND COLLEGE FEMALES, DIETETICS, SCRUB STUDENTS, THERAPEUTIC RECREATION AND SPEECH PATHOLOGY. FAMILY RESOURCE CENTER: THE CHRISTI CARTER URSCHEL FAMILY RESOURCE CENTER'S MISSION IS TO PROVIDE HEALTH INFORMATION AND SUPPORT RESOURCES TO PATIENTS AND FAMILIES IN ORDER TO HELP THEM MAKE INFORMED HEALTH CARE DECISIONS AND IMPROVE THEIR QUALITY OF LIFE. SCOTTISH RITE UNDERSTANDS THAT FAMILIES WHOSE CHILDREN ARE DIAGNOSED WITH MEDICAL CONDITIONS HAVE MANY QUESTIONS, AND THE FAMILY RESOURCE CENTER CAN HELP THE SCOTTISH RITE PATIENTS AND FAMILIES FIND ANSWERS. A MEDICAL LIBRARIAN AND A LICENSED SOCIAL WORKER ARE AVAILABLE TO HELP PATIENTS AND FAMILIES LOCATE INFORMATION AND RESOURCES. STAFF MEMBERS CAN ALSO ANSWER QUESTIONS ABOUT COMMUNITY SUPPORT GROUPS AND EXTERNAL AGENCIES. THE CENTER SERVES AN AVERAGE OF 1,700 FAMILIES ANNUALLY. FAMILY ROOM AND CHAPEL ON DALLAS CAMPUS: THE FAMILY ROOM IS PRIMARILY UTILIZED BY PATIENT FAMILIES AS A COMFORTABLE SURGERY WAITING AREA, WHILE THE CHAPEL LOCATED NEXT DOOR PROVIDES A PLACE OF WORSHIP WITH NONDENOMINATIONAL SERVICES EACH SUNDAY. FAMILY ROOM IN FRISCO: THE RONALD MCDONALD FAMILY ROOM ACCOMMODATES 25 PEOPLE AND OFFERS A PLACE OF RESPITE, RELAXATION AND COMFORT TO FAMILIES WITH CHILDREN RECEIVING OUTPATIENT CARE AT THE FRISCO CAMPUS. RESEARCH SHOWS THAT STAYING CLOSE BY ALLOWS PARENTS TO BETTER COMMUNICATE WITH THEIR CHILD'S MEDICAL TEAM AND IMPROVES ADHERENCE TO COMPLICATED TREATMENT PLANS. FAMILIES WITH ACCESS TO A RONALD MCDONALD FAMILY ROOM REPORT A BETTER OVERALL CLINICAL EXPERIENCE. CHILD LIFE SERVICES: CHILD LIFE SPECIALISTS FOCUS ON EACH PATIENT AND THEIR FAMILY'S SPECIFIC NEEDS BY PROMOTING OPTIMAL PSYCHOSOCIAL DEVELOPMENT AND EDUCATIONAL NEEDS OF CHILDREN AND TEENAGERS TO HELP REDUCE FEAR AND PROMOTE COPING DURING THEIR VISIT. THEY PROVIDE SERVICES, SUCH AS PREPARATION AND SUPPORT FOR MEDICAL PROCEDURES, EDUCATION ABOUT DIAGNOSIS, COPING TECHNIQUES TO USE DURING MEDICAL EXPERIENCES, ENGAGEMENT IN MEDICAL PLAY, OUTLETS FOR SELF-EXPRESSION AND SUPPORT FOR SIBLINGS. THE CHILD LIFE DEPARTMENT WELCOMED THE ADDITION OF A FACILITY DOG IN 2021, AND THE FRISCO CAMPUS IS EXPECTED TO HAVE A FACILITY DOG JOIN IN 2023. FACILITY DOG INTERVENTION WITH PATIENTS PROMOTES POSITIVE COPING AND DECREASES THE CHANCE OF MEDICAL-RELATED TRAUMA. IN FY 2022, MORE THAN 10,900 PATIENTS WERE SERVED. FAMILY SERVICES DEPARTMENT: THE FAMILY SERVICES DEPARTMENT SERVES AS A SUPPORT CENTER FOR PATIENTS AND THEIR FAMILIES WHILE THEY ARE RECEIVING TREATMENT AT SCOTTISH RITE. FAMILY SERVICES INCLUDES THESE AREAS: MEDICAL SOCIAL WORK FOR RESOURCES AND REFERRALS; FINANCIAL ASSISTANCE PROGRAMS AND FAMILY SERVICES COUNSELING; LANGUAGE INTERPRETATION AND TRANSLATION SERVICES; AND COORDINATION OF OFF-SITE MEDICAL SERVICES. IN FY 2022, THERE WERE MORE THAN 32,200 CALLS AND VISITS PROVIDED. RESOURCES TO ADDRESS CHILD HEALTH STATUS: SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE FOR THE SERVICES ORDERED BY THE MEDICAL STAFF. PATIENT FAMILIES CHOOSE THEIR PROVIDER(S) FROM A LIST OPTIONS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING SOURCE. THESE SERVICES INCLUDE WEIGHT MANAGEMENT, OUTPATIENT PHYSICAL REHAB, HOME HEALTH SERVICES, DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, TESTING AND SPECIALISTS AND MENTAL HEALTH.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PEDI-ORTHO HEALTH CORP
2222 Welborn ST	Dallas	TX	75219	752665759	501 (C) (3)	$94,704	MEDICAL CARE AND RESEARCH
DALLAS SAFETY NET SUPP CORP
1441 N BECKLEY	DALLAS	TX	75203	823131059	501 (C) (3)	$797,702	DALLAS COUNTY INDIGENT CARE

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GRANT TO PEDI-ORTHO HEALTH CORPORATION, A RELATED MEDICAL ENTITY, IS TO SUPPORT THE SERVICES PROVIDED BY THE CORPORATION. THE HOSPITAL, AS A SOLE MEMBER, MONITORS THE ACTIVITIES OF THE ENTITY WHICH PROVIDES PEDIATRIC PHYSICIAN SERVICES TO LOCAL MEDICAL FACILITIES THAT PROVIDE EMERGENCY CARE FOR CHILDREN. THE ENTITY IS INDEPENDENTLY AUDITED ANNUALLY AND THE HOSPITAL RECEIVES A COPY OF THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL PROVIDES FUNDING TO DALLAS COUNTY SAFETY NET SUPPORT CORPORATION TO SUPPORT LOCAL HOSPITALS IN THE DALLAS COMMUNITY. THE CORPORATION IS MONITORED BY REVIEW OF THE ANNUAL IRS FORM 990.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN A HERRING MD
CHIEF OF STAFF EMERITUS (RET 8/31/2020)	$284,043	$0	$0	$0	$0	$0	$0	$0	$307,715	$0	$591,758	$0	$0	$0
CHARLES E JOHNSTON III MD
FRM ASST CHIEF OF STAFF (RET 4/16/2021)	$251,946	$0	$0	$0	$203,413	$0	$0	$0	$121,094	$0	$576,453	$0	$0	$0
JC MONTGOMERY JR
PRESIDENT EMERITUS (RET. 6/18)	$132,389	$0	$0	$0	$0	$0	$0	$0	$150,367	$0	$282,756	$0	$0	$0
MARK G BATEMAN
SVP PUBLIC RELATIONS	$401,618	$0	$0	$0	$50,133	$0	$17,398	$0	$25,765	$0	$494,914	$0	$0	$0
STEPHANIE K BRIGGER
VP DEVELOPMENT	$231,846	$0	$0	$0	$28,639	$0	$184,259	$0	$12,135	$0	$456,879	$0	$0	$0
MATTHEW S CHANCE
SR VP & COO	$508,533	$0	$0	$0	$45,647	$0	$17,400	$0	$38,281	$0	$609,861	$0	$0	$0
LESLIE A CLONCH JR
VP CHIEF INFORMATION OFFICER	$441,711	$0	$0	$0	$57,534	$0	$17,400	$0	$39,281	$0	$555,926	$0	$0	$0
LORI L DALTON
SR VP, GENERAL COUNSEL	$511,865	$0	$0	$0	$48,044	$0	$17,400	$0	$38,551	$0	$615,860	$0	$0	$0
ASHLEY C GIVENS
VP, DEVELOPMENT/EVENTS	$142,288	$0	$0	$0	$19,702	$0	$55,610	$0	$36,919	$0	$254,519	$0	$0	$0
JEREMY L HOWELL
VP, NORTH CAMPUS	$243,442	$0	$0	$0	$27,658	$0	$15,695	$0	$39,033	$0	$325,828	$0	$0	$0
JENNY J JOHNSON
VP, REVENUE CYCLE	$194,705	$0	$0	$0	$23,376	$0	$12,398	$0	$23,366	$0	$253,845	$0	$0	$0
DONALD E KATZ
VP FACILITIES & PROCESS DESIGN (SEE SCH J**)	$290,456	$0	$0	$0	$30,729	$0	$152,975	$0	$36,326	$0	$510,486	$0	$0	$0
KRISTINA L KEEVER-SMITH
VP, INVESTMENTS	$295,664	$0	$0	$0	$24,199	$0	$194,558	$0	$1,611	$0	$516,032	$0	$0	$0
FREDRIC D RICHMOND
SR VP, CHIEF INVESTMENT OFFICER	$484,282	$0	$0	$0	$51,447	$0	$17,400	$0	$36,781	$0	$589,910	$0	$0	$0
DEBRA A SAYLES
VP, CNO (RET 12/31/21)	$381,234	$0	$0	$0	$34,810	$0	$0	$0	$13,080	$0	$429,124	$0	$0	$0
TAMMIE L SIBLEY
SVP & CFO (RESIGNED 7/26/22)	$479,182	$0	$0	$0	$30,346	$0	$3,565	$0	$24,146	$0	$537,239	$0	$0	$0
ROBERT L WALKER
PRESIDENT & CEO	$1,304,678	$0	$0	$0	$112,488	$0	$16,176	$0	$27,956	$0	$1,461,298	$0	$0	$0
ELLEN E HAYNES
FRM VP MAJOR GIVING (RES 1/8/2021)	$114,365	$0	$0	$0	$25,647	$0	$2,177	$0	$921	$0	$143,110	$0	$0	$0
LORI A KAROL MD
FMR ASST COS/COQ (DEC 2/26/22)	$73,681	$0	$0	$0	$0	$0	$0	$0	$81,375	$0	$155,056	$0	$0	$0
B STEPHENS RICHARDS MD
CMO (SEE SCH J)** (RET 6/30/21)	$581,752	$0	$0	$0	$55,514	$0	$0	$0	$88,773	$0	$726,039	$0	$0	$0
CONNIE B WRIGHT
FRM VP, HUMAN RESOURCES (RESIGNED 6/2020)	$259,882	$0	$0	$0	$0	$0	$0	$0	$0	$0	$259,882	$0	$0	$0
BRANDON A RAMO MD
ASST. CHIEF OF QUALITY	$729,954	$53,300	$0	$0	$80,696	$0	$17,400	$0	$39,281	$0	$867,331	$53,300	$0	$0
KARL E RATHJEN MD
ASST COS (SEE SCH J**)	$514,640	$5,200	$0	$0	$94,924	$0	$199,977	$0	$12,633	$0	$822,174	$5,200	$0	$0
DANIEL J SUCATO MD MS
CHIEF OF STAFF	$1,108,256	$34,000	$0	$0	$171,286	$0	$848,357	$0	$36,781	$0	$2,164,680	$34,000	$0	$0
PHILIP L WILSON MD
ASST COS/MED DIR NORTH CAMPUS (SEE SCH J**)	$721,083	$37,700	$0	$0	$62,008	$0	$318,996	$0	$12,505	$0	$1,114,592	$37,700	$0	$0
HENRY B ELLIS MD
ORTHOPEDIC SURGEON	$699,818	$45,700	$0	$0	$80,065	$0	$17,400	$0	$39,281	$0	$836,564	$45,700	$0	$0
COREY S GILL MD
ORTHOPEDIC SURGEON	$708,417	$41,200	$0	$0	$58,313	$0	$17,400	$0	$22,020	$0	$806,150	$41,200	$0	$0
AMY L MCINTOSH MD
ORTHOPEDIC SURGEON	$705,258	$36,700	$0	$0	$79,421	$0	$17,400	$0	$36,525	$0	$838,604	$36,700	$0	$0
ANTHONY I RICCO MD
ORTHOPEDIC SURGEON	$703,656	$50,290	$0	$0	$58,730	$10	$17,400	$0	$38,781	$0	$818,567	$50,300	$0	$0
ROBERT L WIMBERLY MD
ORTHOPEDIC SURGEON	$697,404	$42,900	$0	$0	$58,730	$0	$17,400	$0	$38,781	$0	$812,315	$42,900	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a Severance or change-of-control payment

SEVERANCE PAYMENTS CONNIE B. WRIGHT RECEIVED $259,881.99 & ELLEN E. HAYNES RECEIVED $103,135.92 IN SEVERANCE PAYMENTS IN CALENDAR YEAR 2021.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

**SCHEDULE J, PART I, LINE 4B** THE RESTORATION OF RETIREMENT INCOME PLAN (RRIP) IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC) AND A RELATED ENTITY, WHOSE BENEFITS UNDER THE TAX-QUALIFIED RETIREMENT PLAN HAVE BEEN LIMITED BY THE MAXIMUM BENEFIT AND MAXIMUM COMPENSATION LIMITATIONS IMPOSED UNDER THE TAX QUALIFIED RETIREMENT PLAN IN ORDER TO COMPLY WITH THE INTERNAL REVENUE CODE. THE TOTAL ACCUMULATED BENEFIT THAT HAS ACCRUED FOR A PARTICIPANT UNDER THE RRIP NORMALLY BECOMES VESTED AND TAXABLE TO A PARTICIPANT WHEN HE OR SHE EITHER HAS ATTAINED AGE 55 AND COMPLETED 15 YEARS OF SERVICE OR ATTAINS AGE 65. THE BENEFIT ACCRUALS FOR A PARTICIPANT AFTER THE DATE OF INITIAL VESTING ARE TAXABLE TO THE PARTICIPANT WHEN AND AS ACCRUED. RRIP BENEFITS BECOME PAYABLE AFTER TERMINATION OF EMPLOYMENT. UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES ARE NON-VESTED PARTICIPANTS WHO ARE ACCRUING AN ANNUAL BENEFIT IN 2021 (INCLUDED ON SCH J, PART II, COL C) PHILIP WILSON - $218,217 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2021, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B (III) AND W-2, BOX 5) NO PARTICIPANTS VESTED DURING 2021 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2021, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) DON KATZ - $2,615 KRIS KEEVER-SMITH - $531 KARL RATHJEN, MD - $60,797 DANIEL SUCATO, MD - $137,410 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE RETIRED AND RECEIVE PAYMENT FROM THE PLAN DURIN 2021 WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNT (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) J.C. MONTGOMERY, JR - $121,889 CHARLES E. JOHNSTON III, MD - $68,381 JOHN A. HERRING, MD - $175,658 LORI A. KAROL, MD (DEC 2/26/22) - $73,667 BENJAMIN S. RICHARDS III, MD - $64,544 THE MANAGEMENT BENEFIT PLAN IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN ELIGIBLE EMPLOYEES WHO BECAME PARTICIPANTS PRIOR TO 1988. MONTHLY RETIREMENT INCOME BENEFITS BECOME PAYABLE UNDER THE PLAN COMMENCING AT AGE 65 (OR EARLIER DISABILITY) AND ARE TAXABLE TO PARTICIPANTS WHEN AND AS PAID. UNDER THE TERMS OF THE MANAGEMENT BENEFIT PLAN, THE FOLLOWING EMPLOYEES RECEIVED PAYMENT IN 2021 (INCLUDED ON SCH J, PART II, COL F, AND W-2, BOX 1 AND BOX 5) CHARLES JOHNSTON $100,848 ROBERT WALKER $32,352 THE FLEXIBLE BENEFITS PLAN IS A NON QUALIFIED PLAN PROVIDING LIFE INSURANCE, DISABILITY INSURANCE, LONG-TERM CARE INSURANCE AND/OR RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN(TSRHC) AND A RELATED ENTITY, AT THEIR ELECTION. THE INSURANCE PREMIUM AND RETIREMENT ACCOUNT CONTRIBUTION AMOUNTS ALLOCATED TO A PARTICIPANT UNDER THIS PLAN FOR EACH YEAR ARE TAXABLE TO THE PARTICIPANT FOR SUCH YEAR. THE EARNINGS ON THE RETIREMENT ACCOUNT CONTRIBUTIONS BECOME TAXABLE TO A PARTICIPANT WHEN PAID OR MADE AVAILABLE TO THE PARTICIPANT. UNDER THE TERMS OF THE FLEXIBLE BENEFIT PLAN, THE FOLLOWING EMPLOYEES WERE TAXED ON THE FOLLOWING AMOUNTS FOR CALENDAR YEAR 2021. (INCLUDED IN SCH J, PART II, COL 8 (III), AND W-2, BOX 5) BATEMAN, MARK G. $18,046 BRIGGER, STEPHANIE K. $10,429 CHANCE, MATTHEW S. $23,085 CLONCH, JR. LESLIE A. $20,208 DALTON, LORI L. $23,175 ELLIS, MD, HENRY B. $30,260 GILL, MD, COREY S. $30,233 GIVENS, ASHLEY C. $6,721 HAYNES, ELLEN E. $682 HOWELL, JEREMY L. $11,310 JOHNSON, JENNY J. $8,948 JOHNSTON III, MD, CHARLES E. $27,145 KATZ, DONALD E. $13,349 KEEVER-SMITH, KRISTINA L. $13,117 MCINTOSH, MD, Amy L. $30,260 RAMO, MD, BRANDON A. $30,935 RATHJEN, MD, KARL E $22,973 RICCIO, MD, ANTHONY I. $30,260 RICHARDS, MD, BENJAMIN S. $36,900 RICHMOND, FREDRIC D. $21,831 SAYLES, DEBRA A. $17,104 SIBLEY, TAMMIE L. $21,376 SUCATO, MD, DANIEL J. $45,608 WALKER, ROBERT L. $58,500 WILSON, MD, PHILIP L. $31,129 WIMBERLY, MD ROBERT L. $30,260

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$497,709	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$16,127,546	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MINERAL INTEREST	Desc
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$303	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions	FormAndLineReferenceDesc
Explanation	SCHEDULE M, PART I, LINE 32A SOLICITATION, PROCESSING, OR NONCASH CONTRIBUTIONS TSRHC USES THIRD PARTY BROKERS TO SELL DONATED SECURITIES AND OTHER THIRD-PARTY SPECIALISTS TO SELL OTHER NON-CASH DONATIONS OF VEHICLES, REAL ESTATE AND OTHER ASSETS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PATIENT CARE	THE NEUROLOGY PROGRAM PROVIDES CARE IN SPECIALIZED CLINICS FOR ORTHOPEDIC PATIENTS WHO HAVE RELATED NEUROLOGICAL DISORDERS AND NEUROMUSCULAR DISEASES SUCH AS TUBEROUS SCLEROSIS. THE PEDIATRIC DEVELOPMENTAL DISABILITIES PROGRAM INCLUDES OUTPATIENT CLINIC VISITS FOR THE DIAGNOSIS AND TREATMENT OF CONDITIONS SUCH AS SPINA BIFIDA AND CEREBRAL PALSY. ALL PROGRAMS, INCLUDING ORTHOPEDIC, NEUROLOGY AND LEARNING DISORDERS, TAKES AN INTERDISCIPLINARY APPROACH TO PROVIDING THE BEST POSSIBLE FAMILY-CENTERED CARE.
Form 990, Part III, Line 4b RESEARCH	HOSPITAL RESEARCHERS HAVE STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN, WHICH HAVE GENERATED MORE THAN 25 PATENTS. THEY HAVE MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE, INCLUDING DISCOVERING THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS AND TWO MORE GENETIC MARKERS OF THE CONDITION. THROUGH RESEARCH, NEW DEVICES AND TREATMENT SYSTEMS HAVE BEEN CREATED, INCLUDING THE TSRH SILO 5.5 SPINAL SYSTEM, THE TRUE/LOK EXTERNAL FIXATION SYSTEM AND THE TRUE/LOK HEXAPOD SYSTEM.
Form 990, Part III, Line 4c EDUCATION	FOR 40 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, THE HOSPITAL HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. MORE THAN 200 PHYSICIANS HAVE BENEFITED FROM THE HOSPITAL'S FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, WITH MANY GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION, PHYSICIANS FROM SOME OF THE MAJOR HAND CENTERS HAVE TRAINED AT THE HOSPITAL IN THE SUB-SPECIALTY OF PEDIATRIC HAND SURGERY. THE HOSPITAL ALSO PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES. AFFILIATION PROGRAMS IN NURSING, PHYSICAL THERAPY, PROSTHETICS AND OTHER DISCIPLINES ALSO EXIST.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ROBERT WALKER, LORI DALTON, B. STEPHENS RICHARDS, MD, KARL E. RATHJEN, MD, PHILIP L. WILSON, MD, LAWSON A.B. COPLEY, MD, AMY MCINTOSH, MD, BRANDON RAMO, MD, DANIEL J. SUCATO, MD, AND COREY GILL, MD - Business relationship, LORI DALTON, KRISTINA KEEVER-SMITH, AND ASHLEY GIVENS - Business relationship, ROBERT L. WALKER, LORI DALTON, TAMMIE SIBLEY, AND KARL RATHJEN - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED INTERNALLY IN CONJUNCTION WITH OUTSIDE ACCOUNTANTS AND THEN REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. THE FORM 990 IS PROVIDED TO THE BOARD THROUGH ACCESS TO A SECURE PORTAL FOR REVIEW BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION ANNUALLY REQUIRES OFFICERS, KEY EMPLOYEES AND TRUSTEES TO COMPLETE A CONFLICTS OF INTEREST FORM DISCLOSING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY. ADDITIONALLY, THESE INDIVIDUALS ARE TO REPORT ANY NEW MATTERS THAT ARISE DURING THE YEAR IF THEY BECOME AWARE OF A TRANSACTION THAT IS UNDER CONSIDERATION THAT PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANNUALLY THE GENERAL COUNSEL PREPARES AND SUBMITS A SUMMARY OF THE DISCLOSED POTENTIAL CONFLICTS TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. ADDITIONALLY, AT THE TIME A KEY STAFF MEMBER IS HIRED OR PROMOTED TO A POSITION WITH ADMINISTRATIVE OR MANAGEMENT RESPONSIBILITIES, THE ORGANIZATION PROVIDES THE INDIVIDUAL WITH A COPY OF THE CONFLICTS OF INTEREST POLICY AND THE INDIVIDUAL IS REQUIRED TO COMPLETE A CONFLICTS OF INTEREST DISCLOSURE FORM. ALL MATERIAL FACTS SURROUNDING CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS INVOLVING A CONFLICT OF INTEREST ARE TO BE DISCLOSED TO ENSURE THAT THE CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR TO THE HOSPITAL AT THE TIME IT IS AUTHORIZED, APPROVED, OR RATIFIED.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY REVIEWS AND APPROVES SALARIES AND BENEFITS FOR OFFICERS, MEMBERS OF THE MEDICAL STAFF AND KEY EMPLOYEES OF THE ORGANIZATION. THE HOSPITAL REVIEWS VARIOUS EXECUTIVE/PHYSICIAN COMPENSATION SURVEYS, INCLUDING DATA FROM PEDIATRIC HOSPITALS AND PHYSICIAN PRACTICES ON BOTH A LOCAL AND NATIONAL BASIS. BI-ANNUALLY, AN INDEPENDENT CONSULTANT REVIEWS SALARIES AND BENEFITS OF OFFICERS, PHYSICIANS AND KEY EMPLOYEES. THIS REVIEW WAS LAST UNDERTAKEN IN FISCAL YEAR 2022 FOR OFFICERS AND MEDICAL STAFF.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY REVIEWS AND APPROVES SALARIES AND BENEFITS FOR OFFICERS, MEMBERS OF THE MEDICAL STAFF AND KEY EMPLOYEES OF THE ORGANIZATION. THE HOSPITAL REVIEWS VARIOUS EXECUTIVE/PHYSICIAN COMPENSATION SURVEYS, INCLUDING DATA FROM PEDIATRIC HOSPITALS AND PHYSICIAN PRACTICES ON BOTH A LOCAL AND NATIONAL BASIS. BI-ANNUALLY, AN INDEPENDENT CONSULTANT REVIEWS SALARIES AND BENEFITS OF OFFICERS, PHYSICIANS AND KEY EMPLOYEES. THIS REVIEW WAS LAST UNDERTAKEN IN FISCAL YEAR 2022 FOR OFFICERS AND MEDICAL STAFF.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE HOSPITAL AND ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Ranch - Drought Proceeds, Hunting Revenue, Fuel Tax Refun - Total Revenue: 314997, Related or Exempt Function Revenue: , Unrelated Business Revenue: 314997, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Hospital Revenue - Total Revenue: 695043, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 695043;
Form 990, Part X, Line 27 CHANGE TO BEGINNING BALANCE SHEET	NECESSARY ADJUSTMENTS WERE MADE TO THE BEGINNING NET ASSET BALANCE AMONG THE ASSET CLASSES, WITH AND WITHOUT DONOR RESTRICTIONS, TO CORRECT AN ACCOUNTING DISCREPANCY. HOWEVER, THE OVERALL NET ASSET TOTAL REMAINED UNCHANGED.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION LIABILITY ADJUSTMENT - 50352238; CHANGE IN BENEFICIAL INTEREST IN TRUSTS - -14302929; OTHER NON-OPERATING LOSSES & ADJUSTMENTS - -6761896;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PEDI-ORTHO HEALTH CORPORATION
2222 WELBORN ST	DALLAS	TX	75219	752665759	PHYSICIANS	TX	501(c)(3)	10	TSRH	Yes (true)
TSRH SCHOLRSHP FND (DBA LEGACY SCHLRSHP)
2222 WELBORN ST	DALLAS	TX	75219	752106637	SCHOLARSHIP	TX	501(c)(3)	7	NA	false
TEXAS SCOTTISH RITE HOSPITAL TRUST
C/O JPMORGAN CHASE POB 3038	MILWAUKEE	WI	53201	756013875	SUPPORT ORG	WI	501(c)(3)	Type III-O	NA	false
TSRH FOR CHILDREN FOUNDATION
2222 WELBORN ST	DALLAS	TX	75219	460683787	SUPPORT ORG	TX	501(c)(3)	7	TSRH	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PEDI ORTHO HEALTH CORPORATION
B	$94,704	MARKET
TSRH FOR CHILDREN FOUNDATION
C	$93,550	MARKET
PEDI ORTHO HEALTH CORPORATION
L	$1,451,730	MARKET
PEDI ORTHO HEALTH CORPORATION
M	$58,966	MARKET
PEDI ORTHO HEALTH CORPORATION
P	$542,230	MARKET
PEDI ORTHO HEALTH CORPORATION
Q	$1,791,906	MARKET