CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201103159349300430
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T14:19:06-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1717 Main Street Suite 1500	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	750800628	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Medical Center of Dallas	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	2144567000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jerry Lee	Name
Title	Senior Director & CAO	Title
Phone	2144567000	Phone
Date Signed	2011-11-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kimberly Temple CPA	Name
Phone	2145612300	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Christopher J Durovich	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Dr	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	972825487	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.childrens.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Dedicated to making life better for children	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	6581	TotalNbrEmployees
Total Nbr Volunteers	6179	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	54647853	ContributionsGrantsPriorYear
Contributions Grants Current Year	27316941	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	840487339	ProgramServiceRevenuePriorYear
Program Service Revenue CY	913627951	ProgramServiceRevenueCY
Investment Income Prior Year	3453632	InvestmentIncomePriorYear
Investment Income Current Year	17012282	InvestmentIncomeCurrentYear
Other Revenue Prior Year	13445282	OtherRevenuePriorYear
Other Revenue Current Year	14284928	OtherRevenueCurrentYear
Total Revenue Prior Year	912034106	TotalRevenuePriorYear
Total Revenue Current Year	972242102	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	88600	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	80000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	437765386	SalariesEtcPriorYear
Salaries Etc Current Year	451773189	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	392711778	OtherExpensePriorYear
Other Expenses Current Year	416146571	OtherExpensesCurrentYear
Total Expenses Prior Year	830565764	TotalExpensesPriorYear
Total Expenses Current Year	867999760	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	81468342	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	104242342	RevenuesLessExpensesCY
Total Assets BOY	1628296383	TotalAssetsBOY
Total Assets EOY	1773624864	TotalAssetsEOY
Total Liabilities BOY	631845174	TotalLiabilitiesBOY
Total Liabilities EOY	624316914	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	996451209	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1149307950	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	629290228	Expense
Revenue	923540070	Revenue
Description	Consistent with its charitable mission, Children's 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. For the fiscal year ended December 31, 2010, Children's absorbed $151 million of uncompensated healthcare services as a result of this open-door charitable policy. Children's participates in applicable government sponsored entitlement programs. For the year ended December 31, 2010, 56% of Children's gross revenue is attributable to patients enrolled in state Medicaid programs.During 2010, Children's served 150,000 patients. We had 23,636 patient admissions resulting in 93,361 patient days, and provided services in 448,000 outpatient visits. In addition, the hospital staff performed 17,068 day surgeries. In recognizing its mission to the community, Children's participates in the Medicaid, Medicare, Children's Health Insurance Program (CHIP), Chronically Ill and Disabled Children (CIDC), and Champus government programs. Under an agreement with the Dallas County Hospital District, Children's provides services to the indigent children of Dallas County.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6822459	Expense
Revenue	10012573	Revenue
Description	Children's 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. Currently, there are 92 pediatric residents, three chief residents and approximately 130 pediatric subspecialty residents and fellows enrolled in this training program. Children's offers fellowships/residencies in these 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 to complete a pediatric rotation as a requisite of their training.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2156971	Expense
Revenue	3165549	Revenue
Description	Through Children's 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	638269658	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1243	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	6581	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Stephanie K Smith	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2144567040	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (71 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Thomas Baker
Chairman,Director	1.00	X	X	0	0	0
Robert Chereck
Vice Chairman, Director	1.00	X	X	0	0	0
Christopher J Durovich
President,CEO,Ex Off Vtg	60.00	X	X	1748887	0	1413633
Ann Goddard Corrigan
Director	1.00	X		0	0	0
Michael Dardick
Director	1.00	X		0	0	0
Richard W Douglas
Director	1.00	X		0	0	0
Gregg L Engles
Director	1.00	X		0	0	0
Sandra Estess
Director	1.00	X		0	0	0
Robert A Estrada
Director	1.00	X		0	0	0
Kathleen Gibson
Director	1.00	X		0	0	0
Richard Knight Jr
Director	1.00	X		0	0	0
Charles Matthews Jr
Director	1.00	X		0	0	0
Connie O'Neill
Director	1.00	X		0	0	0
Marcia Page
Director	1.00	X		0	0	0
Patrick B Shelby
Director	1.00	X		0	0	0
Barbara Stuart
Director	1.00	X		0	0	0
Gifford Touchstone
Director	1.00	X		0	0	0
John F Young
Director	1.00	X		0	0	0
David Biegler
Ex Officio Voting Member	1.00	X		0	0	0
Debbie Scripps
Ex Officio Voting Member	1.00	X		0	0	0
Julio Perez Fontan MD
EVP, Medical Affairs	50.00		X	480000	0	0
Ray R Dziesinski
SVP and CFO, Treasurer	50.00		X	631945	0	428866
James Herring
SVP Administration	50.00		X	1020639	0	454150
Douglas G Hock
SVP Operations	50.00		X	708295	0	491637
John P Kline
SVP Development	50.00		X	390849	0	256697
Regina M Coggins
SVP and General Counsel	50.00		X	292337	0	170062
Trent C Smith
SVP, Network Development	50.00		X	421447	0	203968
Patricia U Winning
SVP,Strategy & Phys Org	50.00		X	680403	0	474092
Pamela Arora
VP and CIO	40.00		X	521855	0	344752
Kimberly Besse
VP Human Resources	40.00		X	236520	0	106279
David G Biggerstaff
VP,Legacy Administrator	40.00		X	345067	0	235462
Jean Ann Larson
VP Clinical Svcs & EntProj	40.00		X	166971	0	45921
Fiona Levy MD
VP Quality	40.00		X	387000	0	0
Justin Lombardo
VP Learning Inst and CLO	50.00		X	313834	0	124759
Elizabeth Field MacKay
VP Public Affairs	40.00		X	227097	0	78521
Ronald C Skillens Jr
VP Compliance, Int Aud,CCO	40.00		X	207201	0	88655
Mary E Stowe
VP, CNO	40.00		X	406866	0	269770
Thomas Zellers MD
VP Medical Staff Affairs	40.00		X	113333	0	0
Daniel Carney
VP Fac Dev and Operations	50.00		X	206133	0	56240
Jason D White
VP Finance	40.00		X	129290	0	25481
Paul Musgrave hire date Dec 2010
VP Planning	40.00		X	26846	0	4466
Stephanie Gilliard
Dir Governance, Corp Sec	40.00		X	101282	0	6891
Stephanie K Smith
Sr Atty, Asst Corp Sec	40.00		X	76686	0	4224
Phyllis Cole
VP, Development	40.00		X	395745	0	51265
Christopher J Dougherty
VP Ambulatory Services	40.00		X	295936	0	13236
Brett D Lee
VP Ancillary Services	40.00		X	225766	0	5544
Christopher Menzies MD
Chief Med Info Off	40.00			236184	0	7190	X
Jerry Lee
Sr Director, CAO	40.00			222007	0	14998	X
Mary Beth Martin
Sr Dir, Cardiac Svcs	40.00			211788	0	14466	X
Philip Branson
Sr Dir, Fac Plng Des Con	40.00			193066	0	10110	X
Mazie Jamison
Sr Dir, Public Policy	40.00			192613	0	2899	X
Hilda Sallack
Sr Dir, Planning	40.00			184612	0	16645	X
Candis Posey
Sr Dir, Rev Cycle Mgmt	40.00			182699	0	8283	X
Jeffrey Vawrinek
Sr Dir, Contr Adm/Govnce	40.00			182228	0	6692	X
Deborah Sheppard
Sr Dir, Operations Legacy	40.00			178246	0	9499	X
Denise Claussen
Sr Dir, Surgical Svcs	40.00			176597	0	3922	X
Sandra McDermott
Sr Dir, Resp Care, Transpo	40.00			173225	0	3373	X
Michelle Kromelis
Sr Dir, Pharmacy	40.00			172948	0	11985	X
Jodi Landon
Sr Dir, Mgd Care,Phys Cont	40.00			169084	0	6675	X
Michael Hefton
Sr Dir, Nursing Legacy	40.00			166718	0	15529	X
Dorothy Foglia
Sr Dir, Inpatient Med Svcs	40.00			165981	0	13580	X
Kaye Schmidt
Sr Dir, CCBD Pain Mgmt	40.00			165620	0	6235	X
Penny Williams
Sr Dir, Emergency Svcs	40.00			165128	0	8682	X
James Adams
Sr Dir, Laboratory	40.00			164744	0	5250	X
Karen Cavazos
Sr Dir,Crit Care Trauma	40.00			162228	0	11926	X
Beth Peters
Sr Dir, Legal & Risk Mgmt	40.00			156079	0	13498	X
George Combe
Clinical Pharmacist	40.00			203430	0	7587		X
Brian Sales
Clinical Pharmacist	40.00			196987	0	21832		X
Stephen Ketner MD
Dir, Medical Information	40.00			192273	0	14585		X
Michael Quach
Clinical Pharmacist	40.00			174362	0	9037		X
Thomas Burt
Dir, Comp Ben HRIS	40.00			171724	0	10511		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15318801	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	5609560	TotalOtherCompensation
Number Individuals GT100 K	459	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UTSW
HI 108 5323 Harry Hines Blvd	Dallas	TX	753908886	Phys & Medical Svcs	49461116
Cardinal Health
PO Box 730112	Dallas	TX	753730112	Medical Prod Svcs	17572115
Cerner Corp
PO Box 412702	Kansas City	MO	64141	Info Tech Services	9429074
Philips Medical Systems
PO Box 100355	Atlanta	GA	303840355	Medical Prod Svcs	5592259
Epic Systems Corporation
PO Box 88314	Milwaukee	WI	532880314	Info Tech Services	4776093

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	316	NumberOfContractorsGT100K
Related Organizations	16794150	RelatedOrganizations
Government Grants	10522791	GovernmentGrants
Total Contributions	27316941	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Inpatient Revenue	622110	1126661264	1126661264
Outpatient Revenue	621400	653593770	653593770
Day Surgery Revenue	621400	157093913	157093913
Deductions from Rev.	622110	-1023720996	-1023720996

Field	Value	IRS element (for citing)
Total Program Service Revenue	913627951	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17595667	TotalRevenueColumn
Exclusion	$17,595,667	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	168444	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	168444	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	168444	TotalRevenueColumn
Exclusion	$168,444	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	583385	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-583385	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-583385	TotalRevenueColumn
Exclusion	-$583,385	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Other Med Svc Revenue	622110	8250773	8250773
Dietary Revenue	621990	3628939	3628939
Vending Revenue	454210	77713		$77,713

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2159059	TotalRevenueColumn
Related Or Exempt Function Income	2159059	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	14116484	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	972242102	TotalRevenueColumn
Related Or Exempt Function Income	927666722	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$17,258,439	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	80000	Total
Program Services	80000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	14066192	Total
Program Services	3124819	ProgramServices
Management And General	10941373	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	344161501	Total
Program Services	280185471	ProgramServices
Management And General	63976030	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	28527227	Total
Program Services	22561229	ProgramServices
Management And General	5965998	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41180994	Total
Program Services	31555571	ProgramServices
Management And General	9625423	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	23837275	Total
Program Services	18852103	ProgramServices
Management And General	4985172	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7580564	Total
Program Services	1452064	ProgramServices
Management And General	6128500	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1884022	Total
Management And General	1884022	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	587777	Total
Management And General	587777	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	93351265	Total
Program Services	82348985	ProgramServices
Management And General	11002280	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7408948	Total
Program Services	133489	ProgramServices
Management And General	7275459	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6033247	Total
Program Services	2688219	ProgramServices
Management And General	3345028	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	18340101	Total
Program Services	836227	ProgramServices
Management And General	17503874	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	31257729	Total
Program Services	5640642	ProgramServices
Management And General	25617087	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2075658	Total
Program Services	1004433	ProgramServices
Management And General	1071225	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2699246	Total
Program Services	770920	ProgramServices
Management And General	1928326	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	22888458	Total
Program Services	16830218	ProgramServices
Management And General	6058240	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	57342706	Total
Program Services	29675175	ProgramServices
Management And General	27667531	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7089852	Total
Program Services	223026	ProgramServices
Management And General	6866826	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Med./Surgical Supplies	84264812	83447452	817360
Prov for Doubtful Accts	50265271	50265271
Consulting & Prof Fees	14238784	967393	13271391
Other Expense	7517676	5626241	1891435
Collection Fees	1320455	710	1319745

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	867999760	Total
Program Services	638269658	ProgramServices
Management And General	229730102	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	74939653	BOY
EOY	172117520	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21932215	BOY
EOY	25000741	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	135523360	BOY
EOY	126662831	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9399231	BOY
EOY	9281281	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10317206	BOY
EOY	10377611	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1097399624	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	417883907	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	696980089	BOY
EOY	679515717	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	409980124	BOY
EOY	456099187	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	269224505	BOY
EOY	294569976	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1628296383	BOY
EOY	1773624864	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	121966783	BOY
EOY	137333731	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	95400	BOY
EOY	95400	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	392465650	BOY
EOY	391437356	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	25040629	BOY
EOY	13901378	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	92276712	BOY
EOY	81549049	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	631845174	BOY
EOY	624316914	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	752461429	BOY
EOY	883570542	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	202077384	BOY
EOY	217389413	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	41912397	BOY
EOY	48347995	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	996451209	BOY
EOY	1149307950	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1628296383	BOY
EOY	1773624864	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	104242342	ReconcilationRevenueExpenses
Reconcilation Other Changes	48614399	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$241,344	OtherActivitiesAmount
Total Lobbying Expenditures IIB	241344	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	In 2010 CMCD paid membership dues to organizations in which a portion of the membership dues were related to lobbying activities. NACHRI (National Association of Children's Hospitals), AHA, THA, TAVH (Texas Association of Voluntary Hospitals), THOT (Teaching Hospitals of Texas), and CHAT (Children's Hospital Association of Texas) identifed a portion of their membership dues as being related to lobbying activities. Lobbying percentages were identified by said organizations and applied to 2010 membership dues. Additionally, CMCD paid compensation in 2010 to staff for time related to other lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35296376	OtherCostOrOtherBasis
Book Value	35296376	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	663407668	OtherCostOrOtherBasis
Depreciation	165298358	Depreciation
Book Value	498109310	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9538011	OtherCostOrOtherBasis
Depreciation	5206184	Depreciation
Book Value	4331827	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	362813720	OtherCostOrOtherBasis
Depreciation	247379365	Depreciation
Book Value	115434355	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26343849	OtherCostOrOtherBasis
Book Value	26343849	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	679515717	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Net Assets of Foundation	265710164
Other Assets	18500479
LT Advances to Affiliates	10359333

Field	Value	IRS element (for citing)
Total Book Value Other Assets	294569976	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
UTSW Phys Guarantees	$9,343,245
Retirement Plan Accr	$59,312,528
Rsv for Professional Liab	$3,294,081
Other Liabilities	$9,599,195

Field	Value	IRS element (for citing)
Total Of Amounts	81549049	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	In 2010 Children's Medical Center of Dallas was not required to have a FIN48 footnote disclosure.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19139712	TotalCommunityBenefitExpense
Net Community Benefit Expense	19139712	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	444563951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	411469073	DirectOffsettingRevenue
Net Community Benefit Expense	33094878	NetCommunityBenefitExpense
Percent Of Total Expense	0.04330	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	463703663	TotalCommunityBenefitExpense
Direct Offsetting Revenue	411469073	DirectOffsettingRevenue
Net Community Benefit Expense	52234590	NetCommunityBenefitExpense
Percent Of Total Expense	0.06830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7389780	TotalCommunityBenefitExpense
Direct Offsetting Revenue	992728	DirectOffsettingRevenue
Net Community Benefit Expense	6397052	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28183116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2376317	DirectOffsettingRevenue
Net Community Benefit Expense	25806799	NetCommunityBenefitExpense
Percent Of Total Expense	0.03370	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4932691	TotalCommunityBenefitExpense
Net Community Benefit Expense	4932691	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1356366	TotalCommunityBenefitExpense
Net Community Benefit Expense	1356366	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41861953	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3369045	DirectOffsettingRevenue
Net Community Benefit Expense	38492908	NetCommunityBenefitExpense
Percent Of Total Expense	0.05030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	505565616	TotalCommunityBenefitExpense
Direct Offsetting Revenue	414838118	DirectOffsettingRevenue
Net Community Benefit Expense	90727498	NetCommunityBenefitExpense
Percent Of Total Expense	0.11860	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	236487	TotalCommunityBuildingExpense
Net Community Building Expense	236487	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	236487	TotalCommunityBuildingExpense
Net Community Building Expense	236487	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$21,536,189	BadDebtExpenseAmount
Amount Attributable To	9232650	AmountAttributableTo
Amount Reimbursed By Medicare	5891356	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	1067751	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4823605	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Children's Medical Center of Dallas
1	1935 Medical District Drive	Dallas	TX	75235	X	X	X	X	X	Both Dallas and Legacy campuses share a License,
Children's Medical Center of Legacy
2	7601 Preston Road	Plano	TX	75024	X	X	X	X	X	EIN,and MCR provider number. _

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
Not Required per IRS Anouncement 2011-37
1
Not Required per IRS Anouncement 2011-37
2

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
Part I, Line 3c: Children's 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.
Part I, Line 6a: Children's Community Benefit Report is prepared by our Public Relations department with collaboration from numerous departments within the hospital.
Part I, Line 7: Total expenses for Schedule H purposes are calculated using Worksheet 2 from the Form 990 Schedule H guidelines.
Part II: Children's is passionate about maintaining a vocal presence in legislative affairs on the local, state and federal levels and are 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 the Children's Hospital Association of Texas (CHAT) to advocate the development of an effective, comprehensive and appropriately funded children's health care delivery system within Texas.
Part III, Line 4: Children's 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 as a bad debt when collection efforts have been exhausted following guidelines established by Healthcare Financial Management Association Statement No. 15. Children's routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts. Children's uses Worksheet A guidelines from the Form 990 Schedule H guidelines and Worksheet 2 instructions to calculate the bad debt expense and ratio of patient care cost to charges, respectively.
Part III, Line 8: Children's uses the As Filed Medicare Cost Report and Worksheet B from the IRS Schedule H Instructions to determine medicare allowable costs.
Part III, Line 9b: and Part VI, Line 3: Children's 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 also has written collection practices to be followed to determine if a patient qualifies for charity care. As part of the collection practice, Childrens' financial counselors review with the patient and their family the various state and federal programs available to them.
Part VI, Line 2: Community Needs AssessmentSince 1994, Children's has produced a comprehensive quality-of-life report on area children, Beyond ABC: Growing Up in Dallas County. 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.Children's has taken on the task of preparing Beyond ABC and distributing it to child advocates, service agencies, community leaders and lawmakers because of the presence the hospital holds in the community. In turn, these community leaders and organizations as well as Children's use the report to help determine how best to employ their resources each year.
Part VI, Line 4: Children's 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. Through its academic affiliation with UT Southwestern Medical Center, faculty physician scientists conduct research that is instrumental in developing treatments, therapies and greater understanding of pediatric diseases. More than 120 pediatric residents and 70 fellows train here annually. Many of the more than 50 subspecialty programs of Children's have received national and international recognition, confirming a reputation for Children's and UT Southwestern as one of the finest pediatric healthcare providers in the U.S.
Part VI, Line 5: Texas ranks 6th highest in the nation for obesity in 10-17 year olds, and the problem is even more pressing in Dallas County. Nearly four of ten (38.3 percent) Dallas Independent School District students are obese or overweight as compared to 31.5 percent in Texas and 28.8 percent nationally. In addition, only 1 in 5 Dallas Independent School District 3rd graders passed the Texas mandated school Fitnessgram assessment compared to about 1 in 3 statewide. At Children's, 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 psychiatry.The Dallas Area Coalition to Prevent Childhood ObesityChildren's Medical Center sponsors the Dallas Area Coalition to Prevent Childhood Obesity (DACPCO), an alliance of 140 organizations representing health and human service providers, businesses, government, schools, civic and service organizations, and faith-based groups. Both the U.S. Surgeon General's Plan to Address Childhood Obesity and the Strategic Plan for Prevention of Obesity in Texas: 2005-2010 recommended the establishment of broad and deep collaborations of diverse stakeholders to leverage resources and touch more community members.The mission of the Dallas Area Coalition to Prevent Childhood Obesity (DACPCO) is to promote healthy lifestyles in Dallas children through physical activity and nutrition. Since its launch in 2005, Children's has provided leadership and staffing for monthly meetings, member correspondence and strategic coalition initiatives.The coalition focuses on five primary strategies which include expanding community resources, providing education to children and families, mobilizing grassroots support on public policy issues related to childhood obesity, collaborating on a focused intervention in a low-income neighborhood, and exposing low-income children and families to opportunities for free and healthy lifestyle activities.Dental OutreachAlthough 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. Inpartnership with UT Southwestern, 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 to reduce their risk of cavities every three months.Children's websiteOur 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. The site also offers a free subscription to a monthly electronic newsletter that connects our community to the amazing things that take place at Children's every day.Reaching out to support the families of our communities is at the heart of the Children's 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 influence has impact far beyond the hospital's walls.Disease Management and WellnessThe Disease Management and Wellness Department at Children's improves quality of life and decreases the use of healthcare services through education and pro-active self-management. Children's has six 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 ongoingefforts 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.
Children's 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 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 safetyDrowning is the second-leading cause of injury-related deaths among American children under age 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. In 2009 almost 78,000 children and adults were educated in water safety through the Know Before You Go program.Working to reduce preventable injuriesMore than a decade ago, Children's 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 - 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 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 Dallas and Legacy campus so parents can learn to buckle up their children appropriately. In 2009, Children's Injury Prevention program provided over 1200 free car seats to the community across 112 Dallas county zip codes.A voice for childrenAt Children's we consider it a privilege and responsibility to serve as ardent advocates for children.We work tenaciously to influence health and public policies. Through a combination of programmatic initiatives, organizational affiliations and community events, Children's spreads its influence into the region and provides area children much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's is committed to connecting families to the services they need.Coalition for North Texas Children Children's is the founding member and sponsor of the Coalition for North Texas Children, a nonpartisan alliance of more than 100 non-profit organizations. The coalition is devoted to keeping children's issues a priority among policy makers and the public they serve. In addition, the Advocacy staff at Children's participates in community initiatives focused on public policy, including those sponsored by the United Way of Metropolitan Dallas, the Texas Children's Health Insurance Program Coalition, the Greater Dallas Chamber of Commerce, the Partnership for a Healthier Texas, March of Dimes of Texas and the Asthma Coalition of Texas.Children First! Collin County CoalitionChildren's is the founding member and sponsor of the Children First! Collin County Coalition, a nonpartisan alliance of more than 80 non-profit organizations. The coalition works to improve the quality of life of children through the development of initiatives related to public policy, advocacy, public awareness and community programs. The coalition's five work groups focus on economic security, education, family strengthening, health and safety. Community Outreach Through the efforts of the Advocacy staff at Children's, more area children who are eligible for Medicaid or the Children's Health Insurance Program (CHIP) are receiving coverage. One in three children living in Dallas County is 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 is committed to helping families obtain health insurance, an important factor in the health and well-being for our entire community. Children's has a vision to help address the shortage of primary pediatric medical care for families with limited resources.Dallas CHIP CoalitionChildren's 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 EventsAnnually, Children's 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 outreach team conducts Medicaid/Children's Health Insurance Program outreach at 7 area school districts with a combined enrollment of more than 350,000. Each student's family receives at least four communications during a school year with information on the importance of health insurance and the tools to apply for CHIP/Medicaid. In nine years, Children's has gained buy-in from 7 school districts, trained more than 2,500 school staff and volunteers, completed more than 55,000 applications for Medicaid/CHIP and participated in 700 special events. Children's serves as a liasion with the state for families who could not successfully navigate the state's eligibility system. Public Health Task Force Children's Director of Advocacy serves as the advisor on child health issues for the Dallas County District 3 Public Health Task Force which focuses on the most impoverished, isolated and underserved area of Dallas County. The task force works to bring more public and private health and human services resources to this area and to connect the residents to the resources.
Part VI, Line 6: Children's is not part of an affiliated health care system.Part VI, Line 7: Children's files a Community Benefits Plan with the State of Texas as required by Senate Bill 427.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
May Smith Scholars Program	9	45000
Women's Auxiliary Education Assistance Program	22	30000
University of Texas at Arlington	1	5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Other Information:	Identifier
Return Reference	Part IV:	ReturnReference
Explanation	May Smith Scholars Program The May Smith Scholars program provides both financial assistance and practical clinical experience for students interested in pediatric nursing. The scholarship program is named for May Forster Smith, who began an open-air clinic for infants in 1913 in Dallas. Sophomore and junior undergraduate students are eligible to apply to receive $5,000 each year for up to two years. Recipients of the scholarships must work at Children's as nurse externs for at least 400 hours during their undergraduate program. After graduation, recipients will be offered employment as registered nurses in one of the Children's Nurse Internship Tracts: Critical Care, Emergency, General Pediatrics, Hematology-Oncology, or Perioperative Services. 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. Students who qualify may receive up to $1000 per semester. Educational assistance is granted and paid on a per-semester basis. Students or prospective students of accredited nursing or allied health programs may apply if they: Are junior or senior level students enrolled full or part time in an accredited undergraduate or graduate nursing program. Maintain an overall grade point average of 3.0 on a 4.0 scale, or cumulative 3.0 prior to being accepted into an accredited program. Students are asked to sign agreements to work full time for 12 months at Children's for each academic year they receive education assistance or six months for each semester. If the students are offered employment with Children's but decline the offer, they will be obligated to repay the full amount plus interest calculated at the current prime interest rate at the time the offer is declined. Pediatric Post-Masters Certificate Program The University of Texas at Arlington School of Nursing and Children's Medical Center Dallas offer an Acute Care Pediatric Nurse Practitioner Post-Masters Certificate Program that consists of 31 credit hours. The program prepares students to serve in advanced practice leadership roles with infants, children and adolescents who have acute and chronic health care needs. Requirements include: an MSN from an NLN-accredited program 3.0 GPA on a 4.0 scale for the MSN, Registered Nurse Licensure in Texas, Physical Assessment content within the past three years, and Two years' experience in Pediatric Acute Care nursing recommended.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (48 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christopher J Durovich
736892	0	803990	0	208005	0	1396525	0	17108	0	3162520	0	912140	0
Julio Perez Fontan MD
480000	0	0	0	0	0	0	0	0	0	480000	0	0	0
Ray R Dziesinski
313124	0	254741	0	64080	0	417990	0	10876	0	1060811	0	297324	0
James Herring
307952	0	587643	0	125044	0	454102	0	48	0	1474789	0	636702	0
Douglas G Hock
343363	0	290631	0	74301	0	479000	0	12637	0	1199932	0	336895	0
John P Kline
256792	0	125000	0	9057	0	238489	0	18208	0	647546	0	125000	0
Regina M Coggins
220496	0	46519	0	25322	0	156558	0	13504	0	462399	0	46519	0
Trent C Smith
286225	0	53293	0	81929	0	199193	0	4775	0	625415	0	53293	0
Patricia U Winning
331832	0	277759	0	70812	0	467924	0	6168	0	1154495	0	334972	0
Pamela Arora
279858	0	178110	0	63887	0	340610	0	4142	0	866607	0	228035	0
Kimberly Besse
219648	0	10000	0	6872	0	100927	0	5352	0	342799	0	0	0
David G Biggerstaff
181846	0	116865	0	46356	0	223308	0	12154	0	580529	0	151728	0
Jean Ann Larson
87983	0	15000	0	63988	0	39269	0	6652	0	212892	0	0	0
Fiona Levy MD
387000	0	0	0	0	0	0	0	0	0	387000	0	0	0
Justin Lombardo
244278	0	15000	0	54556	0	119037	0	5722	0	438593	0	0	0
Elizabeth Field MacKay
149465	0	52674	0	24958	0	65986	0	12535	0	305618	0	64533	0
Ronald C Skillens Jr
173984	0	27130	0	6087	0	80639	0	8016	0	295856	0	27130	0
Mary E Stowe
227128	0	135782	0	43956	0	262898	0	6872	0	676636	0	168605	0
Daniel Carney
141973	0	20000	0	44160	0	54464	0	1776	0	262373	0	0	0
Jason D White
60594	0	25000	0	43696	0	25435	0	46	0	154771	0	0	0
Phyllis Cole
129552	0	14248	0	251945	0	40137	0	11128	0	447010	0	40091	0
Christopher J Dougherty
108604	0	139347	0	47985	0	10590	0	2646	0	309172	0	164579	0
Brett D Lee
74366	0	122500	0	28900	0	4031	0	1513	0	231310	0	149673	0
Christopher Menzies MD
214948	0	0	0	21236	0	6753	0	437	0	243374	0	0	0
Jerry Lee
172590	0	28500	0	20917	0	10674	0	4324	0	237005	0	0	0
Mary Beth Martin
130206	0	18382	0	63200	0	6787	0	7679	0	226254	0	0	0
Philip Branson
95150	0	14745	0	83171	0	6782	0	3328	0	203176	0	0	0
Mazie Jamison
31521	0	22956	0	138136	0	2599	0	300	0	195512	0	0	0
Hilda Sallack
135461	0	23342	0	25809	0	3810	0	12835	0	201257	0	0	0
Candis Posey
168710	0	0	0	13989	0	6723	0	1560	0	190982	0	0	0
Jeffrey Vawrinek
159231	0	15000	0	7997	0	6692	0	0	0	188920	0	0	0
Deborah Sheppard
141936	0	17767	0	18543	0	649	0	8850	0	187745	0	0	0
Denise Claussen
137144	0	18762	0	20691	0	966	0	2956	0	180519	0	0	0
Sandra McDermott
132722	0	15440	0	25063	0	3373	0	0	0	176598	0	0	0
Michelle Kromelis
123081	0	18648	0	31219	0	3352	0	8633	0	184933	0	0	0
Jodi Landon
132741	0	20366	0	15977	0	3299	0	3376	0	175759	0	0	0
Michael Hefton
131893	0	15207	0	19618	0	9688	0	5841	0	182247	0	0	0
Dorothy Foglia
122077	0	14600	0	29304	0	3758	0	9822	0	179561	0	0	0
Kaye Schmidt
135263	0	15163	0	15194	0	3692	0	2543	0	171855	0	0	0
Penny Williams
124888	0	14967	0	25273	0	3374	0	5308	0	173810	0	0	0
James Adams
124325	0	16564	0	23855	0	3144	0	2106	0	169994	0	0	0
Karen Cavazos
127733	0	13278	0	21217	0	3432	0	8494	0	174154	0	0	0
Beth Peters
113991	0	18242	0	23846	0	7856	0	5642	0	169577	0	0	0
George Combe
90559	0	82832	0	30039	0	3780	0	3807	0	211017	0	0	0
Brian Sales
90873	0	72179	0	33935	0	15016	0	6816	0	218819	0	0	0
Stephen Ketner MD
141239	0	19860	0	31174	0	6901	0	7684	0	206858	0	0	0
Michael Quach
109707	0	44698	0	19957	0	8082	0	955	0	183399	0	0	0
Thomas Burt
132763	0	21728	0	17233	0	7523	0	2988	0	182235	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

* Children's written policy on business and educational travel prohibits first class travel except when approved in advance by the CEO or by the Board Chair. * Companion travel is prohibited except when it is deemed to further Children's business activities and must be approved in advance by the CEO or Board Chair. Approved companion travel is included as taxable income in 2010 for Christopher J Durovich, Trent C Smith, Daniel Carney, and Jason D White. * Compensation is grossed up in limited circumstances with prior approval of the appropriate board committee. Approved grossed up compensation has been included as 2010 taxable income for Christopher J Durovich, Trent C Smith, Justin Lombardo, Daniel Carney, Jean Ann Larson, and Jason D White. * Children's offers, to promote health and wellness consistent with Children's mission, a limited monthly allowance as a taxable benefit to employees for health club membership dues. In 2010 Health Club membership dues were included as taxable income for Kimberly Besse, David G Biggerstaff, Regina M Coggins, Christopher J Dougherty, Christopher J Durovich, James Herring, Douglas G Hock, Jean Ann Larson, Justin Lombardo, Ronald C Skillens, Jr, and Patricia U Winning. * In an effort to continue to attract quality leadership, Children's provides temporary housing allowances as a taxable benefit to executives and other key employees relocating to Dallas. Temporary housing allowances were provided in 2010 for Daniel Carney, Jean Ann Larson, Justin Lombardo, Trent C Smith, and Jason D White

Part I, Lines 4a-b

Severance Payment and Non-Qualified Retirement Plan: * Severance - Phyllis Cole - $190,000 * Severance - Philip Branson - $55,166 * Severance - Mazie Jamison - $117,075 * Retirement Income Restoration Plan - James Herring received $51,289.69 as taxable income from the Retirement Income Restoration Plan as he is over the age of 65. Additional employees who participate in the Retirement Income Restoration Plan are Christopher J Durovich, Douglas G Hock, Mary E Stowe, and Patricia U Winning. * Savings Restoration Plan - James Herring received $3,499.57 as taxable income from the Savings Restoration Plan as he is over the age of 65. Additional employees who participate in the Savings Restoration Plan are Christopher J Durovich, Douglas G Hock, Mary E Stowe, Patricia U Winning, Pamela Arora, David G Biggerstaff, Regina M Coggins, Ray R Dziesinski, John P Kline, Justin Lombardo, and Trent C Smith.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	N Central Tx Hlth Fac Dev Corp Hosp	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521304502	IssuerEIN
CUSIP Number	65854RAL4	CUSIPNumber
Date Issued	2009-07-01	DateIssued
Issue Price	193697772	IssuePrice
Description Of Purpose	Reimburse Construction Costs	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	193697772	TotalProceeds
Issuance Costs From Proceeds	2819039	IssuanceCostsFromProceeds
Capital Expenditures	190566160	CapitalExpenditures
Amount Unspent	312573	AmountUnspent
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00590	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.00590	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	Schedule K Supplental Information	Identifier
Explanation	Although facility does not routinely engage bond counsel to review management or service contracts, facility did contract with Ernst and Young to review the 2009 management services contracts and research agreements for potential private business use of bond financed space. Ernst & Young also conducted a site review to verify the use of bond financed space.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	Michael Dardick: Business relationship Richard Douglas: Business relationship Gregg Engles: Business relationship Robert Estrada: Business relationship Richard Knight, Jr.: Business relationship John Young: Business relationship
Form 990, Part VI, Section A, line 4	The sole member reserve powers were amended to remove the requirement for sole member approval for investment policies or changes in investment policies of Children's Medical Center of Dallas.
Form 990, Part VI, Section A, line 6	Children's Health Services of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation.
Form 990, Part VI, Section A, line 7a	CHST elects all members of the organization's Board of Directors.
Form 990, Part VI, Section A, line 7b	A list of decisions requiring approval by the member is as follows: a) Any change in the mission or purpose of the Corporation; b) Any amendment to the Articles of Incorporation or Bylaws of the Corporation; c) Any addition of new Members; d) Any purchase or acquisition, sale, gift, lease, disposition of, mortgage or other encumbrance of any property, real, personal, or mixed by the Corporation, excluding routine expenditures, the value of which in the aggregate exceeds five percent (5%) of the total assets of the Corporation; e) Selling, exchanging, or otherwise disposing of all or substantially all of the Corporation's assets; f) Any incurrence or guarantee of indebtedness by the Corporation that in the aggregate exceeds five percent (5%) of the total assets of the Corporation; g) Any merger, acquisition, or consolidation of the Corporation or entering into any joint business venture with any other person, corporation or other legal entity that exceeds five percent (5%) of the total assets of the Corporation; h) Any dissolution of the Corporation; i) Any proposed amendments to the affiliation agreement between the Corporation and The UTSW Medical School (Medical School); j) In the event the Member merges or consolidates with another member or another entity, any proposed contract between such new organization and the Corporation; k) Create, acquire, or dispose of any subsidiary or affiliated entity the value of which in the aggregate exceeds five percent (5%) of the total assets of the Corporation; l) Approval of the annual budget for the Corporation; and m) Any single transaction resulting in a five percent (5%) or more deviation from the annual budget.
Form 990, Part VI, Section B, line 11	A draft of the Form 990 is presented to the corporation's Audit Committee one week before the meeting. At the meeting, the Chief Financial Officer proivdes a detailed review of the Form 990 and answers questions presented by the Committee members. The Committee votes to approve or disapprove the release of the Form 990 for filing.
	The Board members receive a copy of the policy, along with a Disclosure of Possible Conflict of Interests Form to complete, with their Board appointment letter. Additionally, compliance training is provided annually at a designated Board meeting, as well as during the annual Board orientation. Lastly, all disclosures made are reviewed by the Chief Compliance Officer and discussed at the member Board of Directors meeting to determine if further action is required.	Form 990, Part VI, Section B, line 12c
	The corporation's CEO, President, other officers, and key employees are employed and compensated by Children's Medical Center of Dallas ("Children's"). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except for the President and CEO which is set by the Board. 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 and is formally reviewed on an annual basis by the Committee for timeliness and appropriateness. The philosophy defines 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 similar in 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 similar in 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 for the President and CEO, whose base pay is approved by the full 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 (Hay Guide Chart-Profile Method of Position Evaluation) and survey data to determine the market pay range.	Form 990, Part VI, Section B, line 15
	Governing documents, conflict of interest policy and financial statements are made available upon request.	Form 990, Part VI, Section C, line 19
	Average hours per week have been identified as 60 hours/week for the CEO as there are numerous offsite community events which involve weekend, breakfast, and evening meetings. Average hours per week for Senior Vice Presidents have been identified as 50 hours per week as they are involved with limited offsite community events. Average hours per week for all Vice Presidents, key employees, and highest compensated employees have been identified as 40 hours per week.	Form 990, Part VII, Section A - Average Hours per Week
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 28,911,311. Prior period adjustments: 19,703,088. Total to Form 990, Part XI, Line 5: 48,614,399.	Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Children's Health Svcs of TX
1935 Medical District Drive	Dallas	TX	75235	752062019	Management	TX	501(c)(3)	Line 11a, I	N/A	0
Children's Med Ctr Foundation
1935 Medical District Drive	Dallas	TX	75235	752062015	Foundation	TX	501(c)(3)	Line 7		1	Children's Health Svcs of TX
Dallas Phys Medical Svcs for Children Inc
1935 Medical District Drive	Dallas	TX	75235	810584868	Physicians	TX	501(c)(3)	Line 9		1	Children's Medical Ctr of Dallas
Physicians for Children
1935 Medical District Drive	Dallas	TX	75235	752854505	Physicians	TX	501(c)(3)	Line 9		1	Children's Medical Ctr of Dallas
Anesthesiologists for Children
1935 Medical District Drive	Dallas	TX	75235	752917570	Physicians	TX	501(c)(3)	Line 9		1	Children's Medical Ctr of Dallas
Southwestern Medical District
5323 Harry Hines Blvd	Dallas	TX	75390	204101612	Management	TX	501(c)(3)	Line 11a, I	N/A	0
Women's Auxiliary to CMCD
12720 Hillcrest Road	Dallas	TX	75230	752485538	Women's Auxiliary	TX	501(c)(3)	Line 9	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
Alternative Care Systems
1935 Medical District Drive	Dallas	TX	75235	752244475	Other Medical Svcs	TX	N/A	C
Children's Insurance Co
76 St Paul Street Suite 500	Burlington	VT	05401	030328102	Insurance	VT	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Anesthesiologist for Children
D	5055027	actual cost
Anesthesiologist for Children
P	325008	actual cost
Physicians for Children
D	6123147	actual cost
Physicians for Children
P	81804	actual cost
Dallas Phys Medical Svcs for Children Inc
E	1013144	actual cost
Children's Health Svcs of TX
D	194305	actual cost
Children's Med Ctr Foundation
P	7931666	actual cost