CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202123169349306822
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T13:01:02-06:00 | 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 | 750800628 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Health Clinical Operations | 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 | Yes (true) | 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 | David Berry | 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 | $1,469,156,130 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.childrens.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | Dedicated to making life better for children | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 447 | TotalVolunteersCnt |
| Total Gross UBI | $690,657 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,450,063 | PYContributionsGrantsAmt |
| CY Contributions Grants | $81,036,482 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,527,213,579 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,381,155,945 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,752,780 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,946,660 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,615,213 | PYOtherRevenueAmt |
| CY Other Revenue | $4,017,043 | CYOtherRevenueAmt |
| PY Total Revenue | $1,567,031,635 | PYTotalRevenueAmt |
| CY Total Revenue | $1,469,156,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $209,950 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $472,979,603 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $466,234,126 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $839,190,424 | PYOtherExpensesAmt |
| CY Other Expenses | $827,903,725 | CYOtherExpensesAmt |
| PY Total Expenses | $1,312,379,977 | PYTotalExpensesAmt |
| CY Total Expenses | $1,294,137,851 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $254,651,658 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $175,018,279 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,442,112,992 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,393,536,023 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $629,739,664 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,171,930,717 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,812,373,328 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,221,605,306 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Children's Health Clinical Operations is dedicated to making life better for children. Children's is committed to carry out this mission through adherence to four guiding principles: quality care; research & innovation; education & advocacy; and excellence & accountability. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,008,208,393 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,381,819,442 | RevenueAmt |
| Desc | Consistent with its charitable mission, Children's Health maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The local service regions stretch from the Oklahoma border south to Waco and from Parker County (west of Ft. Worth) east to Wood County. Children's Health participates in applicable government sponsored entitlement programs. During 2020, Children's Health served children through more than 539,000 patient encounters. In recognizing its mission to the community, Children's Health participates in the Medicaid, Medicare, Children's Health Health Insurance Program (CHIP), and Children with Special Health Care Needs (CSHCN) government programs. Under an agreement with the Dallas County Hospital District, Children's Health provides services to the indigent children of Dallas County. Children's Health is the primary pediatric teaching hospital for the University of Texas Southwestern Medical School at Dallas and has one of the largest pediatric training program in the country. Children's Health offers fellowships/residencies in pediatric sub-specialties, as well as internships and fellowships/residencies in nursing, dentistry, allied health, social sciences, and religious studies. In addition to internship and fellowship programs, many students representing a variety of health care professions come to Children's Health to complete a pediatric rotation as a requisite of their training. In addition, through the affiliation with UTSW Medical Center, ongoing research is promoted in many different clinical areas of the hospital. The end goal of this research is the development of newer, more effective diagnostic & treatment methods to meet the health care needs of children. All research involving human subjects is approved by the Institutional Review Board at UTSW. Joint areas of research efforts between UTSW's Department of Pediatrics & Children's are: critical care, immunology, gastroenterology, emergency medicine, radiology, nutrition, endocrinology, psychiatry, cardiology, pharmacology, nephrology, neurology, pulmonology, rheumatology, infectious diseases & hematology/oncology. Many of these clinical studies have been published in medical journals & presented to professional health care societies. | Desc |
| Total Program Service Expenses | $1,008,208,393 | 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 | false | 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 | false | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | Yes (true) | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 810 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 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 | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Ed Heffernan | ||||||||
| Chairman | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Dardick | ||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Thomas A Montgomery | ||||||||
| Director | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| Amy Yeager | ||||||||
| EVP, CLO & Secretary | 1.0 | 54.0 | $0 | $596,605 | $167,297 | Yes (X) | ||
| David T Berry | ||||||||
| President | 1.0 | 54.0 | $0 | $1,124,048 | $240,422 | Yes (X) | ||
| Jeremiah Radandt | ||||||||
| EVP Fin & CFO | 1.0 | 54.0 | $0 | $847,291 | $229,097 | Yes (X) | ||
| Christopher J Durovich | ||||||||
| Former Officer and Director (CHST Pres. & CEO) | 0.0 | 60.0 | $0 | $4,062,464 | $73,462 | Yes (X) | ||
| Claud Kern Wildenthal MD PhD | ||||||||
| Former Officer | 0.0 | 0.0 | $0 | $372,163 | $0 | Yes (X) | ||
| James Herring | ||||||||
| Former Officer | 0.0 | 40.0 | $0 | $370,963 | $19,973 | Yes (X) | ||
| Richard P Goode | ||||||||
| Former Officer | 0.0 | 0.0 | $0 | $1,830,749 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,204,284 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $730,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 |
|---|---|---|---|---|---|
| JE DUNN CONSTRUCTION COMPANY | |||||
| 1001 Locust St | Kansas City | MO | 641061904 | Contruction Services | $10,117,284 |
| UTSW | |||||
| HI 108 5323 Harry Hines Blvd | Dallas | TX | 753908886 | Phys & Medical Svcs | $8,226,406 |
| PARKLAND MEMORIAL HOSPITAL | |||||
| PO BOX 660599 | DALLAS | TX | 75266 | STAFFING SERVICES | $5,666,265 |
| RIGHT SOURCING INC | |||||
| PO BOX 515743 | Los Angeles | CA | 900515118 | staffing services | $5,244,144 |
| PHI AIR MEDICAL | |||||
| PO BOX 90808 | LAFAYETTE | LA | 70509 | TRANSPORTATION SERVICES | $4,135,781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 211 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $13,697,750 | RelatedOrganizationsAmt |
| Government Grants | $67,338,732 | GovernmentGrantsAmt |
| Total Contributions | $81,036,482 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Revenue | 622110 | $1,321,243,007 | $1,321,243,007 | ||
| Other Medical Services Revenue | 622110 | $46,028,739 | $46,028,739 | ||
| Pharmacy & Lab Revenue | 622110 | $11,225,418 | $10,530,653 | $694,765 | |
| Rental Income from Affiliates | 531110 | $2,658,781 | $2,658,781 |
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 | $1,381,155,945 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,304,395 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$4,108 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,308,503 | 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) |
|---|---|---|
| Securities | $91,785 | SecuritiesAmt |
| Other | $550,480 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $91,785 | SecuritiesAmt |
| Other | $550,480 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $642,265 | TotalRevenueColumnAmt |
| Exclusion | $642,265 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Dietary Revenue | 621990 | $3,862,841 | $3,862,841 |
| Vending Revenue | 454210 | $154,202 | $154,202 |
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 | $4,017,043 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,469,156,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,381,819,442 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $690,657 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,609,549 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,079,602 | TotalAmt |
| Program Services | $258,818,132 | ProgramServicesAmt |
| Management And General | $104,261,470 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,423,927 | TotalAmt |
| Program Services | $13,846,177 | ProgramServicesAmt |
| Management And General | $5,577,750 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,802,384 | TotalAmt |
| Program Services | $41,203,926 | ProgramServicesAmt |
| Management And General | $16,598,458 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,928,213 | TotalAmt |
| Program Services | $18,482,701 | ProgramServicesAmt |
| Management And General | $7,445,512 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,088,594 | TotalAmt |
| Program Services | $196,601,062 | ProgramServicesAmt |
| Management And General | $21,487,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,756 | TotalAmt |
| Program Services | $552,278 | ProgramServicesAmt |
| Management And General | $222,478 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,277,104 | TotalAmt |
| Program Services | $12,315,084 | ProgramServicesAmt |
| Management And General | $4,962,020 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,508,270 | TotalAmt |
| Program Services | $1,075,157 | ProgramServicesAmt |
| Management And General | $433,113 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,146,431 | TotalAmt |
| Program Services | $7,945,636 | ProgramServicesAmt |
| Management And General | $3,200,795 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,679 | TotalAmt |
| Program Services | $180,120 | ProgramServicesAmt |
| Management And General | $72,559 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,013,040 | TotalAmt |
| Program Services | $12,840,439 | ProgramServicesAmt |
| Management And General | $5,172,601 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,644,325 | TotalAmt |
| Program Services | $43,229,779 | ProgramServicesAmt |
| Management And General | $17,414,546 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,882 | TotalAmt |
| Program Services | $95,437 | ProgramServicesAmt |
| Management And General | $38,445 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Shared Services | $344,903,968 | $245,861,789 | $99,042,179 |
| Medical Surgical Supplies | $155,160,676 | $155,160,676 |
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 | $1,294,137,851 | TotalAmt |
| Program Services | $1,008,208,393 | ProgramServicesAmt |
| Management And General | $285,929,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $625,220 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $620,580,921 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,349,464 | BOYAmt |
| EOY | $149,685,322 | 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 | $17,129,195 | BOYAmt |
| EOY | $19,062,141 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $503,215 | BOYAmt |
| EOY | $316,578 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,461,659,430 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $654,048,332 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,848,748 | BOYAmt |
| EOY | $807,611,098 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,496,306 | BOYAmt |
| EOY | $24,354,427 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,178,074 | BOYAmt |
| EOY | $17,936,066 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,396,607,990 | BOYAmt |
| EOY | $4,753,339,250 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,442,112,992 | BOYAmt |
| EOY | $6,393,536,023 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,206,882 | BOYAmt |
| EOY | $223,821,321 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,980,157 | BOYAmt |
| EOY | $834,603,831 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,552,625 | BOYAmt |
| EOY | $1,113,505,565 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,739,664 | BOYAmt |
| EOY | $2,171,930,717 | 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 | $2,216,802,530 | BOYAmt |
| EOY | $2,245,050,091 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,570,798 | BOYAmt |
| EOY | $1,976,555,215 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,812,373,328 | BOYAmt |
| EOY | $4,221,605,306 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,442,112,992 | BOYAmt |
| EOY | $6,393,536,023 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $175,018,279 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,040,011 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $232,173,688 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,051 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,051 | 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, CHCO 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), AHA (American Hospital Association), THA (Texas Hospital Association), TAVH (Texas Association of Voluntary Hospitals), 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,293,423 | OtherCostOrOtherBasisAmt |
| Book Value | $44,293,423 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,374,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $422,731,512 | DepreciationAmt |
| Book Value | $617,642,808 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,832,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,706,365 | DepreciationAmt |
| Book Value | $12,126,246 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $291,798,597 | OtherCostOrOtherBasisAmt |
| Depreciation | $219,610,455 | DepreciationAmt |
| Book Value | $72,188,142 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,360,479 | OtherCostOrOtherBasisAmt |
| Book Value | $61,360,479 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $807,611,098 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Net Assets of Foundation | $1,956,826,568 |
| LT Advances to Affliates | $2,792,037,672 |
| Investments in Affiliates | |
| Project Fund Escrow | |
| Mineral Rights | $4,475,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,753,339,250 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LT Deferred Rent | |
| LT - Loan Pay and Def Costs - Urban Ventures | |
| Defined Benefit Pension | |
| Other LT Liabilities | $25,388 |
| Due to Affiliates | $1,113,480,177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,113,505,565 | 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 | Children's Health Clinical Operations' 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, 2020, 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 2017 through 2020 in Children's Health main taxing jurisdictions." | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,906,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,906,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0084 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $689,889,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $644,881,603 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,008,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0348 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,877,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,736,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,141,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0086 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $745,673,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $678,618,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,055,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0518 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,049,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,818,520 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,231,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0079 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,865,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,437,502 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,427,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0312 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,048,525 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,477,999 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,570,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0074 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $386,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $386,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $70,350,284 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,734,021 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,616,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0468 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $816,024,017 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $688,352,101 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,671,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0987 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,027,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,027,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0016 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,027,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,027,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0016 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,924 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,699,664 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,239,963 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $459,701 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Children's Medical Center Dallas | ||||||||||||
| 1 | 1935 Medical District Drive | Dallas | TX | 75235 | www.childrens.com | 000143 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| Children's Medical Center Plano | ||||||||||||
| 2 | 7601 Preston Road | Plano | TX | 75024 | www.childrens.com | 100291 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | (See statement in Part VI) | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | (See statement in Part VI) | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | (See statement in Part VI) | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 A, 1 | Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. 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: Texoma Council of Governments, McKinney ISD, United Way of Metropolitan Dallas, TexProtects, Assistance Center of Collin County, CitySquare, Frisco Family Services, YMCA Of Metropolitan Dallas, Collin County District Attorney's Office, Dallas Housing Authority, Children At Risk, Dallas ISD, The Concilio, City of Dallas, , Plano ISD, Rees-Jones Center For Foster Care Excellence, Dallas Children's Advocacy Center, Dallas-Fort Worth Hospital Council, Genesis Women's Shelter, Lifepath Systems, The Commit Partnership, Dallas County Health & Human Services, Dallas Area Habitat For Humanity, Social Venture Partners Dallas, Catholic Charities of Dallas, City of Plano, Childcare Group, North Texas Food Bank, Momentous Institute, and American Heart Association - Dallas. |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. As a part of Children's Health, Children's Health clinical operations collaborated on the 2019 Children's Health joint community health needs assessment (CHNA). The collaboration was conducted with Children's Medical Center Plano (CMCP) and OCH holdings doing business as our children's house (OCH). 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 A, 1 | Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. 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 2020, the Children's Health Community Outreach Team directly served almost 3,800 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 200 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), the 2020 census and the public charge. The Children's Health Community Outreach team also helps eligible families and children enroll in other government assistance programs, such as SNAP, and provides referrals to additional community resources and services. SAFETY: 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. The trainings promote education about the effects of trauma and encourage effective, safe trauma-informed services and treatments. 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 five behavioral health clinicians who are certified in the youth mental health first aid curriculum and provide the forty-seven hours 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. During 2020, the children's health behavioral health team has conducted 2 mental health first aid trainings for youth. Needs not addressed: some issues identified through the Children's Health CHNA have not been addressed in this plan. In initial discussion and subsequent prioritization, the Children's Health needs assessment team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Children's Health. Children's Health community health implementation strategy includes details on needs not addressed. The following are some of the needs that have been identified in the current and prior assessments that are addressed by others or in different ways: safe and affordable housing, palliative care capacity/need for increased geriatric/long-term/home care resources, discourage elective deliveries/increase the percentage of women who receive prenatal care, provide comprehensive sexuality education/high incidence of STDS in RHP region 10, protect green spaces/add bike lanes/improve access to parks. There are community and state agencies that have greater expertise in housing, palliative care, prenatal care, sex education, and protecting green spaces in our community. At this time, these issues have not been incorporated into our community benefit plan because we do not have the infrastructure, expertise, or funding needed to have a significant impact in these areas. |
| Schedule H, Part V, Section B, Line 13 Facility A, 1 | Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. 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, W2 Form, wage and earning statement, pay check 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 A, 1 | Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Specialty Center Dallas Campus | |||||
| 2350 Stemmons Fwy | Dallas | TX | 75207 | Outpatient Specialty Care Center | |
| Specialty Center 1 Plano | |||||
| 7609 Preston Rd | Plano | TX | 75024 | Outpatient Specialty Care Center | |
| Specialty Center 2 Plano | |||||
| 7211 Preston Rd | Plano | TX | 75024 | Outpatient Specialty Care Center | |
| Specialty Center Cityville | |||||
| 2222 Medical District Drive | Dallas | TX | 75235 | Outpatient Specialty Care Center | |
| Specialty Center Bass Center | |||||
| 6300 Harry Hines Blvd | Dallas | TX | 75235 | Outpatient Specialty Care Center | |
| Specialty Center Grapevine | |||||
| 1643 Lancaster Dr Ste 300 | Grapevine | TX | 76051 | Outpatient Specialty Care Center | |
| Specialty Center Allen | |||||
| 8 Prestige Circle Ste 101 | Allen | TX | 75002 | Outpatient Specialty Care Center | |
| Specialty Center Frisco | |||||
| 7010 Preston Rd Ste 240 | Frisco | TX | 75034 | Outpatient Specialty Care Center | |
| Specialty Center North Rockwall | |||||
| 2455 Ridge Rd Ste 255 | Rockwall | TX | 75087 | Outpatient Specialty Care Center | |
| Specialty Center Waxahachie | |||||
| 1540 N Hwy 77 Bldg C Ste 10 | Waxahacie | TX | 75165 | Outpatient Specialty Care Center | |
| Specialty Center Mesquite | |||||
| 1675 Republic Pkwy Suite 190 | MESQUITE | TX | 75150 | Outpatient Specialty Care Center | |
| Specialty Center Richardson | |||||
| 3661 N Plano Rd Ste 3500 | Richardson | TX | 75082 | Outpatient Specialty Care Center | |
| Specialty Center Las Colinas | |||||
| 7453 Las Colinas Blvd | Irving | TX | 75063 | Outpatient Specialty Care Center | |
| Specialty Center West Plano | |||||
| 7000 West Plano Pkwy Ste 210 | Plano | TX | 75093 | Outpatient Specialty Care Center | |
| Specialty Center Park Cities | |||||
| 8160 Walnut Hill Lane | Dallas | TX | 75231 | Outpatient Specialty Care Center | |
| Sleep Disorders Center | |||||
| 2620 N Stemmons Fwy | Dallas | TX | 75207 | Outpatient Specialty Care Center | |
| Specialty Center South Rockwall | |||||
| 1005 W Ralph Hall Pkwy Ste 233 | Rockwall | TX | 75032 | Outpatient Specialty Care Center | |
| Specialty Center Drive Nation | |||||
| 2550 Rental Car DriveSuite 126 | Irving | TX | 75261 | Outpatient Specialty Care Center | |
| Specialty Center Desoto | |||||
| 534 East Pleasant Run Road | Desoto | TX | 75115 | Outpatient Specialty Care Center | |
| Specialty Center Tyler | |||||
| Medical Arts Plaza619 South Fleishe | Tyler | TX | 75701 | Outpatient Specialty Care Center | l Avenue |
| Children's Pavilion Surgery Center | |||||
| 2350 N Stemmons Fwy Ste 100 | Dallas | TX | 75207 | Outpatient Specialty Care Center | |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community Benefit Report | The Children's Health community benefit report is included as part of the organization's "BEYOND ABC" report, which is prepared by the Communications department in collaboration with the Community Relations department. |
| Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE | https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-andsupport |
| 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 7 STATE FILING OF COMMUNITY BENEFIT REPORT | Children's Medical Center of Dallas and Children's Medical Center Plano are required to file a Community Benefit Plan and Report with the State of Texas as required by Senate Bill 427. |
| 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 2020, the Children's Health Community Outreach Team directly served almost 3,800 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 at our hospitals or locations. More than 1,300 common pediatric topics are addressed on the web site. Also available are interactive guides promoting healthy living. Children's Health has launched numerous renovations and technological improvements as well as expansion of programs designed to better serve our patient families and the community, including the following programs and/or capital projects: -Development of the School-Based Telemedicine Program, virtual health options for employees and families and telespecialty programs provide access points for families across town or across the state. -A fully renovated Pediatric Intensive Care Unit at Children's Medical Center Dallas. -Comprehensive Emergency Room renovation at Children's Medical Center Dallas. -Expansion of the Heart Center at Children's Health through the addition of cardiology providers to the Children's Health Care Network. - Expansion of the Children's Medical Center Plano Campus. Building of the Children's Health Medical Office Building in Prosper. |
| 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 II Community Building Activities | Children's Health is passionate about maintaining a vocal presence in legislative affairs on the local, state, and federal levels, and is at the forefront of advocacy efforts that impact the community at large, from booster seat and car safety measures to critical funding for health care providers. Additionally, Children's Health collaborates extensively with stakeholders in coalitions like the Children's Hospital Association of Texas and The Texas Hospital Association in Austin, Texas, as well as the Children's Hospital Association in Washington, D.C. Through these affiliations, Children's Health is better able to advocate for the development of an effective, comprehensive and appropriately funded health care system in Texas and across the country. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in part i, line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that, bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in Part I, Line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application). |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Worksheet a from the as filed Medicare cost report and the IRS schedule h instructions to determine Medicare allowable costs. |
| 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), Children's Health Clinical Operations 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 | A - Children's Medical Center Dallas: Line 16a URL: (See statement in Part VI); |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - Children's Medical Center Dallas: Line 16b URL: (See statement in Part VI); |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - Children's Medical Center Dallas: Line 16c URL: (See statement in Part VI); |
| Schedule H, Part VI, Line 2 Needs assessment | 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. 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 Children's Health Clinical Operations Children's Medical Center Dallas, the flagship campus of the Children's Health, is located at 1935 Medical District Drive in Dallas, Texas, and is an academic medical center campus anchored by a 490-bed full-service hospital, including the only pediatric Level I trauma center in North 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. Children's Health has an inpatient facility located at a second campus in Plano, Texas, a 72- bed full-service hospital with two specialty centers, including the Children's Health Andrews Institute for Orthopedics & Sports Medicine. In addition, Children's Health includes Our Children's House, a 16-bed rehabilitation hospital located in Dallas. 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, 2020, 69 percent of inpatient discharges and 77 percent of outpatient visits originated in the six counties referred to as North Texas in the 2019-2020 Beyond ABC report - Dallas, Collin, Cooke, Denton, Fannin and Grayson Counties. Community Population and Demographics 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. Service to The Community Children's Health has a longstanding commitment to the community - one that reaches beyond hospital walls and into schools, social-service organizations, corporate boardrooms, city halls and legislative chambers. A large part of the Children's Health mission to make life better for children is a commitment to serving as a voice for the voiceless - an advocate for the children who have no vote and no lobbying group to speak on their behalf. Children's Health devotes itself solely to caring for the complex medical needs of children. Children's Health provides patient care ranging from simple eye exams to specialized treatment in areas such as heart disease, hematology-oncology and cystic fibrosis. In addition, Children's Health is a major pediatric kidney, liver, intestine and heart transplant center. Through its established injury prevention, advocacy program and disease management programs, the hospital works diligently to educate the community so that no child has to ever come through our doors. |
| Schedule H, Part VI, Line 5 Promotion of community health | The mission of Children's Health Clinical Operations (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 the community through its two licensed hospitals - Children's Medical Center Dallas and Children's Medical Center Plano. 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. As of the end of the 2020-2021 school year, the program is in 208 elementary, middle and high school campuses across nine North Texas counties. 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 2020, the Children's Health Community Outreach Team directly served almost 3,800 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), the 2020 census and the public charge. The Children's Health community outreach team also helps eligible families and children enroll in other government assistance programs, such as SNAP, and provides referrals to additional community resources. 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. Increase Education and Training Opportunities for Teachers in Mental Health: 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 eight-hour training primarily to schoolteachers and school administrative staff. 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 program, get up and go weight management program, and injury prevention program. 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. 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 through performance training and health care services. The facility offers a full spectrum of services including orthopedic surgery, a same-day fracture clinic, spinal care, sports rehabilitation, performance training and nutrition plans. 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, this 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 250 schools across nearly 30 school districts to deliver school-based telehealth services to students. 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. As of the end of the 2020-2021 school year, the program is in 208 elementary, middle and high school campuses across nine North Texas counties. 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 | Children's Medical Center Dallas and Children's Medical Center Plano are 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 (7 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 | ||||||||||||||
| Former Officer and Director (CHST Pres. & CEO) | $0 | $1,367,076 | $0 | $1,616,060 | $0 | $1,079,328 | $0 | $32,423 | $0 | $41,039 | $0 | $4,135,926 | $0 | $0 |
| Richard P Goode | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $0 | $1,830,749 | $0 | $0 | $0 | $0 | $0 | $1,830,749 | $0 | $0 |
| James Herring | ||||||||||||||
| Former Officer | $0 | $117,692 | $0 | $234,014 | $0 | $19,257 | $0 | $19,500 | $0 | $473 | $0 | $390,936 | $0 | $0 |
| Claud Kern Wildenthal MD PhD | ||||||||||||||
| Former Officer | $0 | $372,163 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $372,163 | $0 | $0 |
| David T Berry | ||||||||||||||
| President | $0 | $622,506 | $0 | $283,091 | $0 | $218,451 | $0 | $208,430 | $0 | $31,993 | $0 | $1,364,471 | $0 | $0 |
| Jeremiah Radandt | ||||||||||||||
| EVP Fin & CFO | $0 | $568,835 | $0 | $229,425 | $0 | $49,032 | $0 | $187,563 | $0 | $41,534 | $0 | $1,076,389 | $0 | $0 |
| Amy Yeager | ||||||||||||||
| EVP, CLO & Secretary | $0 | $432,519 | $0 | $158,686 | $0 | $5,400 | $0 | $127,949 | $0 | $39,348 | $0 | $763,901 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Childrens Health Clinical Operations (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). Therefore, compensation decisions for the officers were determined by the related organization following CHST compensation's policy. in their duties as officer 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 4b Supplemental nonqualified retirement plan | Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Christopher Durovich - $157,933 Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: David Berry - $182,830, Christopher Durovich - $660,818, James Herring - $17,654, and Jeremiah Radandt - $41,723. Employees who participated in and have contributions to the EDCRP include: David Berry - $197,030, Christopher Durovich - $12,923, Jeremiah Radandt - $176,163, and Amy Yeager - $116,549. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| New Hope Cultural Edu Facilities Fin Corp | ||||||||
| A | 261604618 | 645424AV4 | 2017-12-28 | $365,809,775 | Refund Series 2012 & 2009; New Const. | false | false | false |
| N Central Tx Hlth Fac Dev Corp Hosp | ||||||||
| B | 521304502 | 65854RBD1 | 2012-08-15 | $178,386,376 | Refund Series 2002 Bonds | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,480,000 | $0 | $365,809,775 | $0 | $0 | $95,019,329 | $0 | $0 | $0 | $54,002,458 | $216,787,988 | 2020 | false | Yes (true) | Yes (true) | Yes (true) | |
| B | $34,575,000 | $108,200,000 | $178,386,376 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $178,386,376 | Yes (true) | false | Yes (true) | Yes (true) | $0 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | false | Yes (true) | false | 0.002 | 0.0 | 0.002 | false | false | Yes (true) |
| B | 0.0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part III Column B | Series 2012 Bonds were issued for the purpose of currently refunding the Issuer's Hospital Revenue Bonds (Children's Medical Center of Dallas Project) Series 2002 (original issue date prior to December 31, 2002), therefore this issue is exempt from part III reporting. |
| Schedule K, Part II, Line 11 Column A & B | The other spent proceeds are the refunding proceeds of the issue that are no longer in escrow. |
| Schedule K, Part III, Line 3b Column A | These answers are marked no because bond counsel does not review these agreements, but the agreements are reviewed by internal counsel and compliance specialist to ensure compliance with the safe harbor guidelines. |
| Schedule K, Part III, Line 3d Column A | These answers are marked no because bond counsel does not review these agreements, but the agreements are reviewed by internal counsel and compliance specialist to ensure compliance with the safe harbor guidelines. |
| Schedule K, Part II, Line 2 Column B | The legally defeased bonds include $88,200,000 of principal that was advanced refunded by the 2017 issue and $20,000,000 refunded by a 2020 taxable issue. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a | CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR CHILDREN'S HEALTH CLINICAL OPERATIONS (CHCO) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CHCO. CHCO HAS APPROXIMATELY 5,300 EMPLOYEES. |
| Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | Childrens Health Clinical Operations (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, Jeremiah Radandt, and Amy Yeager - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Children's Health System of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | CHST 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 IX, Line 11g Other Fees | Consulting & Professional fees - Total Expense: 4114901, Program Service Expense: , Management and General Expenses: 4114901, Fundraising Expenses: ; Contract Medical - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Contract Services - Total Expense: 17372631, Program Service Expense: , Management and General Expenses: 17372631, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer of Investments to Foundation - -XXX-XX-XXXX; Pension Liability - -465600; NetAssets-CMCF-Unrestricted&Temp Restricted - XXX-XX-XXXX; NetAssets-CMCF-Endowment - 12907450; Gain on Extinguishment of Debt - 565692; Land Transfer to CHST - 50942426; |
Schedule R IRS990ScheduleR
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 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 |
| OCH Holdings | ||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 474837308 | Hospital | TX | 501(c)(3) | 3 | Children's Health Clinical Operations | Yes (true) |
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | NA | C Corporation | false | CJ | |||||
| Children's Health | ||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 833809987 | Other Medical Services | TX | NA | C Corporation | false | |
| CHST Physician Group 1 | ||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 813582843 | Physician | 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 | |
| Charitable Remainder Trust | ||||||||||
| Investments | TX | NA | Trust | false | ||||||
| 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 | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCH HOLDINGS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $13,504,324 | InvolvedAmt |
| Method Of Amount Determination | GAAP | MethodOfAmountDeterminationTxt |