2020-11-16T08:01:10-06:00 2019-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2019-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Robert Fries Senior Vice President, Finance 2020-11-16 true Rachel Spurlock P00520729 2147775200 2019 2021-01-29 14:40:06Z Children's Health Christopher J Durovich 1935 Medical District Drive Dallas TX 75235 54223770 false X N/A X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS. 14 13 8871 13 0 0 10298700 2842176 107928981 49483188 50101 1623703 0 0 118277782 53949067 0 60000 0 183312437 176876374 0 0 0 -126076287 -121144807 57236150 55791567 61041632 -1842500 681346353 1076884114 1365309737 1803320648 -683963384 -726436534 TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. false false 17080142 60000 49483188 Children's Health System of Texas (CHST) assists in the management of related 501(c)(3) organizations that are part of an integrated pediatric health care system with a mission to make life better for children. CHST supports two full-service hospitals and one specialty hospital as well as an extensive network offering virtual, urgent, primary, specialty care and more to the children of North Texas and beyond. 17080142 true true false false false false false false false true false false true true true false true false false true false false false false false false true false true false false false false false false false false false false false false true true true true false false true X 809 0 true 8871 true false true CJ false false false false false false false false true false X 14 13 false false false false false false false true true false false true true true true true true true true true true X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich President & CEO 57.0 3.0 X X 3413104 0 207572 Anne Motsenbocker Director 1.0 0 X 0 0 0 Caren Kline Director 1.0 1.0 X 0 0 0 Charles Matthews Jr Director 1.0 0 X 0 0 0 Connie O'Neill Director 1.0 1.0 X 0 0 0 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 John Eagle Director (until 5/7/19) 1.0 1.0 X 0 0 0 Lee Hobson Director 1.0 0 X 0 0 0 Lee Jackson Director 1.0 0 X 0 0 0 Lou Grabowsky Director 1.0 0 X 0 0 0 Michael Dardick Director 1.0 1.0 X 0 0 0 Rebecca Egelston Caso Director 1.0 1.0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 2.0 X 0 0 0 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Amy Yeager SVP, General Counsel, & Secretary 47.0 3.0 X 488378 0 447960 James Herring EVP & Chief of Staff 54.0 1.0 X 945604 0 19000 Jeffrey Vawrinek Secretary (until 10/18/19) 46.0 4.0 X 690250 0 0 Jeremiah Radandt EVP Finance & CFO 50.0 5.0 X 620876 0 149591 Julie C Hall-Barrow SVP Network Development and Innovation 50.0 0 X 499298 0 85654 Kenneth Stewart EVP Compliance & Legal Affairs 54.0 1.0 X 585142 0 197709 Keri A Kaiser SVP Marketing/Comm. & Chief Market/Exp Officer 50.0 0.0 X 615198 0 136589 Kimberly Besse EVP & Chief HR Officer 55.0 0.0 X 794946 0 260271 Matthew P Moore SVP Government Relations & Public Policy 50.0 0 X 403846 0 78619 Pamela Arora SVP Information Svcs & CIO 50.0 0.0 X 920150 0 169068 Peter C Perialas President CHCN & Chief Strategy Officer 53.0 2.0 X 1013454 0 275752 Richard P Goode President Corporate Services & CFO (until 9/23/19) 50.0 5.0 X 1076840 0 191178 Tammie L Sibley SVP Finance (until 11/6/19) 44.0 6.0 X 1152385 0 67689 Thomas Burt SVP Human Resources Operations 50.0 0 X 436232 0 92587 William M Elvey SVP Facilities and Real Estate 50.0 0 X 854491 0 111772 Christopher Menzies VP Chief Med Information Officer 25.0 25.0 X 598597 0 93057 Javier Montemayor SVP CCO Accreditation and Reg Affairs 50.0 0 X 421573 0 78275 Joe Cavender VP & ASSOC CNO 49.0 1.0 X 440574 0 81571 Patricia Gonzalez Chief Health Equity and Inclusion Officer 50.0 0 X 423698 0 80705 Rustin Morse MD SVP Quality and Safety and Chief Quality Officer 25.0 25.0 X 661096 0 81386 Brenda Paulsen Former Officer 50.0 0 X 441106 0 73976 Brent E Christopher Former Officer 0.0 55.0 X 1032949 0 285216 David T Berry Former Officer 0.0 55.0 X 1113867 0 214261 Doris E Hunt Former Officer 0.0 54.0 X 724027 0 139188 Douglas Duwe Former Officer 50.0 0.0 X 408731 0 74187 Holland K Hassmann Former Officer 50.0 0.0 X 409496 0 72253 Jodi L Landon Former Officer 0.0 50.0 X 496948 0 89505 Mark E Ziemianski Former Officer 50.0 0.0 X 418554 0 85899 Matthew M Davis Former Officer 0.0 55.0 X 735761 0 147883 Ray Tsai MD Former Officer 0.0 55.0 X 812977 0 161690 Stephanie K Smith Former Corporate Secretary 40.0 0.0 X 154475 0 4593 Sue L Schell Former Officer 50.0 0 X 396550 0 75750 24201173 0 4330406 1063 true true false COLLE MCVOY LLC 400 1st Ave N Minneapolis MN 55401 Marketing 9769643 CONNECTION PO Box 536464 Pittsburg PA 15253 IT services and equipment 8267564 EPIC SYSTEMS CORPORATION Box 88314 Milwakee WI 53288 Healthcare Billing 5780650 GENERAL DATATECH LP 999 MetroMedia Pl Dallas TX 75247 Technology 4609715 BKM TOTAL OFFICE OF TEXAS LLC 9755 Clifford Dr Dallas TX 75220 Office Equipment Maintenance and Repair 4348397 117 2842176 2842176 Health System Service Revenue 622110 49483188 49483188 0 0 0 0 49483188 1767555 1767555 0 0 130851 274703 0 -143852 -143852 -143852 0 0 0 0 0 53949067 49483188 0 1623703 X 60000 60000 17001205 5035868 11965337 124516328 36882550 87633778 5167239 1027442 4139797 20565265 4888757 15676508 9626337 2396014 7230323 2488535 2488535 713316 713316 38118934 14759043 23359891 0 15314202 403438 14910764 7761864 150662 7611202 51439405 8567294 42872111 32928251 5417586 27510665 1351847 277304 1074543 3138480 1002066 2136414 193853 193853 29565206 9019356 20545850 23741196 23741196 Health System Allocated Shared Services -374778477 -114332387 -260446090 Community Relations 38600024 38600024 Medical Surgical Supplies 2136262 1925080 211182 Dietary and Food Costs 448513 62921 385592 5693782 743271 4950511 0 55791567 17080142 38711425 0 100478576 80226687 107524374 375026021 43711164 28306675 0 0 0 0 2771586 6247349 11406417 42819225 319810777 174882371 115538780 144928406 0 0 299915456 399329751 681346353 1076884114 81107163 51738582 0 0 4858545 4299919 1279344029 1747282147 1365309737 1803320648 X -683963384 -726436534 -683963384 -726436534 681346353 1076884114 X -1842500 -40630650 X false true X true false X X 10 Children's Health Clinical Operations 750800628 3 true 346689250 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 3299551 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 4574378 0 Physicians For Children 752854505 3 true 6224153 0 Complex Care Med Svc Corp 461893597 3 true 1049857 0 Children's Medical Center Health Plan 462737696 9 true 374949 0 OCH Holdings 474837308 3 true 10241656 0 8 372453794 0 true false false false true false false false false false false false false false false false false Schedule A, Part I, Line 12g(ii) Type of Organization Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Physicians Quality Alliance of North Texas - 509(a)(3) Type I; Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. CHST Physician Group 2 (81-3679995), CHST Physician Group 3 (81-3691209), CHST Physician Group 4 (81-4577909), CHST Physician Group 5 (81-4848085), and CHST Physician Group 6 (81-4865847) were dissolved with the State of Texas and their final tax returns were filed in 2018. CHST Physician Group 1 (81-3582843) no longer qualifies as a tax exempt organization and filed as a for-profit corporation in 2019. Schedule A, Part IV, Section C, Line 1 Majority director detail The fact that the management of CHST is vested in the same persons that control and manage the supported organizations allows CHST and its supported organizations to function collectively as a health system. CHST provides management and administrative support to the supported organizations and various other services that further the supported organizations' tax-exempt purpose of providing health services to the community. The fact that one or more members of the core leadership team of each of the supported organizations is also a member of the CHST core leadership team assures that CHST is responsive to the needs and demands of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69975251 69975251 11901808 1521057 10380751 4307564 1394387 2913177 228828263 171966927 56861336 4797891 4797891 144928406 Investments in Affiliates 362861658 UTSW Physician Guarantees 4213274 Insurance Recoveries 32254819 399329751 LT Advances - Affiliates 1559602240 UTSW Phys Guarantees 12007166 LT Deferred Rent 1144954 LT Non-Qualified Plan 157933 Reserve for Professional Liab 31137940 Other Liabilities 67500413 Other LT Liabilities 75731501 1747282147 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 2016 through 2019 in Children's Health main taxing jurisdictions. false Central America and the Caribbean 0 0 Investments 30144287 0 0 0 0 0 0 30144287 0 30144287 false false true false false false true Ronald McDonald House of Dallas 4707 Bengal St Dallas TX 75235 751609401 501(C)(3) 50000 General Support Dallas Regional Chamber 500 North Akard Street STE 2600 Dallas TX 75201 750223440 501(C)(6) 10000 Tomorrow Fund 1 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Standard policies and procedures for the grant administration process are established for the purpose of assisting staff in their efforts to administer grant programs in accordance with the rules and regulations governing those programs. It is the responsibility of the project director to monitor that the funds are used for their intended purpose. X true true X X X X X true true false false false false false false false Christopher J Durovich President & CEO 1193522 0 1531410 0 688172 0 184839 0 22733 0 3620676 0 0 0 David T Berry Former Officer 629139 0 395628 0 89100 0 203246 0 11015 0 1328128 0 0 0 Brent E Christopher Former Officer 527713 0 413843 0 91393 0 279886 0 5330 0 1318165 0 0 0 Matthew M Davis Former Officer 410281 0 256852 0 68628 0 140168 0 7715 0 883644 0 0 0 Douglas Duwe Former Officer 249514 0 98873 0 60344 0 67951 0 6236 0 482918 0 0 0 Holland K Hassmann Former Officer 248112 0 80335 0 81049 0 65493 0 6760 0 481749 0 0 0 Doris E Hunt Former Officer 381906 0 253325 0 88796 0 128868 0 10320 0 863215 0 0 0 Jodi L Landon Former Officer 296802 0 115727 0 84419 0 80218 0 9287 0 586453 0 0 0 Brenda Paulsen Former Officer 268731 0 104625 0 67750 0 67392 0 6584 0 515082 0 0 0 Sue L Schell Former Officer 253923 0 99448 0 43179 0 63304 0 12446 0 472300 0 0 0 Stephanie K Smith Former Corporate Secretary 132475 0 20759 0 1241 0 0 0 4593 0 159068 0 0 0 Ray Tsai MD Former Officer 393135 0 295959 0 123883 0 142652 0 19038 0 974667 0 0 0 Mark E Ziemianski Former Officer 252617 0 102000 0 63937 0 69073 0 16826 0 504453 0 0 0 Pamela Arora SVP Information Svcs & CIO 434772 0 399262 0 86116 0 153963 0 15105 0 1089218 0 0 0 Kimberly Besse EVP & Chief HR Officer 402178 0 260529 0 132239 0 242719 0 17552 0 1055217 0 0 0 Thomas Burt SVP Human Resources Operations 268090 0 101949 0 66193 0 75946 0 16641 0 528819 0 0 0 William M Elvey SVP Facilities and Real Estate 311927 0 191756 0 350808 0 97095 0 14677 0 966263 0 0 0 Richard P Goode President Corporate Services & CFO (until 9/23/19) 562462 0 451779 0 62599 0 182532 0 8646 0 1268018 0 0 0 Julie C Hall-Barrow SVP Network Development and Innovation 322809 0 128232 0 48257 0 78463 0 7191 0 584952 0 0 0 James Herring EVP & Chief of Staff 505800 0 332645 0 107159 0 19000 0 0 0 964604 0 0 0 Keri A Kaiser SVP Marketing/Comm. & Chief Market/Exp Officer 328491 0 214594 0 72113 0 120249 0 16340 0 751787 0 0 0 Matthew P Moore SVP Government Relations & Public Policy 258364 0 96360 0 49122 0 69456 0 9163 0 482465 0 0 0 Peter C Perialas President CHCN & Chief Strategy Officer 521612 0 391823 0 100019 0 269545 0 6207 0 1289206 0 0 0 Jeremiah Radandt EVP Finance & CFO 400899 0 212365 0 7612 0 135652 0 13939 0 770467 0 0 0 Tammie L Sibley SVP Finance (until 11/6/19) 272798 0 257450 0 622137 0 54936 0 12753 0 1220074 0 0 0 Kenneth Stewart EVP Compliance & Legal Affairs 575276 0 0 0 9866 0 186831 0 10878 0 782851 0 0 0 Jeffrey Vawrinek Secretary (until 10/18/19) 243042 0 63598 0 383610 0 0 0 0 0 690250 0 0 0 Amy Yeager SVP, General Counsel, & Secretary 334085 0 150000 0 4293 0 438873 0 9087 0 936338 0 0 0 Joe Cavender VP & ASSOC CNO 250675 0 121170 0 68729 0 71208 0 10363 0 522145 0 0 0 Patricia Gonzalez Chief Health Equity and Inclusion Officer 274456 0 111239 0 38003 0 68527 0 12178 0 504403 0 0 0 Christopher Menzies VP Chief Med Information Officer 366266 0 135238 0 97093 0 90554 0 2503 0 691654 0 0 0 Javier Montemayor SVP CCO Accreditation and Reg Affairs 262064 0 101658 0 57851 0 68792 0 9483 0 499848 0 0 0 Rustin Morse MD SVP Quality and Safety and Chief Quality Officer 386718 0 228708 0 45670 0 70796 0 10590 0 742482 0 0 0 Schedule J, Part I, Line 3 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The Children's Health System of Texas (CHST) process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 1a Discretionary spending account The TBA (taxable benefit allowance) was designed to provide executives with reimbursement for travel related expenses between CHST and its Affiliates locations and to acquire supplemental benefits. There is currently only one officer who receives payments from the TBA. Schedule J, Part I, Line 4a Severance or change-of-control payment Tammie Sibley - $472,500 Jeffrey Vawrinek - $263,029 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Retirement Income Restoration Plan: Christopher J. Durovich participated in the Retirement Income Restoration Plan and received $315,458 in taxable income during 2019. Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Christopher J. Durovich - $200,478. Additional employees who participated in the Savings Restoration Plan but who did not receive payments include Pamela Arora, Kimberly Besse, Ray Tsai, Vanessa Walls, and Jodi Landon. Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J. Durovich - $150,116, Tammie Sibley - $119,039, David Berry - $55,786, Richard Goode - $53,248, Brent Christopher - $33,848, Peter Perialas - $56,527, James Herring - $75,870, Pamela Arora - $71,989, William Elvey - $328,082, Ray Tsai - $72,007, Kimberly Besse - $78,498, Matthew Davis - $53,575, Doris Hunt - $55,317, Jeffrey Vawrinek - $77,906, Keri Kaiser - $39,405, Christopher Menzies - $46,525, Julie Hall-Barrow - $27,517, Jodi Landon - $46,251, Brenda Paulsen - $35,447, Joe Cavender - $36,566, Thomas Burt - $29,583, Patricia Gonzalez - $29,395, Javier Montemayor - $24,205, Mark Ziemianski - $32,270, Holland Hassmann - $43,127, Douglas Duwe - $35,761, Matthew Moore - $24,783, and Sue Schell - $28,370. Employees who participated in and have contributions to the EDCRP include: Christopher J. Durovich - $165,839, Tammie Sibley - $44,538, David Berry - $192,046, Richard Goode - $171,332, Brent Christopher - $263,086, Peter Perialas - $258,345, Pamela Arora - $134,963, William Elvey - $86,490, Ray Tsai - $123,652, Kimberly Besse - $225,919, Matthew Davis - $125,399, Doris Hunt - $117,668, Rustin Morse - $59,596, Jeremiah Radandt - $124,452, Keri Kaiser - $103,449, Christopher Menzies - $73,754, Kenneth Stewart - $180,000, Julie Hall-Barrow - $66,000, Jodi Landon - $61,218, Amy Yeager - $427,673, Brenda Paulsen - $55,063, Joe Cavender - $52,208, Thomas Burt - $56,946, Patricia Gonzalez - $57,327, Javier Montemayor - $54,309, Mark Ziemianski - $53,888, Holland Hassmann - $51,575, Douglas Duwe - $51,151, Matthew Moore - $53,506, and Sue Schell - $53,274. 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 11b Review of form 990 by governing body A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 is made available to the directors through our Board portal before it is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees annually receive a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part IX, Line 24a Other expenses - HEALTH SYSTEM ALLOCATED SHARED SERVICES Beginning with the 2016 Form 990, Children's Health System of Texas is presenting expenses in full, as incurred, on lines 1-24e prior to the reduction for those expenses incurred on behalf of wholly-owned organizations . This reduction for the allocation of shared services expenses to wholly-owned organizations is presented on Part IX, line 24a. In prior years, the reduction of allocated shared services expenses was included within each individual functional expense category on Line 1-24e, respectively. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 17478377, Program Service Expense: 3601448, Management and General Expenses: 13876929, Fundraising Expenses: ; Contract Medical - Total Expense: 20370401, Program Service Expense: 11157595, Management and General Expenses: 9212806, Fundraising Expenses: ; Facilities Management - Total Expense: 270156, Program Service Expense: , Management and General Expenses: 270156, Fundraising Expenses: ; Form 990, Part IX, Line 11g Other Expenses Special Events & Projects - Total Expense: 270062, Program Service Expense: 41944, Management and General Expenses: 228118, Fundraising Expenses: ; External Charitable Support - Total Expense: 59750, Program Service Expense: , Management and General Expenses: 59750, Fundraising Expenses: ; Taxes - Total Expense: 985151, Program Service Expense: 18103, Management and General Expenses: 967048, Fundraising Expenses: ; Billing Fees - Total Expense: 2073208, Program Service Expense: 153820, Management and General Expenses: 1919388, Fundraising Expenses: ; Miscellaneous expenses - Total Expense: 2305611, Program Service Expense: 529404, Management and General Expenses: 1776207, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Non controlling interest in Joint Ventures - -9445699; Other changes in net assets or fund balances - 221504; Company Terminations - 21831; Paid-In Capital - Joint Ventures - -4016230; Net Periodic pension costs - -78354482; Transfer of Land from CHCO - 50942426; CHST HOLDINGS 1 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472374583 HEALTH CARE RELATED INVESTMENTS TX 0 5909451 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 2 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472819566 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 3 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472845243 HEALTH CARE RELATED INVESTMENTS TX 1764550 17213883 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 4 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472851889 HEALTH CARE RELATED INVESTMENTS TX 0 1930500 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472874792 HEALTH CARE RELATED INVESTMENTS TX -7728508 35215383 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 6 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811003744 HEALTH CARE RELATED INVESTMENTS TX 1506101 3525443 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 7 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811010503 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Center Southlake LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475207507 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Centers LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475215454 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Associates LLC 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75236 474371967 HEALTH CARE RELATED INVESTMENTS TX -581452 4904440 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Partners LLC 1937 MEDICAL DISTRICT DRIVE DALLAS TX 75237 472104673 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Imaging Center LLC 1938 MEDICAL DISTRICT DRIVE DALLAS TX 75238 384043597 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Legacy Trail Surgery Center LLC 1939 MEDICAL DISTRICT DRIVE DALLAS TX 75239 822278618 HEALTH CARE RELATED INVESTMENTS TX 1465457 8353731 CHILDREN'S HEALTH SYSTEM OF TEXAS CHSR LLC 1940 MEDICAL DISTRICT DRIVE DALLAS TX 75240 371865547 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS true PHYSICIANS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Health Clinical Operations false CHST Physician Group 2 1935 Medical District Drive Dallas TX 75235 813679995 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHST Physician 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