STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201943199349302079
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-15T08:00:59-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 N St Paul Suite 850AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN750800628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Health Clinical OperationsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeremiah RadandtPersonNm
Person TitleEVP Finance & CFOPersonTitleTxt
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone2147775200PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Children's HealthBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1David BerryBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,413,578,697GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.childrens.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionDedicated to making life better for childrenActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee8563TotalEmployeeCnt
Total Volunteers1000TotalVolunteersCnt
Total Gross UBI$655,607TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,905,343PYContributionsGrantsAmt
CY Contributions Grants$10,789,632CYContributionsGrantsAmt
PY Program Service Revenue$1,225,959,615PYProgramServiceRevenueAmt
CY Program Service Revenue$1,384,038,687CYProgramServiceRevenueAmt
PY Investment Income$5,587,969PYInvestmentIncomeAmt
CY Investment Income$1,762,460CYInvestmentIncomeAmt
PY Other Revenue$52,929,562PYOtherRevenueAmt
CY Other Revenue$16,832,064CYOtherRevenueAmt
PY Total Revenue$1,292,382,489PYTotalRevenueAmt
CY Total Revenue$1,413,422,843CYTotalRevenueAmt
PY Grants And Similar Paid$145,175PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$191,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$450,636,304PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$485,462,241CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$682,431,307PYOtherExpensesAmt
CY Other Expenses$785,713,059CYOtherExpensesAmt
PY Total Expenses$1,133,212,786PYTotalExpensesAmt
CY Total Expenses$1,271,366,300CYTotalExpensesAmt
PY Revenues Less Expenses$159,169,703PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$142,056,543CYRevenuesLessExpensesAmt
Total Assets BOY$3,918,609,841TotalAssetsBOYAmt
Total Assets EOY$3,942,855,812TotalAssetsEOYAmt
Total Liabilities BOY$577,779,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$616,112,819TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,340,830,717NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,326,742,993NetAssetsOrFundBalancesEOYAmt
MissionChildren'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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,156,414,322ExpenseAmt
Grant$191,000GrantAmt
Revenue$1,400,044,034RevenueAmt
DescConsistent 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, 2018, approximately 64% of Children's gross revenue is attributable to patients enrolled in state Medicaid and CHIP programs. During 2018, 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 the fifth largest pediatric training program in the country. Children's Health offers fellowships/residencies in pediatric subspecialties, 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$1,156,414,322TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document924IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8563EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Stephanie K SmithBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ed Heffernan
Chairman1.02.0Yes (X)$0$0$0
Michael Dardick
Director1.01.0Yes (X)$0$0$0
Thomas A Montgomery
Director1.02.0Yes (X)$0$0$0
Anne Bavier
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Debra Brennan Tagg
Director (until 9/13/2018)1.01.0Yes (X)$0$0$0
Jeremy Ford
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Steven M Gruber
Director (until 9/13/2018)1.03.0Yes (X)$0$0$0
Caren Kline
Director (until 9/13/2018)1.02.0Yes (X)$0$0$0
Charles Koetting
Director (until 9/13/2018)1.00Yes (X)$0$0$0
CS Lee
Director (until 9/13/2018)1.00Yes (X)$0$0$0
P Scott Ozanus
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Robert Peterson
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Dora Ramirez
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Denis Simon
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Mary Suhm
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Rajiv Trivedi
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Daryl Walker
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Hiawatha Williams
Director (until 9/13/2018)1.00Yes (X)$0$0$0
Mark Zacheis
Director (until 9/13/2018)1.01.0Yes (X)$0$0$0
David T Berry
President1.054.0$0$855,960$210,627Yes (X)
Richard P Goode
President Corporate Services & CFO1.054.0$0$1,029,022$418,477Yes (X)
Jeffrey Vawrinek
Secretary1.049.0$0$343,457$0Yes (X)
Mary E Stowe RN
SVP CNO49.01.0$0$1,359,080$130,562Yes (X)
James Herring
EVP CAO1.054.0$0$848,293$16,500Yes (X)
Michael Wiggins
SVP System Operations54.01.0$0$546,779$124,665Yes (X)
William R Morrow MD
EVP CCO (until 7/21/2018)1.054.0$0$2,248,262$115,677Yes (X)
Lawrence L Foust
EVP CLO & General Counsel (until 2/20/2018)1.054.0$0$1,580,407$43,617Yes (X)
Jerry D Lee
Treasurer (until 4/13/2018)1.049.0$0$906,965$37,689Yes (X)
Ray Tsai MD
SVP Dallas Market Operations42.013.0$0$684,614$155,384Yes (X)
Matthew M Davis
Dallas Market EVP (until 5/17/2018)54.01.0$0$605,565$134,078Yes (X)
Michael W Hefton
VP and CMC ASSOC CNO49.01.0$0$495,138$22,213Yes (X)
Dorothy Foglia
VP and CMC ASSOC CNO50.00.0$0$332,006$78,513Yes (X)
Joe Cavender
VP & CMC ASSOC CNO49.01.0$0$331,478$74,760Yes (X)
Pamela Arora
Former Officer0.055.0$0$814,103$165,529Yes (X)
Kimberly Besse
Former Officer0.055.0$0$628,252$152,542Yes (X)
Michele Chulick
Former Officer0.00.0$0$548,268$0Yes (X)
Douglas Duwe
Former Officer0.050.0$0$357,841$69,446Yes (X)
Keri A Kaiser
Former Officer0.050.0$0$499,782$129,246Yes (X)
Stephanie K Smith
Former Corporate Secretary0.040.0$0$162,833$4,591Yes (X)
Claud Kern Wildenthal MD PhD
Former Officer0.055.0$0$405,496$0Yes (X)
Mark E Ziemianski
Former Officer0.050.0$0$346,751$79,027Yes (X)
Christopher J Durovich
Former Officer and Director (CHST Pres. & CEO)0.060.0$0$3,556,525$200,803Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$19,486,877TotReportableCompRltdOrgAmt
Total Other Compensation$2,363,947TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UTSW
HI 108 5323 Harry Hines BlvdDallasTX753908886Physician & Medical Services$29,728,085
The Robins & Morton Group
400 SHADES CREEK PARKWAYBirminghamAL35209Construction Services$5,233,061
Medline Industries Inc
PO Box 121080DallasTX75312Medical Products$4,563,408
Phi Air Medical
2800 N 44th Street 800PhoenixAZ85008Transportation Services$4,139,024
US Foods Inc
9399 W HIGGINS RDRosemontIL60018Food Services$3,377,149
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K206CntrctRcvdGreaterThan100KCnt
Related Organizations$10,384,934RelatedOrganizationsAmt
Government Grants$404,698GovernmentGrantsAmt
Total Contributions$10,789,632TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue622110$1,344,525,773$1,344,525,773
Other Medical Services Revenue622110$39,512,914$38,857,307$655,607

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,384,038,687TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,918,314TotalRevenueColumnAmt
Exclusion$1,918,314ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,900RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,900RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,900TotalRevenueColumnAmt
Exclusion$1,900ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$155,854OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$155,854OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$155,854TotalRevenueColumnAmt
Exclusion-$155,854ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Other Medical Svc Rev622110$11,953,457$11,953,457
Dietary Revenue621990$4,707,497$4,707,497
Vending Revenue454210$169,210$169,210

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,830,164OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,413,422,843TotalRevenueColumnAmt
Related Or Exempt Func Income$1,400,044,034RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$655,607UnrelatedBusinessRevenueAmt
Exclusion$1,933,570ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$191,000TotalAmt
Program Services$191,000ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$380,184,496TotalAmt
Program Services$352,622,231ProgramServicesAmt
Management And General$27,562,265ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,864,281TotalAmt
Program Services$19,351,682ProgramServicesAmt
Management And General$1,512,599ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$55,999,546TotalAmt
Program Services$51,939,743ProgramServicesAmt
Management And General$4,059,803ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,413,918TotalAmt
Program Services$26,353,992ProgramServicesAmt
Management And General$2,059,926ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$148,527,927TotalAmt
Program Services$137,568,454ProgramServicesAmt
Management And General$10,959,473ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,880TotalAmt
Program Services$435ProgramServicesAmt
Management And General$3,445ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,418,395TotalAmt
Program Services$2,232,315ProgramServicesAmt
Management And General$186,080ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$715,103TotalAmt
Program Services$579,378ProgramServicesAmt
Management And General$135,725ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,593,365TotalAmt
Program Services$7,539,762ProgramServicesAmt
Management And General$16,053,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$759,457TotalAmt
Program Services$603,984ProgramServicesAmt
Management And General$155,473ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,751,701TotalAmt
Program Services$1,508,742ProgramServicesAmt
Management And General$242,959ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,396,139TotalAmt
Program Services$101,830ProgramServicesAmt
Management And General$14,294,309ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,291,904TotalAmt
Program Services$48,266,253ProgramServicesAmt
Management And General$5,025,651ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provision for Doubtful Accounts$52,417,896$52,417,896
Shared Services$336,532,755$304,796,296$31,736,459
Medical Surgical Supplies$144,124,380$144,124,380
Dietary and Food Costs$3,647,780$3,571,173$76,607

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,532,377TotalAmt
Program Services$2,644,776ProgramServicesAmt
Management And General$887,601ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,271,366,300TotalAmt
Program Services$1,156,414,322ProgramServicesAmt
Management And General$114,951,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$103,268,080BOYAmt
EOY$103,263,428EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$160,273,330BOYAmt
EOY$132,988,206EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,971,539BOYAmt
EOY$16,390,006EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,191,818BOYAmt
EOY$2,810,690EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,401,916,996LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$559,469,715LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$844,917,424BOYAmt
EOY$842,447,281EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,475,315EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,790,987,650BOYAmt
EOY$2,830,480,886EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,918,609,841BOYAmt
EOY$3,942,855,812EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,938,587BOYAmt
EOY$134,042,585EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$22,132EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$450,436,417BOYAmt
EOY$438,197,345EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,404,120BOYAmt
EOY$43,850,757EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$577,779,124BOYAmt
EOY$616,112,819EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,921,101,930BOYAmt
EOY$1,961,119,675EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,279,057,606BOYAmt
EOY$1,216,743,891EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$140,671,181BOYAmt
EOY$148,879,427EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,340,830,717BOYAmt
EOY$3,326,742,993EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,918,609,841BOYAmt
EOY$3,942,855,812EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$142,056,543ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$26,332NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$156,170,599OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$174,455OtherActivitiesAmt
Total Lobbying Expenditures$174,455TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYIn 2018, 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 2018 membership dues. In addition, CHCO paid professional and consulting fees related to other lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYIn 2018, 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 2018 membership dues. In addition, CHCO paid professional and consulting fees related to other lobbying activities.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,120,808OtherCostOrOtherBasisAmt
Book Value$48,120,808BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$983,313,715OtherCostOrOtherBasisAmt
Depreciation$359,385,881DepreciationAmt
Book Value$623,927,834BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,786,207OtherCostOrOtherBasisAmt
Depreciation$8,414,138DepreciationAmt
Book Value$13,372,069BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,298,307OtherCostOrOtherBasisAmt
Depreciation$191,669,696DepreciationAmt
Book Value$82,628,611BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,397,959OtherCostOrOtherBasisAmt
Book Value$74,397,959BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$842,447,281TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Net Assets of Foundation$1,346,457,841
LT Advances to Affliates$1,429,343,992
Investments in Affiliates$25,000
Project Fund Escrow$50,179,043
Mineral Rights$4,475,010
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,830,480,886TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LT Deferred Rent$412,133
LT - Loan Pay and Def Costs - Urban Ventures$9,761,108
Defined Benefit Pension$33,677,516
FieldValueIRS element (for citing)
Total Liability$43,850,757TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,599,710TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,599,710NetCommunityBenefitExpnsAmt
Total Expense0.0099TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$703,747,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$658,607,562DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,139,614NetCommunityBenefitExpnsAmt
Total Expense0.0355TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,390,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,208,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,182,334NetCommunityBenefitExpnsAmt
Total Expense0.0041TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$770,737,490TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$707,815,832DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,921,658NetCommunityBenefitExpnsAmt
Total Expense0.0495TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,369,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,290,326DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,078,722NetCommunityBenefitExpnsAmt
Total Expense0.0064TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,390,429TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,872,164DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,518,265NetCommunityBenefitExpnsAmt
Total Expense0.0287TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,218,943TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,279,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,939,239NetCommunityBenefitExpnsAmt
Total Expense0.0039TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$652,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$652,030NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$57,630,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,442,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,188,256NetCommunityBenefitExpnsAmt
Total Expense0.0395TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$828,367,940TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$715,258,026DirectOffsettingRevenueAmt
Net Community Benefit Expns$113,109,914NetCommunityBenefitExpnsAmt
Total Expense0.0890TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,357,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,357,252NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,357,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,357,252NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$52,417,896BadDebtExpenseAmt
Bad Debt Expense Attributable$177,440BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,727,275ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,907,216CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$820,059MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
Children's Medical Center Dallas
11935 Medical District DriveDallasTX75235www.childrens.com138910807Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
Children's Medical Center Plano
27601 Preston RoadPlanoTX75024www.childrens.com1720480627Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessmentStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URL(see statement in Part VI)FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL(see statement in Part VI)FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URL(see statement in Part VI)FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EBased on the information gathered through the joint CHNA conducted by Children's Health and the prioritization process described therein, the health needs listed below have been identified as the most significant health needs in the community: -High rates of uninsured children -Obesity -Poor air quality -Lack of access to physicians for persons on Medicaid or CHIP -Downward trend in reading proficiency for third graders -Food insecurity -Child abuse
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Each 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 monthly to discuss children's health care issues and to contribute their experience, insights and expert recommendations for the the Beyond ABC report prepared by Children's Health . Additionally, 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, as part of the Texas Healthcare Transformation and Quality Improvement Program, the state of Texas has been divided into 20 regions. Hospitals within each region have worked together to develop plans to respond to health needs and transform the health care delivery system. Children's Health participates in the Regional Healthcare Partnership (RHP) Plans for Regions 9 and 10.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility 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 2016 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, 1Facility 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 telebehavioral 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 telebehavioral 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, 1Facility 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, 1Facility 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 annually in a local newspaper of general circulation in the county.
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Specialty Center Dallas Campus
2350 Stemmons FwyDallasTX75207Outpatient Specialty Care Center
Specialty Center 1 Plano
7609 Preston RdPlanoTX75024Outpatient Specialty Care Center
Specialty Center 2 Plano
7211 Preston RdPlanoTX75024Outpatient Specialty Care Center
Specialty Center Cityville
2222 Medical District DriveDallasTX75235Outpatient Specialty Care Center
Specialty Center Bass Center
6300 Harry Hines BlvdDallasTX75235Outpatient Specialty Care Center
Specialty Center Allen
8 Prestige Circle Ste 101AllenTX75002Outpatient Specialty Care Center
Specialty Center Grapevine
1643 Lancaster Dr Ste 300GrapevineTX76051Outpatient Specialty Care Center
Specialty Center Frisco
7010 Preston Rd Ste 240FriscoTX75034Outpatient Specialty Care Center
Specialty Center North Rockwall
2455 Ridge Rd Ste 255RockwallTX75087Outpatient Specialty Care Center
Specialty Center Waxahachie
1540 N Hwy 77 Bldg C Ste 10WaxahacieTX75165Outpatient Specialty Care Center
Specialty Center West Plano
7000 West Plano Pkwy Ste 210PlanoTX75093Outpatient Specialty Care Center
Specialty Center Mesquite
1675 Republic Pkwy Suite 190MESQUITETX75150Outpatient Specialty Care Center
Specialty Center Richardson
3661 N Plano Rd Ste 3500RichardsonTX75082Outpatient Specialty Care Center
Specialty Center Las Colinas
7453 Las Colinas BlvdIrvingTX75063Outpatient Specialty Care Center
Specialty Center Park Cities
8160 Walnut Hill LaneDallasTX75231Outpatient Specialty Care Center
Specialty Center Desoto
534 East Pleasant Run RoadDesotoTX75115Outpatient Specialty Care Center
Sleep Disorders Center
2620 N Stemmons FwyDallasTX75207Outpatient Specialty Care Center
Specialty Center South Rockwall
1005 W Ralph Hall Pkwy Ste 233RockwallTX75032Outpatient Specialty Care Center
Specialty Center Tyler
Medical Arts Plaza619 South FleisheTylerTX75701Outpatient Specialty Care Centerl Avenue
Specialty Center Drive Nation
2550 Rental Car DriveSuite 126IrvingTX75261Outpatient Specialty Care Center

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community Benefit ReportThe Children's Health Community Benefit Report (Beyond ABC) is prepared by our Marketing & Public Relations department with collaboration from numerous departments within the hospital.
Schedule H, Part VI, Line 7Children'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 V, Section B, Line 16a FAP AVAILABLE WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V Section D - Non-Hospital Facility InformationChildren's Health Clinical Operations, as the sole member of OCH Holdings doing business as Our Children's House, took over the operations of all outpatient therapy sites that were previous operated by OCH Holdings. This change was effective November 30, 2017 and was done to streamline and consolidate the outpatient therapy services of Children's Health System of Texas in support of its mission to make life better for children.
Schedule H, Part I, Line 7k Children's Health Community CommitmentChildren'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: -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 assistanceChildren'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 ActivitiesCHILDREN'S IS PASSIONATE ABOUT MAINTAINING A VOCAL PRESENCE IN LEGISLATIVE AFFAIRS ON THE LOCAL, STATE AND FEDERAL LEVELS AND IS AT THE FOREFRONT OF GOVERNMENTAL EFFORTS THAT AFFECT THE COMMUNITY AT LARGE, FROM BOOSTER SEAT AND CAR SAFETY MEASURES TO CRITICAL FUNDING INITIATIVES. ADDITIONALLY, CHILDREN'S COLLABORATES EXTENSIVELY WITH OUR PARTNERS IN COALITIONS SUCH AS THE CHILDREN'S HOSPITAL ASSOCIATION OF TEXAS (CHAT) AND THE TEXAS HOSPITAL ASSOCIATION (THA) AT THE STATE LEVEL, AS WELL AS THE CHILDREN'S HOSPITAL ASSOCIATION (FORMERLY THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS). CHILDREN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER ALSO SERVES ON THE BOARD OF TRUSTEES FOR THE AMERICAN HOSPITAL ASSOCIATION. THROUGH THESE AFFILIATIONS, CHILDREN'S IS BETTER ABLE TO ADVOCATE THE DEVELOPMENT OF AN EFFECTIVE, COMPREHENSIVE AND APPROPRIATELY FUNDED CHILDREN'S HEALTH CARE SYSTEM IN TEXAS AND ACROSS THE COUNTRY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAs 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 MethodologyChildren'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 4 Bad debt expense - financial statement footnoteThe following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Health System of Texas Audited Financial Statements (page 12). Children's Health adopted the Accounting Standards Update ("ASU") 2014-09, "Revenue from Contracts with Customers (Topic 606)" ("ASU 2014-09") on January 1, 2018. This standard requires revenue to be recognized in a manner depicting the transfer of goods or services to a customer at an amount that reflects the consideration expected to be received in exchange for those goods and services. Upon adoption, Children's Health utilized the modified retrospective method for transition. An analysis was performed of all revenue streams and transactions which fell under ASU 2014-09. In particular, for net patient service revenue, an analysis into the application of the portfolio approach as a practical expedient to a group patient contracts with similar characteristics, such that revenue for a given portfolio would not be materially different than if evaluated on a contract-by-contract basis. Upon adoption, the majority of amounts that were previously classified as provision for doubtful accounts and presented as a reduction to net patient service revenue on the ctatement of operations and changes in net assets is treated as an implicit price concession that reduces the transaction price, which is reported as net patient service revenue. The impact of adopting ASU 2014-09 was not material to total unrestricted revenues, excess of revenues over expenses or total net assets.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsWorksheet 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 assistanceAs 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 websiteA - Children's Medical Center Dallas: Line 16a URL: (see statement in Part VI);
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - 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 websiteA - Children's Medical Center Dallas: Line 16c URL: (see statement in Part VI);
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the 2016 Community Health Needs Assessment, Children's Health has produced a comprehensive quality-of life report on area children, Beyond ABC: Growing Up in Dallas County, since 1994. Beginning in 2008, a separate study has been published to focus on youth in Collin County as well. These biennial reports provide 10 years of trended data on the many factors facing children in our community. Beyond ABC analyzes more than 50 indicators of well-being with respect to health, education, safety and security for the more than 900,000 children that call those areas home.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceChildren'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 informationCommunity Served by Children's Health Clinical Operations - Children's main campus is located at 1935 Medical District Drive, 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 also 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. Identification and Description of Geographical Community - The city of Dallas is the third largest city in Texas. The city of Dallas is accessible from I-30, I-35E, I-45 and I-635. Patients primarily originate from Texas (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. From 2013 to 2017, the child population in Collin County grew by 7.4%. 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 is well known for bringing exceptional medical and surgical care to the children of North Texas. Through community events, child-specific initiatives and organizational affiliations, the hospital invests in prevention, research, education, clinical excellence and advocacy to benefit all children. 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. Combined, Children's Medical Center Dallas and Children's Medical Center Plano are licensed for 601 beds and has more than 50 sub-specialty programs spanning the two campuses - the main hospital in Dallas and a second full-service hospital in Plano. Children's was the first pediatric hospital in Dallas designated as a Level I Trauma Center. Children's is a private, not-for-profit hospital system that does not receive local tax dollars to offer the care provided. Children's is philanthropically supported in its efforts to provide care for every child who comes to us, regardless of their family's ability to pay. Donors also play a significant part in our ability to conduct research, education and advocacy. Combined, the two Children's Health facilities serve children by offering an elite level of individual care and attention to each family. As the primary pediatric teaching facility for the UT Southwestern Medical Center at Dallas, ("UTSW"), Children's is the only full-service, academic-affiliated pediatric hospital in North Texas. Through this academic affiliation, the Children's medical staff conducts research that is instrumental in developing treatments, therapies, and greater understanding of pediatric diseases and trains more than 200 pediatric residents and fellows annually.
Schedule H, Part VI, Line 5 Promotion of community healthThe 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/Dental Staff Bylaws. Children's Health considers it a privilege and responsibility to serve as ardent advocates for kids in Texas and across the country. To that end, we work tirelessly to ensure that children's voices are heard and that their needs are met. Our efforts to influence public policies that impact children's health are comprehensive and ongoing. 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 - Through the efforts of the Community Relations staff at Children's Health, more area children who are eligible for Medicaid or the Children's Health Insurance Program (CHIP) are receiving coverage. Lack of health insurance leads to poorer health in childhood, greater rates of avoidable hospitalizations and higher childhood mortality. Uninsured children are 8 times more likely to have delayed care and 12 times more likely to have an unmet medical need than children with private insurance. Children's Health is committed to helping families obtain health insurance, an important factor in the health and well-being for our entire community. Children's Health has a vision to help address the shortage of primary pediatric medical care for families with limited resources. Dallas CHIP Coalition - Children's Health founded and sponsors the Dallas Children's Health Insurance Program Coalition, an alliance of more than 90 organizations focused on helping families of uninsured children apply for CHIP or Medicaid. In addition, the coalition provides community leadership on public policy issues that affect the crisis of uninsured children in our community. MEDICAID/CHIP Outreach Events - Annually, Children's Health coordinates two large community outreach events targeting the families of uninsured children. Working with the Dallas Children's Health Insurance Program Coalition, these events are promoted through school flyers and the media. Since 2005, these events have helped more than 12,000 families apply for coverage for more than 24,000 children. The coalition has trained more than 250 volunteers to assist families with applications for CHIP or Medicaid. School Based Medicaid/Chip Outreach Children's Health outreach team conducts Medicaid/Children's Health Insurance Program outreach at area school districts with a combined enrollment of more than 350,000. Each student's family receives communications during a school year with information on the importance of health insurance and the tools to apply for CHIP/Medicaid. Children's Health serves as a liaison with the state for families who could not successfully navigate the state's eligibility system. Tackling an epidemic Texas ranks sixth in the nation for obesity in 10 to 17 year-olds, and the problem is even more pressing in Dallas County. More than one-third (36.1 percent) of Dallas Independent School District high-school students are obese or overweight, almost double the national average, according to the Department of State Health Services. In 2008, only one in five Dallas ISD third-graders passed the Texas-mandated school Fitnessgram assessment, compared to about one in three statewide. At Children's Health , we provide services to 7,500 patients each year with diagnoses that research shows to be obesity-related. These include cardiology, endocrine, gastrointestinal, pulmonary and psychiatric diagnoses. Children's Health is a sponsor of Get A Move On, a city-wide fitness initiative and awareness campaign that is organized by a coalition of community partners. Dental Outreach Although effective methods exist to prevent tooth decay, cavities remain the most prevalent chronic condition among children-five times more common than asthma and seven times more common than hay fever. In partnership with UT Southwestern Medical Center at Dallas, a grant has been obtained so that children from the continuity clinics and ARCH (At-Risk Children) clinic who are identified as at-risk are now provided oral health education and fluoride varnish every three months to reduce their risk of cavities. Children's Health website Our hospital web site, www.childrens.com, empowers parents with the latest 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 that target both children and their parents. Reaching out to support the families of our communities is at the heart of the Children's Health mission. The challenge of ensuring the safety and well-being of all children is a driving force for the hospital, its employees and its medical staff. Assessing how many lives our services touch requires a look into our community, where the Children's Health influence has impact far beyond the hospital's walls. Disease Management and Wellness The Disease Management and Wellness Department at Children's Health improves quality of life and decreases the use of healthcare services through education and pro-active self management. Children's Health has seven disease-specific certifications, the most of any pediatric center in the United States. The programs offer access to evidence-based care and support that is needed for the management of conditions like asthma, diabetes and obesity. The disease management initiative is part of the hospital's ongoing efforts to reduce emergency department use, decrease admissions, curtail healthcare costs and ultimately, improve the quality of life for children with chronic conditions. Each program provides a family-centered environment that focuses on providing quality care to patients and overall increased disease awareness. Coaching coaches, athletes and parents Children's Health is committed to educating coaches, parents and young athletes on the importance of sports injury prevention. The hospital has a presence at dozens of coaches' clinics each year at facilities such as the Plano Sports Authority and Dallas Baseball Academy of Texas. During the clinics, Children's provides sports-specific injury-prevention cards and clipboards to thousands of coaches each year. So far, we have impacted the health and safety of 400,000 young athletes. Children's Health has also worked with companies such as Kohl's Corporation and their Sports Health and Wellness Outreach Program, to further support community outreach efforts Spreading a message of water safety Drowning is the second-leading cause of unintentional injury-related deaths among American children ages 1 to 14. The Know Before You Go Program spreads the message that every drowning is preventable when parents take appropriate precautions. The program includes distributing water safety materials, providing demonstrations on proper water rescue techniques and the use and proper fit of Coast Guard approved flotation devices. Working to reduce preventable injuries More than a decade ago, Children's Health formed the Safe Kids Dallas Area Coalition - the local chapter of Safe Kids Worldwide - to prevent childhood injuries. Traumatic injuries are the leading cause of death in Texas in children ages 1 to 14, and preventing these injuries is imperative at Children's Health - the first Level I trauma center in Texas (and one of only two in the state) that is solely dedicated to treating pediatric patients. Since 2002, the number of patients hospitalized because of motor vehicle crashes has steadily risen. Children's Health Injury Prevention Program has expanded its outreach efforts accordingly to bring car seat safety education and installation services to the community in an effort to reduce the number of children injured in car crashes. A specific initiative within the Safe Kids Dallas program is our car-seat safety inspection project. The project offers child safety-seat inspections by certified car seat technicians at Children's Health Dallas and Plano campus so parents can learn to buckle up their children appropriately.
Schedule H, Part VI, Line 6 Affiliated health care systemChildren's Medical Center Dallas and Children's Medical Center Plano are a part of Children's Health System of Texas. Children's Health System of Texas is the leading pediatric health care system in North Texas, the eighth largest pediatric health care provider in the nation (according to Modern Healthcare 2016), and the second busiest in terms of admissions and pediatric Emergency Department visits. A private, not-for-profit organization, Children's Health is anchored by two full-service hospitals and encompasses a full range of pediatric health, wellness and acute care services for children from birth to age 18, including specialty care, primary care, home health, a pediatric research institute and community outreach services, among other forms of health care delivery.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
May Smith Scholars Program12$60,000
Women's Auxiliary Educational Assistance Program11$22,000
James J Farnsworth Health Career Scholarship Program3$3,000
Grace Lee Scholarship for Clinical Education10$30,000
Lisa Milonovich Nursing Scholarship2$7,000
Nursing Division Tuition Assistance37$69,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationMay Smith Scholars Program The heritage of nursing is rich at Children's, which traces its roots back to a clinic started by nurse May Forster Smith. This scholarship is named for 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. 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 Women's Auxiliary Educational Assistance Program The Women's Auxiliary to Children's 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. Award Details *A limited number of scholarships in the amount of $2,000 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. James J. Farnsworth Health Career Scholarship Program The James J. Farnsworth Health Career Scholarship offers educational support to students planning careers in pediatric healthcare. 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 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 -Current full or part-time employees -Former or current volunteers at Children's -Parent is employed at Children's -Parent is a volunteer at Children's -Students demonstrating strong academic achievement 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 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. 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 with two years of continuous employment at Children's 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. 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. Nursing Division Tuition Assistance Program The Nursing Division is offering scholarships to full- and part-time RN staff enrolled in an accredited BSN program, up to $2,000 per nurse for full-time employment and $1000 for part-time employment. The Nursing Division can award up to $140,000. These scholarships support the Nursing Division's goal for all bedside nurses to have a BSN degree by 2020. 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 in good standing. *Confirm proof of enrollment in an accredited BSN nursing program. Award Details *A limited number of scholarships 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 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. The monitoring of the use of all awarded scholarship funds is performed by the selection committee through review of information requested of and provided by the recipients.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher J Durovich
Former Officer and Director (CHST Pres. & CEO)$0$1,132,271$0$1,262,355$0$1,161,899$0$175,306$0$25,497$0$3,757,328$0$0
Pamela Arora
Former Officer$0$423,011$0$334,666$0$56,426$0$150,048$0$15,481$0$979,632$0$0
Kimberly Besse
Former Officer$0$374,135$0$191,028$0$63,089$0$133,677$0$18,865$0$780,794$0$0
Michele Chulick
Former Officer$0$0$0$548,268$0$0$0$0$0$0$0$548,268$0$0
Douglas Duwe
Former Officer$0$240,783$0$75,351$0$41,707$0$60,872$0$8,575$0$427,288$0$0
Keri A Kaiser
Former Officer$0$308,299$0$160,383$0$31,100$0$113,664$0$15,582$0$629,028$0$0
Stephanie K Smith
Former Corporate Secretary$0$128,098$0$14,598$0$20,137$0$0$0$4,591$0$167,424$0$0
Claud Kern Wildenthal MD PhD
Former Officer$0$405,496$0$0$0$0$0$0$0$0$0$405,496$0$0
Mark E Ziemianski
Former Officer$0$239,302$0$74,434$0$33,014$0$62,222$0$16,805$0$425,778$0$0
David T Berry
President$0$612,490$0$234,136$0$9,334$0$198,944$0$11,683$0$1,066,587$0$0
Richard P Goode
President Corporate Services & CFO$0$716,612$0$310,110$0$2,300$0$408,147$0$10,330$0$1,447,500$0$0
Jeffrey Vawrinek
Secretary$0$297,660$0$42,953$0$2,845$0$0$0$0$0$343,457$0$0
Mary E Stowe RN
SVP CNO$0$350,645$0$414,823$0$593,612$0$118,803$0$11,759$0$1,489,641$0$0
James Herring
EVP CAO$0$490,523$0$277,884$0$79,886$0$16,500$0$0$0$864,793$0$0
Michael Wiggins
SVP System Operations$0$330,836$0$173,130$0$42,812$0$113,263$0$11,402$0$671,444$0$0
William R Morrow MD
EVP CCO (until 7/21/2018)$0$327,078$0$471,289$0$1,449,895$0$110,636$0$5,041$0$2,363,939$0$0
Lawrence L Foust
EVP CLO & General Counsel (until 2/20/2018)$0$77,211$0$322,689$0$1,180,507$0$35,406$0$8,211$0$1,624,024$0$0
Jerry D Lee
Treasurer (until 4/13/2018)$0$85,821$0$111,213$0$709,931$0$31,756$0$5,933$0$944,655$0$0
Ray Tsai MD
SVP Dallas Market Operations$0$385,115$0$240,355$0$59,144$0$138,665$0$16,720$0$839,998$0$0
Matthew M Davis
Dallas Market EVP (until 5/17/2018)$0$384,390$0$173,016$0$48,160$0$126,990$0$7,087$0$739,643$0$0
Michael W Hefton
VP and CMC ASSOC CNO$0$41,550$0$82,316$0$371,272$0$18,589$0$3,624$0$517,351$0$0
Dorothy Foglia
VP and CMC ASSOC CNO$0$225,074$0$72,485$0$34,447$0$63,475$0$15,037$0$410,519$0$0
Joe Cavender
VP & CMC ASSOC CNO$0$224,756$0$71,096$0$35,626$0$64,079$0$10,682$0$406,238$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S MEDICAL CENTER OF DALLAS (CMCD). 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. When appropriate, an independent compensation consultant may be engaged. 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 paymentSeverance Payment: * Severance - Lawrence Foust - $793,200 * Severance - Jerry Lee - $475,800 * Severance - Michael Hefton - $230,300
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planNon-Qualified Retirement Plan: * Retirement Income Restoration Plan - Christopher J Durovich participated in the Retirement Income Restoration Plan and received $647,485 in taxable income during 2018. Mary Stowe participated in the Retirement Income Restoration Plan and received $219,249 in taxable income during 2018. * Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Christopher J Durovich - $352,127, Jerry Lee - $13,682, William Morrow - $12,299, Mary Stowe - $24,226. Additional employees who participated in the Savings Restoration Plan include Jeff Vawrinek and Ray Tsai. *Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J Durovich - $141,304, Jerry Lee - $177,633, William Morrow - $503,367, Ray Tsai - $55,523, Matthew Davis - $45,160, Michael Hefton - $126,549, Mary Stowe - $338,385, Michael Wiggins - $40,871, Joe Cavender - $31,543, Dorothy Foglia - $24,350, Pamela Arora - $48,412, Kimberly Besse - $57,259, Keri Kaiser - $28,239, James Herring - $73,579, Lawrence Foust - $349,857, Douglas Duwe - $33,067, Mark Ziemianski - $29,595. Employees who received compensation reported as deferred in column C from the EDCRP include: Christopher J Durovich - $157,922, David Berry - $187,944, Lawrence Foust - $24,406, Richard Goode - $400,183, Jerry Lee - $18,351, William Morrow - $99,636, Mary Stowe - $100,303, Michael Wiggins - $102,672, Joe Cavender - $47,088, Matthew Davis - $117,443, Dorothy Foglia - $48,022, Michael Hefton - $8,858, Ray Tsai - $120,550, Pamela Arora - $131,548, Kimberly Besse - $117,900, Douglas Duwe - $49,872, Keri Kaiser - $97,164, Mark Ziemianski - $51,222.
Schedule J, Part I, Line 7 Non-fixed paymentsNon-Fixed Payments - The Human Resources Committee of the Board of Directors of Children's Health System of Texas retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
N Central Tx Hlth Fac Dev Corp Hosp
A52130450265854RAL42009-07-01$193,697,772Reimburse Construction CostYes (true)falsefalse
N Central Tx Hlth Fac Dev Corp Hosp
B52130450265854RBD12012-08-15$178,386,376Refund Series 2002 Bondsfalsefalsefalse
New Hope Cultural Edu Facilities Fin Corp
C261604618645424AV42017-12-28$365,809,775Refund Series 2012 & 2009; New Const.falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,475,000$194,925,000$193,697,772$0$0$0$2,819,039$0$312,573$190,566,160$0$02009falsefalseYes (true)Yes (true)
B$19,930,000$88,200,000$178,386,376$0$0$0$0$0$0$0$178,386,376$0Yes (true)falseYes (true)Yes (true)
C$0$0$365,809,775$0$0$300,328,751$0$0$0$3,823,415$11,478,566$50,179,043falseYes (true)falseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falseYes (true)false0.00.00.0falsefalseYes (true)
B0.0
CfalseYes (true)Yes (true)falseYes (true)false0.0010.00.001falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
CfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Row BSeries 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 BThe other spent proceed are the refunding proceeds of the issue that are no longer in escrow.
Schedule K, Part III, Line 3b Column A and CThese 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 and CThese 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 I, Column (g) Row AAll except one maturity of the 2009 issue was defeased due to the advanced refunding of the issue by the 2017 issue. The issue will not be listed on FY'19 form
Schedule K, Part II, Line 11 Column CThe other spent proceeds are the refunding proceeds of the issue that are no longer in escrow.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2aCHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR CHILDREN'S MEDICAL CENTER OF DALLAS (CMCD) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CMCD. CMCD HAS APPROXIMATELY 5,300 EMPLOYEES.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALCHILDREN'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 CommitteesChildren'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 EMPLOYEESLine 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 2 Family/business relationships amongst interested personsJeremy Ford and Robert Peterson - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documentsCHCO - Bylaws amended 9/13/18 * Reflect the entity's name change from Children's Medical Center of Dallas to Children's Health Clinical Operations. * Change in the corporation's Board size and membership. * New provision provides for the establishment and operations of one or more operating divisions of the corporation. * Deletion of Article 6 relating to the oversight of Medical/Dental Staff activities. * Amendments reflecting the authority of the CHCO Board to elect and remove directors of each operating division Board of Directors. CHCO - Certificate of Formation amended 9/15/18 * Reflect the entity's name change from Children's Medical Center of Dallas to Children's Helath Clinical Operations. * Reflect a change in the name and address of the entity's registered agent.
Form 990, Part VI, Line 6 Classes of members or stockholdersChildren'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 bodyCHST elects all voting members of the organization's Board of Directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersMember 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 bodyA 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 policyOfficers, 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 publicIRC 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 FeesConsulting & Professional fees - Total Expense: 4750800, Program Service Expense: 1248885, Management and General Expenses: 3501915, Fundraising Expenses: ; Contract Medical - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 3790123, Fundraising Expenses: ; Contract Svcs (Laudry, Parking, etc.) - Total Expense: 3694491, Program Service Expense: 27056, Management and General Expenses: 3667435, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTransfer of Investment Pool to Children's Medical Center Foundation - -11051195; Pension Liability - -31019474; NetAssets-CMCF-Unrestricted&Temp Restricted - -81259555; NetAssets-CMCF-Endowment - 8208246; Company Terminations - -65123330; Restricted Gifts - F/A Acquisition - 5128871; NetAssets-CMCF Transfers To/From - 18945838;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHILDREN'S MEDICAL CENTER FOUNDATION
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752062015FOUNDATIONTX501(c)(3)7CHILDREN'S HEALTH SYSTEM OF TEXASfalse
PHYSICIANS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752854505PHYSICIANSTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
DALLAS PHYS MED SVCS FOR CHILDREN INC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235810584868PHYSICIANSTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
COMPLEX CARE MED SVC CORP
1935 MEDICAL DISTRICT DRIVEDALLASTX75235461893597MEDICAL SERVICESTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S MEDICAL CENTER HEALTH PLAN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235462737696HMOTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235433462044RESEARCH INSTITUTETX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
PEDIATRIC PARTNERS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235461917702CLINICALLY INTEGRATED NETWORKTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752062019MANAGEMENT COMPANYTX501(c)(3)Type IINAfalse
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752917570PHYSICIANSTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235464049491PHYSICIANSTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
SOUTHWESTERN MEDICAL DISTRICT
1935 MEDICAL DISTRICT DRIVEDALLASTX75235204101612MEDICAL DISTRICTTX501(c)(3)Type INAfalse
WOMEN'S AUXILIARY OF CMCD
12720 HILLCREST RDDALLASTX75230752485538WOMEN'S AUXILIARYTX501(c)(3)10NAfalse
OCH Holdings
1935 Medical District DriveDallasTX75235474837308HospitalTX501(c)(3)3Children's Medical Center of DallasYes (true)
CHST Physician Group 1
1935 Medical District DriveDallasTX75235813582843PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 2
1935 Medical District DriveDallasTX75235813679995PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 3
1935 Medical District DriveDallasTX75235813691209PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 4
1935 Medical District DriveDallasTX75235814577909PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 5
1935 Medical District DriveDallasTX75235814848085PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 6
1935 Medical District DriveDallasTX75235814865847PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Wellness Innovations LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd
FieldValueIRS element (for citing)
EIN475246461EIN
Primary ActivitiesPhysiciansPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752244475OTHER MEDICAL SERVICESTXNAC Corporationfalse
NTPSS INC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235471036641PHYSICIAN SOLUTIONSTXNAC Corporationfalse
Texas Bluebonnet Insurance Company
1935 Medical District DriveDallasTX75235475032893Insurance CompanyTXNAC Corporationfalse
TEXAS TRINITY RIVER ASSURANCE COMPANY LTD
981318151Self-insuranceNAC CorporationfalseCJ
Wellness Innovations Physician Partners
1935 Medical District DriveDallasTX75235811734937PhysicianTXNAC Corporationfalse
Children's Health
1935 Medical District DriveDallasTX75235833809987Other Medical ServicesTXNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OCH HOLDINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$51,104,354InvolvedAmt
Method Of Amount DeterminationGAAPMethodOfAmountDeterminationTxt