CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202033219349302203
Schema version: 2019v5.0
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 I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T08:02:19-06:00	ReturnTs
Tax Period End	2019-12-31	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	75201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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	Senior Vice President, Finance	PersonTitleTxt
Signature	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$1,567,179,184	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	7743	TotalEmployeeCnt
Total Volunteers	938	TotalVolunteersCnt
Total Gross UBI	$672,068	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,789,632	PYContributionsGrantsAmt
CY Contributions Grants	$19,450,063	CYContributionsGrantsAmt
PY Program Service Revenue	$1,384,038,687	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,527,213,579	CYProgramServiceRevenueAmt
PY Investment Income	$1,762,460	PYInvestmentIncomeAmt
CY Investment Income	$8,752,780	CYInvestmentIncomeAmt
PY Other Revenue	$16,832,064	PYOtherRevenueAmt
CY Other Revenue	$11,615,213	CYOtherRevenueAmt
PY Total Revenue	$1,413,422,843	PYTotalRevenueAmt
CY Total Revenue	$1,567,031,635	CYTotalRevenueAmt
PY Grants And Similar Paid	$191,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$209,950	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$485,462,241	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$472,979,603	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$785,713,059	PYOtherExpensesAmt
CY Other Expenses	$839,190,424	CYOtherExpensesAmt
PY Total Expenses	$1,271,366,300	PYTotalExpensesAmt
CY Total Expenses	$1,312,379,977	CYTotalExpensesAmt
PY Revenues Less Expenses	$142,056,543	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$254,651,658	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,942,855,812	TotalAssetsBOYAmt
Total Assets EOY	$4,442,112,992	TotalAssetsEOYAmt
Total Liabilities BOY	$616,112,819	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$629,739,664	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,326,742,993	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,812,373,328	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	$1,182,096,052	ExpenseAmt
Grant	$209,950	GrantAmt
Revenue	$1,535,422,557	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. For the year ended December 31, 2019, approximately 64% of Children's gross revenue is attributable to patients enrolled in state Medicaid and CHIP programs. During 2019, Children's Health served children through more than 800,000 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	$1,182,096,052	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	Yes (true)	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	885	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7743	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
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
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	false	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 (25 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	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
SVP & Secretary	1.0	49.0		$0	$488,378	$447,960	Yes (X)
David T Berry
President	1.0	54.0		$0	$1,113,867	$214,261	Yes (X)
James Herring
EVP CAO	1.0	54.0		$0	$945,604	$19,000	Yes (X)
Jeffrey Vawrinek
Secretary (until 10/18/19)	1.0	49.0		$0	$690,250	$0	Yes (X)
Jeremiah Radandt
EVP Finance & CFO	1.0	54.0		$0	$620,876	$149,591	Yes (X)
Mary E Stowe RN
SVP CNO (until 1/5/19)	49.0	1.0		$0	$868,152	$5,242	Yes (X)
Michael Wiggins
SVP System Operations (until 2/2/19)	50.0	0.0		$0	$1,089,413	$15,990	Yes (X)
Richard P Goode
President Corporate Services & CFO (until 9/23/19)	1.0	54.0		$0	$1,076,840	$191,178	Yes (X)
Matthew M Davis
Dallas Market EVP	55.0	0.0		$0	$735,761	$147,883		Yes (X)
Vanessa U Walls
Northern Market EVP	54.0	1.0		$0	$511,447	$91,985		Yes (X)
Christopher Menzies
VP Chief Med Information Officer	25.0	25.0		$0	$598,597	$93,057			Yes (X)
Coleman Skinner
VP Revenue Cycle	25.0	25.0		$0	$463,684	$88,309			Yes (X)
Jodi L Landon
VP Managed Care	50.0	0.0		$0	$496,948	$89,505			Yes (X)
Ray Tsai MD
SVP Dallas Market Operations	49.0	6.0		$0	$812,977	$161,690			Yes (X)
Rustin Morse MD
SVP Quality and Safety and Chief Quality Officer	24.0	26.0		$0	$661,096	$81,386			Yes (X)
Christopher J Durovich
Former Officer and Director (CHST Pres. & CEO)	0.0	60.0		$0	$3,413,104	$207,572				Yes (X)
Douglas Duwe
Former Officer	0.0	50.0		$0	$408,731	$74,187				Yes (X)
Keri A Kaiser
Former Officer	0.0	50.0		$0	$615,198	$136,589				Yes (X)
Kimberly Besse
Former Officer	0.0	55.0		$0	$794,946	$260,271				Yes (X)
Mark E Ziemianski
Former Officer	0.0	50.0		$0	$418,554	$85,899				Yes (X)
Pamela Arora
Former Officer	0.0	50.0		$0	$920,150	$169,068				Yes (X)
Stephanie K Smith
Former Corporate Secretary	0.0	40.0		$0	$154,475	$4,593				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,899,048	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,735,216	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	$16,122,746
UTSW
HI 108 5323 Harry Hines Blvd	Dallas	TX	753908886	Phys & Medical Svcs	$12,030,493
THE ROBINS & MORTON GROUP
400 Shades Creek Parkway	Birmingham	AL	35209	Contruction Services	$6,163,670
RIGHT SOURCING INC
PO BOX 515743	Los Angeles	CA	900515118	staffing services	$6,150,448
DPR CONSTRUCTION
9606 Mopac Expressway	Austin	TX	78759	Contruction Services	$4,263,961

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	237	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,801,546	RelatedOrganizationsAmt
Government Grants	$8,648,517	GovernmentGrantsAmt
Total Contributions	$19,450,063	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	622110	$1,474,331,494	$1,474,331,494
Other Medical Services Revenue	622110	$52,882,085	$52,210,017	$672,068

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	$1,527,213,579	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,537,589	TotalRevenueColumnAmt
Exclusion	$8,537,589	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,522,479	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,522,479	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,522,479	TotalRevenueColumnAmt
Exclusion	$2,522,479	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$362,740	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$147,549	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$362,740	SecuritiesAmt
Other	-$147,549	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,191	TotalRevenueColumnAmt
Exclusion	$215,191	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Other Medical Svc Rev	622110	$3,226,919	$3,226,919
Dietary Revenue	621990	$5,654,127	$5,654,127
Vending Revenue	454210	$211,688		$211,688

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	$9,092,734	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,567,031,635	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,535,422,557	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$672,068	UnrelatedBusinessRevenueAmt
Exclusion	$11,486,947	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$209,950	TotalAmt
Program Services	$209,950	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,794,001	TotalAmt
Program Services	$3,461,581	ProgramServicesAmt
Management And General	$1,332,420	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$368,747,028	TotalAmt
Program Services	$338,263,380	ProgramServicesAmt
Management And General	$30,483,648	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,881,485	TotalAmt
Program Services	$17,359,818	ProgramServicesAmt
Management And General	$1,521,667	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,061,907	TotalAmt
Program Services	$49,472,559	ProgramServicesAmt
Management And General	$4,589,348	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,495,182	TotalAmt
Program Services	$24,529,410	ProgramServicesAmt
Management And General	$1,965,772	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$209,016,320	TotalAmt
Program Services	$195,474,357	ProgramServicesAmt
Management And General	$13,541,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$395	TotalAmt
Program Services	$395	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,370,000	TotalAmt
Program Services	$1,219,220	ProgramServicesAmt
Management And General	$150,780	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$640,883	TotalAmt
Program Services	$532,869	ProgramServicesAmt
Management And General	$108,014	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,931,079	TotalAmt
Program Services	$7,360,968	ProgramServicesAmt
Management And General	$18,570,111	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$801,701	TotalAmt
Program Services	$605,106	ProgramServicesAmt
Management And General	$196,595	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,439,894	TotalAmt
Program Services	$1,059,431	ProgramServicesAmt
Management And General	$380,463	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,161,627	TotalAmt
Program Services	$101,870	ProgramServicesAmt
Management And General	$14,059,757	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$64,867,926	TotalAmt
Program Services	$58,428,291	ProgramServicesAmt
Management And General	$6,439,635	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$139,427	TotalAmt
Program Services	$139,427	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Shared Services	$346,689,250	$312,272,361	$34,416,889
Medical Surgical Supplies	$163,261,658	$163,261,658
Dietary and Food Costs	$4,728,983	$4,640,705	$88,278
Translation and Interpretation Services	$1,936,224	$1,936,224

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,205,057	TotalAmt
Program Services	$1,766,472	ProgramServicesAmt
Management And General	$2,438,585	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,312,379,977	TotalAmt
Program Services	$1,182,096,052	ProgramServicesAmt
Management And General	$130,283,925	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$103,263,428	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$132,988,206	BOYAmt
EOY	$159,349,464	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	$16,390,006	BOYAmt
EOY	$17,129,195	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,810,690	BOYAmt
EOY	$503,215	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,440,866,420	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$611,017,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$842,447,281	BOYAmt
EOY	$829,848,748	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$14,475,315	BOYAmt
EOY	$18,496,306	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$20,178,074	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,830,480,886	BOYAmt
EOY	$3,396,607,990	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,942,855,812	BOYAmt
EOY	$4,442,112,992	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$134,042,585	BOYAmt
EOY	$192,206,882	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$22,132	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$438,197,345	BOYAmt
EOY	$425,980,157	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	$43,850,757	BOYAmt
EOY	$11,552,625	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$616,112,819	BOYAmt
EOY	$629,739,664	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	$1,961,119,675	BOYAmt
EOY	$2,216,802,530	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,365,623,318	BOYAmt
EOY	$1,595,570,798	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,326,742,993	BOYAmt
EOY	$3,812,373,328	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,942,855,812	BOYAmt
EOY	$4,442,112,992	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$254,651,658	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,089,072	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$242,067,749	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
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	$251,872	OtherActivitiesAmt
Total Lobbying Expenditures	$251,872	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 2019, 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 2019 membership dues. In addition, CHCO paid professional and consulting fees related to other lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,592,741	OtherCostOrOtherBasisAmt
Book Value	$43,592,741	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,023,520,407	OtherCostOrOtherBasisAmt
Depreciation	$389,090,668	DepreciationAmt
Book Value	$634,429,739	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,832,611	OtherCostOrOtherBasisAmt
Depreciation	$10,213,643	DepreciationAmt
Book Value	$13,618,968	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$278,935,753	OtherCostOrOtherBasisAmt
Depreciation	$211,713,361	DepreciationAmt
Book Value	$67,222,392	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,984,908	OtherCostOrOtherBasisAmt
Book Value	$70,984,908	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$829,848,748	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Net Assets of Foundation	$1,576,113,567
LT Advances to Affliates	$1,794,430,960
Investments in Affiliates	$25,000
Project Fund Escrow	$21,563,453
Mineral Rights	$4,475,010

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,396,607,990	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
LT Deferred Rent	$412,133
LT - Loan Pay and Def Costs - Urban Ventures	$9,778,177
Defined Benefit Pension	$1,336,927
Other LT Liabilities	$25,388

Field	Value	IRS element (for citing)
Total Liability	$11,552,625	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, 2019, 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 2016 through 2019 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	$14,124,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,124,106	NetCommunityBenefitExpnsAmt
Total Expense	0.0108	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$710,301,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$670,277,586	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,023,740	NetCommunityBenefitExpnsAmt
Total Expense	0.0305	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,933,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,851,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,081,994	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	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	$775,358,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$718,128,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,229,840	NetCommunityBenefitExpnsAmt
Total Expense	0.0436	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,017,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,056,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,960,318	NetCommunityBenefitExpnsAmt
Total Expense	0.0076	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,105,856	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,403,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,702,598	NetCommunityBenefitExpnsAmt
Total Expense	0.0303	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	$13,212,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,128,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,083,294	NetCommunityBenefitExpnsAmt
Total Expense	0.0077	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,770	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$69,448,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,589,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,859,980	NetCommunityBenefitExpnsAmt
Total Expense	0.0456	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$844,807,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$727,717,696	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,089,820	NetCommunityBenefitExpnsAmt
Total Expense	0.0892	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	$1,811,524	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,811,524	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	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	$1,811,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,811,524	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$70,534,838	BadDebtExpenseAmt
Bad Debt Expense Attributable	$236,160	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,156,450	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,907,216	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,750,766	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, COMMUNITY COUNCIL OF GREATER DALLAS, TEXAS HEALTH RESOURCES, PLANO ISD, REES-JONES CENER FOR FOSTER CARE EXCELLENCE, DALLAS CHILDREN'S ADVOCACY CENTER, DALLAS-FORT WORTH HOSPITAL COUNCIL, GENESIS WOMEN'S SHELTER, LIFEPATH SYSTEMS, THE COMMIT PARTNERSHIP, COLLIN COUNTY HEALTH CARE SERVICES, DALLAS COUNTY HEALTH AND 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 THE 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 2018, the Children's Health Community Outreach Team directly helped more than 2,200 children and families apply for CHIP and Medicaid assistance. 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 more than 38,000 students. 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. The Rees-Jones Center has also conducted approximately 200 training sessions to date. Education: Children's Health is part of a community-wide initiative led by the Dallas-Fort Worth Hospital Council to train 10,000 people in Mental Health First Aid, a national curriculum that teaches lay people how to identify and respond to a mental health crisis. Children's Health has three behavioral health clinicians who are certified in the Youth Mental Health First Aid Curriculum and provide the eight-hour 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. To date, the Children's Health Behavioral Health team has conducted 30 Mental Health First Aid trainings to date. 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, 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. These needs are not being addressed by Children's as our priorities were established based on unmet community health needs that intersect with our mission and key clinical strengths. 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 MARKETING & 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-and-support
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part VI, Line 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)	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 THE RURAL TELESPECIALTY PROGRAM PROVIDE ACCESS POINTS FOR FAMILIES ACROSS TOWN OR ACROSS THE STATE. -A FULLY RENOVATED PEDIATRIC INTENSIVE CARE UNIT, DALLAS CAMPUS. -COMPREHENSIVE EMERGENCY ROOM RENOVATION, DALLAS CAMPUS. -EXPANSION OF THE HEART CENTER AT CHILDREN'S HEALTH THROUGH THE ADDITION OF CARDIOLOGY PROVIDERS TO THE CHILDREN'S HEALTH CARE NETWORK. -RENOVATION OF THE DALLAS CAMPUS OPERATING ROOMS.
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 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 AT THE STATE LEVEL, AS WELL AS THE CHILDREN'S HOSPITAL ASSOCIATION IN WASHINGTON, D.C.. THROUGH THESE AFFILIATIONS, CHILDREN'S 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	As a part of Children's Health System of Texas (Children's Health), Children's Health Clinical Operations adheres to the Children's Health processes and methodologies for calculating bad debt expense. Children's Health has agreements with third-party payors that generally provide for payments at amounts different from its established charges. For uninsured patients who do not qualify for charity care, Children's Health recognizes revenue based on established charges subject to certain discounts and implicit price concessions. Children's Health determines the transaction price based on standard charges for services provided, reduced by explicit price concessions provided to third-party payors. Discounts are provided to uninsured patients in accordance with policy and implicit price concessions provided to uninsured patients. Explicit price concessions are based on contractual agreements, discount policies and historical experience. Implicit price concessions represent differences between amounts billed and the estimated consideration Children's Health expects to receive from patients which are determined based on historical collection experience and other factors.
Schedule H, Part III, Line 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 Heath 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 SYSTEM OF TEXAS, 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 1-30, l-35E, 1-45 AND 1-635. PATIENTS PRIMARILY ORIGINATE FROM TEXAS (96.7 PERCENT). NEARLY 50 PERCENT (49.3 PERCENT) OF CHILDREN'S DISCHARGES 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 31,2018, 72 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 2010 CENSUS. THE NIELSEN COMPANY, A FIRM SPECIALIZING IN THE ANALYSIS OF DEMOGRAPHIC DATA, HAS EXTRAPOLATED THIS DATA TO ESTIMATE POPULATION TRENDS FROM 2013 THROUGH 2018. BASED ON THE DATA, THE OVERALL POPULATION FOR CHILDREN'S SERVICE AREA IS PROJECTED TO INCREASE OVER THE FIVE-YEAR PERIOD FROM 3,320,715 TO 3,608,755. THE AGE CATEGORIES THAT REPRESENT YOUTH AND ADOLESCENTS (0-14 AND 15-20) IS PROJECTED TO INCREASE 7.0 PERCENT AND 8.9 PERCENT, RESPECTIVELY. ACCORDING TO THE AMERICAN COMMUNITY SURVEY, 681,537 CHILDREN UNDER THE AGE OF 18 LIVED IN DALLAS COUNTY IN 2017. THE PROPORTION OF THE POPULATION SELF-IDENTIFYING AS WHITE/NON HISPANIC DECREASED FROM 19.1 PERCENT IN 2013 TO 17.2 PERCENT IN 2017. AT THE SAME TIME, THE PROPORTION OF THE CHILD POPULATION IDENTIFYING AS HISPANIC OR LATINO INCREASED FROM 51 .7 PERCENT TO 53 PERCENT. OVER THAT TIME PERIOD, THE NUMBER OF BLACK OR AFRICAN AMERICAN CHILDREN REMAINED NEARLY CONSTANT, CHANGING FROM 22.6 PERCENT TO 22.4 PERCENT. THE POPULATION OF ASIAN CHILDREN INCREASED FROM 4.5 PERCENT TO 5.1 PERCENT. 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 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 UNDER SERVED 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: CHILDREN'S HEALTH IS USING TELEMEDICINE TO PROVIDE MORE CHILDREN ACCESS TO BEHAVIORAL HEALTH CARE AND ADDRESS YOUTH MENTAL HEALTH ISSUES. IN 2017, CHILDREN'S HEALTH LAUNCHED AN INTEGRATED TELEBEHAVIORAL HEALTH PROGRAM THAT CONNECTS STUDENTS WITH LICENSED BEHAVIORAL HEALTH PROVIDERS AT SCHOOL VIA SECURE MOBILE TECHNOLOGY. SCHOOL-BASED TELEBEHAVIORAL HEALTH SERVICES ARE NOW AVAILABLE TO MORE THAN 65,000 STUDENTS, AND THE PROGRAM IS PROJECTED TO BE IN OVER 160 SCHOOLS BY SPRING 2021. 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 2018, THE CHILDREN'S HEALTH COMMUNITY OUTREACH TEAM DIRECTLY HELPED MORE THAN 2,200 CHILDREN AND FAMILIES APPLY FOR CHIP AND MEDICAID ASSISTANCE. IN ADDITION, REPRESENTATIVES ALSO ASSIST FAMILIES WITH SNAP, TEXAS HEALTH WOMEN AND OTHER APPLICATIONS AS NEEDED. 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 ORTHOPAEDICS & 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: THE INJURY PREVENTION SERVICE AT CHILDREN'S HEALTH HELPS KEEP CHILDREN SAFE FROM UNINTENTIONAL AND TRAUMATIC INJURIES. FROM CAR SEAT SAFETY TO WATER SAFETY, OUR PROGRAM PROVIDES EDUCATIONAL MATERIALS AND INTERACTIVE EVENTS IN BOTH ENGLISH AND SPANISH. SCHOOL-BASED TELEHEALTH: SCHOOL NURSES CAN NOW CONNECT STUDENTS WITH HEALTH CARE PROVIDERS AT SCHOOL USING SCHOOL-BASED TELEHEALTH BY CHILDREN'S HEALTH VIRTUAL CARE. OUR SCHOOL-BASED TELEHEALTH PROGRAM HAS REACHED 180 SCHOOLS THROUGHOUT 26 SCHOOL DISTRICTS IN TEXAS AND HAS CONDUCTED MORE THAN 15,000 VISITS SINCE 2014. A RECENT SURVEY ALSO SHOWED THE PROGRAM HAS RESULTED IN DECREASED ABSENTEEISM AND A PERCEIVED 84 PERCENT COST SAVINGS FOR FAMILIES. TELEBEHAVIORAL HEALTH: TELEBEHAVIORAL HEALTH BY CHILDREN'S HEALTH VIRTUAL CARE ALLOWS STUDENTS TO VIDEO CHAT WITH A LICENSED BEHAVIORAL HEALTH PROVIDER AT SCHOOL. THE PROGRAM IS CURRENTLY IN 87 NORTH TEXAS SCHOOLS AND AVAILABLE TO MORE THAN 65,000 STUDENTS. SINCE SEPTEMBER 2017, 519 STUDENTS HAVE RECEIVED TELEPHONIC BEHAVIORAL HEALTH ASSESSMENTS AT NO COST AND PROGRAM THERAPISTS HAVE PERFORMED 1,589 VIRTUAL THERAPY SESSIONS. HEALTH & WELLNESS ALLIANCE 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. MEDICAID/CHIP OUTREACH: CHILDREN'S HEALTH OUTREACH TEAM CONDUCTS MEDICAID/CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AT AREA SCHOOL DISTRICTS AND COMMUNITY PARTNER ORGANIZATIONS WITH A COMBINED ENROLLMENT OF MORE THAN 350,000. AT PARTNER SCHOOLS, EACH STUDENT'S FAMILY RECEIVES INFORMATION ON THE IMPORTANCE OF HEALTH INSURANCE AND THE TOOLS TO APPLY FOR CHIP/MEDICAID. AT PARTNER SITES, LIKE DALLAS WIC AND BROTHER BILLS, REPRESENTATIVES MEET FAMILIES TO PROVIDE ASSISTANCE IN APPLYING FOR BENEFITS. CHILDREN'S HEALTH WEBSITE: OUR HOSPITAL WEB SITE, WWW.CHILDRENS.COM, EMPOWERS PARENTS WITH INFORMATION ABOUT CHILDHOOD ILLNESSES, PREVENTION, TREATMENT AND SERVICES AVAILABLE AT THE HOSPITAL. MORE THAN 1,300 COMMON PEDIATRIC TOPICS ARE ADDRESSED ON THE WEB SITE. ALSO AVAILABLE ARE INTERACTIVE GUIDES PROMOTING HEALTHY LIVING.
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 I IRS990ScheduleI

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

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
May Smith Scholars Program	18	$90,000
Women's Auxiliary Educational Assistance Program	8	$24,000
James J Farnsworth Health Career Scholarship Program	10	$10,000
Grace Lee Scholarship for Clinical Education	12	$36,000
Lisa Milonovich Nursing Scholarship	3	$10,500
Nursing Division Tuition Assistance	22	$39,450

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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	$1,193,522	$0	$1,531,410	$0	$688,172	$0	$184,839	$0	$22,733	$0	$3,620,676	$0	$0
Pamela Arora
Former Officer	$0	$434,772	$0	$399,262	$0	$86,116	$0	$153,963	$0	$15,105	$0	$1,089,218	$0	$0
Kimberly Besse
Former Officer	$0	$402,178	$0	$260,529	$0	$132,239	$0	$242,719	$0	$17,552	$0	$1,055,217	$0	$0
Douglas Duwe
Former Officer	$0	$249,514	$0	$98,873	$0	$60,344	$0	$67,951	$0	$6,236	$0	$482,918	$0	$0
Keri A Kaiser
Former Officer	$0	$328,491	$0	$214,594	$0	$72,113	$0	$120,249	$0	$16,340	$0	$751,787	$0	$0
Stephanie K Smith
Former Corporate Secretary	$0	$132,475	$0	$20,759	$0	$1,241	$0	$0	$0	$4,593	$0	$159,068	$0	$0
Mark E Ziemianski
Former Officer	$0	$252,617	$0	$102,000	$0	$63,937	$0	$69,073	$0	$16,826	$0	$504,453	$0	$0
David T Berry
President	$0	$629,139	$0	$395,628	$0	$89,100	$0	$203,246	$0	$11,015	$0	$1,328,128	$0	$0
Richard P Goode
President Corporate Services & CFO (until 9/23/19)	$0	$562,462	$0	$451,779	$0	$62,599	$0	$182,532	$0	$8,646	$0	$1,268,018	$0	$0
James Herring
EVP CAO	$0	$505,800	$0	$332,645	$0	$107,159	$0	$19,000	$0	$0	$0	$964,604	$0	$0
Jeremiah Radandt
EVP Finance & CFO	$0	$400,899	$0	$212,365	$0	$7,612	$0	$135,652	$0	$13,939	$0	$770,467	$0	$0
Mary E Stowe RN
SVP CNO (until 1/5/19)	$0	$13,542	$0	$237,346	$0	$617,264	$0	$4,753	$0	$489	$0	$873,394	$0	$0
Jeffrey Vawrinek
Secretary (until 10/18/19)	$0	$243,042	$0	$63,598	$0	$383,610	$0	$0	$0	$0	$0	$690,250	$0	$0
Michael Wiggins
SVP System Operations (until 2/2/19)	$0	$37,864	$0	$235,505	$0	$816,044	$0	$14,104	$0	$1,886	$0	$1,105,403	$0	$0
Amy Yeager
SVP & Secretary	$0	$334,085	$0	$150,000	$0	$4,293	$0	$438,873	$0	$9,087	$0	$936,338	$0	$0
Matthew M Davis
Dallas Market EVP	$0	$410,281	$0	$256,852	$0	$68,628	$0	$140,168	$0	$7,715	$0	$883,644	$0	$0
Vanessa U Walls
Northern Market EVP	$0	$304,948	$0	$157,242	$0	$49,257	$0	$80,155	$0	$11,830	$0	$603,432	$0	$0
Jodi L Landon
VP Managed Care	$0	$296,802	$0	$115,727	$0	$84,419	$0	$80,218	$0	$9,287	$0	$586,453	$0	$0
Christopher Menzies
VP Chief Med Information Officer	$0	$366,266	$0	$135,238	$0	$97,093	$0	$90,554	$0	$2,503	$0	$691,654	$0	$0
Rustin Morse MD
SVP Quality and Safety and Chief Quality Officer	$0	$386,718	$0	$228,708	$0	$45,670	$0	$70,796	$0	$10,590	$0	$742,482	$0	$0
Ray Tsai MD
SVP Dallas Market Operations	$0	$393,135	$0	$295,959	$0	$123,883	$0	$142,652	$0	$19,038	$0	$974,667	$0	$0
Coleman Skinner
VP Revenue Cycle	$0	$314,410	$0	$117,411	$0	$31,863	$0	$76,453	$0	$11,856	$0	$551,993	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S HEALTH CLINICAL OPERATIONS (CHCO). THEREFORE, Executives, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Jeffrey Vawrinek - $263,029 Michael Wiggins - $516,750 Mary Stowe - $567,200
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, and Ray Tsai. Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J. Durovich - $150,116, David Berry - $55,786, Richard Goode - $53,248, James Herring - $75,870, Pamela Arora - $71,989, Ray Tsai - $72,007, Kimberly Besse - $78,498, Jeffrey Vawrinek - $77,906, Keri Kaiser - $39,405, Christopher Menzies - $46,525, Mark Ziemianski - $32,270, Douglas Duwe - $35,761, Michael Wiggins - $284,201, Joe Cavender - $36,566, and Mary Stowe - $4,209. Employees who participated in and have contributions to the EDCRP include: Christopher J. Durovich - $165,839, David Berry - $192,046, Richard Goode - $171,332, Pamela Arora - $134,963, Ray Tsai - $123,652, Kimberly Besse - $225,919, Rustin Morse - $59,596, Jeremiah Radandt - $124,452, Keri Kaiser - $103,449, Christopher Menzies - $73,754, Amy Yeager - $427,673, Mark Ziemianski - $53,888, Douglas Duwe - $51,151, Joe Cavender - $52,208, and Michael Wiggins - $11,925.

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	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$365,809,775	$0	$0	$97,017,021	$0	$0	$0	$32,439,005	$214,790,296	$21,563,453	false	Yes (true)	false	Yes (true)
B	$27,075,000	$88,200,000	$178,386,376	$0	$0	$0	$0	$0	$0	$0	$178,386,376	$0	Yes (true)	false	Yes (true)	Yes (true)

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 (4 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 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 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S HEALTH CLINICAL OPERATIONS. THEREFORE THE TOP MANAGEMENT OFFICIAL IS EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). Salary setting is conducted by the related party, CHST and is described at 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 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES	Line 15b is answered no in accordance with the IRS Form 990 instructions because salary is paid and determined by a related party, Children's Health System of Texas (CHST). CHST is the sole member and officers are employed and paid by CHST.
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: 4556247, Program Service Expense: 1042552, Management and General Expenses: 3513695, Fundraising Expenses: 0; Contract Medical - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 5624046, Fundraising Expenses: 0; Contract Services - Total Expense: 4421968, Program Service Expense: 17746, Management and General Expenses: 4404222, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfer of excess cash to CMCF per investment policy - -28288939; Pension Liability - 89367930; NetAssets-CMCF-Unrestricted&Temp Restricted - XXX-XX-XXXX; NetAssets-CMCF-Endowment - 22243918; Restricted Gifts - F/A Acquisition - 1983703; Land Transfer to CHST - -50942426;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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)
CHST Physician Group 2
1935 Medical District Drive	Dallas	TX	75235	813679995	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 3
1935 Medical District Drive	Dallas	TX	75235	813691209	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 4
1935 Medical District Drive	Dallas	TX	75235	814577909	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 5
1935 Medical District Drive	Dallas	TX	75235	814848085	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 6
1935 Medical District Drive	Dallas	TX	75235	814865847	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752062019	MANAGEMENT COMPANY	TX	501(c)(3)	Type II	NA	false
Bradford Memorial Hospital for Babies
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	756067819	Hospital	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
The Children's Hospital of Texas
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	756081004	Hospital	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
Richmond Freeman Memorial Clinic
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	237079698	Hospital	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Legacy Trail Surgery Center LLC dba Live Oak Surgery Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7211 Preston Rd Ste 2100	AddressLine1Txt
City	Plano	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	750240258	ZIPCd

Field	Value	IRS element (for citing)
EIN	822278618	EIN
Primary Activities	Surgery Center	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

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	Yes (true)	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	D	TransactionTypeTxt
Involved	$33,617,656	InvolvedAmt
Method Of Amount Determination	GAAP	MethodOfAmountDeterminationTxt