CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-13
IRS object ID: 201813179349300931
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-13T08:01:34-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	750 N St Paul Suite 850	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750800628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Medical Center of Dallas	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	2144567000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tammie Sibley	PersonNm
Person Title	CHST SVP, Finance	PersonTitleTxt
Signature	2018-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RACHEL SPURLOCK	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2147775200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Health	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,292,393,573	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrens.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	Dedicated to making life better for children	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	5500	TotalEmployeeCnt
Total Volunteers	1000	TotalVolunteersCnt
Total Gross UBI	$584,553	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$418,051	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,195,490	PYContributionsGrantsAmt
CY Contributions Grants	$7,905,343	CYContributionsGrantsAmt
PY Program Service Revenue	$1,187,532,751	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,225,959,615	CYProgramServiceRevenueAmt
PY Investment Income	$14,284,422	PYInvestmentIncomeAmt
CY Investment Income	$5,587,969	CYInvestmentIncomeAmt
PY Other Revenue	$48,939,712	PYOtherRevenueAmt
CY Other Revenue	$52,929,562	CYOtherRevenueAmt
PY Total Revenue	$1,261,952,375	PYTotalRevenueAmt
CY Total Revenue	$1,292,382,489	CYTotalRevenueAmt
PY Grants And Similar Paid	$116,225	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$145,175	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$456,716,219	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$450,636,304	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$633,746,986	PYOtherExpensesAmt
CY Other Expenses	$682,431,307	CYOtherExpensesAmt
PY Total Expenses	$1,090,579,430	PYTotalExpensesAmt
CY Total Expenses	$1,133,212,786	CYTotalExpensesAmt
PY Revenues Less Expenses	$171,372,945	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$159,169,703	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,556,087,815	TotalAssetsBOYAmt
Total Assets EOY	$3,918,609,841	TotalAssetsEOYAmt
Total Liabilities BOY	$527,743,573	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$577,779,124	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,028,344,242	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,340,830,717	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Children's Medical Center of Dallas is dedicated to making life better for children. Children's is committed to carry out this mission through adherence to four guiding principles: quality care; research & innovation; education & advocacy; and excellence & accountability.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,042,998,638	ExpenseAmt
Grant	$145,175	GrantAmt
Revenue	$1,277,885,143	RevenueAmt
Desc	Consistent with its charitable mission, Children's Health maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The local service regions stretch from the Oklahoma border south to Waco and from Parker County (west of Ft. Worth) east to Wood County. Children's Health participates in applicable government sponsored entitlement programs. For the year ended December 31, 2017, approximately 63% of Children's gross revenue is attributable to patients enrolled in state Medicaid and CHIP programs. During 2017, Children's Health served children through more than 927,000 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	$1,042,998,638	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	973	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5500	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2144567000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Debra Brennan Tagg
Director	1.0	1.0	Yes (X)	$0	$0	$0
Caren Kline
Director	1.0	1.0	Yes (X)	$0	$0	$0
Thomas A Montgomery
Chairman	1.0	2.0	Yes (X)	$0	$0	$0
Mark Zacheis
Director	1.0	1.0	Yes (X)	$0	$0	$0
Steven M Gruber
Director	1.0	3.0	Yes (X)	$0	$0	$0
Anne Bavier
Director	1.0	0	Yes (X)	$0	$0	$0
Jeremy Ford
Director	1.0	0	Yes (X)	$0	$0	$0
Charles Koetting
Director	1.0	0	Yes (X)	$0	$0	$0
CS Lee
Director	1.0	0	Yes (X)	$0	$0	$0
P Scott Ozanus
Director	1.0	0	Yes (X)	$0	$0	$0
Robert Peterson
Director	1.0	0	Yes (X)	$0	$0	$0
Dora Ramirez
Director	1.0	0	Yes (X)	$0	$0	$0
Denis Simon
Director	1.0	0	Yes (X)	$0	$0	$0
Mary Suhm
Director	1.0	0	Yes (X)	$0	$0	$0
Rajiv Trivedi
Director	1.0	0	Yes (X)	$0	$0	$0
Daryl Walker
Director	1.0	0	Yes (X)	$0	$0	$0
Hiawatha Williams
Director	1.0	0	Yes (X)	$0	$0	$0
David Berry
President, CMCD & President Sys Clin Ops, CHST	1.0	54.0		$0	$736,987	$22,932	Yes (X)
William Morrow MD
EVP CCO, CMCD & Pres Phys Orgs and Acdmc Rel CCO, CHST	1.0	54.0		$0	$927,755	$19,867	Yes (X)
Lawrence Foust
EVP CLO and General Counsel, CMCD & EVP CLO and General Counsel, CHST	1.0	54.0		$0	$805,476	$25,812	Yes (X)
Jeffrey Vawrinek
Secretary, CMCD & Secretary, CHST	1.0	49.0		$0	$415,314	$9,043	Yes (X)
Richard Goode
EVP CFO and Treasurer, CMCD & EVP CHST Finance CFO and Treas, CHST	1.0	54.0		$0	$786,266	$21,340	Yes (X)
James Herring
EVP CAO, CMCD & EVP CAO, CHST	1.0	54.0		$0	$548,809	$16,200	Yes (X)
Mary Stowe RN
SVP CNO, CMCD & SVP and CMC CNO, CHST	54.0	1.0		$0	$585,586	$30,269	Yes (X)
Michael Wiggins
SVP Plano Administrator, CMCD & SVP Plano Administrator	55.0	0.0		$0	$470,998	$19,368	Yes (X)
Matthew Davis
SVP Administrator Children's Medical Center Dallas, CHST	54.0	1.0		$0	$549,108	$17,310		Yes (X)
Kenneth Carr
VP Clinical Support Srvcs	50.0	0.0		$0	$341,082	$29,790		Yes (X)
Joe Cavender
VP and CMC ASSOC CNO	50.0	0.0		$0	$302,113	$26,939		Yes (X)
Dorothy Foglia
VP and CMC ASSOC CNO	50.0	0.0		$0	$305,735	$29,645		Yes (X)
Michael Hefton
VP and CMC ASSOC CNO	50.0	0.0		$0	$295,724	$28,521		Yes (X)
Pamela Arora
Former Officer, CMCD & SVP CIO, CHST	0.0	55.0		$0	$748,632	$84,428			Yes (X)
Kimberly Besse
Former Officer, CMCD & SVP Human Resources, CHST	0.0	55.0		$0	$561,127	$29,231			Yes (X)
Keri Kaiser
Former Officer, CMCD & SVP Mrktng and Comm, CHST	0.0	55.0		$0	$428,569	$25,648			Yes (X)
Michele Chulick (term 1617)
Former Officer, CMCD & President CHST Ventures, CHST	0.0	55.0		$0	$1,485,371	$10,800			Yes (X)
Peter Roberts (term 33117)
Former Officer, CMCD & Pres Pop Hlth Insurance Svcs, CHST	0.0	55.0		$0	$1,325,750	$19,580			Yes (X)
Claud Kern Wildenthal MD PhD
Former Officer, CMCD & Consultant, CHST	0.0	55.0		$0	$405,167	$0			Yes (X)
Jerry Lee
Former Officer, CMCD & VP Accounting and Treasury, CHST	0.0	50.0		$0	$390,313	$32,789			Yes (X)
Douglas Duwe
Former Officer, CMCD & VP Academic Relations and Budget Mgmt, CHST	0.0	50.0		$0	$330,482	$19,715			Yes (X)
Mark Ziemianski
Former Officer, CMCD & VP Chief Data Officer, CHST	0.0	50.0		$0	$305,618	$26,035			Yes (X)
Beth Peters (term 81117)
Former Officer, CMCD & VP Corp Compliance and CCO, CHST	0.0	50.0		$0	$268,564	$16,241			Yes (X)
Stephanie Smith
Former Officer, CMCD & Sr Legal Counsel, CHST		50.0		$0	$140,567	$11,005			Yes (X)
Jaquetta Clemons (term 1117)
Former Officer, CMCD & VP Finance, CHST	0.0	50.0		$0	$371,035	$0			Yes (X)
Cynthia Bassel (term 1617)
Former Officer, CMCD & SVP Foundation, CHST	0.0	55.0		$0	$858,114	$1,888			Yes (X)
Christopher J Durovich
Former Officer and Director, CMCD & President and CEO, CHST	0.0	60.0		$0	$3,886,127	$34,737			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,576,389	TotReportableCompRltdOrgAmt
Total Other Compensation	$609,134	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCCARTHY BUILDING COMPANIES INC
12001 N Central Expressway	Ste 400	Dallas	TX	75243	Construction Services	$43,710,524
DPR CONSTRUCTION
9606 MOPAC EXPRESSWAY STE 300		Austin	TX	78759	Contruction Services	$6,491,980
MAPP CONSTRUCTION
3131 TURTLE CREEK	STE 1300	Dallas	TX	75219	Contruction Services	$4,979,774
JE DUNN CONSTRUCTION COMPANY
16000 Dallas Pkwy 500		Dallas	TX	75248	Contruction Services	$4,573,040
RIGHT SOURCING INC
PO Box 515743		Los Angeles	CA	900515118	Staffing/Consulting Svcs	$4,469,511

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	252	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,484,734	RelatedOrganizationsAmt
Government Grants	$420,609	GovernmentGrantsAmt
Total Contributions	$7,905,343	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$1,306,410,716	$1,306,410,716
PROVISIONAL FOR DOUBTFUL ACCOUNTS	622110	-$80,451,101	-$80,451,101

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,225,959,615	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,599,053	TotalRevenueColumnAmt
Unrelated Business Revenue	-$192,264	UnrelatedBusinessRevenueAmt
Exclusion	$5,791,317	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,680	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,680	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,680	TotalRevenueColumnAmt
Exclusion	$1,680	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$11,084	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$11,084	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$11,084	TotalRevenueColumnAmt
Exclusion	-$11,084	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Other Medical Svc Rev	622110	$47,932,065	$47,155,248	$776,817
Dietary Revenue	621990	$4,770,280	$4,770,280
Vending Revenue	454210	$225,537			$225,537

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$52,927,882	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,292,382,489	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,277,885,143	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$584,553	UnrelatedBusinessRevenueAmt
Exclusion	$6,007,450	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$145,175	TotalAmt
Program Services	$145,175	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,362,886	TotalAmt
Program Services	$2,676,051	ProgramServicesAmt
Management And General	$6,686,835	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$351,086,860	TotalAmt
Program Services	$332,663,928	ProgramServicesAmt
Management And General	$18,422,932	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,296,737	TotalAmt
Program Services	$17,022,144	ProgramServicesAmt
Management And General	$1,274,593	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,095,562	TotalAmt
Program Services	$43,814,776	ProgramServicesAmt
Management And General	$3,280,786	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,794,259	TotalAmt
Program Services	$23,067,033	ProgramServicesAmt
Management And General	$1,727,226	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,740,188	TotalAmt
Program Services	$33,879,729	ProgramServicesAmt
Management And General	$7,860,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,958	TotalAmt
Program Services	$1,158	ProgramServicesAmt
Management And General	$5,800	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,561,790	TotalAmt
Program Services	$2,375,985	ProgramServicesAmt
Management And General	$185,805	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$362,561	TotalAmt
Program Services	$206,411	ProgramServicesAmt
Management And General	$156,150	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,921,694	TotalAmt
Program Services	$6,320,486	ProgramServicesAmt
Management And General	$13,601,208	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$589,377	TotalAmt
Program Services	$501,220	ProgramServicesAmt
Management And General	$88,157	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,322,169	TotalAmt
Program Services	$1,152,699	ProgramServicesAmt
Management And General	$169,470	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,219,070	TotalAmt
Program Services	$17,180,974	ProgramServicesAmt
Management And General	$38,096	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$49,176,690	TotalAmt
Program Services	$45,261,774	ProgramServicesAmt
Management And General	$3,914,916	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Shared Services	$410,900,793	$378,189,434	$32,711,359
Medical Surgical Supplies	$132,825,626	$132,825,626
Dietary and Food Costs	$3,784,379	$3,720,791	$63,588
Special Events & Projects	$155,298	$128,530	$26,768

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,864,714	TotalAmt
Program Services	$1,864,714	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,133,212,786	TotalAmt
Program Services	$1,042,998,638	ProgramServicesAmt
Management And General	$90,214,148	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$134,223,501	BOYAmt
EOY	$103,268,080	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$163,408,573	BOYAmt
EOY	$160,273,330	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,640,867	BOYAmt
EOY	$15,971,539	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,016,633	BOYAmt
EOY	$3,191,818	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,365,168,258	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$520,250,834	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$784,902,363	BOYAmt
EOY	$844,917,424	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$324,554,110	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$160,525,312	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,969,816,456	BOYAmt
EOY	$2,790,987,650	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,556,087,815	BOYAmt
EOY	$3,918,609,841	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$94,861,768	BOYAmt
EOY	$91,938,587	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$354,956,632	BOYAmt
EOY	$450,436,417	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,925,173	BOYAmt
EOY	$35,404,120	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$527,743,573	BOYAmt
EOY	$577,779,124	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,294,859,865	BOYAmt
EOY	$1,921,101,930	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$613,563,802	BOYAmt
EOY	$1,279,057,606	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$119,920,575	BOYAmt
EOY	$140,671,181	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,028,344,242	BOYAmt
EOY	$3,340,830,717	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,556,087,815	BOYAmt
EOY	$3,918,609,841	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$159,169,703	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$30,179,428	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$123,137,344	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$230,075	OtherActivitiesAmt
Total Lobbying Expenditures	$230,075	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

In 2017, CMCD 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 2017 membership dues. In addition, CMCD paid professional and consulting fees related to other lobbying activities.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$945,421,401	OtherCostOrOtherBasisAmt
Depreciation	$329,302,701	DepreciationAmt
Book Value	$616,118,700	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,216,028	OtherCostOrOtherBasisAmt
Depreciation	$6,494,547	DepreciationAmt
Book Value	$6,721,481	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$264,766,476	OtherCostOrOtherBasisAmt
Depreciation	$184,453,586	DepreciationAmt
Book Value	$80,312,890	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$93,643,545	OtherCostOrOtherBasisAmt
Book Value	$93,643,545	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$844,917,424	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Net Assets of Foundation	$1,419,509,150
LT Advances to Affliates	$1,309,931,960
Insurance Recoveries	$7,519,082
Investments in Affiliates	$25,000
Project Fund Escrow	$54,002,458

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,790,987,650	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Retirement Plan Accrual	$25,247,949
LT Deferred Rent	$412,133
LT - Loan Pay and Def Costs - Urban Ventures	$9,744,038

Field	Value	IRS element (for citing)
Total Liability	$35,404,120	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2	FormAndLineReferenceDesc
Explanation	IN 2017, CHILDREN'S MEDICAL CENTER OF DALLAS WAS NOT REQUIRED TO HAVE A FIN48 (ASC 740) FOOTNOTE DISCLOSURE.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	Investments	$2,012,346
Central America and the Caribbean	Investments	$160,973,100

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$162,985,446	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$162,985,446	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,558,257	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,558,257	NetCommunityBenefitExpnsAmt
Total Expense	0.0049	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$621,470,301	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$574,330,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,139,723	NetCommunityBenefitExpnsAmt
Total Expense	0.0416	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,088,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,786,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,301,741	NetCommunityBenefitExpnsAmt
Total Expense	0.0064	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$685,117,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$625,117,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,999,721	NetCommunityBenefitExpnsAmt
Total Expense	0.0529	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,118,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,780,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,337,724	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,053,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,196,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,856,895	NetCommunityBenefitExpnsAmt
Total Expense	0.0352	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,141,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,502,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,638,519	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,040,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,040,712	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$60,353,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,479,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,873,850	NetCommunityBenefitExpnsAmt
Total Expense	0.0475	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$745,470,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$631,597,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,873,571	NetCommunityBenefitExpnsAmt
Total Expense	0.1005	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,311,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,311,752	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,311,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,311,752	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,047,522	BadDebtExpenseAmt
Bad Debt Expense Attributable	$572,446	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,396,707	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,995,690	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$401,017	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Children's Medical Center Dallas
1	1935 Medical District Drive	Dallas	TX	75235	www.childrens.com	138910807	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Children's Medical Center Plano
2	7601 Preston Road	Plano	TX	75024	www.childrens.com	1720480627	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	(see statement in Part VI)	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	(see statement in Part VI)	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	(see statement in Part VI)	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	Based 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, 1	Facility 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, 1	Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. As a part of Children's Health, Children's Medical Center of Dallas 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, 1	Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Upon conducting the CHNA and developing the Community Health Implementation Strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the publically available CHNA and Community Health Implementation Strategy. Needs Not Addressed: Some issues identified through the Children's Health CHNA have not been addressed in this plan. In initial discussion and subsequent prioritization, Children's Health Needs Assessment Team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Children's Health. Children's Health Community Health Implementation Strategy includes details on Needs Not Addressed. The following are some of the needs that have been identified in the current and prior assessments that are addressed by others or in different ways: safe and affordable housing, palliative care capacity/need for increased geriatric/long-term/home care resources, discourage elective deliveries/increase the percentage of women who receive prenatal care, provide comprehensive sexuality education/high incidence of STDs in RHP Region 10, protect green spaces/add bike lanes/improve access to parks. These needs are not being addressed by Children's as our priorities were established based on unmet community health needs that intersect with our mission and key clinical strengths. There are community and state agencies that have greater expertise in housing, palliative care, prenatal care, sex education, and protecting green spaces in our community. At this time, these issues have not been incorporated into our community benefit plan because we do not have the infrastructure, expertise, or funding needed to have a significant impact in these areas.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Children's Health uses the Federal Poverty Guidelines to determine eligibility for low income individuals. 200% of the Federal Poverty Guidelines is used for 100% charity adjustment, and 201% to 400% of the Federal Poverty Guidelines is used for a sliding scale adjustment. Children's Health uses various documents and forms to verify income and expenses when determining the eligibility for financial assistance of a patient and their family. These documents include, but are not limited to, W2 Form, wage and earning statement, pay check remittance, worker's compensation, unemployment compensation determination letters, income tax returns, statement from employer, bank statements, copy of checks, documents of sources of income, telephone verification of gross income with the employer, proof of participation in government assistance programs such as Medicaid, signed affidavit or attestation by patient, and veterans benefit statement.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. In addition to ensuring that the Children's Health charity care criteria is posted prominently and continuously in common entry points of the facility, a Director of Patient Financial Service ensures that the Children's Health charity care criteria is published annually in a local newspaper of general circulation in the county.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Sleep Disorders Center
2620 N Stemmons Fwy	Dallas	TX	75207	Outpatient Specialty Care Center
Specialty Center Dallas Campus
2350 Stemmons Fwy	Dallas	TX	75207	OUTPATIENT SPECIALTY CARE CENTER
Specialty Center Bass Center
6300 Harry Hines Blvd	Dallas	TX	75235	Outpatient Specialty Care Center
Specialty Center Cityville
2222 Medical District Drive	Dallas	TX	75235	Outpatient Specialty Care Center
Specialty Center Park Cities
8160 Walnut Hill Lane	Dallas	TX	75231	Outpatient Specialty Care Center
Specialty Center Las Colinas
7453 Las Colinas Blvd	Irving	TX	75063	Outpatient Specialty Care Center
Specialty Center Mesquite
1675 Republic Pkwy Suite 190	MESQUITE	TX	75150	Outpatient Specialty Care Center
Specialty Center West Plano
7000 West Plano Pkwy Ste 210	Plano	TX	75093	Outpatient Specialty Care Center
Specialty Center Richardson
3661 N Plano Rd Ste 3500	Richardson	TX	75082	Outpatient Specialty Care Center
Specialty Center Grapevine
1643 Lancaster Dr Ste 300	Grapevine	TX	76051	Outpatient Specialty Care Center
Specialty Center 1 Plano
7609 Preston Rd	Plano	TX	75024	Outpatient Specialty Care Center
Specialty Center 2 Plano
7211 Preston Rd	Plano	TX	75024	Outpatient Specialty Care Center
Specialty Center Allen
8 Prestige Circle Ste 101	Allen	TX	75002	Outpatient Specialty Care Center
Specialty Center South Rockwall
1005 W Ralph Hall Pkwy Ste 233	Rockwall	TX	75032	Outpatient Specialty Care Center
Specialty Center Frisco
7010 Preston Rd Ste 240	Frisco	TX	75034	Outpatient Specialty Care Center
Specialty Center North Rockwall
2455 Ridge Rd Ste 255	Rockwall	TX	75087	Outpatient Specialty Care Center
Specialty Center Waxahacie
1540 N Hwy 77 Bldg C Ste 10	Waxahacie	TX	75165	Outpatient Specialty Care Center

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community Benefit Report	The 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 7	Children's Medical Center of Dallas and Children's Medical Center Plano are required to file a Community Benefit Plan and Report with the State of Texas as required by Senate Bill 427.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V Section D - Non-Hospital Facility Information	Children's Medical Center of Dallas, 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 7 Costing Methodology used to calculate financial assistance	Children's Health uses Worksheet 2 from the Form 990, Schedule H instructions to calculate the costs for Part I, Line 7 and ratio of patient care cost to charges attributable to community benefits.
Schedule H, Part II Community Building Activities	Children's is passionate about maintaining a vocal presence in legislative affairs on the local, state and federal levels and is at the forefront of 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 amount	Children's Health uses the ratio of cost to charge (RCC) as calculated on Worksheet 2 from the Form 990 Schedule H instructions to calculate the cost of bad debt. The Worksheet 2 RCC is applied to gross charges written off during the year to calculate the bad debt expense attributable to community benefits.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that, bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in Part I, Line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Audited Financial Statements. Children's Health maintains allowances for doubtful accounts to reserve for potential write-offs relating to a patient's inability to make payments on an account. Accounts are written off when collection efforts have been exhausted. Children's Health routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Worksheet A from the As Filed Medicare Cost Report and the IRS Schedule H Instructions to determine Medicare allowable costs.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Children's Health has written debt collection policies which identify collection practices to be followed. The collection practices determine for what financial assistance a patient qualifies, and if a patient does not qualify for financial assistance, Children's Health also has written collection practices to be followed to determine if a patient qualifies for charity care. If a patient qualifies or is attempting to qualify for assistance under the Children's Health Financial Assistance Policy and is attempting in good faith to settle an outstanding bill by negotiating a reasonable payment plan or by making regular partial payments of a reasonable amount, the unpaid bill will not be sent to any collection agency or other assignee. Children's Health does not engage in extraordinary collection actions against patients to obtain payment of care.
Schedule H, Part V, Section B, Line 16a FAP website	A - Children's Medical Center Dallas: Line 16a URL: (see statement in Part VI);
Schedule H, Part V, Section B, Line 16b FAP Application website	A - Children's Medical Center Dallas: Line 16b URL: (see statement in Part VI);
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - Children's Medical Center Dallas: Line 16c URL: (see statement in Part VI);
Schedule H, Part VI, Line 2 Needs assessment	In 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 assistance	Children's Health makes extensive efforts to inform and educate patients and patient's families about eligibility for financial assistance. The Children's Health Financial Assistance Policy and Financial Assistance Application are made widely available online and in print, along with a plain language summary of the Financial Assistance Policy. All three documents are available without charge and available in the primary languages spoken by LEP populations. In addition, Children's Health Financial Counselors or Customer Service Representatives work with patients' guardians/guarantors to ensure that all public and voluntary assistance programs are fully explored. Children's Health has a financial program for patients who are considered indigent and do not qualify for a federal or state program. The eligibility criteria for financial assistance is based upon Federal Poverty Guidelines published annually. Patients eligible for financial assistance will have charges reduced to the lowest level charged to individuals who have insurance covering such care. Gross charges will not be used to calculate patient's bills.
Schedule H, Part VI, Line 4 Community information	Community Served by Children's Medical Center - Children's main campus is located at 1935 Medical District Drive, Dallas, 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. Plano is in Collin County; which is also home to fast-growing cities like Frisco, Allen, McKinney and Prosper. 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 (94.8 percent). Nearly 50 percent (48.8 percent) of Children's discharges originate in Dallas County, Texas. Collin County is one of the fastest growing areas in the United States, with its population between 2000 and 2010 growing from 491,000 to over 782,000. 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, 670,217 children under the age of 18 lived in Dallas County in 2012. Nearly 54 percent of all the children in Dallas County were Caucasian compared to approximately 67 percent in Collin County. In terms of race, nearly 54 percent of all children in Dallas County were Caucasian, followed by 23 percent African-American. Although more than half of the children in Dallas County are Caucasian, only 35 percent of the Caucasian child population is non-Hispanic. Moreover, Hispanic children make up more than 52 percent of the child population of Dallas County. 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 592 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 health	The mission of Children's Medical Center of Dallas (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. Almost 18 percent of the children living in Dallas County are uninsured. 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 system	Children's Medical Center Dallas and Children's Medical Center Plano are a part of Children's Health System of Texas. Children's Health System of Texas is the leading pediatric health care system in North Texas, the seventh largest pediatric health care provider in the nation (according to Modern Healthcare 2014), 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 report	TX

Schedule I IRS990ScheduleI

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

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
May Smith Scholars Program	7	$35,000
Women's Auxiliary Educational Assistance Program	6	$12,000
James J Farnsworth Health Career Scholarship Program	2	$2,000
Grace Lee Scholarship for Clinical Education	3	$9,000
Lisa Milonovich Nursing Scholarship	2	$7,000
Nursing Division Tuition Assistance	18	$80,175

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	May Smith Scholars Program The heritage of nursing is rich at Children's, 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher J Durovich
Former Officer and Director, CMCD & President and CEO, CHST	$0	$1,087,098	$0	$2,641,501	$0	$157,528	$0	$12,946	$0	$21,791	$0	$3,920,864	$0	$0
Pamela Arora
Former Officer, CMCD & SVP CIO, CHST	$0	$415,985	$0	$279,084	$0	$53,563	$0	$72,336	$0	$12,092	$0	$833,060	$0	$0
Kimberly Besse
Former Officer, CMCD & SVP Human Resources, CHST	$0	$353,876	$0	$153,354	$0	$53,897	$0	$10,761	$0	$18,470	$0	$590,358	$0	$0
Keri Kaiser
Former Officer, CMCD & SVP Mrktng and Comm, CHST	$0	$288,902	$0	$110,636	$0	$29,031	$0	$10,800	$0	$14,848	$0	$454,218	$0	$0
Michele Chulick (term 1617)
Former Officer, CMCD & President CHST Ventures, CHST	$0	$20,596	$0	$311,646	$0	$1,153,129	$0	$10,800	$0	$0	$0	$1,496,171	$0	$0
Peter Roberts (term 33117)
Former Officer, CMCD & Pres Pop Hlth Insurance Svcs, CHST	$0	$152,837	$0	$605,165	$0	$567,748	$0	$16,200	$0	$3,380	$0	$1,345,330	$0	$0
Claud Kern Wildenthal MD PhD
Former Officer, CMCD & Consultant, CHST	$0	$405,167	$0	$0	$0	$0	$0	$0	$0	$0	$0	$405,167	$0	$0
Jerry Lee
Former Officer, CMCD & VP Accounting and Treasury, CHST	$0	$278,646	$0	$66,547	$0	$45,120	$0	$14,507	$0	$18,282	$0	$423,102	$0	$0
Douglas Duwe
Former Officer, CMCD & VP Academic Relations and Budget Mgmt, CHST	$0	$234,934	$0	$58,543	$0	$37,005	$0	$10,762	$0	$8,953	$0	$350,197	$0	$0
Mark Ziemianski
Former Officer, CMCD & VP Chief Data Officer, CHST	$0	$216,225	$0	$60,315	$0	$29,078	$0	$9,660	$0	$16,375	$0	$331,653	$0	$0
Beth Peters (term 81117)
Former Officer, CMCD & VP Corp Compliance and CCO, CHST	$0	$147,921	$0	$67,079	$0	$53,563	$0	$12,086	$0	$4,155	$0	$284,804	$0	$0
Stephanie Smith
Former Officer, CMCD & Sr Legal Counsel, CHST	$0	$124,399	$0	$12,883	$0	$3,285	$0	$6,793	$0	$4,213	$0	$151,572	$0	$0
Jaquetta Clemons (term 1117)
Former Officer, CMCD & VP Finance, CHST	$0	$0	$0	$22,954	$0	$348,081	$0	$0	$0	$0	$0	$371,035	$0	$0
Cynthia Bassel (term 1617)
Former Officer, CMCD & SVP Foundation, CHST	$0	$6,927	$0	$212,889	$0	$638,298	$0	$1,784	$0	$104	$0	$860,002	$0	$0
David Berry
President, CMCD & President Sys Clin Ops, CHST	$0	$584,983	$0	$145,155	$0	$6,849	$0	$10,800	$0	$12,132	$0	$759,919	$0	$0
William Morrow MD
EVP CCO, CMCD & Pres Phys Orgs and Acdmc Rel CCO, CHST	$0	$556,606	$0	$291,820	$0	$79,328	$0	$10,800	$0	$9,067	$0	$947,622	$0	$0
Lawrence Foust
EVP CLO and General Counsel, CMCD & EVP CLO and General Counsel, CHST	$0	$511,526	$0	$270,308	$0	$23,642	$0	$10,800	$0	$15,012	$0	$831,288	$0	$0
Jeffrey Vawrinek
Secretary, CMCD & Secretary, CHST	$0	$294,860	$0	$90,417	$0	$30,038	$0	$9,043	$0	$0	$0	$424,358	$0	$0
Richard Goode
EVP CFO and Treasurer, CMCD & EVP CHST Finance CFO and Treas, CHST	$0	$638,971	$0	$144,875	$0	$2,420	$0	$10,696	$0	$10,644	$0	$807,606	$0	$0
James Herring
EVP CAO, CMCD & EVP CAO, CHST	$0	$470,769	$0	$0	$0	$78,040	$0	$16,200	$0	$0	$0	$565,009	$0	$0
Mary Stowe RN
SVP CNO, CMCD & SVP and CMC CNO, CHST	$0	$342,939	$0	$195,123	$0	$47,524	$0	$19,464	$0	$10,805	$0	$615,855	$0	$0
Michael Wiggins
SVP Plano Administrator, CMCD & SVP Plano Administrator	$0	$326,093	$0	$143,015	$0	$1,889	$0	$10,800	$0	$8,568	$0	$490,366	$0	$0
Matthew Davis
SVP Administrator Children's Medical Center Dallas, CHST	$0	$348,399	$0	$176,781	$0	$23,929	$0	$9,836	$0	$7,474	$0	$566,419	$0	$0
Kenneth Carr
VP Clinical Support Srvcs	$0	$244,641	$0	$63,266	$0	$33,176	$0	$16,200	$0	$13,590	$0	$370,872	$0	$0
Joe Cavender
VP and CMC ASSOC CNO	$0	$219,869	$0	$54,446	$0	$27,798	$0	$16,599	$0	$10,340	$0	$329,052	$0	$0
Dorothy Foglia
VP and CMC ASSOC CNO	$0	$220,183	$0	$55,787	$0	$29,765	$0	$15,004	$0	$14,642	$0	$335,380	$0	$0
Michael Hefton
VP and CMC ASSOC CNO	$0	$213,158	$0	$54,465	$0	$28,101	$0	$13,215	$0	$15,305	$0	$324,245	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S 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. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Non-Qualified Retirement Plan: Retirement Income Restoration Plan - No employees received taxable income from the the Retirement Income Restoration Plan. Employees who participated in the Retirement Income Restoration Plan include Christopher J Durovich and Mary Stowe Savings Restoration Plan - Michele Chulick received $22,998, Peter Roberts received $76,232, and Cynthia Bassel received $7,964, as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan include Christopher J Durovich, Mary Stowe, Pamela Arora, Kimberly Besse, Jerry Lee, and William Morrow.
Schedule J, Part I, Line 7 Non-fixed payments	Non-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 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
N Central Tx Hlth Fac Dev Corp Hosp
A	521304502	65854RAL4	2009-07-01	$193,697,772	Reimburse Construction Cost	Yes (true)	false	false
N Central Tx Hlth Fac Dev Corp Hosp
B	521304502	65854RBD1	2012-08-15	$178,386,376	Refund Series 2002 Bonds	false	false	false
New Hope Cultural Edu Facilities Fin Corp
C	261604618	645424AV4	2017-12-28	$365,809,775	Refund Series 2012 & 2009; New Const.	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,695,000	$194,925,000	$193,697,772	$0	$0	$0	$2,819,039	$0	$312,573	$190,566,160	$0	$0	2009	false	false	Yes (true)	Yes (true)
B	$13,125,000	$88,200,000	$178,386,376	$0	$0	$0	$0	$0	$0	$0	$178,386,376	$0		Yes (true)	false	Yes (true)	Yes (true)
C			$365,809,775			$311,807,317						$54,002,458		false	Yes (true)	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	false	Yes (true)	Yes (true)	false	Yes (true)	false	0.0	false	false	Yes (true)
B							0.0
C	false	Yes (true)	Yes (true)	false	Yes (true)	false	0.001	false	false	Yes (true)	0.001	0.0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Row B	Series 2012 Bonds were issued for the purpose of currently refunding the Issuer's Hospital Revenue Bonds (Children's Medical Center of Dallas Project) Series 2002 (original issue date prior to December 31, 2002).
Schedule K, Part II, Line 11 Column A	The other spent proceed are the refunding proceeds of the issue that are no longer in escrow.
Schedule K, Part III, Line 3b Column A	These answers are marked no because bond counsel does not review these agreements, but the agreements are reviewed by internal counsel and compliance specialist to ensure compliance with the safe harbor guidelines.
Schedule K, Part III, Line 3d Column A	These answers are marked no because bond counsel does not review these agreements, but the agreements are reviewed by internal counsel and compliance specialist to ensure compliance with the safe harbor guidelines.
Schedule K, Part I, Column (g) Row A	All 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'18 form

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 New program services	Children's Medical Center of Dallas, 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.
Form 990, Part V, Line 2a	CHILDREN'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 OFFICIAL	CHILDREN'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). Salary setting is conducted by the related party, CHST and is described at Schedule J, Part I, Line 3. For this reason, questions 15a and 15b are answered no since the filing organization (CMCD) does not perform the salary setting.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Jeremy Ford and Robert Peterson - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	Bylaws Amendment in 2017 (12/7/17) Section 3.03 Number, Tenure, Election, and Vacancies - Deleted provision that the chair of the Board of the Member and the President and Chief Executive Officer of the Member shall serve as a voting ex officio of the CMCD Board.
Form 990, Part VI, Line 6 Classes of members or stockholders	Children's Health System of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHST elects all voting members of the organization's Board of Directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Member reserve powers are specified in the the organization's bylaws and represent those actions which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Children's Medical Center of Dallas has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed.
Form 990, Part VI, Line 12c Conflict of interest policy	Officers, directors, and key employees received a copy of the Statement of Interest form to execute. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer and discussed as necessary at the appropriate Committee and Board meeting to determine if further action is needed.
Form 990, Part VI, Line 19 Required documents available to the public	Certificate of Formation, Consolidated Financial Statements , and the conflict of interest policy is made available upon request.
Form 990, Part X, Line 11	In 2017, CHST management made the decision to combine all investments into one investment pool to gain greater efficiencies and savings on investment fees. Due to this decision Children's Medical Center of Dallas transferred $542 million to the Foundation which was recorded as a net asset transfer.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfer of Investment Pool to Children's Medical Center Foundation - -XXX-XX-XXXX; Pension Liability - -1329499; NetAssets-CMCF-Unrestricted&Temp Restricted - XXX-XX-XXXX; NetAssets-CMCF-Endowment - 20750606; Loss on Extinguishment of Debt - -23302778; Restricted Gifts - 4294097;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S MEDICAL CENTER FOUNDATION
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752062015	FOUNDATION	TX	501(c)(3)	7	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
PHYSICIANS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752854505	PHYSICIANS	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
DALLAS PHYS MED SVCS FOR CHILDREN INC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	810584868	PHYSICIANS	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
COMPLEX CARE MED SVC CORP
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	461893597	MEDICAL SERVICES	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHILDREN'S MEDICAL CENTER HEALTH PLAN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	462737696	HMO	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	433462044	RESEARCH INSTITUTE	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
PEDIATRIC PARTNERS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	461917702	CLINICALLY INTEGRATED NETWORK	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHILDREN'S POPULATION HEALTH
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	463104601	POPULATION HEALTH	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752062019	MANAGEMENT COMPANY	TX	501(c)(3)	Type II	NA	false
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752917570	PHYSICIANS	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	464049491	PHYSICIANS	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
SOUTHWESTERN MEDICAL DISTRICT
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	204101612	MEDICAL DISTRICT	TX	501(c)(3)	Type I	NA	false
WOMEN'S AUXILIARY OF CMCD
12720 HILLCREST RD	DALLAS	TX	75230	752485538	WOMEN'S AUXILIARY	TX	501(c)(3)	10	NA	false
THE HEALTH AND WELLNESS ALLIANCE FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	463080586	PHYSICIANS	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
OCH Holdings
1935 Medical District Drive	Dallas	TX	75235	474837308	Hospital	TX	501(c)(3)	3	Children's Medical Center of Dallas	Yes (true)
CHST Physician Group 1
1935 Medical District Drive	Dallas	TX	75235	813582843	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 2
1935 Medical District Drive	Dallas	TX	75235	813679995	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 3
1935 Medical District Drive	Dallas	TX	75235	813691209	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 4
1935 Medical District Drive	Dallas	TX	75235	814577909	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 5
1935 Medical District Drive	Dallas	TX	75235	814848085	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false
CHST Physician Group 6
1935 Medical District Drive	Dallas	TX	75235	814865847	Physician	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Wellness Innovations LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Field	Value	IRS element (for citing)
EIN	475246461	EIN
Primary Activities	Physicians	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHST Investment Holdings LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Unrelated	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752244475	OTHER MEDICAL SERVICES	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	0	false
NTPSS INC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	471036641	PHYSICIAN SOLUTIONS	TX	Pediatric Partners	C Corporation	0	false
Texas Bluebonnet Insurance Company
1935 Medical District Drive	Dallas	TX	75235	475032893	Insurance Company	TX	Children's Health System of Texas	C Corporation	0	false
TEXAS TRINITY RIVER ASSURANCE COMPANY LTD
				981318151	Self-insurance		Children's Health System of Texas	C Corporation	0	false	CJ
Children's BMG dba One Care Domain
1935 Medical District Drive	Dallas	TX	75235	475057374	Physician	TX	Children's Health System of Texas	C Corporation	0	false		$0	$0
Wellness Innovations Physician Partners
1935 Medical District Drive	Dallas	TX	75235	811734937	Physician	TX	Children's Health System of Texas	C Corporation	0	false		$0	$0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	D	TransactionTypeTxt
Involved	$54,669,802	InvolvedAmt
Method Of Amount Determination	GAAP	MethodOfAmountDeterminationTxt