2016-11-09T19:00:31-06:00 2015-12-31 350921680 CROWE HORWATH LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2015-01-01 752062015 Children's Medical Center Foundation CHIL 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Jerry Lee CHST VP, Accounting & Treasury 2016-11-09 true RACHEL SPURLOCK P00520729 2147775200 2015 2017-02-10 21:41:12Z Brent Christopher 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 59983074 false X GIVE.CHILDRENS.COM X 1985 TX TO PROVIDE FINANCIAL SUPPORT FOR CMCD TO ENABLE THE HOSPITAL TO ACCOMPLISH ITS MISSION 96 95 50 662 -202869 -202869 38952961 42722448 0 37494302 15902293 88753 -2780 76536016 58621961 12691646 20189673 0 4853697 6027970 0 2314344 2840882 2148862 20386225 28366505 56149791 30255456 513411614 581691967 4144738 12131514 509266876 569560453 To provide financial support for CMCD to enable the hospital to accomplish its mission to make life better for children. To accomplish this, the foundation is committed to supporting the guiding principles of CMCD. false false 20189673 20189673 Children's Medical Center Foundation is an organization devoted to raising money in support of Children's Medical Center of Dallas, a 501(c)(3) organization. To accomplish this purpose, the foundation, like the hospital, is committed to supporting the guiding principles: quality care, research and innovation, education and advocacy, excellence and accountability. 20189673 true true false false false false false false false true true true false false true false true true false false true false false false true false false true false true false false false false false false false false false false false false false true false false false true 0 0 50 true true true false false false false true true false false false false X 96 95 true false false false true true true true true false false false true true true true true false false false X JEFFREY VAWRINEK 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 John Eagle Chairman 1.0 1.0 X X 0 0 0 Christopher J Durovich Ex Off Vtg Mbr, Pres CEO CHST and CEO CMC 1.0 59.0 X X 0 3387269 42143 David W Biegler Ex Officio Voting Mbr 1.0 3.0 X 0 0 0 Connie ONeill Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 1.0 X 0 0 0 Caren Kline Director 1.0 1.0 X 0 0 0 Tracey Kozmetsky Director 1.0 1.0 X 0 0 0 Thomas A Montgomery Director 1.0 1.0 X 0 0 0 John L Adams Director 1.0 0 X 0 0 0 Ashley Arnold Director 1.0 0 X 0 0 0 Kim Askew Director 1.0 0 X 0 0 0 Marilyn Augur Director 1.0 0 X 0 0 0 Martha Lou Beaird Director 1.0 0 X 0 0 0 Jill Bee Director 1.0 0 X 0 0 0 David Beuerlein Director 1.0 0 X 0 0 0 Sheila Beuerlein Director 1.0 0 X 0 0 0 Cordelia Boone Director 1.0 0 X 0 0 0 W Plack Carr Jr Director 1.0 0 X 0 0 0 Bill Carter Director 1.0 0 X 0 0 0 Rebecca Egelston Caso Director 1.0 0 X 0 0 0 Dan Chapman Director 1.0 0 X 0 0 0 Mike Condon Director 1.0 0 X 0 0 0 Blair E Crossan Director 1.0 0 X 0 0 0 Marie Crowe Director 1.0 0 X 0 0 0 R Brooks Cullum Jr Director 1.0 0 X 0 0 0 Scott Dabney Director 1.0 0 X 0 0 0 Ann Delatour Director 1.0 0 X 0 0 0 Carolyn Bacon Dickson Director 1.0 0 X 0 0 0 Sandra Estess Director 1.0 0 X 0 0 0 Chase Evans Director 1.0 0 X 0 0 0 Cole Evans Director 1.0 0 X 0 0 0 Susan Farris Director 1.0 0 X 0 0 0 Steve Folsom Director 1.0 0 X 0 0 0 Kelli Ford Director 1.0 0 X 0 0 0 Linda Gibbons Director 1.0 0 X 0 0 0 Leslie Greco Director 1.0 0 X 0 0 0 Randi Halsell Director 1.0 0 X 0 0 0 Steve Harasym Director 1.0 0 X 0 0 0 Juli Harrison Director 1.0 0 X 0 0 0 David Haufler Director 1.0 0 X 0 0 0 Hunter Henry Director 1.0 0 X 0 0 0 Ward Hunt Director 1.0 0 X 0 0 0 Di Johnston Director 1.0 0 X 0 0 0 Gene Jones Director 1.0 0 X 0 0 0 Amy Korenvaes Director 1.0 0 X 0 0 0 Harlan Korenvaes Director 1.0 0 X 0 0 0 Joyce Lacerte Director 1.0 0 X 0 0 0 Katie Lavie Director 1.0 0 X 0 0 0 C S Lee Director 1.0 0 X 0 0 0 Anne Logan Director 1.0 0 X 0 0 0 Karen A Matthews Director 1.0 0 X 0 0 0 Lynn McBee Director 1.0 0 X 0 0 0 Jill McClung Director 1.0 0 X 0 0 0 P Mike McCullough Director 1.0 0 X 0 0 0 Gail McDonald Director 1.0 0 X 0 0 0 Melanie Medanich Director 1.0 0 X 0 0 0 Katy Miller Director 1.0 0 X 0 0 0 Kyle Miller Director 1.0 0 X 0 0 0 Vikki Moody Director 1.0 0 X 0 0 0 Robert Morgan DDS Director 1.0 0 X 0 0 0 Randall Muck Director 1.0 0 X 0 0 0 Burk Murchison Director 1.0 0 X 0 0 0 Jan Myers Director 1.0 0 X 0 0 0 Teresa Parravano Director 1.0 0 X 0 0 0 Chris Patrick Director 1.0 0 X 0 0 0 Pamela Dealey Petty Director 1.0 0 X 0 0 0 John T Pickens Director 1.0 0 X 0 0 0 Jake Pollack Director 1.0 0 X 0 0 0 Richard Knight Jr Ex Officio Voting Mbr 1.0 0 X 0 0 0 Claude Prestidge MD Director 1.0 0 X 0 0 0 Deborah R Price Au D Director 1.0 0 X 0 0 0 Debbie Raynor Director 1.0 0 X 0 0 0 Sheri Rosen Director 1.0 0 X 0 0 0 Mardie Schoellkopf Director 1.0 0 X 0 0 0 Betty M Schultz Director 1.0 0 X 0 0 0 John F Scovell Director 1.0 0 X 0 0 0 Debbie Scripps Director 1.0 0 X 0 0 0 Ric Scripps Director 1.0 0 X 0 0 0 John R Sears Jr Director 1.0 0 X 0 0 0 Michael Seay Director 1.0 0 X 0 0 0 Michael Silverman Director 1.0 0 X 0 0 0 Mary Louise Sinclair Director 1.0 0 X 0 0 0 Ellis Skinner II Director 1.0 0 X 0 0 0 Frank O Sloan Director 1.0 0 X 0 0 0 Sandra Snyder Director 1.0 0 X 0 0 0 Barbara Stuart Director 1.0 0 X 0 0 0 Mersina Stubbs Director 1.0 0 X 0 0 0 Smokey Swenson Director 1.0 0 X 0 0 0 Debra Brennan Tagg Director 1.0 0 X 0 0 0 Michael Tanner Director 1.0 0 X 0 0 0 Richard Terrell Director 1.0 0 X 0 0 0 John P Thompson Jr Director 1.0 0 X 0 0 0 Kacy Tolleson Director 1.0 0 X 0 0 0 Jimmy Westcott Director 1.0 0 X 0 0 0 Joel T Williams III Director 1.0 0 X 0 0 0 Mark Zacheis Director 1.0 1.0 X 0 0 0 Kern Wildenthal Pres CMC Foundation 53.0 2.0 X 0 871992 13751 Cynthia Bassel SVP Foundation 54.0 1.0 X 0 522904 15917 David E Eager Treasurer, EVP Chief Financial Officer 1.0 54.0 X 0 781951 22956 Jeffrey Vawrinek Secretary, VP Assoc General Counsel 1.0 49.0 X 0 421555 13108 Lawrence L Foust Former Officer CMCF, EVP and Chief Legal Officer CHST 0.0 55.0 X 0 573322 22249 Michele Whitsett Former CMCF Officer, VP COO Foundation 50.0 0.0 X 0 246072 9849 Carol Mann-Bieler Former CMCF Officer, VP Cmnty and Natl Foundations 50.0 0.0 X 0 224435 3057 Holland K Hassmann Former CMCF Officer, VP External Relations 1.0 49.0 X 0 281404 17939 Stephanie K Smith Former CMCF Officer, Sr Legal Counsel 0.0 50.0 X 0 121525 11465 0 7432430 172435 0 true true false 0 1155967 24500 113819 41428162 42722448 0 0 0 0 0 635996 -202869 838865 0 0 16591745 1320469 4979 15271276 -4979 15266297 15266297 295 113819 35665 -35370 -35370 Other Revenue 900099 32590 32590 0 0 0 0 32590 58621961 0 -202869 16102382 20186673 20186673 3000 3000 4763557 3400464 1363093 159323 113733 45590 760733 543049 217684 344357 245819 98538 49632 35430 14202 713851 0 509582 204269 398825 284701 114124 252334 205588 46746 547991 391183 156808 30480 21758 8722 5872 4192 1680 Business Relations 72919 52053 20866 Dues and Subscriptions 63322 45202 18120 Catering,Meals,Coffee Service 12067 8614 3453 Employee Relations 1569 1120 449 0 0 0 0 28366505 20189673 5862488 2314344 23247580 29406122 25552555 31551971 76025 98056 0 0 252614 193333 815829 234502 19451350 581327 404112606 409296496 30379232 99464357 0 10339652 11100305 513411614 581691967 388719 1007083 2272626 9189170 1483393 1935261 4144738 12131514 X 326556877 373855426 76929869 79941155 105780130 115763872 509266876 569560453 513411614 581691967 X 30255456 -26097730 56135851 X false true X true false X 25338047 45414532 26178382 38952961 42722448 178606370 0 0 0 0 0 0 0 0 0 0 0 0 25338047 45414532 26178382 38952961 42722448 178606370 34922483 143683887 1497803 486402 1206455 1270507 635995 5097162 0 0 0 0 0 0 16037 93786 298354 80394 32590 521161 184224693 858137 0.7799 0.5703 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 16037.0, COLUMN B - 93786.0, COLUMN C - 298354.0, COLUMN D - 80394.0, COLUMN E - 32590.0, COLUMN F - 521161.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 105780130 14333048 -2349434 1999872 115763872 84075726 17251182 6250583 1797361 105780130 73180468 2301995 10008112 1414849 84075726 50098887 17127644 6458705 504768 73180468 48347994 1877733 575900 702740 50098887 0.0 1.0 0.0 false false 570966 570966 244863 234502 10361 581327 Alternative Investments 99464357 F 99464357 ANNUITIES AND TRUST PAYABLE OTHER LT LIABILITIES Annuities and Trust Payable 1928875 Other LT Liabilities 6386 1935261 88695745 -26097730 56135849 30038119 58657626 -35665 -35665 58621961 28402170 35665 35665 28366505 0 0 28366505 Schedule D, Part X, Line 2 The Children's Medical Center Foundation audited financial statements for the year ending December 31, 2015 do not contain a FIN 48 footnote. Schedule D, Part V, Line 4 Intended uses of endowment funds The Foundation's endowment fund earnings, depending on the donor's designation, are used for patient care, education, and research. If an endowment is designated as unrestricted, management may determine how the earnings are used. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Asset Transfer to/from CMC/CHST - 56135849 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Fundraising Direct Expenses - -35665 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Fundraising Direct Expenses - 35665 Europe (Including Iceland and Greenland) Investments 975155 Central America and the Caribbean Investments 90618278 0 0 0 0 0 0 91593433 0 91593433 true false true false true false Tennis Tournament 114114 113819 295 10052 25321 292 0 0 114114 113819 295 10052 25321 292 35665 -35370 true Children's Medical Center of Dallas 1935 Medical District Drive Dallas TX 75235 750800628 501(c)(3) 10274242 Program Operations and Capital Support Children's Medical Center Research Institute at the UTSWMC 1935 Medical District Drive Dallas TX 75235 453462044 501(c)(3) 3155814 Program Operations and Capital Support Children's Population Health 1935 Medical District Drive Dallas TX 75235 463104601 501(c)(3) 613408 Program Operations and Capital Support The Health and Wellness Alliance 1935 Medical District Drive Dallas TX 75235 463080586 501(c)(3) 100000 Program Operations Physicians for Children dba Chilcren's Health Pediatric Group 1935 Medical District Drive Dallas TX 75235 752854505 501(c)(3) 2618092 Program Operations and Capital Support Anesthesiologists for Children 1935 Medical District Drive Dallas TX 75235 752917570 501(c)(3) 7436 Program Operations Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 752062019 501(c)(3) 3110868 Program Operations Passion for Children's 4809 Cole Avenue STE 345 Dallas TX 75205 260564435 501(c)(3) 304887 Program Operations 8 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grants to Children's Health: Transfer of funds by the Foundation to Children's Health and its affiliates are to reimburse them for expenditures that are to be covered by Foundation donated funds. Grants to others: Passion for Children's (PFC) is a section 501(c)(3) organization that raises money exclusively for Children's Health System of Texas (CHST) in conjunction with Children's Medical Center Foundation (CMCF). PFC is not a related organization to CMCF or CHST. The main fundraising vehicle is the Red Balloon Run and Ride which occurs in April each year. This event is held by PFC in support of CHST. CMCF grants overhead support in the amount of $150,000 per year, to offset staff expenses for PFC. In addition to the overhead support, CMCF assists PFC in soliciting sponsors for the Red Balloon Run and Ride. Any qualified sponsorship payments received are used to reimburse the production expenses for the Red Balloon Run and Ride. For purposes of monitoring the use of the funds granted to PFC, CMCF may request a review of expenses and overhead at any time during the year, however a review of expenses is completed in May of each year, after an accounting of all events costs have been obtained and all fundraising dollars are transferred to CMCF. false true false false false false false true false Christopher J Durovich Ex Off Vtg Mbr, Pres CEO CHST and CEO CMC 0 1014553 0 1368233 0 1004483 0 19874 0 22269 0 3429412 0 573151 Lawrence L Foust Former Officer CMCF, EVP and Chief Legal Officer CHST 0 476909 0 62285 0 34128 0 10600 0 11649 0 595571 0 0 Michele Whitsett Former CMCF Officer, VP COO Foundation 0 210455 0 32442 0 3176 0 0 0 9849 0 255921 0 0 Carol Mann-Bieler Former CMCF Officer, VP Cmnty and Natl Foundations 0 200691 0 20003 0 3741 0 0 0 3057 0 227492 0 0 Holland K Hassmann Former CMCF Officer, VP External Relations 0 203416 0 75147 0 2841 0 12463 0 5476 0 299344 0 0 Stephanie K Smith Former CMCF Officer, Sr Legal Counsel 0 119977 0 0 0 1548 0 6923 0 4542 0 132990 0 0 Kern Wildenthal Pres CMC Foundation 0 533943 0 312731 0 25318 0 10600 0 3151 0 885743 0 0 Cynthia Bassel SVP Foundation 0 313241 0 202346 0 7318 0 10600 0 5317 0 538821 0 0 David E Eager Treasurer, EVP Chief Financial Officer 0 496312 0 281597 0 4042 0 10600 0 12356 0 804907 0 0 Jeffrey Vawrinek Secretary, VP Assoc General Counsel 0 310176 0 85024 0 26355 0 13108 0 0 0 434663 0 0 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 FOUNDATION (CMCF). THEREFORE, CMCF'S CEO, PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE CHILDREN'S HEALTH PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: 1. The Human Resources Committee of the CHST Board is responsible for setting the compensation for executives, except the President and CEO which is set by the Board of Directors. The Committee is comprised of independent, non-employee directors with no conflict of interest regarding executive compensation. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness. The philosophy defined desired comparator groups for compensation surveys. The comparator groups are from domestic healthcare industry sectors only and do not include any non-healthcare organizations. 2. The compensation philosophy also defines target levels relative to the marketplace comparator groups for base pay, base pay plus incentive pay, and fringe benefits provided to Children's Health executives. A third-party consultant, Sullivan Cotter, is engaged by the Human Resources Committee and provides independent, expert consulting services in the area of executive compensation market surveying, pay and benefits program design, and administrative services. Salaries for Children's Health executives (except for the President and CEO) are set by comparing the salaries paid for comparable positions in integrated systems, academic medical centers, and children's hospitals in similar size and scope of services to Children's Health. 3. The salary for the President and CEO is set in reference to salaries paid for Presidents and CEOs of children's hospitals in similar size and scope of services to Children's Health. The data is compiled by Sullivan Cotter and they develop and update annually salary ranges unique to each executive position. The Human Resources Committee approves base pay for each executive (except the President and CEO, whose base pay is approved by the Board of Directors) aimed in the aggregate at approximately the middle of executive pay ranges. 4. For other officers and key employees, Children's Health uses a combination of job evaluation and survey data to determine the market pay range. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Severance Payment and Non-Qualified Retirement Plan: * Retirement Income Restoration Plan - Christopher J Durovich received $562,323 as taxable income from the Retirement Income Restoration Plan in 2015. There are no other employees who participate in the Retirement Income Restoration Plan. * Savings Restoration Plan - Christopher J Durovich received $302,815 as taxable income and Kern Wildenthal, MD, PhD received $19,151 as taxable income from the Savings Restoration Plan. Additionally, Cynthia Bassel, David Eager, and Jeffrey Vawrinek participate in the Savings Restoration Plan. Schedule J, Part I, Line 7 Non-fixed payments Non-Fixed Payments - The Human Resources Committee of the Children's Health Board of Directors retains the authority to adjust annual payout percentages solely at their discretion. There were no non-fixed payments in 2015. 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 FOUNDATION (CMCF) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CMCF. CMCF HAS APPROXIMATELY 50 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 FOUNDATION (CMCF). THEREFORE, CMCF'S CEO, PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE CHILDREN'S HEALTH PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: 1. THE HUMAN RESOURCES COMMITTEE OF THE CHST BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR EXECUTIVES, EXCEPT THE PRESIDENT AND CEO WHICH IS SET BY THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NON-EMPLOYEE DIRECTORS WITH NO CONFLICT OF INTEREST REGARDING EXECUTIVE COMPENSATION. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE HUMAN RESOURCES COMMITTEE FOR TIMELINESS AND APPROPRIATENESS. THE PHILOSOPHY DEFINED DESIRED COMPARATOR GROUPS FOR COMPENSATION SURVEYS. THE COMPARATOR GROUPS ARE FROM DOMESTIC HEALTHCARE INDUSTRY SECTORS ONLY AND DO NOT INCLUDE ANY NON-HEALTHCARE ORGANIZATIONS. 2. THE COMPENSATION PHILOSOPHY ALSO DEFINES TARGET LEVELS RELATIVE TO THE MARKETPLACE COMPARATOR GROUPS FOR BASE PAY, BASE PAY PLUS INCENTIVE PAY, AND FRINGE BENEFITS PROVIDED TO CHILDREN'S EXECUTIVES. A THIRD-PARTY CONSULTANT, SULLIVAN COTTER, IS ENGAGED BY THE HUMAN RESOURCES COMMITTEE AND PROVIDES INDEPENDENT, EXPERT CONSULTING SERVICES IN THE AREA OF EXECUTIVE COMPENSATION MARKET SURVEYING, PAY AND BENEFITS PROGRAM DESIGN, AND ADMINISTRATIVE SERVICES. SALARIES FOR CHILDREN'S EXECUTIVES (EXCEPT FOR THE PRESIDENT AND CEO) ARE SET BY COMPARING THE SALARIES PAID FOR COMPARABLE POSITIONS IN INTEGRATED SYSTEMS ACADEMIC MEDICAL CENTERS AND CHILDREN'S HOSPITALS IN SIMILAR SIZE AND SCOPE OF SERVICES TO CHILDREN'S. 3. THE SALARY FOR THE PRESIDENT AND CEO IS SET IN REFERENCE TO SALARIES PAID FOR PRESIDENTS AND CEOS OF CHILDREN'S HOSPITALS IN SIMILAR SIZE AND SCOPE OF SERVICES TO CHILDREN'S. THE DATA IS COMPILED BY SULLIVAN COTTER AND THEY DEVELOP AND UPDATE ANNUALLY SALARY RANGES UNIQUE TO EACH EXECUTIVE POSITION. THE HUMAN RESOURCES COMMITTEE APPROVES BASE PAY FOR EACH EXECUTIVE (EXCEPT THE PRESIDENT AND CEO, WHOSE BASE PAY IS APPROVED BY THE BOARD OF DIRECTORS) AIMED IN THE AGGREGATE AT APPROXIMATELY THE MIDDLE OF EXECUTIVE PAY RANGES. 4. FOR OTHER OFFICERS AND KEY EMPLOYEES, CHILDREN'S USES A COMBINATION OF JOB EVALUATION AND SURVEY DATA TO DETERMINE THE MARKET PAY RANGE. Form 990, Part VI, Line 1a Material differences in voting rights Board membership includes nine ex officio non voting members. Form 990, Part VI, Line 1a Delegate broad authority to a committee The bylaws for Children's Medical Center Foundation define the governing Executive Committee as follows: Executive Committee, whose charter and membership shall be reviewed and approved annually by the Board of Directors of CHST, and shall be comprised of 10-15 elected members, and such other ex officio voting members as shall be provided for in the Executive Committee's charter, the majority of whom must be Directors of the Corporation. The chair of the Executive Committee shall be the chair of the Board of the Corporation. The Executive Committee shall have the power to perform any and all acts relating to the affairs of the Corporation and to exercise any and all powers of the Board in the management and direction of the business and conduct of the Corporation, subject to any limitations provided by applicable law, the Certificate of Formation of the Corporation or these Bylaws. It may meet or conduct its business in any fashion or by any means applicable to the meetings of the Board of Directors and shall keep a record of its proceedings. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons DAVID BEURELEIN AND SHEILA BEUERLEIN - Family relationship, HARLAN KORENVAES AND AMY KORENVAES - Family relationship, RIC SCRIPPS AND DEBBIE SCRIPPS - Family relationship, Collin Evans and Colesen Evans - Family relationship, Katy Miller and Kyle Miller - Family relationship Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas ("CHST"), a Texas non profit corporation, is the sole member of the organization. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHST elects all 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 organization's bylaws and represent those actions by the organization 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 Foundation 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 Executive Vice President, Chief Legal Officer and General Counsel and the Chief Compliance Officer and discussed as necessary at the appropriate Board meeting to determine if further action is needed. Form 990, Part VI, Line 19 Required documents available to the public Certificate of Formation and Consolidated Financial Statements are publicly available and the conflict of interest policy is made available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer to/from CMC/CHST - 56135849; Rounding - 2; Children's Medical Center of Dallas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3 3 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 9 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 FOR CHILDREN 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 MEDICAL CENTER SERVICES 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461934007 MEDICAL SERVICES TX 501(c)(3 9 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 N/A false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3 9 CHILDREN'S HEALTH SYSTEM OF TEXAS false SPECIALISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463110125 PHYSICIANS TX 501(c)(3 9 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 COMMUNITY PROVIDERS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463675742 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 N/A false WOMEN'S AUXILIARY OF CMCD 12720 HILLCREST RD DALLAS TX 75230 752485538 WOMEN'S AUXILIARY TX 501(c)(3 9 N/A 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 false Children's BMG dba One Care Domain 1935 Medical District Drive Dallas TX 75235 475057374 Physician TX 501(c)(3 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physician TX 501(c)(3 3 Wellness Innovations LLC false Wellness Innovations LLC 1935 Medical District Drive Dallas TX 75235 475246461 Physicians TX CHST Investment Holdings LLC Unrelated 0 0 false false 0.0 CHILDREN'S INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 030328102 INSURANCE COMPANY VT CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 0 false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 0 false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX Pediatric Partners C Corporation 0 0 0 false TEXAS BLUEBONNET HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472252673 HEALTH PLAN TX CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 0 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 0 0 false Charitable Remainder Trust (1) N/A N/A NA TX 00000 Charitable Remainder Trust TX Children's Medical Center Foundation true false true false false false false false false false false false true false true true true false false true