2021-11-12T13:01:02-06:00 2020-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2020-01-01 750800628 Children's Health Clinical Operations CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Robert Fries EVP and Chief Financial Officer 2021-11-12 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2020 2022-09-23 18:48:47Z Children's Health David Berry 1935 Medical District Drive Dallas TX 75235 1469156130 false X www.childrens.com X 1947 TX Dedicated to making life better for children 3 3 0 447 690657 0 19450063 81036482 1527213579 1381155945 8752780 2946660 11615213 4017043 1567031635 1469156130 209950 0 0 472979603 466234126 0 0 839190424 827903725 1312379977 1294137851 254651658 175018279 4442112992 6393536023 629739664 2171930717 3812373328 4221605306 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. false false 1008208393 0 1381819442 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. 1008208393 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true true false true false false false false false false false false false false false false false true true true false false true X 810 0 true 0 true true false false false false false false false false false false false false false X 3 3 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 Michael Dardick Director 1.0 1.0 X 0 0 0 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Amy Yeager EVP, CLO & Secretary 1.0 54.0 X 0 596605 167297 David T Berry President 1.0 54.0 X 0 1124048 240422 Jeremiah Radandt EVP Fin & CFO 1.0 54.0 X 0 847291 229097 Christopher J Durovich Former Officer and Director (CHST Pres. & CEO) 0.0 60.0 X 0 4062464 73462 Claud Kern Wildenthal MD PhD Former Officer 0.0 0.0 X 0 372163 0 James Herring Former Officer 0.0 40.0 X 0 370963 19973 Richard P Goode Former Officer 0.0 0.0 X 0 1830749 0 0 9204284 730251 0 true true false JE DUNN CONSTRUCTION COMPANY 1001 Locust St Kansas City MO 641061904 Contruction Services 10117284 UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Svcs 8226406 PARKLAND MEMORIAL HOSPITAL PO BOX 660599 DALLAS TX 75266 STAFFING SERVICES 5666265 RIGHT SOURCING INC PO BOX 515743 Los Angeles CA 900515118 staffing services 5244144 PHI AIR MEDICAL PO BOX 90808 LAFAYETTE LA 70509 TRANSPORTATION SERVICES 4135781 211 13697750 67338732 81036482 Net Patient Revenue 622110 1321243007 1321243007 Other Medical Services Revenue 622110 46028739 46028739 Pharmacy & Lab Revenue 622110 11225418 10530653 694765 Rental Income from Affiliates 531110 2658781 2658781 0 0 0 0 1381155945 2304395 -4108 2308503 0 0 91785 550480 91785 550480 642265 642265 Dietary Revenue 621990 3862841 3862841 Vending Revenue 454210 154202 154202 0 0 0 0 4017043 1469156130 1381819442 690657 5609549 X 363079602 258818132 104261470 19423927 13846177 5577750 57802384 41203926 16598458 25928213 18482701 7445512 218088594 196601062 21487532 0 774756 552278 222478 17277104 12315084 4962020 1508270 1075157 433113 11146431 7945636 3200795 252679 180120 72559 18013040 12840439 5172601 60644325 43229779 17414546 133882 95437 38445 Shared Services 344903968 245861789 99042179 Medical Surgical Supplies 155160676 155160676 0 0 0 0 1294137851 1008208393 285929458 0 625220 0 620580921 159349464 149685322 0 0 0 0 17129195 19062141 503215 316578 1461659430 654048332 829848748 807611098 18496306 24354427 0 25000 20178074 17936066 3396607990 4753339250 4442112992 6393536023 192206882 223821321 425980157 834603831 0 0 11552625 1113505565 629739664 2171930717 X 2216802530 2245050091 1595570798 1976555215 3812373328 4221605306 4442112992 6393536023 X 175018279 2040011 232173688 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 1051 1051 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 44293423 44293423 1040374320 422731512 617642808 23832611 11706365 12126246 291798597 219610455 72188142 61360479 61360479 807611098 Net Assets of Foundation 1956826568 LT Advances to Affliates 2792037672 Investments in Affiliates Project Fund Escrow Mineral Rights 4475010 4753339250 LT Deferred Rent LT - Loan Pay and Def Costs - Urban Ventures Defined Benefit Pension Other LT Liabilities 25388 Due to Affiliates 1113480177 1113505565 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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." true true X true X true X true true true false true true 10906229 0 10906229 0.0084 689889674 644881603 45008071 0.0348 44877830 33736477 11141353 0.0086 0 0 745673733 678618080 67055653 0.0518 14049734 3818520 10231214 0.0079 42865124 2437502 40427622 0.0312 0 0 0 0.0 13048525 3477999 9570526 0.0074 386901 0 386901 0.0003 0 0 70350284 9734021 60616263 0.0468 0 0 816024017 688352101 127671916 0.0987 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2027750 2027750 0.0016 0 0.0 0 0.0 0 0.0 0 0 2027750 0 2027750 0.0016 true 0 6924 5699664 5239963 459701 X true true 2 1 Children's Medical Center Dallas 1935 Medical District Drive Dallas TX 75235 www.childrens.com 000143 X X X X X A 2 Children's Medical Center Plano 7601 Preston Road Plano TX 75024 www.childrens.com 100291 X X X X X A A false false true X X X X X X X X X 19 true true false true X https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment X true 19 true https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment false true X 200.0 400.0 X X X X true true X X X true X (See statement in Part VI) X (See statement in Part VI) X (See statement in Part VI) X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs of the community are included and prioritized within the joint CHNA conducted by Children's Health. The priority needs identified are health, economic security, safety, and education. Schedule H, Part V, Section B, Line 5 Facility 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. 21 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 l Avenue Tyler TX 75701 Outpatient Specialty Care Center Children's Pavilion Surgery Center 2350 N Stemmons Fwy Ste 100 Dallas TX 75207 Outpatient Specialty Care Center 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 false true false false false false false false false Christopher J Durovich Former Officer and Director (CHST Pres. & CEO) 0 1367076 0 1616060 0 1079328 0 32423 0 41039 0 4135926 0 0 Richard P Goode Former Officer 0 0 0 0 0 1830749 0 0 0 0 0 1830749 0 0 James Herring Former Officer 0 117692 0 234014 0 19257 0 19500 0 473 0 390936 0 0 Claud Kern Wildenthal MD PhD Former Officer 0 372163 0 0 0 0 0 0 0 0 0 372163 0 0 David T Berry President 0 622506 0 283091 0 218451 0 208430 0 31993 0 1364471 0 0 Jeremiah Radandt EVP Fin & CFO 0 568835 0 229425 0 49032 0 187563 0 41534 0 1076389 0 0 Amy Yeager EVP, CLO & Secretary 0 432519 0 158686 0 5400 0 127949 0 39348 0 763901 0 0 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. A New Hope Cultural Edu Facilities Fin Corp 261604618 645424AV4 2017-12-28 365809775 Refund Series 2012 & 2009; New Const. false false false B N Central Tx Hlth Fac Dev Corp Hosp 521304502 65854RBD1 2012-08-15 178386376 Refund Series 2002 Bonds false false false A 2480000 0 365809775 0 0 95019329 0 0 0 54002458 216787988 2020 false true true true B 34575000 108200000 178386376 0 0 0 0 0 0 0 178386376 0 true false true true A false true true false true false 0.002 0.0 0.002 false false true B 0.0 A false true false false false false false false true B false false true false false false false false true A true B true 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. 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; 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 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 ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false 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 false false true false false false false false false false false false true true true false true true true OCH HOLDINGS S 13504324 GAAP