2022-11-15T11:04:57-06:00 2021-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2021-01-01 474837308 OCH Holdings OCHH 2144567000 1935 Medical District Drive Dallas TX 75235 Peter C Perialas Jr President 2022-11-15 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2021 2022-09-23 18:48:47Z Our Children's House Peter C Perialas Jr 1935 Medical District Drive Dallas TX 75235 27207127 false X www.childrens.com X 2015 TX Dedicated to making life better for children. 3 0 0 0 0 0 10631734 2117418 24546173 25009170 -1639 0 81404 80539 35257672 27207127 0 0 0 15509637 14908957 0 0 0 19148083 19148437 34657720 34057394 599952 -6850267 63173943 64620565 57710070 68339959 5463873 -3719394 OCH Holdings, doing business as Our Children's House (OCH), is a specialty hospital providing comprehensive services to children from infancy through age 18 with developmental or birth disorders, traumatic injuries or severe illnesses. Our Children's House is the only one of its kind in the region, providing transition from acute-care hospitals to home after experiencing life-changing health issues. The hospital focuses on patient stabilization, family education and maximizing the patient's functional ability. Inpatient programs include feeding, rehabilitation and pulmonary services, while the intensive day patient programs include neurological, feeding and constraint-induced therapies. false false 22639534 0 25089709 OCH Holdings, doing business as Our Children's House (OCH) is a specialty hospital providing comprehensive services to children from infancy through age 18 with developmental or birth disorders, traumatic injuries or severe illnesses, which furthers the exempt purposes of OCH. Our Children's House facilitates transition from acute-care hospitals to home after experiencing life-changing health issues. The hospital focuses on patient stabilization, family education and maximizing the patient's functional ability. Inpatient programs include feeding, rehabilitation and pulmonary services, while the intensive day patient programs include neurological, feeding and constraint-induced therapies. From the moment a child enters Our Children's House, a care coordinator and social worker are assigned to assist the family in identifying community resources for appropriate counseling as well as designing a thorough discharge plan. Family care conferences are also held within the first week after admission and every two weeks thereafter. Every child is unique, as is every child's treatment. The approach is to create individualized care plans for each patient with short- and long-term, clinically based goals and success markers. Feeding Program: Our Children's House offers unique feeding programs aimed at helping children overcome physical and behavioral problems that manifest themselves at mealtime. An interdisciplinary approach is utilized and includes a speech-language pathologist, occupational therapist, psychologist and registered dietitian. Rehabilitation Services: A multi-disciplinary rehab team provides care and therapy to assist children who have experienced a major life-changing event or diagnosis. The goal is to restore function and educate the family as they prepare to return home. Pulmonary Services: A dedicated team educates families on how to support their child requiring short- or long-term mechanical ventilation with a tracheotomy, working to make the transition to home seamless. In 2020, Our Children's House established a program to treat patients who have a diagnosis of Status Migrainosus. Through a collaboration between hospitalists and the neurologists, patients are provided with resources and a treatment plan to address headache management. During 2021, There were 2,786 patients encounters and 6,540 Patients Days. 22639534 true true false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 95 0 true 0 false false false false false false false false false false false false X 3 0 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Peter C Perialas Jr Director & President and COO 1.0 54.0 X X 0 1548349 327607 Tammy Webb Director & Chief Nursing Officer 1.0 53.0 X X 0 686205 172390 Matthew M Davis Chairman 1.0 54.0 X 0 893139 205424 Amy Yeager Chief Legal Officer and Secretary 1.0 54.0 X 0 762030 211728 Jeremiah Radandt Treasurer (Term. 11/06/2021) 0.0 55.0 X 0 2912736 248161 Kelli Terpstra Administrator 1.0 40.0 X 0 313588 86517 Robert S Fries Chief Financial Officer (Effec. 11/07/2021) 1.0 54.0 X 0 551559 131827 Christopher J Durovich Former Officer 0.0 60.0 X 0 3389547 62242 David T Berry Former Officer 0.0 55.0 X 0 1220782 261802 Joe Cavender Former Officer 0.0 55.0 X 0 551232 128964 Vanessa U Walls Former Officer 0.0 55.0 X 0 787505 213136 0 13616672 2049798 0 true true false PREMIER TRANSPORTATION SVCS 4525 Production Dr Dallas TX 75235 Transportation Services 211981 UNIVERSAL PROTECTION SVC LP PO BOX 828854 Philadelphia PA 191828854 Security services 196593 PEDIATRIC PULMONARY & SLEEP Specialist 7777 FOREST LANE SUITE B-309 Dallas VI 75230 Professional Services 157450 US Foods Inc 1992 Forest Lane Garland TX 75042 Food Services 133964 4 642491 1474927 2117418 Medical Service Revenue 621110 25009170 25009170 0 0 0 0 25009170 0 0 0 0 Dietary Revenue 621990 80539 80539 0 0 0 0 80539 27207127 25089709 0 0 11574811 7308430 4266381 670334 423254 247080 1830414 1155738 674676 833398 526214 307184 3314983 2803336 511647 0 405009 255726 149283 38155 24091 14064 2412482 1523261 889221 1688 1066 622 925028 584070 340958 Shared Services 10897536 6880792 4016744 Medical Surgical Supplies 1153556 1153556 0 0 0 0 34057394 22639534 11417860 0 17229437 20260248 0 0 0 0 100835 103345 8583607 3884234 5622924 4699373 0 0 2333000 0 37887747 39557599 63173943 64620565 3387393 3523831 0 0 54322677 64816128 57710070 68339959 X 5463873 -3719394 5463873 -3719394 63173943 64620565 X -6850267 -2333000 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2509124 275935 2233189 4949018 2498076 2450942 1125465 1110223 15242 4699373 Due from Affiliates 39557599 39557599 LT Advances - Affiliates 64816128 64816128 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote OCH Holdings' financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2021, reads as follows: "The authoritative guidance in ASC 740 Income Taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The statute of limitations remains open for tax years 2018 through 2021 in Children's Health main taxing jurisdictions." true true X true X true X true true true false true true 16634 0 16634 0.0005 23099726 14115946 8983780 0.2638 201716 68117 133599 0.0039 0 0 23318076 14184063 9134013 0.2682 410485 243178 167307 0.0049 0 0.0 0 0.0 0 0.0 0 0.0 0 0 410485 243178 167307 0.0049 0 0 23728561 14427241 9301320 0.2731 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 0 0 0 X true true 1 1 Our Children's House 1340 Empire Central Dallas TX 75247 www.childrens.com 100383 X X Our Children's House 1 false false true X X X X X X X X X 19 true true false true X https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment X true 19 true https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment false true X 200.0 400.0 X X X X true true X X X true X (see statement in part VI) X (see statement in part VI) X (see statement in part VI) X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs of the community are included and prioritized within the joint CHNA conducted by Children's Health. The priority needs identified are health, economic security, safety, and education. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. Every other year, Children's Health recruits a citizen advisory council made up of key stakeholders serving children and knowledgeable in public health. These community leaders meet regularly to discuss children's health care issues and to contribute their experience, insights and expert recommendations for the Beyond ABC report prepared by Children's Health. The citizen advisory boards for Beyond ABC identify recommendations for advocates and public officials in order to improve the lives and health of children. Recent advisory boards have included city and county officials, former legislators, members of law enforcement, school district administrators, nonprofit organizations' executives, child-advocacy representatives, chambers of commerce and senior staff from corporations and financial institutions. Additionally, Children's Health participates in the regional healthcare partnership (RHP) task force, which was created as part of the Texas healthcare transformation and quality improvement program. Hospitals within each region work together to identify needs and develop plans to respond to those needs and transform the health care delivery system. Children's Health participates in the (RHP) for regions 9 and 10. Some of the organizations from which input was solicited for this year's CHNA are as follows: Dallas Independent School District, City of Dallas, Habitat for Humanity, American Heart Association, Children at Risk, Catholic Charities, ChildCareGroup, The Commit Partnership, Dallas Children's Advocacy Center, Dallas County Health & Human Services, Dallas-Fort Worth Hospital Council, Dallas Housing Authority, Genesis Women's Shelter, Momentous Institute, North Texas Food Bank, Reese-Jones Center for Foster Care Excellence, TexProtects, The Concilio, United Way of Metropolitan Dallas, Dallas Regional Chamber, Dallas College, Jewish Family Service of Greater Dallas, Los Barrios Unidos, Axxess, Assistance Center of Collin County, Capital One, Children's Advocacy Center of Collin County, City of Plano, Collin County District Attorney's Office, Frisco Family Services, LifePath Systems, Plano ISD, Texoma Council of Governments, Veritex Bank, Raise Your Hand Texas, Texas Muslim Women's Foundation, Richardson ISD, Atmos Energy, Hope Clinic of McKinney. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. As a part of Children's Health, OCH Holdings doing business as Our Children's House (OCH) collaborated on the 2021 Children's Health joint community health needs assessment (CHNA). The collaboration was conducted with Children's Medical Center of Dallas (CMCD) and Children's Medical Center Plano (CMCP). The Children's Health CHNA collaboration was conducted in compliance with the final federal regulations to section 501(r), specifically §1.501(r)-3(b)(6)(v) joint CHNA reports. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. Upon conducting the CHNA and developing the community health implementation strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the publicly available CHNA and community health implementation strategy. Actions taken during the tax year to address significant health needs identified through its most recently conducted CHNA include the following: HEALTH: Nearly two-thirds of the children we serve at children's health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition and Enroll North Texas, two coalitions that work on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at Children's Health help eligible families with children enroll in chip and Medicaid, ensuring North Texas families have access to health care. In 2021, the Children's Health Community Outreach Team directly served almost 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Children's Health is using telemedicine to provide more children access to behavioral health care and address youth mental health issues such as anxiety, bullying and depression. In 2017, children's health launched an integrated Tele-Behavioral Health Program that connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. School-based tele-behavioral health services are now available to students in more than 270 schools across North Texas. ECONOMIC SECURITY: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. these broad-based coalition groups are dedicated to working together to raise awareness about the importance of quality early education, coordinate advocacy efforts and increase funding for quality early learning to ultimately ensure a strong future workforce. Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for different programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), and the public charge. The Children's Health Community Relations team also helps eligible families and children enroll in other government assistance programs, such as SNAP and TANF, and provides referrals to additional community resources and services. SAFETY: The Rees-Jones Center for Foster Care Excellence at Children's Health is the only clinic in North Texas dedicated to exclusively providing integrated primary medical care for children in foster care. Our providers are experienced in treating victims of abuse and neglect and provide a wide range of support to caregivers and families. Through health services, research, policy analysis and medical education, the Center's experts promote policies and practices that advance care and outcomes for children and families in the child welfare system. EDUCATION: Children's Health is part of a community-wide initiative led by the Dallas-Fort Worth hospital council to train 10,000 people in mental health first aid, a national curriculum that teaches lay people how to identify and respond to a mental health crisis. Children's Health has three behavioral health clinicians who are certified in the youth mental health first aid curriculum and provide the training to different groups, primarily schoolteachers and school administrative staff. This helps school personnel talk with students they identify as in need of behavioral health treatment and make appropriate referrals to care. In addition, the Children's Health Behavioral Health team meets with educators, parents, and others across the community to provide training on behavioral health topics to continue to increase awareness and end the stigma of mental illness. Developed in 2021, Children's Health launched a new initiative in March, 2022, the Behavioral Health Integration and Guidance (BHIG), in conjunction with the Meadows Mental Health Policy Institute to train pediatric primary care providers to identify, diagnose and treat mild to moderate behavioral health conditions in the scope of their primary care practice. This initiative will assure that children receive treatment earlier on in the disease process and reserve child psychiatry and other specialty behavioral health resources for more complex patient conditions. Thus far, 32 providers have completed the robust training curriculum increasing access to care to approximately 60,000 children and adolescents. Additional training cohorts will begin each quarter with this initiative growing in the years ahead. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. As a part of the Children's Health system, Our Children's House adheres to and is under the Children's Health Patient Financial Assistance Policy. Children's Health uses the federal poverty guidelines to determine eligibility for low-income individuals. 200% of the federal poverty guidelines is used for 100% charity adjustment, and 201% to 400% of the federal poverty guidelines is used for a sliding scale adjustment. Children's Health uses various documents and forms to verify income and expenses when determining the eligibility for financial assistance of a patient and their family. These documents include, but are not limited to, w-2 form, wage and earning statement, paycheck remittance, worker's compensation, unemployment compensation determination letters, income tax returns, statement from employer, bank statements, copy of checks, documents of sources of income, telephone verification of gross income with the employer, proof of participation in government assistance programs such as Medicaid, signed affidavit or attestation by patient, and veterans benefit statement. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. In addition to ensuring that the Children's Health charity care criteria is posted prominently and continuously in common entry points of the facility, a director of patient financial service ensures that the Children's Health charity care criteria is published at all times on its web site. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT Beginning with calendar year 2016, OCH Holdings dba Our Children's House was required to file a Community Benefit Plan with the State of Texas as required by Senate Bill 427. Any state community benefit reporting prior to calendar year 2016 was required of the predecessor organization that conducted the activities of Our Children's House. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED) Medicaid/Chip Outreach: The Children's Health CHIP and Medicaid outreach program helps families access low-cost or no-cost health insurance coverage through the Children's Health Insurance Program (CHIP) or Children's Medicaid, respectively. Both programs cover office visits, prescription drugs, dental care, eye exams, glasses and more. Dedicated outreach representatives help families apply for assistance throughout the community, whether it is at a child's school, library or other community-based location. In 2021, the Children's Health Community Outreach Team directly served almost 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Children's Health Website: Our hospital web site, www.childrens.com, empowers parents with information about childhood illnesses, prevention, treatment and services available throughout the system. More than 1,300 common pediatric topics are addressed on the web site. Also available are interactive guides promoting healthy living. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Children's Health also known as Children's Health System of Texas Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Children's Health uses Worksheet 2 from the Form 990, Schedule H instructions to calculate the costs for Part I, Line 7 and ratio of patient care cost to charges attributable to community benefits. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount As a part of Children's Health System of Texas (Children's Health), Our Children's House adheres to the Children's Health processes and methodologies for calculating bad debt expense. Children's Health has agreements with third-party payors that generally provide for payments at amounts different from its established charges. For uninsured patients who do not qualify for charity care, Children's Health recognizes revenue based on established charges subject to certain discounts and implicit price concessions. Children's Health determines the transaction price based on standard charges for services provided, reduced by explicit price concessions provided to third-party payors. Discounts are provided to uninsured patients in accordance with policy and implicit price concessions provided to uninsured patients. Explicit price concessions are based on contractual agreements, discount policies and historical experience. Implicit price concessions represent differences between amounts billed and the estimated consideration children's health expects to receive from patients which are determined based on historical collection experience and other factors. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization's financial statements do not contain a bad debt footnote. Children's Health has adopted ASU 2016-09 which treats the provision for doubtful accounts as an implicit price concession within net patient service revenue. the provision for doubtful accounts in no longer separately stated as a reduction to net patient service revenue. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The source used to determine the amount reported as Medicare allowable costs on Part III, line 6 was 2021 gross charges for Medicare multiplied by the cost to charge ratio from worksheet 2. Per IRS revenue ruling 69-545, treating patients with Medicare coverage is an indication that the hospital is working to promote community health while understanding that such costs of treatment may exceed government reimbursement. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance As a part of Children's Health System of Texas (Children's Health), Our Children's House adheres to and follows Children's Health collection policy and practices. If a patient qualifies or is attempting to qualify for assistance under the children's health financial assistance policy and is attempting in good faith to settle an outstanding bill by negotiating a reasonable payment plan or by making regular partial payments of a reasonable amount, the unpaid bill will not be sent to any collection agency or other assignee. Children's Health does not engage in extraordinary collection actions against patients to obtain payment of care. Schedule H, Part V, Section B, Line 16a FAP website - Our Children's House: Line 16a URL: (see statement in part VI); Schedule H, Part V, Section B, Line 16b FAP Application website - Our Children's House: Line 16b URL: (see statement in part VI); Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Our Children's House: Line 16c URL: (see statement in part VI); Schedule H, Part VI, Line 2 Needs assessment As a part of the Children's Health System of Texas (Children's Health), OCH Holdings Dba Our Children's House (OCH) adheres to the Children's Health processes and procedures for assessing the health care needs of the communities it serves. Children's Health produced a 2019 community health needs assessment from an integrated system perspective that includes all three licensed hospital facilities. In addition, Children's Health produced "Beyond ABC," a comprehensive quality-of life report on children in the North Texas counties of Dallas, Collin, Cooke, Denton, Fannin And Grayson. Since 1996, Children's Health has published Beyond ABC. The report tracks not only health and safety factors, but also economic and education data. these reports provide trended data on more than 50 indicators of well-being for children in our community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Children's Health makes extensive efforts to inform and educate patients and patient's families about eligibility for financial assistance. The Children's Health Financial Assistance Policy and financial assistance application are made widely available online and in print, along with a plain language summary of the financial assistance policy. The plain language summary of the financial assistance policy is provided at patient discharge. All three documents are available without charge and available in the primary languages spoken by LEP populations. A copy of the plain language summary of the financial assistance policy is provided to patients on discharge. In addition, Children's Health Financial counselors or customer service representatives work with patients' guardians/guarantors to ensure that all public and voluntary assistance programs are fully explored. Children's Health has a financial program for patients who are considered indigent and do not qualify for a federal or state program. The eligibility criteria for financial assistance is based upon federal poverty guidelines published annually. Patients eligible for financial assistance will have charges reduced to the lowest level charged to individuals who have insurance covering such care. Gross charges will not be used to calculate patient's bills. Schedule H, Part VI, Line 4 Community information Community Served by OCH Holdings dba Our Children's House Our Children's House, hospital facility is currently located at 1340 Empire Central Dallas, Texas. The city of Dallas is the county seat of Dallas County. The city of Dallas is one of the most populous cities in Texas, as well as the United States. Identification and Description of Geographical Community The city of Dallas is the third largest city in Texas. The city of Dallas is accessible from I- 30, I-35e, I-45 and I-635. Patients primarily originate from Texas (98 percent). Nearly 46 percent of discharges at Children's Health originate in Dallas county, Texas. Collin county is the sixth-most populous county in Texas and includes two of the fastest growing cities in the nation - Frisco and McKinney. For Children's Health fiscal year ending December 31, 2021, 71.4 percent of inpatient discharges and 79.3 percent of outpatient visits originated in the six counties referred to as North Texas in the 2020-2021 Beyond ABC report - Dallas, Collin, Cooke, Denton, Fannin and Grayson Counties. The U.S. Bureau of Census has compiled population and demographic data based on the 2020 census. Data shows Dallas-Fort Worth is the country's fourth largest metro area, with 7,637,387 residents counted. DFW was one of only three U.S. metro areas to gain at least 1.2 million residents over the decade, behind Houston and New York City. More than 1.19 million children live in the six North Texas counties featured in the Beyond ABC report, including Dallas, Collin, Cooke, Denton, Fannin and Grayson counties. The child population in Dallas County increased by 3.2 percent from 2014-2019, from 664,584 to 685,833. The population self-identifying as white non-Hispanic decreased from 18.8 percent in 2014 to 16.8 percent in 2019. At the same time, the proportion of the child population identifying as Hispanic or Latino (of any race) increased from 52.1 percent to 53.4 percent. Over that time, the proportion of children identifying as Black remained nearly constant, changing from 22.5 percent to 22.2 percent. The population of Asian children increased from 4.6 percent to 5.3 percent. From 2014-2019, the child population in Collin County grew by about 10 percent. Collin County is becoming more diverse. Of the 255,940 children living in Collin County in 2019, just under half, 49.7 percent, were white, while 19.7 percent were Hispanic or Latino. Nearly 1 in 10 (9.9 percent) of Collin County children were Black, and 15.6 percent were of Asian descent. The white children no longer comprise a majority, and the Black and Asian shares of the child population increased by about 5 and 26 percent, respectively. Schedule H, Part VI, Line 5 Promotion of community health The sole member of OCH Holdings dba Our Children's House (OCH) is Children's Health Clinical Operations (Children's Health), an organization described in IRC Section 501(c)(3). The mission of Children's Health is to make life better for children. With oversight from a board of directors comprised of individuals who are representative of the community served, children's health promotes health and benefits to the community through its licensed hospital. OCH provides both inpatient and outpatient care for conditions such as communication disorders, developmental delay, traumatic brain injury, feeding disorders, congenital disorders, chromosomal abnormalities, premature birth and more, which furthers the exempt purposes of OCH. Parents of patients at OCH find an extraordinary amount of support, education and counseling. An average inpatient length of stay is approximately 25 days due to the time required to progress rehabilitative care and therapy while also equipping parents to care for their children in a home setting. Children's Health medical staff is open to physicians in the community who meet all requirements outlined in the Children's Health medical and dental staff bylaws. Children's Health considers it a privilege and responsibility to serve as advocates for kids in Texas and across the country. Through programmatic initiatives, organizational partnerships and community events, Children's Health spreads its influence throughout the region and provides area children with much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's Health is committed to connecting families to the services they need. COMMUNITY OUTREACH Expanding Access to Pediatric Mental Health Services: With behavioral health needs in children only increasing as a result of the pandemic, Children's Health is working to expand access to behavioral health services for children when and where they need them most. Our school-based tele-behavioral health program connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. We currently have 272 school-based behavioral health sites across North Texas. Safeguarding access to CHIP and Medicaid/increase the number of insured Texas children: Nearly two-thirds of the children we serve at Children's Health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition and Enroll North Texas, two coalitions that work on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at Children's Health help eligible families with children enroll in CHIP and Medicaid. In 2021, the Children's Health Community Outreach Team directly served more than 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Ensuring all working parents, including low-income families, have access to affordable, safe and quality childcare: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. These broad-based coalition groups are dedicated to raising awareness about the importance of quality early education, coordinating advocacy efforts and increasing funding for quality early learning. Combating Child Poverty: Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), and the public charge. The Children's Health Community Relations team also helps eligible families and children enroll in other government assistance programs, such as SNAP and TANF, and provides referrals to additional community resources and services. Expanding trauma-informed care education, training and intervention throughout the child welfare system: The Rees-Jones Center for Foster Care Excellence at Children's Health provides integrated primary care for children in foster care, many of whom have experienced abuse and neglect. As a regional leader in trauma-informed care, the center collaborates with school districts, child welfare organizations and other community partners to facilitate trauma-informed trainings and curriculums for educators, providers, volunteers and caregivers. COMMUNITY-BASED PROGRAMMING In recent years, Children's Health has strengthened and expanded our community programs and services to catalyze wellness from the ground up, ultimately creating a healthier community. By working with community leaders and organizations to meet families where they are, we connect health care providers across the community to better integrate care for children. Children's Health encourages organizations to provide wellness programs and primary-care options in non-traditional locations such as neighborhood churches and community centers. These programs include school-based health care, Asthma Management, Get Up and Go Weight Management, Injury Prevention and CHIP/Medicaid Outreach and Community Forums. Asthma Management Program: The Children's Health asthma management program, certified by the joint commission, is a free three-to six-month education and care coordination program to help children age 18 and younger better manage their asthma condition. The program works by connecting with patient families and their health care provider to establish a management plan. It has proven to reduce asthma-related emergency room visits and school absences, ultimately helping children with an asthma diagnosis experience symptom-free sleep, learning and play. Children's Health Andrews Institute for Orthopedics & Sports Medicine: The only institute of its kind in the region, Children's Health Andrews Institute gets athletes back on the field and ensures kids have access to performance training and health care services. Developed under the direction of nationally renowned orthopedic surgeon Dr. James Andrews, the state-of-the-art facility offers a spectrum of services including orthopedic surgery, a same-day fracture clinic, spinal care, sports rehabilitation, performance training and nutrition programs. Get Up and Go Weight Management Program: Designed by physicians and registered dieticians, get up and go addresses the needs of children with high weight or obesity by creating awareness and understanding of how lifestyle choices impact health. This free 10-week physician-referred weight management program for children and families is offered at several YMCA locations in Dallas and Collin counties. Injury Prevention: With evidence-based education tools, both in the hospital and community, the injury prevention services at Children's Health help keep children safe from unintentional and traumatic injuries. From car seat safety to water safety, our program provides educational materials and interactive events in both English and Spanish. School-Based Telehealth: Children's Health connects with school nurses in more than 500 schools to deliver school-based telehealth services to students across North Texas. Whether a child is at school, or learning virtually at home, he or she can connect with a physician or nurse practitioner at Children's Health through innovative video technology. This program is a convenient option for expert care. Tele-behavioral Health: With behavioral health needs in children only increasing as a result of the pandemic, Children's Health is working to expand access to behavioral health services for children when and where they need them most. Our school-based tele-behavioral health program connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. We currently have 272 school-based behavioral health sites across North Texas. Children's Health Community Forums: Children's Health serves as a community convener by offering free quarterly forums. All forums are open to the community and offer a thought-provoking speaker touching on a Beyond ABC report pillar with the opportunity to grow, network, and collaborate with other members of the community. These forums facilitate the sharing of information and foster a stronger fabric of communication and collaboration among organizations. Schedule H, Part VI, Line 6 Affiliated health care system OCH Holdings dba Our Children's House is a part of Children's Health System of Texas. Children's Health is one of the largest and most prestigious pediatric health care providers in the country and the leading pediatric health care system in North Texas. The Children's Health System includes our flagship hospital, Children's Medical Center Dallas, as well as Children's Medical Center Plano, Our Children's House Inpatient Rehabilitation Hospital, Multiple Specialty Centers, Rehabilitation Facilities, Physician Services and The Children's Medical Center Research Institute at Ut Southwestern. Children's Health provides a full spectrum of health care services - from daily wellness and primary care to specialty visits and critical care. children's health is affiliated with UT Southwestern as the official pediatric teaching hospital for the medical school. This provides North Texas families access to a world-renowned medical faculty and transformative biomedical research. Children's Health has been consistently named one of the nation's top pediatric providers by U.S. News & World Report. Schedule H, Part VI, Line 7 State filing of community benefit report TX true true false false false false false false false David T Berry Former Officer 0 639433 0 349623 0 231726 0 227356 0 34446 0 1482584 0 0 Joe Cavender Former Officer 0 275234 0 178655 0 97343 0 89518 0 39446 0 680196 0 0 Christopher J Durovich Former Officer 0 1595313 0 1734814 0 59420 0 19530 0 42712 0 3451789 0 0 Vanessa U Walls Former Officer 0 446536 0 215771 0 125198 0 169549 0 43587 0 1000641 0 0 Peter C Perialas Jr Director & President and COO 0 911324 0 489187 0 147838 0 294900 0 32707 0 1875956 0 0 Tammy Webb Director & Chief Nursing Officer 0 440318 0 237983 0 7904 0 146600 0 25790 0 858595 0 0 Matthew M Davis Chairman 0 533317 0 233223 0 126599 0 179700 0 25724 0 1098563 0 0 Robert S Fries Chief Financial Officer (Effec. 11/07/2021) 0 442790 0 104395 0 4374 0 87025 0 44802 0 683386 0 0 Jeremiah Radandt Treasurer (Term. 11/06/2021) 0 650988 0 396638 0 1865110 0 210639 0 37522 0 3160897 0 0 Kelli Terpstra Administrator 0 218413 0 90143 0 5032 0 46150 0 40367 0 400105 0 0 Amy Yeager Chief Legal Officer and Secretary 0 494517 0 256916 0 10597 0 162960 0 48768 0 973758 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation OCH Holdings (The "Corporation") has no employees. Certain individuals identified herein as Directors and Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, compensation decisions for the Directors and Officers were determined by the related organization following CHST compensation's policy. in their duties as Directors and Officers of the corporation, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4a Severance or change-of-control payment Jeremiah Radandt - $1,125,000 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J. Durovich - $13,569 David Berry - $193,414 Matthew Davis - $120,845 Peter Perialas - $137,823 Jeremiah Radandt - $736,271 Vanessa Walls - $63,175 Joe Cavender - $66,996 Employees who participated in and have contributions to the EDCRP include: David Berry - $202,340 Matthew Davis - $162,300 Robert Fries - $80,642 Peter Perialas - $277,500 Jeremiah Radandt - $199,039 Vanessa Walls - $151,696 Tammy Webb - $135,000 Amy Yeager - $151,360 Joe Cavender - $61,462 Kelli Terpstra - $27,740 Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OFFICERS OCH HOLDINGS (The "Corporation") has no employees. Certain individuals identified herein as Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). As set forth in the Schedule R, the Corporation and CHST are related organizations. In their duties as Officers of the Corporation, they have no influence over the compensation process performed by CHST, which is explained in Schedule J, Part I, Line 3. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons David Berry, Peter Perialas, Jeremiah Radandt, and Amy Yeager - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CHCO is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHCO elects all voting members of the organization's board of directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the the organization's bylaws and represent those actions which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the CHST Audit Committee for review. A copy of the Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances IMPAIRMENT LOSS - -2333000; Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX NA C Corporation false false false true false true false false false false false false true false true true false false false true