Children's Health System of Texas: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: Children's Health System of Texas (EIN 75-2062019)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202103169349306035
Schema version: 2020v4.0
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 I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T13:02:10-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	750 N St Paul Suite 850	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	752013246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752062019	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Health System of Texas	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	2144567000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robert Fries	PersonNm
Person Title	EVP and Chief Financial Officer	PersonTitleTxt
Signature	2021-11-12	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Robert	PersonFirstNm
Person Last	Fries	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2147775200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Health	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christopher J Durovich	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$476,882,431	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	8422	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,842,176	PYContributionsGrantsAmt
CY Contributions Grants	$1,727,465	CYContributionsGrantsAmt
PY Program Service Revenue	$49,483,188	PYProgramServiceRevenueAmt
CY Program Service Revenue	$473,131,120	CYProgramServiceRevenueAmt
PY Investment Income	$1,623,703	PYInvestmentIncomeAmt
CY Investment Income	-$1,105,465	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$53,949,067	PYTotalRevenueAmt
CY Total Revenue	$473,753,120	CYTotalRevenueAmt
PY Grants And Similar Paid	$60,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$297,100	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,876,374	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$205,270,304	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	-$121,144,807	PYOtherExpensesAmt
CY Other Expenses	$239,222,678	CYOtherExpensesAmt
PY Total Expenses	$55,791,567	PYTotalExpensesAmt
CY Total Expenses	$444,790,082	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,842,500	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,963,038	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,076,884,114	TotalAssetsBOYAmt
Total Assets EOY	$1,327,985,975	TotalAssetsEOYAmt
Total Liabilities BOY	$1,803,320,648	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,094,736,468	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$726,436,534	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$766,750,493	NetAssetsOrFundBalancesEOYAmt
Mission	TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$136,884,043	ExpenseAmt
Grant	$297,100	GrantAmt
Revenue	$473,131,120	RevenueAmt
Desc	Children's Health System of Texas (CHST) assists in the management of related 501(c)(3) organizations that are part of an integrated pediatric health care system with a mission to make life better for children. CHST supports two full-service hospitals and one specialty hospital as well as an extensive network offering virtual, urgent, primary, specialty care and more to the children of North Texas and beyond.	Desc
Total Program Service Expenses	$136,884,043	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	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	755	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8422	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Amy Yeager	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2144567000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (55 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
Christopher J Durovich
President & CEO	57.0	3.0	Yes (X)	Yes (X)	$4,062,464	$0	$73,462
Anne Motsenbocker
Director	1.0	0	Yes (X)		$0	$0	$0
Caren Kline
Director	1.0	0	Yes (X)		$0	$0	$0
Charles Matthews Jr
Director	1.0	0	Yes (X)		$0	$0	$0
Connie O'Neill
Director	1.0	1.0	Yes (X)		$0	$0	$0
Ed Heffernan
Chairman	1.0	2.0	Yes (X)		$0	$0	$0
Lee Hobson
Director	1.0	0	Yes (X)		$0	$0	$0
Lee Jackson
Director	1.0	0	Yes (X)		$0	$0	$0
Lou Grabowsky
Director	1.0	0	Yes (X)		$0	$0	$0
Michael Dardick
Director	1.0	1.0	Yes (X)		$0	$0	$0
Rebecca Egelston Caso
Director	1.0	0	Yes (X)		$0	$0	$0
Robert A Chereck
Director	1.0	1.0	Yes (X)		$0	$0	$0
Steven M Gruber
Director	1.0	2.0	Yes (X)		$0	$0	$0
Thomas A Montgomery
Director	1.0	2.0	Yes (X)		$0	$0	$0
Amy Yeager
EVP Compliance & Legal Affairs (Effec. 9/13/2020)	51.0	4.0		Yes (X)	$596,605	$0	$167,297
James Herring
EVP & Chief of Staff (Term. 3/15/2020)	40.0	0.0		Yes (X)	$370,963	$0	$19,973
Jeremiah Radandt
President, Corporate Svcs & CFO	50.0	5.0		Yes (X)	$847,291	$0	$229,097
Julie C Hall-Barrow
SVP Network Development and Innovation	55.0	0		Yes (X)	$563,588	$0	$106,596
Kenneth Stewart
EVP Compliance & Legal Affairs	53.0	1.0		Yes (X)	$881,849	$0	$213,397
Keri A Kaiser
SVP Marketing and Comm., Chief Marketing Officer & Chief Exp. Officer	55.0	0		Yes (X)	$598,602	$0	$168,687
Kimberly Besse
EVP & Chief HR Officer	55.0	0		Yes (X)	$835,820	$0	$206,906
Lindsey Tyra
SVP Chief Strategy Officer (Effec. 9/13/2020)	55.0	0		Yes (X)	$302,113	$0	$380,890
Matthew P Moore
SVP Govt. and Community Relations & COS	50.0	0		Yes (X)	$458,654	$0	$151,562
Miya Maysent
SVP Talent Management (Effec. 6/22/2020)	55.0	0		Yes (X)	$144,621	$0	$98,048
Pamela Arora
SVP Information Svcs & CIO	55.0	0		Yes (X)	$1,001,024	$0	$191,738
Peter C Perialas
President CHCN & Chief Strategy Officer	52.0	3.0		Yes (X)	$1,169,124	$0	$268,219
Robert Fries
SVP Finance (Effec. 7/13/2020)	55.0	0		Yes (X)	$201,028	$0	$41,567
Thomas Burt
SVP Total Rewards and HR Operations	55.0	0		Yes (X)	$470,235	$0	$219,924
William M Elvey
SVP Facilities and Real Estate	55.0	0		Yes (X)	$590,917	$0	$40,196
Benigno Salinas
SVP Operations	55.0	0			$275,852	$0	$70,296	Yes (X)
Brenda Clayton
SVP Supply Chain	55.0	0			$315,729	$0	$68,467	Yes (X)
Chris Akeroyd
SVP & CIO	55.0	0			$385,242	$0	$97,484	Yes (X)
Coleman Skinner
SVP Revenue Cycle	55.0	0			$489,470	$0	$119,071	Yes (X)
David T Berry
President Strategic Capital Projects	2.0	53.0			$1,124,048	$0	$240,422	Yes (X)
Doris E Hunt
EVP Corporate Services	53.0	2.0			$725,632	$0	$85,208	Yes (X)
James Rhodes
SVP JPE Strategic Development	55.0	0			$303,300	$0	$70,468	Yes (X)
Javier Montemayor
SVP CCO Accreditation and Reg Affairs	55.0	0			$422,966	$0	$94,658	Yes (X)
Jean Storey
SVP Cardiac and Maternal Fetal and Neonatal Svcs	55.0	0			$464,803	$0	$107,125	Yes (X)
Jodi Landon
SVP Managed Care	55.0	0			$484,221	$0	$120,265	Yes (X)
Joe Cavender
SVP Dallas Market ACNO	55.0	1.0			$483,941	$0	$117,486	Yes (X)
Linda Dunlap
SVP Chief Process Officer	55.0	0			$414,310	$0	$107,494	Yes (X)
Mark E Ziemianski
SVP Advanced Analytics and Informatics CDO	55.0	0			$406,241	$0	$106,632	Yes (X)
Matthew M Davis
Dallas Market EVP	55.0	0			$739,530	$0	$172,561	Yes (X)
Ray Tsai MD
SVP Dallas Market Operations	49.0	6.0			$804,864	$0	$190,570	Yes (X)
Rustin Morse MD
SVP Quality and Safety	54.0	1.0			$416,096	$0	$61,070	Yes (X)
Tammy Webb
EVP Clinical Shared Svcs & CNO	53.0	1.0			$472,249	$0	$104,469	Yes (X)
Vanessa U Walls
Northern Market EVP	55.0	0.0			$648,593	$0	$138,064	Yes (X)
Brenda Paulsen
VP Research Admin Prof Svc Ops	40.0	0			$432,278	$0	$90,629		Yes (X)
Christopher Menzies
VP Chief Med Information Offcr	40.0	0			$563,765	$0	$107,629		Yes (X)
Dean Cannon MD
VP Medical Director CMC Health Plan	15.0	40.0			$434,537	$0	$262,214		Yes (X)
Patricia Gonzalez
Chief Health Equity and Inclusion Officer	40.0	0			$619,985	$0	$27,540		Yes (X)
William Long
VP and CISO and IS Ops	40.0	0			$923,502	$0	$75,687		Yes (X)
Brent E Christopher
Former Officer	0.0	55.0			$1,007,338	$0	$210,023			Yes (X)
Claud Kern Wildenthal MD PhD
Former Officer	0.0	0.0			$372,163	$0	$0			Yes (X)
Richard P Goode
Former Officer	0.0	0.0			$1,830,749	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$28,656,302	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,423,091	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1123	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
UTSW
5323 HARRY HINES BLVD	DALLAS	TX	753908886	HEALTHCARE SERVICES	$107,700,833
UNIQUE DIGITAL INC
10595 WESTOFFICE DRIVE	HOUSTON	TX	77042	IT SERVICES AND EQUIPMENT	$9,877,990
COLLE MCVOY LLC
400 1st Ave N	Minneapolis	MN	55401	Marketing	$9,288,380
CONNECTION
PO Box 536464	Pittsburg	PA	15253	IT services and equipment	$6,238,199
EPIC SYSTEMS CORPORATION
Box 88314	Milwakee	WI	53288	Healthcare Billing	$5,491,589

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	309	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,727,465	RelatedOrganizationsAmt
Total Contributions	$1,727,465	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health System Service Revenue	622110	$77,326,704	$77,326,704
Reimbursement of Shared Services	900099	$395,804,416	$395,804,416

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	$473,131,120	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,023,846	TotalRevenueColumnAmt
Exclusion	$2,023,846	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,129,311	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$3,129,311	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,129,311	TotalRevenueColumnAmt
Exclusion	-$3,129,311	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$473,753,120	TotalRevenueColumnAmt
Related Or Exempt Func Income	$473,131,120	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,105,465	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$124,600	TotalAmt
Program Services	$124,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$172,500	TotalAmt
Program Services	$172,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$26,730,418	TotalAmt
Program Services	$8,183,304	ProgramServicesAmt
Management And General	$18,547,114	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,322,834	TotalAmt
Program Services	$44,489,423	ProgramServicesAmt
Management And General	$100,833,411	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,212,636	TotalAmt
Program Services	$1,595,807	ProgramServicesAmt
Management And General	$3,616,829	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,195,580	TotalAmt
Program Services	$4,958,147	ProgramServicesAmt
Management And General	$11,237,433	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,808,836	TotalAmt
Program Services	$3,615,181	ProgramServicesAmt
Management And General	$8,193,655	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,483,994	TotalAmt
Management And General	$2,483,994	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$595,199	TotalAmt
Management And General	$595,199	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$141,822	TotalAmt
Management And General	$141,822	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,338,388	TotalAmt
Program Services	$12,043,133	ProgramServicesAmt
Management And General	$27,295,255	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,567,518	TotalAmt
Program Services	$4,459,729	ProgramServicesAmt
Management And General	$10,107,789	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$73,165,095	TotalAmt
Program Services	$22,398,909	ProgramServicesAmt
Management And General	$50,766,186	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,784,780	TotalAmt
Program Services	$17,384,206	ProgramServicesAmt
Management And General	$39,400,574	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,870,456	TotalAmt
Program Services	$3,021,761	ProgramServicesAmt
Management And General	$6,848,695	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$309,013	TotalAmt
Program Services	$94,602	ProgramServicesAmt
Management And General	$214,411	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$180,671	TotalAmt
Program Services	$55,311	ProgramServicesAmt
Management And General	$125,360	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,069,514	TotalAmt
Program Services	$7,368,689	ProgramServicesAmt
Management And General	$16,700,825	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,433,930	TotalAmt
Program Services	$4,418,832	ProgramServicesAmt
Management And General	$10,015,098	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical & Surgical Supplies	$2,348,459	$2,348,459
Bad Debt	$494,704	$151,450	$343,254
franchise and excise tax	$428,829		$428,829
insurance procurement tax	$10,306		$10,306

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	$444,790,082	TotalAmt
Program Services	$136,884,043	ProgramServicesAmt
Management And General	$307,906,039	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$80,226,687	BOYAmt
EOY	$218,188,763	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$375,026,021	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,306,675	BOYAmt
EOY	$30,804,572	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,247,349	BOYAmt
EOY	$11,607,192	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$42,819,225	BOYAmt
EOY	$43,915,245	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$357,533,780	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$199,128,261	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$144,928,406	BOYAmt
EOY	$158,405,519	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$251,239,274	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$399,329,751	BOYAmt
EOY	$613,825,410	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,076,884,114	BOYAmt
EOY	$1,327,985,975	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,738,582	BOYAmt
EOY	$59,844,836	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,299,919	BOYAmt
EOY	$3,872,709	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,747,282,147	BOYAmt
EOY	$2,031,018,923	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,803,320,648	BOYAmt
EOY	$2,094,736,468	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	-$726,436,534	BOYAmt
EOY	-$766,750,493	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$726,436,534	BOYAmt
EOY	-$766,750,493	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,076,884,114	BOYAmt
EOY	$1,327,985,975	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,963,038	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$69,276,997	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	10	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (8 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
Children's Health Clinical Operations
750800628	3	Yes (true)	$344,903,968	$0
Children's Medical Center Foundation
752062015	7	Yes (true)	$0	$0
Anesthesiologists For Children
752917570	9	Yes (true)	$5,778,744	$0
Dallas Phys Med Svcs for Children Inc
810584868	3	Yes (true)	$30,754,003	$0
Physicians For Children
752854505	3	Yes (true)	$0	$0
Complex Care Med Svc Corp
461893597	3	Yes (true)	$989,511	$0
Children's Medical Center Health Plan
462737696	9	Yes (true)	$356,224	$0
OCH Holdings
474837308	3	Yes (true)	$10,963,782	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	8	SupportedOrganizationsTotalCnt
Support Sum	$393,746,232	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule A, Part I, Line 12g(ii) Type of Organization

Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Physicians Quality Alliance of North Texas - 509(a)(3) Type I;

Schedule A, Part IV, Section C, Line 1 Majority director detail

The fact that the management of CHST is vested in the same persons that control and manage the supported organizations allows CHST and its supported organizations to function collectively as a health system. CHST provides management and administrative support to the supported organizations and various other services that further the supported organizations' tax-exempt purpose of providing health services to the community. The fact that one or more members of the core leadership team of each of the supported organizations is also a member of the CHST core leadership team assures that CHST is responsive to the needs and demands of the supported organizations.

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)
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$141,822	OtherActivitiesAmt
Total Lobbying Expenditures	$141,822	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	In 2020, CHST paid membership dues to organizations in which a portion of the membership dues were related to lobbying activities. NACH (National Association of Children's Hospitals), THA (Texas Hospital Association), THOT (Teaching Hospitals of Texas), and CHAT (Children's Hospital Association of Texas) identified a portion of their membership dues as being related to lobbying activities. Lobbying percentages were identified by said organizations and applied to 2020 membership dues. In addition, CHST paid professional and consulting fees related to other lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$69,975,251	OtherCostOrOtherBasisAmt
Book Value	$69,975,251	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,878,039	OtherCostOrOtherBasisAmt
Depreciation	$1,946,371	DepreciationAmt
Book Value	$10,931,668	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,894,085	OtherCostOrOtherBasisAmt
Depreciation	$1,706,100	DepreciationAmt
Book Value	$4,187,985	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,062,936	OtherCostOrOtherBasisAmt
Depreciation	$195,475,790	DepreciationAmt
Book Value	$50,587,146	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,723,469	OtherCostOrOtherBasisAmt
Book Value	$22,723,469	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$158,405,519	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investments in Affiliates	Desc
Book Value	$251,239,274	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$251,239,274	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Investments in Affiliates
UTSW Physician Guarantees	$2,480,648
Insurance Recoveries	$30,572,546
Due from Affiliates	$493,564,489
Operating Lease Assets	$87,207,727

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$613,825,410	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
LT Advances - Affiliates	$1,864,793,690
UTSW Phys Guarantees	$6,850,621
LT Deferred Rent	$480,936
LT Non-Qualified Plan
Reserve for Professional Liab	$41,957,630
Other Liabilities	$24,884,735
Other LT Liabilities
Operating Lease Liabilities	$92,051,311

Field	Value	IRS element (for citing)
Total Liability	$2,031,018,923	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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 2017 through 2020 in Children's Health main taxing jurisdictions.	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$27,563,184	RegionTotalExpendituresAmt

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	$27,563,184	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$27,563,184	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Ronald McDonald House of Dallas
4707 Bengal Street	Dallas	TX	75235	751609401	501(C)(3)	$50,000	BOOK	PROGRAM SUPPORT
The Crystal Charity Ball
3838 Oak Lawn Avenue Suite L150	Dallas	TX	75219	756035893	501(C)(3)	$25,000	BOOK	PROGRAM SUPPORT
Junior League of Dallas Inc
8003 Inwood Road	Dallas	TX	75209	751004680	501(C)(3)	$15,000	BOOK	PROGRAM SUPPORT
Children's Cancer Fund
4201 Spring Valley Suite 370	Dallas	TX	75244	752113401	501(C)(3)	$25,000	BOOK	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Grace Lee Scholarship	7	$21,000
James J. Farnsworth Scholarship	10	$10,000
Lisa Milonovich Scholarship	3	$10,500
May Smith Scholarship	20	$100,000
Nursing Division Tuition Assistance Program	4	$12,000
Women's Auxiliary Scholarship	10	$19,000

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	Standard policies and procedures for the grant administration process are established for the purpose of assisting staff in their efforts to administer grant programs in accordance with the rules and regulations governing those programs. It is the responsibility of the project director to monitor that the funds are used for their intended purpose. May Smith Scholars Program The heritage of nursing is rich at Children's Health, which traces its roots back to a clinic started by nurse May Forster Smith. This scholarship is named for Nurse Smith, who began an open-air clinic for infants in 1913. That pioneering spirit continues in the 21st century. The May Smith Scholars Program provides financial assistance for baccalaureate students interested in pediatric nursing. Eligibility Applicants must meet all of the following criteria to be eligible to apply for this scholarship: - Be a current sophomore or junior undergraduate baccalaureate nursing student. - Have a cumulative 3.0 GPA on a 4.0 scale. No exceptions will be made. Award Details - A limited number of scholarships in the amount of $5,000 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The scholarships will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit four-year colleges/universities in the United States. - Students may transfer from one institution to another and retain the award. Women's Auxiliary Scholarship Program The Women's Auxiliary to Children's Medical Center offers educational support to nursing and allied health students who are registered for, or currently enrolled in, an accredited program through the Educational Assistance Program for Nursing and Allied Health Students. Eligibility Applicants must meet all of the following criteria to be eligible to apply for this scholarship: - Be a current junior, senior or graduate student enrolled full or part-time in an accredited undergraduate, or graduate, nursing or allied health program. - Have a cumulative 3.0 GPA on a 4.0 scale. No exceptions will be made. Award Details - A limited number of scholarships in the amount of $3,000 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The scholarships will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit four-year colleges/universities in the United States. - Students may transfer from one institution to another and retain the award. - Interviews will be scheduled for those candidates who best meet the requirements of the program. Panel interviews may be scheduled to include staff from the student's chosen area of study. James J. Farnsworth Health Career Scholarship Program The James J. Farnsworth Health Career Scholarship offers educational support to students planning careers in pediatric health care. The scholarship is named in honor of James J. Farnsworth and was established from gifts to endowments made in tribute to Mr. Farnsworth by his friends and colleagues. Mr. Farnsworth served as president of Children's Medical Center Dallas, as part of Children's Health, for more than 30 years and was a fellow in the College of Healthcare Executives. Eligibility Applicants must meet all of the following criteria to be eligible to apply for this scholarship: - Be a current sophomore, junior, senior or graduate student, planning a career in pediatric healthcare. - Preference will be given to students who fall into the following categories: - Former patients of Children's Health - Current full or part-time employees - Former or current volunteers at Children's Health - Parent is employed at Children's Health - Parent is volunteer at Children's Health - Students demonstrating strong academic achievement No exceptions will be made. Award Details - A limited number of scholarships in the amount of $1,000 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The scholarships will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit four-year colleges/universities in the United States. - Students may transfer from one institution to another and retain the award. Grace Lee Scholarship for Clinical Education The Grace Lee Scholarship for Clinical Education recently was established in honor of Grace Lee, a former patient at Children's Health and in recognition of the exemplary care provided by clinical staff members who contributed to her comprehensive care. The scholarship will provide financial assistance for the continuing education of clinical employees who are direct caregivers at Children's Health. Eligibility Applicants must meet all of the following criteria to be eligible to apply for this scholarship: - Be a full-time clinical employee of Children's Health with two years of continuous employment at Children's Health as of the application deadline. - Be enrolled in or accepted into an accredited healthcare education program. - Be recommended by an immediate supervisor or department director. - Have a cumulative 3.0 GPA on a 4.0 scale. No exceptions will be made. Award Details - A limited number of scholarships in the amount of $3,000 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The scholarships will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit two- or four-year colleges/universities in the United States. - Students may transfer from one institution to another and retain the award. Lisa M. Milonovich Scholarship Program The Lisa M. Milonovich Scholarship for Nursing Education provides financial assistance to support those choosing nursing as a career path as well as those in nursing who want to further their education. Named in honor of Lisa M. Milonovich, a long-time, dedicated Advanced Practice Nurse at Children's Health, the scholarship was endowed by Lisa's family and many, many friends and colleagues who greatly admired her thirst for knowledge and achievements in nursing. Applicants must meet all of the following criteria to be eligible for this scholarship: - Be a full-time or part-time Children's Health employee with one year of continuous employment. - Maintain an overall grade-point average of 3.0 on a 4.0 scale or have a cumulative 3.0 GPA prior to being accepted into an accredited program. - Demonstrate financial need and a commitment to pursue additional education. Recipients may be graduating high school students, Nurses' Aides, LVNs, RNs, and/or those seeking advanced nursing degrees. - Commit to two years of additional employment at Children's Health after completion of the educational program for which the scholarship was awarded. Award Details - Scholarships may not be applied to room and board and cannot be used to purchase a laptop if not required for all students attending the institution or course. - A limited number of scholarships up to $3,500 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The scholarships will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit two- or four-year colleges/universities in the United States. - Students may transfer from one institution to another and retain the award. Nursing Division Tuition Assistance Program Overview The scholarship and tuition assistance programs available at Children's Health demonstrate the value we place on providing exceptional, highly qualified training for our clinical staff. As part of the Children's Health Nursing initiative to encourage all direct-care RNs to attain a BSN or higher by 2020, academic opportunities are essential. Scholarships for RNs seeking a BSN are available through the Nursing Division Tuition Assistance Program. Eligibility Applicants must meet all of the following criteria to be eligible for this award: - Be a full-time or part-time Children's Health employee. - Be in good standing with direct supervisor. - Be an existing Registered Nurse (RN) enrolled in a BSN completion program. Award Details - A limited number of awards in the amount of $1,000-$2,000 will be awarded each year. - Students may reapply each year as long as they continue to meet the eligibility criteria. - The tuition assistance program will be applied to tuition, fees, books, supplies and equipment required for course load at accredited, nonprofit two- or four-year colleges/universities in the United States.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (42 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
Christopher J Durovich
President & CEO	$1,367,076	$0	$1,616,060	$0	$1,079,328	$0	$32,423	$0	$41,039	$0	$4,135,926	$0	$0	$0
Brent E Christopher
Former Officer	$543,292	$0	$257,277	$0	$206,769	$0	$187,603	$0	$22,421	$0	$1,217,361	$0	$0	$0
Richard P Goode
Former Officer	$0	$0	$0	$0	$1,830,749	$0	$0	$0	$0	$0	$1,830,749	$0	$0	$0
Claud Kern Wildenthal MD PhD
Former Officer	$372,163	$0	$0	$0	$0	$0	$0	$0	$0	$0	$372,163	$0	$0	$0
Pamela Arora
SVP Information Svcs & CIO	$446,074	$0	$318,042	$0	$236,907	$0	$158,140	$0	$33,598	$0	$1,192,762	$0	$0	$0
Kimberly Besse
EVP & Chief HR Officer	$427,778	$0	$195,929	$0	$212,113	$0	$159,606	$0	$47,300	$0	$1,042,726	$0	$0	$0
Thomas Burt
SVP Total Rewards and HR Operations	$306,764	$0	$93,279	$0	$70,192	$0	$184,500	$0	$35,424	$0	$690,159	$0	$0	$0
William M Elvey
SVP Facilities and Real Estate	$307,516	$0	$150,962	$0	$132,439	$0	$10,634	$0	$29,561	$0	$631,113	$0	$0	$0
Robert Fries
SVP Finance (Effec. 7/13/2020)	$182,257	$0	$0	$0	$18,771	$0	$29,017	$0	$12,550	$0	$242,596	$0	$0	$0
Julie C Hall-Barrow
SVP Network Development and Innovation	$351,583	$0	$151,421	$0	$60,584	$0	$87,700	$0	$18,896	$0	$670,183	$0	$0	$0
James Herring
EVP & Chief of Staff (Term. 3/15/2020)	$117,692	$0	$234,014	$0	$19,257	$0	$19,500	$0	$473	$0	$390,936	$0	$0	$0
Keri A Kaiser
SVP Marketing and Comm., Chief Marketing Officer & Chief Exp. Officer	$341,559	$0	$160,598	$0	$96,445	$0	$124,555	$0	$44,132	$0	$767,289	$0	$0	$0
Miya Maysent
SVP Talent Management (Effec. 6/22/2020)	$142,419	$0	$0	$0	$2,202	$0	$77,577	$0	$20,471	$0	$242,669	$0	$0	$0
Matthew P Moore
SVP Govt. and Community Relations & COS	$312,165	$0	$88,484	$0	$58,005	$0	$128,515	$0	$23,047	$0	$610,216	$0	$0	$0
Peter C Perialas
President CHCN & Chief Strategy Officer	$719,613	$0	$298,253	$0	$151,258	$0	$237,046	$0	$31,173	$0	$1,437,343	$0	$0	$0
Jeremiah Radandt
President, Corporate Svcs & CFO	$568,835	$0	$229,425	$0	$49,032	$0	$187,563	$0	$41,534	$0	$1,076,389	$0	$0	$0
Kenneth Stewart
EVP Compliance & Legal Affairs	$596,279	$0	$275,310	$0	$10,261	$0	$191,400	$0	$21,997	$0	$1,095,247	$0	$0	$0
Lindsey Tyra
SVP Chief Strategy Officer (Effec. 9/13/2020)	$239,266	$0	$61,065	$0	$1,782	$0	$351,638	$0	$29,252	$0	$683,003	$0	$0	$0
Amy Yeager
EVP Compliance & Legal Affairs (Effec. 9/13/2020)	$432,519	$0	$158,686	$0	$5,400	$0	$127,949	$0	$39,348	$0	$763,901	$0	$0	$0
Chris Akeroyd
SVP & CIO	$268,338	$0	$67,253	$0	$49,652	$0	$63,286	$0	$34,198	$0	$482,726	$0	$0	$0
David T Berry
President Strategic Capital Projects	$622,506	$0	$283,091	$0	$218,451	$0	$208,430	$0	$31,993	$0	$1,364,471	$0	$0	$0
Joe Cavender
SVP Dallas Market ACNO	$269,101	$0	$131,670	$0	$83,170	$0	$79,500	$0	$37,986	$0	$601,427	$0	$0	$0
Brenda Clayton
SVP Supply Chain	$247,236	$0	$64,024	$0	$4,469	$0	$42,631	$0	$25,835	$0	$384,195	$0	$0	$0
Matthew M Davis
Dallas Market EVP	$428,327	$0	$186,094	$0	$125,108	$0	$148,027	$0	$24,534	$0	$912,090	$0	$0	$0
Linda Dunlap
SVP Chief Process Officer	$247,825	$0	$74,011	$0	$92,474	$0	$73,660	$0	$33,834	$0	$521,804	$0	$0	$0
Doris E Hunt
EVP Corporate Services	$412,485	$0	$181,246	$0	$131,901	$0	$47,983	$0	$37,225	$0	$810,840	$0	$0	$0
Jodi Landon
SVP Managed Care	$290,937	$0	$84,162	$0	$109,123	$0	$83,582	$0	$36,683	$0	$604,486	$0	$0	$0
Javier Montemayor
SVP CCO Accreditation and Reg Affairs	$298,847	$0	$71,819	$0	$52,300	$0	$75,026	$0	$19,632	$0	$517,624	$0	$0	$0
Rustin Morse MD
SVP Quality and Safety	$215,088	$0	$177,060	$0	$23,948	$0	$42,033	$0	$19,036	$0	$477,166	$0	$0	$0
James Rhodes
SVP JPE Strategic Development	$240,721	$0	$61,065	$0	$1,514	$0	$36,172	$0	$34,296	$0	$373,768	$0	$0	$0
Benigno Salinas
SVP Operations	$202,851	$0	$52,080	$0	$20,921	$0	$44,774	$0	$25,523	$0	$346,148	$0	$0	$0
Coleman Skinner
SVP Revenue Cycle	$333,662	$0	$89,155	$0	$66,652	$0	$80,589	$0	$38,482	$0	$608,540	$0	$0	$0
Jean Storey
SVP Cardiac and Maternal Fetal and Neonatal Svcs	$314,074	$0	$142,643	$0	$8,086	$0	$68,250	$0	$38,875	$0	$571,929	$0	$0	$0
Ray Tsai MD
SVP Dallas Market Operations	$380,257	$0	$214,957	$0	$209,649	$0	$144,723	$0	$45,847	$0	$995,434	$0	$0	$0
Vanessa U Walls
Northern Market EVP	$393,023	$0	$175,560	$0	$80,010	$0	$98,269	$0	$39,794	$0	$786,657	$0	$0	$0
Tammy Webb
EVP Clinical Shared Svcs & CNO	$378,879	$0	$41,147	$0	$52,222	$0	$79,765	$0	$24,704	$0	$576,718	$0	$0	$0
Mark E Ziemianski
SVP Advanced Analytics and Informatics CDO	$246,285	$0	$73,631	$0	$86,325	$0	$72,434	$0	$34,198	$0	$512,873	$0	$0	$0
Dean Cannon MD
VP Medical Director CMC Health Plan	$341,666	$0	$90,512	$0	$2,358	$0	$228,057	$0	$34,157	$0	$696,751	$0	$0	$0
Patricia Gonzalez
Chief Health Equity and Inclusion Officer	$63,525	$0	$92,757	$0	$463,703	$0	$17,474	$0	$10,065	$0	$647,525	$0	$0	$0
William Long
VP and CISO and IS Ops	$237,049	$0	$126,301	$0	$560,152	$0	$58,149	$0	$17,539	$0	$999,189	$0	$0	$0
Christopher Menzies
VP Chief Med Information Offcr	$376,173	$0	$100,771	$0	$86,820	$0	$95,251	$0	$12,378	$0	$671,393	$0	$0	$0
Brenda Paulsen
VP Research Admin Prof Svc Ops	$257,403	$0	$72,183	$0	$102,693	$0	$73,841	$0	$16,788	$0	$522,907	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	The Children's Health System of Texas (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 1a Discretionary spending account	The TBA (taxable benefit allowance) was designed to provide executives with reimbursement for travel related expenses between CHST and its Affiliates locations and to acquire supplemental benefits. There is currently only one officer who receives payments from the TBA.
Schedule J, Part I, Line 4a Severance or change-of-control payment	William Long - $283,000 Patricia Gonzalez - $288,600 Richard Goode - $1,830,749
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Pamela Arora - $77,688, Kimberly Besse - $28,610, Christopher Durovich - $157,933, Jodi Landon - $3,892, Ray Tsai - $8,306, Vanessa Walls - $13,767. Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Chris Akeroyd - $47,935, Pamela Arora - $150,439, David Berry - $182,830, Kimberly Besse - $154,968, Thomas Burt - $62,357, Joe Cavender - $57,337, Brent Christopher - $182,387, Matthew Davis - $120,958, Linda Dunlap - $65,123, Christopher Durovich - $660,818, William Elvey - $101,594, Patricia Gonzalez - $174,690, Julie Hall-Barrow - $53,927, James Herring - $17,654, Doris Hunt - $126,013, Keri Kaiser - $92,987, Jodi Landon - $80,656, William Long - $274,609, Christopher Menzies - $83,242, Javier Montemayor - $47,549, Matthew Moore - $56,023, Brenda Paulsen - $75,976, Peter Perialas - $145,975, Jeremiah Radandt - $41,723, Coleman Skinner - $63,090, Jean Storey - $4,971, Ray Tsai - $177,802, Vanessa Walls - $60,021, Mark Ziemianski - $62,682. Employees who participated in and have contributions to the EDCRP include: Chris Akeroyd - $55,343, Pamela Arora - $138,640, David Berry - $197,030, Kimberly Besse - $140,106, Thomas Burt - $165,000, Dean Cannon - $216,924, Joe Cavender - $60,000, Brent Christopher - $170,503, Brenda Clayton - $32,060, Matthew Davis - $130,927, Linda Dunlap - $56,845, Christopher Durovich - $12,923, Robert Fries - $29,017, Patricia Gonzalez - $11,100, Julie Hall-Barrow - $71,846, Doris Hunt - $32,395, Keri Kaiser - $107,455, Jodi Landon - $64,082, William Long - $49,595, Miya Maysent - $72,500, Christopher Menzies - $75,751, Javier Montemayor - $61,737, Matthew Moore - $113,885, Rustin Morse - $31,500, Brenda Paulsen - $56,741, Peter Perialas - $219,946, Jeremiah Radandt - $176,163, James Rhodes - $31,306, Benigno Salinas - $29,058, Coleman Skinner - $69,189, Kenneth Stewart - $180,000, Jean Storey - $48,750, Ray Tsai - $125,223, Lindsey Tyra - $334,538, Vanessa Walls - $81,169, Tammy Webb - $68,365, Amy Yeager - $116,549, Mark Ziemianski - $56,609.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	Christopher Durovich, James H erring, and Peter Perialas - Business relationship, Amy Yeager, Jeremiah Radandt, and Peter Perialas - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 is made available to the directors through our Board portal before it is filed with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	Officers, directors, and key employees annually receive 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 15a Process to establish compensation of top management official	The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and 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.
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	Non controlling interest in Joint Ventures - -15991443; Net Periodic pension costs - -61690; Transfer of Land from CHCO - -50942426; Live Oak Changes in Net Assets - -1784745; Pediatric Imaging Change in Net Assets - -496693;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHST HOLDINGS 1 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472374583	HEALTH CARE RELATED INVESTMENTS	TX	-$2,579,449	$2,888,001	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 2 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472819566	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 3 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472845243	HEALTH CARE RELATED INVESTMENTS	TX	-$9,072,098	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 4 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472851889	HEALTH CARE RELATED INVESTMENTS	TX	$2,018,886	$1,467,000	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST Investment Holdings LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472874792	HEALTH CARE RELATED INVESTMENTS	TX	-$4,276,403	$31,704,263	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST Holdings 6 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	811003744	HEALTH CARE RELATED INVESTMENTS	TX	$1,439,706	$6,767,473	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST Holdings 7 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	811010503	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
Pediatric Ambulatory Surgery Center Southlake LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	475207507	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
Pediatric Ambulatory Surgery Centers LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	475215454	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
Pediatric Imaging Associates LLC
1936 MEDICAL DISTRICT DRIVE	DALLAS	TX	75236	474371967	HEALTH CARE RELATED INVESTMENTS	TX	-$802,124	$3,582,416	CHILDREN'S HEALTH SYSTEM OF TEXAS
Pediatric Imaging Partners LLC
1937 MEDICAL DISTRICT DRIVE	DALLAS	TX	75237	472104673	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
Children's Health Imaging Center LLC
1938 MEDICAL DISTRICT DRIVE	DALLAS	TX	75238	384043597	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
Legacy Trail Surgery Center LLC
1939 MEDICAL DISTRICT DRIVE	DALLAS	TX	75239	822278618	HEALTH CARE RELATED INVESTMENTS	TX	$2,844,959	$9,672,148	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHSR LLC
1940 MEDICAL DISTRICT DRIVE	DALLAS	TX	75240	371865547	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 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
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	Yes (true)
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	Yes (true)
PHYSICIANS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752854505	PHYSICIANS	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752917570	PHYSICIANS	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
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	Yes (true)
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
OCH Holdings
1935 Medical District Drive	Dallas	TX	75235	474837308	Hospital	TX	501(c)(3)	3	Children's Health Clinical Operations	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	Yes (true)
Richmond Freeman Memorial Clinic
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	237079698	Hospital	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
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	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752244475	OTHER MEDICAL SERVICES	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$4,903,230	1	Yes (true)
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	Children's Health System of Texas	C Corporation	$18,818	$4,791,152	1	Yes (true)
Texas Trinity River Assurance Company
				981318151	Self-insurance		Children's Health System of Texas	C Corporation	$0	$27,563,184	1	Yes (true)	CJ
Children's Health
1935 Medical District Drive	Dallas	TX	75235	833809987	Other Medical Services	TX	Children's Health System of Texas	C Corporation	$0	$0	1	Yes (true)
CHST Physician Group 1
1935 Medical District Drive	Dallas	TX	75235	813582843	Physician	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)
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	Children's Health System of Texas	C Corporation	$0	$0	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Children's Medical Center Foundation
C	$1,727,465	GAAP
Anesthesiologists for Children
R	$6,027,125	GAAP
Children's Medical Center Health Plan
R	$373,179	GAAP
Dallas Physician Medical Services for Children
R	$30,601,943	GAAP
Physicians For Children
R	$579,753	GAAP
Complex Care Medical Services Corporation
R	$1,000,487	GAAP
Physicians Quality Alliance of North Texas
R	$4,717,037	GAAP
Children's Health Clinical Operations
R	$138,158,236	GAAP
Pediatric Partners
R	$356,070	GAAP
Children's Health Clinical Operations
L	$344,903,968	GAAP
Complex Care Medical Services Corporation
L	$989,511	GAAP
Pediatric Partners
L	$356,224	GAAP
Dallas Physician Medical Services for Children
L	$30,754,003	GAAP
Children's Medical Center Health Plan
L	$356,224	GAAP
Physicians Quality Alliance of North Texas
L	$1,701,959	GAAP
Anesthesiologists for Children
L	$5,778,744	GAAP