CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202443189349310019
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T15:58:59+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	120 E Palmetto Park Road Suite 403	AddressLine1Txt
City	Boca Raton	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33432	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750800628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTH SYSTEM OF TEXAS	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 MEDICAL DISTRICT DRIVE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT FRIES	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2024-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	April Arnold	PreparerPersonNm
PTIN	P01559426	PTIN
Phone	5612991820	PhoneNum
Preparation	2024-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HEALTH	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christopher J Durovich	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 MEDICAL DISTRICT DRIVE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,437,180,328	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	DEDICATED TO MAKING LIFE BETTER FOR CHILDREN.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	10616	TotalEmployeeCnt
Total Volunteers	661	TotalVolunteersCnt
Total Gross UBI	$654,428	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$189,716,433	PYContributionsGrantsAmt
CY Contributions Grants	$126,098,843	CYContributionsGrantsAmt
PY Program Service Revenue	$1,802,113,891	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,281,721,778	CYProgramServiceRevenueAmt
PY Investment Income	$1,253,339	PYInvestmentIncomeAmt
CY Investment Income	$18,183,809	CYInvestmentIncomeAmt
PY Other Revenue	$8,035,069	PYOtherRevenueAmt
CY Other Revenue	$10,011,626	CYOtherRevenueAmt
PY Total Revenue	$2,001,118,732	PYTotalRevenueAmt
CY Total Revenue	$2,436,016,056	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,677,131	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$37,036,007	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$614,261,606	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,052,113,485	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,042,493,447	PYOtherExpensesAmt
CY Other Expenses	$1,009,181,822	CYOtherExpensesAmt
PY Total Expenses	$1,685,432,184	PYTotalExpensesAmt
CY Total Expenses	$2,098,331,314	CYTotalExpensesAmt
PY Revenues Less Expenses	$315,686,548	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$337,684,742	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,326,907,535	TotalAssetsBOYAmt
Total Assets EOY	$8,333,052,613	TotalAssetsEOYAmt
Total Liabilities BOY	$2,431,905,999	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,870,260,468	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,895,001,536	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,462,792,145	NetAssetsOrFundBalancesEOYAmt
Mission	FOR MORE THAN 100 YEARS, OUR MISSION HAS BEEN TO MAKE LIFE BETTER FOR CHILDREN. SINCE OUR HUMBLE BEGINNINGS IN 1913 AS THE FIRST FREE "BABY CAMP" IN THE SOUTHWEST, AN OPEN-AIR TENT HOSPITAL DEDICATED TO THE CARE OF BABIES, WE HAVE MAINTAINED A COMMITMENT TO OUR COMMUNITY THAT INCLUDES NOT ONLY HIGH-QUALITY PATIENT CARE BUT ALSO ADVOCACY, EDUCATION AND PREVENTIVE CARE WITH AN UNWAVERING FOCUS ON OUR MISSION. CHILDREN'S HEALTH IS THE LEADING PEDIATRIC HEALTH CARE SYSTEM IN NORTH TEXAS AND ONE OF THE LARGEST PEDIATRIC HEALTH CARE PROVIDERS IN THE NATION. A PRIVATE, NOT-FORPROFIT ORGANIZATION, CHILDREN'S HEALTH IS ANCHORED BY TWO FULL-SERVICE HOSPITALS. THE SYSTEM INCLUDES AN EXTENSIVE NETWORK OFFERING SPECIALTY, URGENT, PRIMARY AND VIRTUAL CARE, AS WELL AS MUCH MORE, TO THE CHILDREN OF NORTH TEXAS AND BEYOND. IN ADDITION, CHILDREN'S HEALTH IS THE OFFICIAL PEDIATRIC TEACHING HOSPITAL FOR UT SOUTHWESTERN MEDICAL CENTER'S MEDICAL SCHOOL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,584,016,860	ExpenseAmt
Grant	$37,036,007	GrantAmt
Revenue	$2,291,096,169	RevenueAmt
Desc	CHILDREN'S HEALTH IS COMMITTED TO MAKING LIFE BETTER FOR CHILDREN AS ONE OF THE LARGEST AND MOST PRESTIGIOUS PEDIATRIC HEALTHCARE PROVIDERS IN THE COUNTRY AND THE LEADING PEDIATRIC HEALTHCARE SYSTEM IN NORTH TEXAS. A PRIVATE, NOT-FOR-PROFIT ORGANIZATION, CHILDREN'S HEALTH IS ANCHORED BY TWO FULL-SERVICE HOSPITALS. CHILDREN'S HEALTH DALLAS: AN ACADEMIC MEDICAL CENTER CAMPUS ANCHORED BY A 400-BED FULL-SERVICE HOSPITAL, INCLUDING THE ONLY PEDIATRIC LEVEL I TRAUMA CENTER IN NORTH TEXAS. CHILDREN'S MEDICAL CENTER DALLAS CONTINUES TO BE THE NORTH TEXAS HOSPITAL TO BE RANKED IN 10 OUT OF 10 PEDIATRIC SPECIALTIES BY U.S. NEWS & WORLD REPORT FIFTH YEAR IN A ROW. CHILDREN'S HEALTH PLANO: A 72-BED FULL-SERVICE HOSPITAL WITH TWO SPECIALTY CENTERS, INCLUDING THE CHILDREN'S HEALTH ANDREWS INSTITUTE FOR ORTHOPEDICS & SPORTS MEDICINE, AND A NEW HOSPITAL TOWER TO ADD 140 BEDS IN 2024. THE SYSTEM INCLUDES AN EXTENSIVE NETWORK OFFERING SPECIALTY, URGENT, PRIMARY, VIRTUAL CARE AND MORE TO THE CHILDREN OF NORTH TEXAS AND BEYOND. IN ADDITION, CHILDREN'S HEALTH IS AFFILIATED WITH UT SOUTHWESTERN AS THE OFFICIAL PEDIATRIC TEACHING HOSPITAL FOR THE MEDICAL SCHOOL. THIS MEANS ACCESS TO A WORLD-RENOWNED MEDICAL FACULTY AND TRANSFORMATIVE BIOMEDICAL RESEARCH. THROUGH ITS ACADEMIC AFFILIATION WITH UT SOUTHWESTERN MEDICAL CENTER, CHILDREN'S HEALTH IS A LEADER IN LIFE-CHANGING TREATMENTS, INNOVATIVE TECHNOLOGY AND GROUND-BREAKING RESEARCH. OUR MISSION - TO MAKE LIFE BETTER FOR CHILDREN - EXTENDS BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS, MEETING FAMILIES WHERE THEY LIVE, LEARN AND PLAY. WITH MORE THAN 50 PEDIATRIC SPECIALTY AND SUBSPECIALTY PROGRAMS ACROSS NORTH TEXAS AND MORE THAN 1,200 MEDICAL AND DENTAL STAFF, WE ARE PROVIDING THE HIGHEST POSSIBLE QUALITY OF CARE TO MORE CHILDREN IN MORE PLACES THAN EVER BEFORE. THE JOINT PEDIATRIC ENTERPRISE SET FORTH ITS FIRST-EVER JOINT STRATEGIC PLAN, WHICH OUTLINES OUR COLLECTIVE ROADMAP TO MAKING LIFE BETTER FOR CHILDREN FOR MANY GENERATIONS YET TO COME. WE WILL DO THIS BY INVESTING IN INNOVATION AND CLINICAL PROGRAM EXCELLENCE, DELIVERING AN UNPARALLELED CONSUMER EXPERIENCE, GROWING ALONGSIDE NORTH TEXAS, AND IMPROVING, EXPANDING AND UNITING OUR PHYSICIAN NETWORK. OUR SINGULAR FOCUS ON CHILDREN MAKES US THE VERY BEST AT TRANSFORMATIVE PEDIATRIC MEDICINE, AND TOGETHER WE WILL PROVIDE FAMILY-CENTERED, COMPASSIONATE PATIENT EXPERIENCES DESIGNED ENTIRELY AROUND THE CHILD. IN 2023, CHILDREN'S HEALTH SAW 249,967 UNIQUE PATIENTS AND HAD 739,260 TOTAL PATIENT ENCOUNTERS FROM THE SEVEN-COUNTY REGION THAT INCLUDES DALLAS, COLLIN, COOKE, DENTON, FANNIN, GRAYSON AND TARRANT COUNTIES.	Desc
Total Program Service Expenses	$1,584,016,860	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	763	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10616	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2144567000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 MEDICAL DISTRICT DRIVE	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Christopher J Durovich
President CEO CHST	58.0	2.0	Yes (X)	Yes (X)	$4,092,029	$0	$72,765
Caren Kline
Director	1.0	0	Yes (X)		$0	$0	$0
Connie O'Neill
Director	1.0	1.0	Yes (X)		$0	$0	$0
Debra B Tagg
Director	1.0	0	Yes (X)		$0	$0	$0
Ed Heffernan
Chairman	1.0	0	Yes (X)		$0	$0	$0
Lee Jackson
Director	1.0	0	Yes (X)		$0	$0	$0
Lou Grabowsky
Director	1.0	0	Yes (X)		$0	$0	$0
Mark Speese
Director	1.0	0	Yes (X)		$0	$0	$0
Michael Dardick
Director	1.0	0	Yes (X)		$0	$0	$0
Michael Silverman
Director (Effective 1/1/2023)	1.0	0	Yes (X)		$0	$0	$0
Rebecca Egelston Caso
Director	1.0	1.0	Yes (X)		$0	$0	$0
Steven M Gruber
Director	1.0	1.0	Yes (X)		$0	$0	$0
Sylvia Cespedes
Director (Effective 1/1/2023)	1.0	0	Yes (X)		$0	$0	$0
Thomas A Montgomery
Director	1.0	0	Yes (X)		$0	$0	$0
Tony Roach
Director (Effective 9/28/2023)	1.0	0	Yes (X)		$0	$0	$0
Amy Yeager
EVP Chief Legal Officer	52.0	3.0		Yes (X)	$1,192,308	$0	$243,971
Dane Peterson
Chief Operating Officer (Effective 8/28/23)	55.0	0		Yes (X)	$438,783	$0	$128,760
Kimberly Besse
President Chief People Officer	55.0	0		Yes (X)	$1,466,522	$0	$296,766
Matthew M Davis
President Dallas Market	54.0	1.0		Yes (X)	$1,068,896	$0	$231,728
Peter C Perialas Jr
Director & President and COO (Term. 2/1/23)	53.0	2.0		Yes (X)	$3,362,971	$0	$92,407
Robert S Fries
Chief Financial Officer and Treasurer	52.0	3.0		Yes (X)	$1,247,053	$0	$280,158
Vanessa U Walls
President Northern Market	55.0	0.0		Yes (X)	$1,024,764	$0	$254,217
Angela Cupp
SVP Finance	55.0	0			$618,729	$0	$109,184	Yes (X)
Benigno Salinas
EVP Dallas Market Operations	55.0	0			$666,523	$0	$83,647	Yes (X)
Chris Akeroyd
SVP and CIO	55.0	0			$598,816	$0	$136,124	Yes (X)
Coleman Skinner
SVP Revenue Cycle	55.0	0			$669,830	$0	$141,873	Yes (X)
Dai H Chung MD
President and Chief Medical Officer	52.0	3.0			$294,224	$1,029,784	$102,159	Yes (X)
Doris E Hunt
EVP Corporate Svcs and Chief Compliance Officer	53.0	1.0			$952,207	$0	$221,528	Yes (X)
Ira Kirkley
SVP HR Talent and Workforce Planning	55.0	0			$629,904	$0	$116,507	Yes (X)
Jean Storey
SVP Cardiac and Maternal Fetal and Neonatal Svcs	55.0	0			$577,415	$0	$118,567	Yes (X)
JENNIFER Barrera
SVP Strategic Implementation	55.0	0			$722,007	$0	$118,457	Yes (X)
Jodi Landon
Executive Advisor NPC	55.0	0			$738,172	$0	$137,957	Yes (X)
Joe Cavender
Executive Advisor NPC	55.0	0.0			$689,613	$0	$142,564	Yes (X)
Kathleen Benner
SVP Assoc General Counsel	55.0	0			$604,124	$0	$104,410	Yes (X)
Ken Lee
SVP Chief Investment Officer	55.0	0			$937,252	$0	$131,842	Yes (X)
Laran O'Neill
SVP Chief Advancement Officer	55.0	0			$677,752	$0	$121,481	Yes (X)
Lindsey Tyra
EVP Chief Strategy Officer	54.0	1.0			$985,787	$0	$225,631	Yes (X)
Matthew Moore
SVP Government Relations and Chief of Staff	50.0	0			$756,384	$0	$128,274	Yes (X)
Queen Greene
SVP HR Operations	55.0	0			$693,155	$0	$85,368	Yes (X)
Tammy Webb
EVP Chief Nurse Executive	54.0	1.0			$910,778	$0	$194,180	Yes (X)
Thomas Burt
Exec Advisor Workforce Mgmt and Total Rewards	55.0	0			$999,061	$0	$178,868	Yes (X)
William Elvey
Executive Advisor Flagship Project	55.0	0			$1,148,577	$0	$23,009	Yes (X)
Cassandra Dike
EVP CNO Dallas Market	55.0	0			$540,034	$0	$149,225		Yes (X)
Christopher Menzies
VP Clinical Informatics	55.0	0			$689,738	$0	$117,831		Yes (X)
Holland Hassmann
Executive Advisor NPC	55.0	0			$577,628	$0	$104,912		Yes (X)
James Rhodes
SVP JPE Strategic Development	55.0	0			$530,507	$0	$106,821		Yes (X)
Philip Bernard
Chief Medical Information Officer	55.0	0			$547,464	$0	$81,933		Yes (X)
Brenda Clayton
Former Highest Paid Employee	0.0	0			$585,328	$0	$172			Yes (X)
Brent E Christopher
Former Officer	0.0	55.0			$1,257,485	$0	$251,182			Yes (X)
Linda Dunlap
Former Key Employee	0.0	0			$827,518	$0	$2,496			Yes (X)
Mark Ziemianski
Former Key Employee	0.0	0			$803,006	$0	$2,496			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,122,343	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,029,784	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,039,470	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2381	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
UTSW
5323 Harry Hines BLVD	Dallas	TX	753908886	Healthcare services	$193,836,814
JT VAUGHN CONSTRUCTION
9160 Sterling St	Irving	TX	75063	Contruction Services	$162,928,910	Ste 100
RIGHT SOURCING INC
PO Box 515743	Los Angeles	CA	900515118	Professional Service	$65,679,316
HKS INC
350 N SAINT PAUL STREET	dallas	TX	752014240	Design Services	$37,658,633	STE 100
HILL AND WILKINSON CONSTRUCTION
2703 Telecom Parkway	Richardson	TX	75082	Contruction Services	$14,249,327	Suite 120

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	459	CntrctRcvdGreaterThan100KCnt
Related Organizations	$16,472,680	RelatedOrganizationsAmt
Government Grants	$109,626,163	GovernmentGrantsAmt
Total Contributions	$126,098,843	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$2,138,699,793	$2,138,699,793
OTHER MEDICAL SERVICES REVENUE	622110	$62,287,204	$62,287,204
REIMBURSEMENT OF SHARED SERVICES	900099	$41,705,928	$41,705,928
PHARMACY & LAB REVENUE	622110	$30,651,590	$30,014,355	$637,235
RENTAL INCOME FROM AFFILIATES	531110	$8,377,263	$8,377,263

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,281,721,778	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,583,455	TotalRevenueColumnAmt
Unrelated Business Revenue	$17,193	UnrelatedBusinessRevenueAmt
Exclusion	$18,566,262	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$764,626	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,164,272	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$399,646	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$399,646	TotalRevenueColumnAmt
Exclusion	-$399,646	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIETARY REVENUE	621990	$9,647,644	$9,647,644
VENDING REVENUE	454210	$269,592	$269,592
VENDOR REBATE	900099	$94,390	$94,390

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$10,011,626	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,436,016,056	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,291,096,169	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$654,428	UnrelatedBusinessRevenueAmt
Exclusion	$18,166,616	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$31,012,660	TotalAmt
Program Services	$31,012,660	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,023,347	TotalAmt
Program Services	$6,023,347	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$33,589,121	TotalAmt
Program Services	$22,562,255	ProgramServicesAmt
Management And General	$11,026,866	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$787,581,908	TotalAmt
Program Services	$545,102,875	ProgramServicesAmt
Management And General	$242,479,033	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$49,370,380	TotalAmt
Program Services	$34,170,333	ProgramServicesAmt
Management And General	$15,200,047	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$122,367,854	TotalAmt
Program Services	$84,693,501	ProgramServicesAmt
Management And General	$37,674,353	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$59,204,222	TotalAmt
Program Services	$40,976,553	ProgramServicesAmt
Management And General	$18,227,669	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,291,076	TotalAmt
Management And General	$5,291,076	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$665,000	TotalAmt
Management And General	$665,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$105,926	TotalAmt
Management And General	$105,926	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,497,196	TotalAmt
Management And General	$3,497,196	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$409,022,093	TotalAmt
Program Services	$329,116,578	ProgramServicesAmt
Management And General	$79,905,515	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,264,385	TotalAmt
Program Services	$12,641,185	ProgramServicesAmt
Management And General	$5,623,200	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,794,690	TotalAmt
Program Services	$49,690,694	ProgramServicesAmt
Management And General	$22,103,996	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$78,678,027	TotalAmt
Program Services	$54,454,804	ProgramServicesAmt
Management And General	$24,223,223	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$29,772,031	TotalAmt
Program Services	$20,605,882	ProgramServicesAmt
Management And General	$9,166,149	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,757,346	TotalAmt
Program Services	$1,908,420	ProgramServicesAmt
Management And General	$848,926	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,316,191	TotalAmt
Program Services	$11,984,919	ProgramServicesAmt
Management And General	$5,331,272	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$89,173,504	TotalAmt
Program Services	$61,718,956	ProgramServicesAmt
Management And General	$27,454,548	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,984,801	TotalAmt
Program Services	$8,722,062	ProgramServicesAmt
Management And General	$4,262,739	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SURGICAL SUPPLIES	$266,648,200	$266,648,200
Bad Debt	$1,983,636	$1,983,636
Excise & Franchise Tax	$1,227,720		$1,227,720

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,098,331,314	TotalAmt
Program Services	$1,584,016,860	ProgramServicesAmt
Management And General	$514,314,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$181,059,083	BOYAmt
EOY	$51,258,312	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$644,965,829	BOYAmt
EOY	$540,668,761	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$308,366,188	BOYAmt
EOY	$573,255,714	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$22,292,922	BOYAmt
EOY	$23,759,797	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$639,214	BOYAmt
EOY	$24,074,656	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,962,522,433	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$812,212,094	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$957,459,326	BOYAmt
EOY	$1,150,310,339	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$31,302,960	BOYAmt
EOY	$26,341,293	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$25,010	BOYAmt
EOY	$99,350,994	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,155,362	BOYAmt
EOY	$15,362,219	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,166,641,641	BOYAmt
EOY	$5,828,670,528	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,326,907,535	BOYAmt
EOY	$8,333,052,613	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$276,461,599	BOYAmt
EOY	$386,148,738	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$340,727,733	BOYAmt
EOY	$326,783,013	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$466,789,120	BOYAmt
EOY	$466,924,200	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,347,927,547	BOYAmt
EOY	$1,690,404,517	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,431,905,999	BOYAmt
EOY	$2,870,260,468	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,746,576,945	BOYAmt
EOY	$3,099,948,119	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,148,424,591	BOYAmt
EOY	$2,362,844,026	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,895,001,536	BOYAmt
EOY	$5,462,792,145	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,326,907,535	BOYAmt
EOY	$8,333,052,613	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$337,684,742	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$19,940,208	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$210,165,659	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$105,926	OtherActivitiesAmt
Total Lobbying Expenditures	$105,926	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IN 2023, CHST PAID MEMBERSHIP DUES TO ORGANIZATIONS IN WHICH A PORTION OF THE MEMBERSHIP DUES WERE RELATED TO LOBBYING ACTIVITIES. NACH (NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS), AHA (AMERICAN HOSPITAL ASSOCIATION), THA (TEXAS HOSPITAL ASSOCIATION), THT (TEXAS HEALTHCARE TRUSTEES), THOT (TEACHING HOSPITALS OF TEXAS), AND CHAT (CHILDREN'S HOSPITAL ASSOCIATION OF TEXAS) IDENTIFIED A PORTION OF THEIR MEMBERSHIP DUES AS BEING RELATED TO LOBBYING ACTIVITIES. LOBBYING PERCENTAGES WERE IDENTIFIED BY SAID ORGANIZATIONS AND APPLIED TO 2023 MEMBERSHIP DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,557,630	OtherCostOrOtherBasisAmt
Book Value	$49,557,630	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,138,371,427	OtherCostOrOtherBasisAmt
Depreciation	$538,647,043	DepreciationAmt
Book Value	$599,724,384	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,996,718	OtherCostOrOtherBasisAmt
Depreciation	$20,139,781	DepreciationAmt
Book Value	$21,856,937	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$336,261,918	OtherCostOrOtherBasisAmt
Depreciation	$253,425,270	DepreciationAmt
Book Value	$82,836,648	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$396,334,740	OtherCostOrOtherBasisAmt
Book Value	$396,334,740	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,150,310,339	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
NET ASSETS OF FOUNDATION	$2,342,435,286
LT Advances and DUE FROM AFFLIATES	$3,437,354,382
MINERAL RIGHTS	$4,475,000
Other Assets	$39,340,199
Operating Lease Assets	$4,695,991
UTSW Physician Guarantees	$369,670

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,828,670,528	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Insurance Recoveries	$881,326
Intercompany	$1,585,738,322
Operating Lease Liabilities	$4,119,083
Other Liabilities	$22,251,082
UTSW Phys Guarantees	$2,080,112
Reserve for Professional Liab	$75,334,592

Field	Value	IRS element (for citing)
Total Liability	$1,690,404,517	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	CHILDREN'S HEALTH SYSTEM OF TEXAS'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2023, READS AS FOLLOWS: "THE AUTHORITATIVE GUIDANCE IN ASC 740 INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2020 THROUGH 2023 IN CHILDREN'S HEALTH MAIN TAXING JURISDICTIONS."	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$76,214,139	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$76,214,139	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$76,214,139	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,977,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,709,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,267,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,130,385,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,119,453,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,931,605	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,733,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,782,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,950,752	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,162,096,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,140,945,995	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,150,088	NetCommunityBenefitExpnsAmt
Total Expense	0.0101	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,042,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,714,169	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,327,846	NetCommunityBenefitExpnsAmt
Total Expense	0.0397	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,563,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,649,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,913,978	NetCommunityBenefitExpnsAmt
Total Expense	0.0195	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,521,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,719,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,801,290	NetCommunityBenefitExpnsAmt
Total Expense	0.0128	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,239,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,436,501	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,803,148	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$140,346	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$242,506,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,519,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,986,608	NetCommunityBenefitExpnsAmt
Total Expense	0.0777	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,404,602,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,220,465,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$184,136,696	NetCommunityBenefitExpnsAmt
Total Expense	0.0878	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,887,949	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,887,949	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,887,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,887,949	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$76,898,275	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,886,150	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,495,364	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,071,323	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,575,959	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CHILDREN'S MEDICAL CENTER PLANO
1	7601 PRESTON ROAD	PLANO	TX	75024	WWW.CHILDRENS.COM	100291	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHILDREN'S MEDICAL CENTER DALLAS
2	1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	WWW.CHILDRENS.COM	000143	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE INCLUDED AND PRIORITIZED WITHIN THE JOINT CHNA CONDUCTED BY CHILDREN'S HEALTH. THE PRIORITY NEEDS IDENTIFIED ARE HEALTH, ECONOMIC SECURITY, SAFETY, AND EDUCATION.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - CHILDREN'S MEDICAL CENTER DALLAS AND CHILDREN'S MEDICAL CENTER PLANO. Every other year, Children's Health recruits a citizen advisory council made up of key stakeholders serving children and knowledgeable in public health. These community leaders meet regularly to discuss children's health care issues and to contribute their experience, insights, and expert recommendations for the Beyond ABC report prepared by Children's Health. The citizen advisory boards for Beyond ABC identify recommendations for advocates and public officials in order to improve the lives and health of children. Recent advisory boards have included city and county officials, former legislators, members of law enforcement, school district administrators, nonprofit organizations' executives, child-advocacy representatives, chambers of commerce and senior staff from corporations and financial institutions. Additionally, Children's Health participates in the regional healthcare partnership (RHP) task force, which was created as part of the Texas healthcare transformation and quality improvement program. Hospitals within each region work together to identify needs and develop plans to respond to those needs and transform the health care delivery system. Children's Health participates in the (RHP) for regions 9 and 10. Some of the organizations from which input was solicited for this year's CHNA are as follows: Dallas Independent School District, City of Dallas, Habitat for Humanity, American Heart Association, Children at Risk, Catholic Charities, ChildCareGroup, The Commit Partnership, Dallas Children's Advocacy Center, Dallas County Health & Human Services, Dallas-Fort Worth Hospital Council, Dallas Housing Authority, Genesis Women's Shelter, Momentous Institute, North Texas Food Bank, Reese-Jones Center for Foster Care Excellence, The Concilio, United Way of Metropolitan Dallas, Dallas Regional Chamber, Dallas College, Jewish Family Service of Greater Dallas, Los Barrios Unidos, Axxess, Assistance Center of Collin County, Capital One, Children's Advocacy Center of Collin County, City of Plano, Collin County District Attorney's Office, Frisco Family Services, LifePath Systems, Plano ISD, Texoma Council of Governments, Veritex Bank, Raise Your Hand Texas, Texas Muslim Women's Foundation, Richardson ISD, Atmos Energy, First 3 Years, My Health My resources of Tarrant County, Leadership ISD Tarrant County.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - CHILDREN'S MEDICAL CENTER DALLAS AND CHILDREN'S MEDICAL CENTER PLANO. As a part of Children's Health, Children's Health System of Texas collaborated on the 2022 Children's Health joint community health needs assessment (CHNA). The collaboration was conducted with Children's Medical Center Plano (CMCP). The Children's Health CHNA collaboration was conducted in compliance with the final federal regulations to section 501(r), specifically §1.501(r)-3(b)(6)(v) joint CHNA reports.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - CHILDREN'S MEDICAL CENTER DALLAS AND CHILDREN'S MEDICAL CENTER PLANO. Upon conducting the CHNA and developing the community health implementation strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the publicly available CHNA and community health implementation strategy. Actions taken during the tax year to address significant health needs identified through its most recently conducted CHNA include the following: HEALTH: Nearly two-thirds of the children we serve at children's health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition and North Texas Healthcare Collaborative, two coalitions that work on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at Children's Health help eligible families with children enroll in CHIP and Medicaid, ensuring North Texas families have access to health care. In 2023, Children's Health directly served 782 unique families and 1,916 unique individuals by assisting with application for state benefits, including Medicaid and CHIP enrollment. The outreach team reported more than 3,151 family encounters in the process. Children's Health is using telemedicine to provide more children access to behavioral health care and address youth mental health issues such as anxiety, bullying and depression. The TCHATT program partners with UT Southwestern and is fully funded by the Texas Child Mental Health Care Consortium. TCHATT offers short-term therapy as well as psychiatric consultation. Both programs include case management, psychoeducation and referrals to community resources. Both programs are of no cost to families. Our behavioral health services are now available in over 700 school campuses increasing access to care for more than 500,000 students across North Texas. ECONOMIC SECURITY: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. These broad-based coalition groups are dedicated to working together to raise awareness about the importance of quality early education, coordinate advocacy efforts and increase funding for quality early learning to ultimately ensure a strong future workforce. Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for different programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), and the public charge. The Children's Health Community Relations team also helps eligible families and children enroll in other government assistance programs, such as SNAP and TANF, and provides referrals to additional community resources and services. SAFETY: The Rees-Jones Center for Foster Care Excellence at Children's Health is the only clinic in North Texas dedicated to exclusively providing integrated primary medical care for children in foster care. Our providers are experienced in treating victims of abuse and neglect and provide a wide range of support to caregivers and families. Through health services, research, policy analysis and medical education, the Center's experts promote policies and practices that advance care and outcomes for children and families in the child welfare system. EDUCATION: Children's Health Behavioral Health team meets with educators, parents, and others across the community to provide training on behavioral health topics to continue to increase awareness and end the stigma of mental illness. Of significant interest to the community this year was education surrounding drug and alcohol use and educational sessions in response to the current fentanyl crisis. This has continued to increase in 2024. Developed in 2021, Children's Health launched a new initiative in March 2022, the Behavioral Health Integration and Guidance (BHIG), in conjunction with the Meadows Mental Health Policy Institute to train pediatric primary care providers to identify, diagnose and treat mild to moderate behavioral health conditions in the scope of their primary care practice. Training cohorts begin quarterly and last for 6-months. Providers earn approximately 17.5 hours of continuing education. Through December 2023, 131 providers have engaged in the training, and we estimate that an additional 262,000 children had improved access to behavioral health care as a result of this initiative. Following the training program, providers reported doubling their use of screening tools, billing for the time involved in screening, and in diagnosing patients with behavioral health disorders. In 2023, Children's Health completed a project of embedding behavioral health screening tools into our electronic health record. Over 50 tools were added so that PCPs and medical specialists can easily screen their patients for behavioral health concerns. These tools are recommended to providers who participate in the BHIG training as they allow ongoing monitoring of symptom resolution once treatment interventions are initiated. Providers report increased use of behavioral health screening tools and interventions upon completion of the BHIG training program. BHIG also includes a best in practice integrated medical home in southern Dallas where the clinical team provides Collaborative Care Management to support the pediatrician, assuring most of the patient's medical and behavioral health treatment needs can be met in their medical home. The child psychiatrist also treats more complex patients referred by community-based providers who completed the BHIG training. Once stabilized, patients are returned to their PCP for ongoing treatment.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - CHILDREN'S MEDICAL CENTER DALLAS AND CHILDREN'S MEDICAL CENTER PLANO. Children's Health uses the federal poverty guidelines to determine eligibility for low-income individuals. 200% of the federal poverty guidelines is used for 100% charity adjustment, and 201% to 400% of the federal poverty guidelines is used for a sliding scale adjustment. Children's Health uses various documents and forms to verify income and expenses when determining the eligibility for financial assistance of a patient and their family. These documents include, but are not limited to, w2 form, wage and earning statement, paycheck remittance, worker's compensation, unemployment compensation determination letters, income tax returns, statement from employer, bank statements, copy of checks, documents of sources of income, telephone verification of gross income with the employer, proof of participation in government assistance programs such as Medicaid signed affidavit or attestation by patient, and veterans benefit statement.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - CHILDREN'S MEDICAL CENTER DALLAS AND CHILDREN'S MEDICAL CENTER PLANO. In addition to ensuring that the Children's Health charity care criteria is posted prominently and continuously in common entry points of the facility, a director of patient financial service ensures that the Children's Health charity care criteria is published at all times on its website.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SPECIALTY CENTER DALLAS CAMPUS
2350 STEMMONS FWY	DALLAS	TX	75207	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER 2 PLANO
7609 PRESTON RD	PLANO	TX	75204	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER 1 PLANO
7211 PRESTON RD	PLANO	TX	75024	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER CITYVILLE
6300 HARRY HINES BLVD	DALLAS	TX	75235	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER MOCKINGBIRD 1
1341 W MOCKINGBIRD LN STE 1200E	DALLAS	TX	75247	CENTER FOR AUTISM CARE AS WELL AS OTHER BEHAVIORAL HEALTH PROGRAMS.
Pediatric Associates of Wylie
501 Woodbridge Pkwy	Wylie	TX	75098	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER GRAPEVINE
8 PRESTIGE CIRCLE STE 101	ALLEN	TX	75002	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER MOCKINGBIRD 2
1250 W MOCKINGBIRD LN 500	DALLAS	TX	75247	CENTER FOR PEDIATRIC DENTISTRY.
PRIMARY CARE ELDORADO
2217 Eldorado Pkwy	Mckinney	TX	75070	OUTPATIENT SPECIALTY CARE CENTER
Specialty Center Prosper
1300 Childrens Way	Prosper	TX	75078	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER PARK CITIES
1643 LANCASTER DR STE 300	GRAPEVINE	TX	76051	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER WAXAHACHIE
7010 PRESTON RD STE 240	FRISCO	TX	75034	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER ALLEN
1540 N HWY 77 BLDG C STE 10	WAXAHACIE	TX	75165	OUTPATIENT SPECIALTY CARE CENTER
Andrews Institute Frisco
6950 Stadium Ln	Frisco	TX	75033	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER SOUTH ROCKWALL
1675 REPUBLIC PKWY SUITE 190	MESQUITE	TX	75150	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER RICHARDSON
2455 RIDGE RD STE 255	ROCKWALL	TX	75087	OUTPATIENT SPECIALTY CARE CENTER
Sleep Disorders Center Plano
7120 Preston Rd Ste 200	Plano	TX	75024	OUTPATIENT SPECIALTY CARE CENTER
Primary Care Plano - 15th Street
3105 West 15th St Ste D	Plano	TX	75075	OUTPATIENT SPECIALTY CARE CENTER
SLEEP DISORDERS CENTER Dallas
3661 N PLANO RD STE 3500	RICHARDSON	TX	75082	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER NORTH ROCKWALL
7000 WEST PLANO PKWY STE 210	PLANO	TX	75093	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER DESOTO
1005 W RALPH HALL PKWY STE 233	ROCKWALL	TX	75032	OUTPATIENT SPECIALTY CARE CENTER
SPECIALTY CENTER TYLER
8160 WALNUT HILL LANE	DALLAS	TX	75231	OUTPATIENT SPECIALTY CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)	BEYOND ABC ROAD SHOW: CHILDREN'S HEALTH OFFERS OPPORTUNITIES TO PRESENT INFORMATION GATHERED FROM THE BEYOND ABC REPORT TO COMMUNITY COALITIONS, NON-PROFITS, CHAMBERS OF COMMERCE AND OTHER GROUPS TO EDUCATE THE COMMUNITY ON ISSUES AND DATA ASSOCIATED WITH THE STATE OF CHILDREN FOR DALLAS COUNTY. IN ADDITION, CHILDREN'S HEALTH INCLUDES SUBJECT-MATTER EXPERTS ON ALL FOUR PILLARS - HEALTH, ECONOMIC SECURITY, EDUCATION AND PUBLIC SAFETY - TO ALSO EDUCATE AND SHARE INFORMATION ON A PARTICULAR TOPIC STEMMING FROM THE REPORT. THE GOAL IS TO PRESENT THE DATA TO COMMUNITY LEADERS IN HOPES OF SPEARHEADING CHANGE AND FINDING OPPORTUNITIES TO COLLABORATE. MEDICAID/CHIP OUTREACH: The Children's Health CHIP and Medicaid outreach program helps families access low-cost or no-cost health insurance coverage through the Children's Health Insurance Program (CHIP) or Children's Medicaid, respectively. Both programs cover office visits, prescription drugs, dental care, eye exams, glasses and more. Dedicated outreach representatives help families apply for assistance throughout the community, whether it is at a child's school, library or other community-based location. In 2023, Children's Health directly served 782 unique families and 1,916 unique individuals by assisting with applications for state benefits, including CHIP/Medicaid enrollment. The outreach team reported more than 3,155 family encounters in the process. CHILDREN'S HEALTH WEBSITE: OUR HOSPITAL WEB SITE, WWW.CHILDRENS.COM, EMPOWERS PARENTS WITH INFORMATION ABOUT CHILDHOOD ILLNESSES, PREVENTION, TREATMENT AND SERVICES AVAILABLE AT OUR HOSPITALS OR LOCATIONS. MORE THAN 1,300 COMMON PEDIATRIC TOPICS ARE ADDRESSED ON THE WEBSITE. ALSO AVAILABLE ARE INTERACTIVE GUIDES PROMOTING HEALTHY LIVING. CHILDREN'S HEALTH HAS LAUNCHED NUMEROUS RENOVATIONS AND TECHNOLOGICAL IMPROVEMENTS AS WELL AS EXPANSION OF PROGRAMS DESIGNED TO BETTER SERVE OUR PATIENT FAMILIES AND THE COMMUNITY, INCLUDING THE FOLLOWING PROGRAMS AND/OR CAPITAL PROJECTS: - DEVELOPMENT OF THE SCHOOL-BASED TELEMEDICINE PROGRAM, VIRTUAL HEALTH OPTIONS FOR EMPLOYEES AND FAMILIES AND TELESPECIALTY PROGRAMS PROVIDE ACCESS POINTS FOR FAMILIES ACROSS TOWN OR ACROSS THE STATE. - A FULLY RENOVATED PEDIATRIC INTENSIVE CARE UNIT AT CHILDREN'S MEDICAL CENTER DALLAS. - COMPREHENSIVE EMERGENCY ROOM RENOVATION AT CHILDREN'S MEDICAL CENTER DALLAS. - EXPANSION OF THE HEART CENTER AT CHILDREN'S HEALTH THROUGH THE ADDITION OF CARDIOLOGY PROVIDERS TO THE CHILDREN'S HEALTH CARE NETWORK. - EXPANSION OF THE CHILDREN'S MEDICAL CENTER PLANO CAMPUS. - BUILDING OF THE CHILDREN'S HEALTH SPECIALTY CENTER PROSPER IN PROSPER, TEXAS. - INVOLVEMENT IN THE REIMAGINE REDBIRD DEVELOPMENT. - PROVIDING FUNDING TO CREATE AN APPROXIMATELY 100-BED INPATIENT UNIT AT THE NEW STATE PSYCHIATRIC HOSPITAL FOR CHILDREN AND ADOLESCENTS, IN PARTNERSHIP WITH UT SOUTHWESTERN MEDICAL CENTER AND THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	CHILDREN'S MEDICAL CENTER OF DALLAS AND CHILDREN'S MEDICAL CENTER PLANO ARE REQUIRED TO FILE A COMMUNITY BENEFIT PLAN AND REPORT WITH THE STATE OF TEXAS AS REQUIRED BY SENATE BILL 427.
Schedule H, Part V, Section B, Line 16a FAP AVAILABILE WEBSITE	https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support/full-financial-assistance-policy
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	The Children's Health community benefit report is included as part of the organization's "BEYOND ABC" report, which is prepared by the Marketing & Communications department in collaboration with the Government & Community Relations department.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Children's Health uses Worksheet 2 from the Form 990, Schedule H instructions to calculate the costs for Part I, Line 7 and ratio of patient care cost to charges attributable to community benefits.
Schedule H, Part II Community Building Activities	Children's Health is passionate about maintaining a vocal presence in legislative affairs on the local, state, and federal levels, and is at the forefront of advocacy efforts that impact the community at large, from booster seat and car safety measures to critical funding for health care providers. Additionally, Children's Health collaborates extensively with stakeholders in coalitions like the Children's Hospital Association of Texas and The Texas Hospital Association in Austin, Texas, as well as the Children's Hospital Association in Washington, D.C. Through these affiliations, Children's Health is better able to advocate for the development of an effective, comprehensive and appropriately funded health care system in Texas and across the country. Our behavioral health leaders are also active in state and local committees within the Children's Hospital Association focused on legislation to improve funding and services.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's Health's rationale for including a portion of bad debt as community benefit is that bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in part i, line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CHILDREN'S HEALTH USES ITS COST ACCOUNTING SYSTEM AND THE ACTUAL COSTS THAT ARE WRITTEN OFF BY PATIENT ACCOUNTS TO CALCULATE THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. CHILDREN'S Health's RATIONALE FOR INCLUDING PORTION OF BAD DEBT AS COMMUNITY BENEFIT IS THAT BAD DEBT EXPENSE SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IT IS SIMILAR TO OTHER UNREIMBURSED FINANCIAL ASSISTANCE, AS REPORTED IN PART I, LINE 7A, BUT FOR A DIFFERENT POPULATION (NAMELY, THOSE PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE FINANCIAL ASSISTANCE APPLICATION).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A BAD DEBT FOOTNOTE. CHILDREN'S HEALTH HAS ADOPTED ASU 2014-09 WHICH TREATS THE PROVISION FOR DOUBTFUL ACCOUNTS AS AN IMPLICIT PRICE CONCESSION WITHIN NET PATIENT SERVICE REVENUE. THE PROVISION FOR DOUBTFUL ACCOUNTS IS NO LONGER SEPARATELY STATED AS A REDUCTION TO NET PATIENT SERVICE REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Worksheet A from the as filed Medicare cost report and the IRS Schedule H instructions to determine Medicare allowable costs.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	As a part of Children's Health System of Texas (Children's Health), Children's Medical Center Dallas and Children's Medical Center Plano adhere to and follow Children's Health collection policy and practices. If a patient qualifies or is attempting to qualify for assistance under the Children's Health Financial Assistance Policy and is attempting in good faith to settle an outstanding bill by negotiating a reasonable payment plan or by making regular partial payments of a reasonable amount, the unpaid bill will not be sent to any collection agency or other assignee. Children's Health does not engage in extraordinary collection actions against patients to obtain payment of care.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHILDREN'S MEDICAL CENTER PLANO: Line 16a URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHILDREN'S MEDICAL CENTER PLANO: Line 16b URL: https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHILDREN'S MEDICAL CENTER PLANO: Line 16c URL: https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support;
Schedule H, Part VI, Line 2 Needs assessment	Children's Health has conducted a Community Health Needs Assessment (CHNA), with primary and secondary data included in the 2021-2022 Beyond ABC assessing the Well-Being of Children in North Texas counties of Dallas, Collin, Cooke, Denton, Fannin and Grayson (2021-2022 Beyond ABC), to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with the Childrens Health mission, services, and strategic priorities. Since 1996, Childrens Health has published Beyond ABC, a comprehensive report on the quality of life of children in North Texas. The report tracks not only health and safety factors, but also economic and education data. An advisory board, comprised of several dozen community leaders, meets throughout the year to discuss the data and to contribute input from the field.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Children's Health makes extensive efforts to inform and educate patients and patients' families about eligibility for financial assistance. The Children's Health Financial Assistance Policy and financial assistance application are made widely available online and in print, along with a plain language summary of the financial assistance policy. The plain language summary of the financial assistance policy is provided at patient discharge. all three documents are available without charge and available in the primary languages spoken by Limited English Proficiency (LEP) populations. In addition, Children's Health financial counselors or customer service representatives work with patients' guardians/guarantors to ensure that all public and voluntary assistance programs are fully explored. Children's Health has a financial program for patients who are considered indigent and do not qualify for a federal or state program. The eligibility criteria for financial assistance is based upon federal poverty guidelines published annually. Patients eligible for financial assistance will have charges reduced to the lowest level charged to individuals who have insurance covering such care. gross charges will not be used to calculate patients' bills.
Schedule H, Part VI, Line 4 Community information	Community Served by Children's Health System of Texas Children's Medical Center Dallas, the flagship campus of the Children's Health, is located at 1935 Medical District Drive in Dallas, Texas, and is an academic medical center campus anchored by a 490-bed full-service hospital, including the only pediatric Level I trauma center in North Texas. The city of Dallas is the county seat of Dallas County. The city of Dallas is one of the most populous cities in Texas, as well as the United States. Children's Health has an inpatient facility located at a second campus in Plano, Texas, a 72- bed full-service hospital with two specialty centers, including the Children's Health Andrews Institute for Orthopedics & Sports Medicine. In addition, new hospital tower to add 140 beds in late 2024, tripling current bed count. Identification and Description of Geographical Community The city of Dallas is the third largest city in Texas. The city of Dallas is accessible from I- 30, I-35e, I-45 and I-635. Patients primarily originate from Texas (98 percent). Collin county is the sixth-most populous county in Texas and includes two of the fastest growing cities in the nation - Frisco and McKinney. In 2023, Children's Health saw 169,665 unique patients from Dallas County. The system saw 311,207 unique patients and had 968,543 total patient encounters from the seven-county region that includes Dallas, Collin, Cooke, Denton, Fannin, Grayson and Tarrant counties. Community Population and Demographics The U.S. Bureau of Census has compiled population and demographic data based on the 2020 census. Data shows Dallas-Fort Worth is the country's fourth largest metro area, with 7,637,387 residents counted. DFW was one of only three U.S. metro areas to gain at least 1.2 million residents over the decade, behind Houston and New York City. More than 1.76 million children live in the six North Texas counties featured in the 2023 Beyond ABC report, including Dallas, Collin, Cooke, Denton, Fannin and Grayson counties. The child population in Dallas County decreased by almost 2,500 from 2017-2021. The percentage of non-Hispanic white children fell one percentage point, while the percentage of children of other or multiple races rose 10 points from 2017 to 2021. The percentage of Hispanic and/or Latino children remained constant at 53% of the child population. While about 1 in 5 Dallas County children live below the poverty line, stark differences are seen across racial and ethnic groups. Black and Hispanic and/ or Latino children had higher poverty rates, 27% and 24.8% respectively, while white non-Hispanic children had a rate below 10%. From 2017-2021, the child population in Collin County grew by about 9% to 268,898. A plurality of Collin County children was white non-Hispanic (46%), falling six percentage points from 2017. The groups with larger increases are those identifying as other or multiple races, rising six percentage points to 15% of children in 2021. The population of Asian children grew three percentage points over the same period. Service to The Community Children's Health has a longstanding commitment to the community - one that reaches beyond hospital walls and into schools, social-service organizations, corporate boardrooms, city halls and legislative chambers. A large part of the Children's Health mission to make life better for children is a commitment to serving as a voice for the voiceless - an advocate for the children who have no vote and no lobbying group to speak on their behalf. Children's Health devotes itself solely to caring for the complex medical needs of children. Children's Health provides patient care ranging from simple eye exams to specialized treatment in areas such as heart disease, hematology-oncology and cystic fibrosis. In addition, Children's Health is a major pediatric kidney, liver, intestine and heart transplant center. Through its established injury prevention, advocacy program and disease management programs, the hospital works diligently to educate the community so that no child has to ever come through our doors.
Schedule H, Part VI, Line 5 Promotion of community health	The mission of Children's Health System of Texas (Children's Health) is to make life better for children. With oversight from a board of directors comprised of individuals who are representative of the community served, Children's Health promotes health and benefits the community through its two licensed hospitals - Children's Medical Center Dallas and Children's Medical Center Plano. Children's Health medical staff is open to physicians in the community who meet all requirements outlined in the children's health medical and dental staff bylaws. Children's Health considers it a privilege and responsibility to serve as advocates for kids in Texas and across the country. Through programmatic initiatives, organizational partnerships and community events, Children's Health spreads its influence throughout the region and provides area children with much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's Health is committed to connecting families to the services they need. COMMUNITY OUTREACH Expanding Access to Pediatric Mental Health Services: With behavioral health needs in children only increasing as a result of the pandemic, Children's Health is working to expand access to behavioral health services for children when and where they need them most. Our school-based tele-behavioral health program connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. We currently have more than 850 school-based behavioral health sites across North Texas. Safeguarding access to CHIP and Medicaid/increase the number of insured Texas children: Nearly two-thirds of the children we serve at children's health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition that works on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at children's health help eligible families with children enroll in CHIP and Medicaid. In 2023, Children's Health directly served 782 unique families and 1,916 unique individuals by assisting with applications for state benefits, including CHIP/Medicaid enrollment. The outreach team reported more than 3,155 family encounters in the process. Ensuring all working parents, including low-income families, have access to affordable, safe and quality childcare: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. These broad-based coalition groups are dedicated to raising awareness about the importance of quality early education, coordinating advocacy efforts and increasing funding for quality early learning. Combating Child Poverty: Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), and the public charge. The Children's Health Community Relations team also helps eligible families and children enroll in other government assistance programs, such as SNAP and TANF, and provides referrals to additional community resources and services. Expanding trauma-informed care education, training and intervention throughout the child welfare system: The Rees-Jones Center for Foster Care Excellence at Children's Health provides integrated primary care for children in foster care, many of whom have experienced abuse and neglect. As a regional leader in trauma-informed care, the center collaborates with school districts, child welfare organizations and other community partners to facilitate trauma-informed trainings and curriculums for educators, providers, volunteers and caregivers. COMMUNITY-BASED PROGRAMMING In recent years, Children's Health has strengthened and expanded our community programs and services to catalyze wellness from the ground up, ultimately creating a healthier community. By working with community leaders and organizations to meet families where they are, we connect health care providers across the community to better integrate care for children. Children's Health encourages organizations to provide wellness programs and primary-care options in non-traditional locations such as neighborhood churches and community centers. These programs include school-based health care, Asthma Management, Get Up and Go Weight Management, Injury Prevention, Children's Health Andrews Institute for Orthopaedics & Sports Medicine, and CHIP/Medicaid Outreach and Community Forums. Asthma Management Program: The nationally certified Asthma Management Program at Children's Health has proven to reduce asthma-related Emergency Room visits, as well as school and work absences. This three- to six-month program helps children aged 18 and younger better manage their condition for more symptom-free sleep, learning and play. Children's Health Andrews Institute for Orthopedics & Sports Medicine: As the only institute of its kind in the region, Children's Health Andrews Institute is here to get athletes back on the field. Developed under the direction of nationally renowned orthopedic surgeon James Andrews, M.D., this state-of-the-art facility offers a full spectrum of services from orthopedic surgery, a same-day fracture clinic and spinal care to rehabilitation, performance training, nutrition plans, advanced imaging and diagnostics. Get Up and Go Weight Management Program: Designed by physicians and registered dieticians, Get Up and Go by Children's Health addresses the needs of children with high weight or obesity by creating awareness and understanding of how lifestyle choices impact health. It offers a wide range of FREE programs and services at several local YMCA/community locations in Dallas, Denton and Collin counties to empower families in making lasting healthy lifestyle changes. Injury Prevention: Injury is the number one cause of death for kids, but the good news is injuries are preventable. With evidence-based education tools, both in the hospital and community, the Injury Prevention Service at Children's Health helps keep children safe from traumatic injuries. From car seat safety to water safety and firearm safety, our program provides educational materials and interactive events in both English and Spanish. School-Based Telehealth: School nurses can now connect students with health care providers right from school using School-Based Telehealth by Children's Health Virtual Care. As one of the fastest-growing telemedicine programs in the country, our School-Based Telehealth program has expanded to 200+ schools throughout 28 school districts in Texas and has conducted more than 15,000 visits since 2014. A recent survey also showed the program has resulted in decreased absenteeism and a perceived 84% cost savings for families. In fact, out of the 465 survey respondents, more than 75% of them reported their child would have missed at least a half day of school without the program. Texas Child Health Access Through Telemedicine (TCHATT): Our school based behavioral health program has grown to more than 850 public and charter school campuses in North Texas. Mental health services are provided to students during the school day using a tablet provided by Children's Health. Our Legacy School-Based Tele-behavioral Health program, started in 2017, merged with our Texas Child Health Access Through Telemedicine (TCHATT) program which partners with UT Southwestern and is fully funded by the Texas Child Mental Health Care Consortium. TCHATT offers short-term therapy as well as psychiatric consultation, case management, psychoeducation and referrals to community resources. The program is available to all students at no cost. Child Psychiatric Access Network (CPAN): Administered with UTSW under the Texas Child Mental Health Care Consortium, we responded to 2,212 calls from pediatric primary care providers who accessed our Child Psychiatry Access Network (CPAN) in 2023. This service provides real-time assistance of behavioral health resources and psychiatric consultation for primary care providers. This allows the provider to treat their patients' behavioral health needs in the scope of their practice during a standard medical visit. Use of this program by PCPs continues to increase year over year.
Schedule H, Part VI, Line 6 Affiliated health care system	Children's Medical Center Dallas and Children's Medical Center Plano are a part of Children's Health System of Texas. Children's Health is committed to making life better for children. Children's Health continues to be named by U.S. News & World Report as one of the top pediatric providers in the nation and the highest-ranked pediatric provider in North Texas, Children's Health cares for children through more than 968,453 patient visits annually. Our commitment to fulfilling this critical mission lies at the heart of a dynamic, growing system, with two full-service hospitals - Children's Medical Center Dallas and the expanding Children's Medical Center Plano, the transformative Children's Medical Center Research Institute at UT Southwestern, numerous specialty centers and urgent care locations, the Children's Health Andrews Institute for Orthopedics & Sports Medicine, the Rees-Jones Center for Foster Care Excellence, groundbreaking telehealth services both in and out of schools, and the Children's Health Care Network, a collaborative network of health providers who work together to provide the best care for children in the community. Through community health initiatives, outreach services and a growing network of health providers in the area, Children's Health is continually expanding and improving our ability to deliver care. This strengthened access will allow us to better understand and address the significant health needs of the children and families in our communities, today and for our next 100 years.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
UT Southwestern Medical College
5323 Harry Hines Blvd	Dallas	TX	75390	756002868	TX State Gov.	$855,682	Book	Program Support
North Texas Food Bank
3677 Mapleshade Lane	Plano	TX	75075	751785357	501(c)(3)	$45,000	Book	Program Support
The University of Texas Health Science Center at Houston
POBox 301418	Dallas	TX	753031418	741761309	TX State Gov.	$36,238	Book	Program Support
Children's Cancer Fund
4201 Spring Valley	Dallas	TX	75244	752113401	501(c)(3)	$25,000	Book	Program Support	Ste 370
Crystal Charity Ball Sponsorship
3838 Oak Lawn Avenue	Dallas	TX	75219	756035893	501(c)(3)	$25,000	Book	Program Support	Suite L150
Texas Christian University Harris College of Nursing & Health Sciences
TCU Box 297011	Fort Worth	TX	761290001	750827465	501(c)(3)	$7,800	Book	Program Support
Women's Auxiliary
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752485538	501(c)(3)	$6,140	Book	Program Support
Health and Human Services Commission
909 W 45th Street	Austin	TX	78751	742638006	TX State Gov.	$30,000,000	Book	Program Support	Mail Code 2064

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
May Smith Scholarship	20	$100,000
Women's Auxiliary Scholarship	7	$21,000
James J. Farnsworth Scholarship	12	$12,000
Grace Lee Scholarship	18	$54,000
Lisa Milonovich Scholarship	3	$10,500
ASSISTANCE to Patients	2430	$4,772,604
ASSISTANCE TO SICK CHILDREN WITH TOYS & EDUCATIONAL SUPPLIES	159988		$1,053,243	FMV	Toys, books, educational supplies and clothing

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	STANDARD POLICIES AND PROCEDURES FOR THE GRANT ADMINISTRATION PROCESS ARE ESTABLISHED FOR THE PURPOSE OF ASSISTING STAFF IN THEIR EFFORTS TO ADMINISTER GRANT PROGRAMS IN ACCORDANCE WITH THE RULES AND REGULATIONS GOVERNING THOSE PROGRAMS. IT IS THE RESPONSIBILITY OF THE PROJECT DIRECTOR TO MONITOR THAT THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. MAY SMITH SCHOLARS PROGRAM THE HERITAGE OF NURSING IS RICH AT CHILDREN'S HEALTH, WHICH TRACES ITS ROOTS BACK TO A CLINIC STARTED BY NURSE MAY FORSTER SMITH. THIS SCHOLARSHIP IS NAMED FOR NURSE SMITH, WHO BEGAN AN OPEN-AIR CLINIC FOR INFANTS IN 1913. THAT PIONEERING SPIRIT CONTINUES IN THE 21ST CENTURY. THE MAY SMITH SCHOLARS PROGRAM PROVIDES FINANCIAL ASSISTANCE FOR BACCALAUREATE STUDENTS INTERESTED IN PEDIATRIC NURSING. ELIGIBILITY: APPLICANTS MUST MEET ALL OF THE FOLLOWING CRITERIA TO BE ELIGIBLE TO APPLY FOR THIS SCHOLARSHIP: - BE A CURRENT SOPHOMORE OR JUNIOR UNDERGRADUATE BACCALAUREATE NURSING STUDENT. - HAVE A CUMULATIVE 3.0 GPA ON A 4.0 SCALE. NO EXCEPTIONS WILL BE MADE. AWARD DETAILS: - A LIMITED NUMBER OF SCHOLARSHIPS IN THE AMOUNT OF $5,000 WILL BE AWARDED EACH YEAR. - STUDENTS MAY REAPPLY EACH YEAR AS LONG AS THEY CONTINUE TO MEET THE ELIGIBILITY CRITERIA. - THE SCHOLARSHIPS WILL BE APPLIED TO TUITION, FEES, BOOKS, SUPPLIES AND EQUIPMENT REQUIRED FOR COURSE LOAD AT ACCREDITED, NONPROFIT FOUR-YEAR COLLEGES/UNIVERSITIES IN THE UNITED STATES. - STUDENTS MAY TRANSFER FROM ONE INSTITUTION TO ANOTHER AND RETAIN THE AWARD. WOMEN'S AUXILIARY SCHOLARSHIP PROGRAM THE WOMEN'S AUXILIARY TO CHILDREN'S MEDICAL CENTER OFFERS EDUCATIONAL SUPPORT TO NURSING AND ALLIED HEALTH STUDENTS WHO ARE REGISTERED FOR, OR CURRENTLY ENROLLED IN, AN ACCREDITED PROGRAM THROUGH THE EDUCATIONAL ASSISTANCE PROGRAM FOR NURSING AND ALLIED HEALTH STUDENTS. ELIGIBILITY: APPLICANTS MUST MEET ALL OF THE FOLLOWING CRITERIA TO BE ELIGIBLE TO APPLY FOR THIS SCHOLARSHIP: - BE A CURRENT JUNIOR, SENIOR OR GRADUATE STUDENT ENROLLED FULL OR PART-TIME IN AN ACCREDITED UNDERGRADUATE, OR GRADUATE, NURSING OR ALLIED HEALTH PROGRAM. - HAVE A CUMULATIVE 3.0 GPA ON A 4.0 SCALE. NO EXCEPTIONS WILL BE MADE. AWARD DETAILS: - A LIMITED NUMBER OF SCHOLARSHIPS IN THE AMOUNT OF $3,000 WILL BE AWARDED EACH YEAR. - STUDENTS MAY REAPPLY EACH YEAR AS LONG AS THEY CONTINUE TO MEET THE ELIGIBILITY CRITERIA. - THE SCHOLARSHIPS WILL BE APPLIED TO TUITION, FEES, BOOKS, SUPPLIES AND EQUIPMENT REQUIRED FOR COURSE LOAD AT ACCREDITED, NONPROFIT FOUR-YEAR COLLEGES/UNIVERSITIES IN THE UNITED STATES. - STUDENTS MAY TRANSFER FROM ONE INSTITUTION TO ANOTHER AND RETAIN THE AWARD. - INTERVIEWS WILL BE SCHEDULED FOR THOSE CANDIDATES WHO BEST MEET THE REQUIREMENTS OF THE PROGRAM. PANEL INTERVIEWS MAY BE SCHEDULED TO INCLUDE STAFF FROM THE STUDENT'S CHOSEN AREA OF STUDY. JAMES J. FARNSWORTH HEALTH CAREER SCHOLARSHIP PROGRAM THE JAMES J. FARNSWORTH HEALTH CAREER SCHOLARSHIP OFFERS EDUCATIONAL SUPPORT TO STUDENTS PLANNING CAREERS IN PEDIATRIC HEALTH CARE. THE SCHOLARSHIP IS NAMED IN HONOR OF JAMES J. FARNSWORTH AND WAS ESTABLISHED FROM GIFTS TO ENDOWMENTS MADE IN TRIBUTE TO MR. FARNSWORTH BY HIS FRIENDS AND COLLEAGUES. MR. FARNSWORTH SERVED AS PRESIDENT OF CHILDREN'S MEDICAL CENTER DALLAS, AS PART OF CHILDREN'S HEALTH, FOR MORE THAN 30 YEARS AND WAS A FELLOW IN THE COLLEGE OF HEALTHCARE EXECUTIVES. ELIGIBILITY: APPLICANTS MUST MEET ALL OF THE FOLLOWING CRITERIA TO BE ELIGIBLE TO APPLY FOR THIS SCHOLARSHIP: - BE A CURRENT SOPHOMORE, JUNIOR, SENIOR, OR GRADUATE STUDENT PLANNING A CAREER IN PEDIATRIC HEALTHCARE. - PREFERENCE WILL BE GIVEN TO STUDENTS WHO FALL INTO THE FOLLOWING CATEGORIES: - FORMER PATIENTS OF CHILDREN'S HEALTH - CURRENT FULL OR PART-TIME EMPLOYEES - FORMER OR CURRENT VOLUNTEERS AT CHILDREN'S HEALTH - PARENT IS EMPLOYED AT CHILDREN'S HEALTH - PARENT IS VOLUNTEER AT CHILDREN'S HEALTH - STUDENTS DEMONSTRATING STRONG ACADEMIC ACHIEVEMENT NO EXCEPTIONS WILL BE MADE. AWARD DETAILS: - A LIMITED NUMBER OF SCHOLARSHIPS IN THE AMOUNT OF $1,000 WILL BE AWARDED EACH YEAR. - STUDENTS MAY REAPPLY EACH YEAR AS LONG AS THEY CONTINUE TO MEET THE ELIGIBILITY CRITERIA. - THE SCHOLARSHIPS WILL BE APPLIED TO TUITION, FEES, BOOKS, SUPPLIES, AND EQUIPMENT REQUIRED FOR COURSE LOAD AT ACCREDITED, NONPROFIT FOUR-YEAR COLLEGES/UNIVERSITIES IN THE UNITED STATES. - STUDENTS MAY TRANSFER FROM ONE INSTITUTION TO ANOTHER AND RETAIN THE AWARD. GRACE LEE SCHOLARSHIP FOR CLINICAL EDUCATION: THE GRACE LEE SCHOLARSHIP FOR CLINICAL EDUCATION RECENTLY WAS ESTABLISHED IN HONOR OF GRACE LEE, A FORMER PATIENT AT CHILDREN'S HEALTH AND IN RECOGNITION OF THE EXEMPLARY CARE PROVIDED BY CLINICAL STAFF MEMBERS WHO CONTRIBUTED TO HER COMPREHENSIVE CARE. THE SCHOLARSHIP WILL PROVIDE FINANCIAL ASSISTANCE FOR THE CONTINUING EDUCATION OF CLINICAL EMPLOYEES WHO ARE DIRECT CAREGIVERS AT CHILDREN'S HEALTH. ELIGIBILITY: APPLICANTS MUST MEET ALL OF THE FOLLOWING CRITERIA TO BE ELIGIBLE TO APPLY FOR THIS SCHOLARSHIP: - BE A FULL-TIME CLINICAL EMPLOYEE OF CHILDREN'S HEALTH WITH TWO YEARS OF CONTINUOUS EMPLOYMENT AT CHILDREN'S HEALTH AS OF THE APPLICATION DEADLINE. - BE ENROLLED IN OR ACCEPTED INTO AN ACCREDITED HEALTHCARE EDUCATION PROGRAM. - BE RECOMMENDED BY AN IMMEDIATE SUPERVISOR OR DEPARTMENT DIRECTOR. - HAVE A CUMULATIVE 3.0 GPA ON A 4.0 SCALE. NO EXCEPTIONS WILL BE MADE. AWARD DETAILS: - A LIMITED NUMBER OF SCHOLARSHIPS IN THE AMOUNT OF $3,000 WILL BE AWARDED EACH YEAR. - STUDENTS MAY REAPPLY EACH YEAR AS LONG AS THEY CONTINUE TO MEET THE ELIGIBILITY CRITERIA. - THE SCHOLARSHIPS WILL BE APPLIED TO TUITION, FEES, BOOKS, SUPPLIES, AND EQUIPMENT REQUIRED FOR COURSE LOAD AT ACCREDITED, NONPROFIT TWO- OR FOUR-YEAR COLLEGES/UNIVERSITIES IN THE UNITED STATES. - STUDENTS MAY TRANSFER FROM ONE INSTITUTION TO ANOTHER AND RETAIN THE AWARD. LISA M. MILONOVICH SCHOLARSHIP PROGRAM THE LISA M. MILONOVICH SCHOLARSHIP FOR NURSING EDUCATION PROVIDES FINANCIAL ASSISTANCE TO SUPPORT THOSE CHOOSING NURSING AS A CAREER PATH AS WELL AS THOSE IN NURSING WHO WANT TO FURTHER THEIR EDUCATION. NAMED IN HONOR OF LISA M. MILONOVICH, A LONG-TIME, DEDICATED ADVANCED PRACTICE NURSE AT CHILDREN'S HEALTH, THE SCHOLARSHIP WAS ENDOWED BY LISA'S FAMILY AND MANY, MANY FRIENDS AND COLLEAGUES WHO GREATLY ADMIRED HER THIRST FOR KNOWLEDGE AND ACHIEVEMENTS IN NURSING. APPLICANTS MUST MEET ALL OF THE FOLLOWING CRITERIA TO BE ELIGIBLE FOR THIS SCHOLARSHIP: - BE A FULL-TIME OR PART-TIME CHILDREN'S HEALTH EMPLOYEE WITH ONE YEAR OF CONTINUOUS EMPLOYMENT. - MAINTAIN AN OVERALL GRADE-POINT AVERAGE OF 3.0 ON A 4.0 SCALE OR HAVE A CUMULATIVE 3.0 GPA PRIOR TO BEING ACCEPTED INTO AN ACCREDITED PROGRAM. - DEMONSTRATE FINANCIAL NEED AND A COMMITMENT TO PURSUE ADDITIONAL EDUCATION. RECIPIENTS MAY BE GRADUATING HIGH SCHOOL STUDENTS, NURSES' AIDES, LVNS, RNS, AND/OR THOSE SEEKING ADVANCED NURSING DEGREES. - COMMIT TO TWO YEARS OF ADDITIONAL EMPLOYMENT AT CHILDREN'S HEALTH AFTER COMPLETION OF THE EDUCATIONAL PROGRAM FOR WHICH THE SCHOLARSHIP WAS AWARDED. AWARD DETAILS: - SCHOLARSHIPS MAY NOT BE APPLIED TO ROOM AND BOARD AND CANNOT BE USED TO PURCHASE A LAPTOP IF NOT REQUIRED FOR ALL STUDENTS ATTENDING THE INSTITUTION OR COURSE. - A LIMITED NUMBER OF SCHOLARSHIPS UP TO $3,500 WILL BE AWARDED EACH YEAR. - STUDENTS MAY REAPPLY EACH YEAR AS LONG AS THEY CONTINUE TO MEET THE ELIGIBILITY CRITERIA. - THE SCHOLARSHIPS WILL BE APPLIED TO TUITION, FEES, BOOKS, SUPPLIES AND EQUIPMENT REQUIRED FOR COURSE LOAD AT ACCREDITED, NONPROFIT TWO- OR FOUR-YEAR COLLEGES/UNIVERSITIES IN THE UNITED STATES. - STUDENTS MAY TRANSFER FROM ONE INSTITUTION TO ANOTHER AND RETAIN THE AWARD. ASSISTANCE to Patients - Self Pay Patients' accounts were directly credited with assistance.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher J Durovich
President CEO CHST	$1,830,168	$0	$2,193,000	$0	$68,861	$0	$22,500	$0	$50,265	$0	$4,164,794	$0	$0	$0
Brent E Christopher
Former Officer	$660,248	$0	$366,330	$0	$230,907	$0	$226,230	$0	$24,952	$0	$1,508,667	$0	$200,160	$0
Kimberly Besse
President Chief People Officer	$738,025	$0	$543,750	$0	$184,747	$0	$246,269	$0	$50,497	$0	$1,763,288	$0	$151,108	$0
Matthew M Davis
President Dallas Market	$616,712	$0	$315,000	$0	$137,184	$0	$206,377	$0	$25,351	$0	$1,300,624	$0	$132,823	$0
Robert S Fries
Chief Financial Officer and Treasurer	$678,996	$0	$509,625	$0	$58,432	$0	$229,662	$0	$50,497	$0	$1,527,211	$0	$25,021	$0
Peter C Perialas Jr
Director & President and COO (Term. 2/1/23)	$135,138	$0	$693,845	$0	$2,533,988	$0	$70,698	$0	$21,709	$0	$3,455,378	$0	$878,664	$0
Dane Peterson
Chief Operating Officer (Effective 8/28/23)	$336,684	$0	$100,000	$0	$2,099	$0	$106,615	$0	$22,144	$0	$567,543	$0	$0	$0
Vanessa U Walls
President Northern Market	$585,131	$0	$315,000	$0	$124,633	$0	$209,077	$0	$45,140	$0	$1,278,981	$0	$90,038	$0
Amy Yeager
EVP Chief Legal Officer	$522,093	$0	$428,513	$0	$241,702	$0	$188,859	$0	$55,112	$0	$1,436,279	$0	$209,214	$0
Linda Dunlap
Former Key Employee	$12,481	$0	$113,575	$0	$701,462	$0	$2,496	$0	$0	$0	$830,014	$0	$214,398	$0
Mark Ziemianski
Former Key Employee	$12,481	$0	$113,575	$0	$676,951	$0	$2,496	$0	$0	$0	$805,502	$0	$189,985	$0
Chris Akeroyd
SVP and CIO	$359,758	$0	$181,125	$0	$57,933	$0	$93,382	$0	$42,742	$0	$734,940	$0	$56,144	$0
JENNIFER Barrera
SVP Strategic Implementation	$410,480	$0	$310,000	$0	$1,527	$0	$81,449	$0	$37,007	$0	$840,464	$0	$0	$0
Kathleen Benner
SVP Assoc General Counsel	$335,241	$0	$205,525	$0	$63,358	$0	$62,320	$0	$42,089	$0	$708,534	$0	$34,448	$0
Thomas Burt
Exec Advisor Workforce Mgmt and Total Rewards	$383,922	$0	$440,000	$0	$175,139	$0	$142,500	$0	$36,368	$0	$1,177,929	$0	$167,367	$0
Joe Cavender
Executive Advisor NPC	$310,905	$0	$276,015	$0	$102,693	$0	$92,782	$0	$49,782	$0	$832,176	$0	$69,860	$0
Dai H Chung MD
President and Chief Medical Officer	$212,233	$742,815	$81,818	$286,363	$173	$606	$18,211	$63,740	$4,491	$15,717	$316,926	$1,109,241	$0	$0
Angela Cupp
SVP Finance	$347,118	$0	$233,750	$0	$37,860	$0	$76,644	$0	$32,540	$0	$727,913	$0	$30,520	$0
William Elvey
Executive Advisor Flagship Project	$34,809	$0	$460,000	$0	$653,768	$0	$21,665	$0	$1,344	$0	$1,171,586	$0	$13,846	$0
Queen Greene
SVP HR Operations	$303,507	$0	$251,161	$0	$138,487	$0	$67,010	$0	$18,358	$0	$778,524	$0	$78,923	$0
Doris E Hunt
EVP Corporate Svcs and Chief Compliance Officer	$515,758	$0	$278,250	$0	$158,199	$0	$186,964	$0	$34,564	$0	$1,173,735	$0	$128,857	$0
Ira Kirkley
SVP HR Talent and Workforce Planning	$282,246	$0	$250,673	$0	$96,985	$0	$68,035	$0	$48,472	$0	$746,411	$0	$71,523	$0
Jodi Landon
Executive Advisor NPC	$353,560	$0	$292,938	$0	$91,674	$0	$99,230	$0	$38,727	$0	$876,129	$0	$64,074	$0
Ken Lee
SVP Chief Investment Officer	$486,127	$0	$342,000	$0	$109,125	$0	$88,287	$0	$43,556	$0	$1,069,095	$0	$103,313	$0
Matthew Moore
SVP Government Relations and Chief of Staff	$395,782	$0	$249,500	$0	$111,102	$0	$102,914	$0	$25,360	$0	$884,658	$0	$109,422	$0
Laran O'Neill
SVP Chief Advancement Officer	$322,778	$0	$283,806	$0	$71,168	$0	$77,416	$0	$44,065	$0	$799,233	$0	$37,909	$0
Benigno Salinas
EVP Dallas Market Operations	$395,728	$0	$210,000	$0	$60,795	$0	$67,665	$0	$15,982	$0	$750,171	$0	$36,529	$0
Coleman Skinner
SVP Revenue Cycle	$389,959	$0	$204,750	$0	$75,121	$0	$100,080	$0	$41,793	$0	$811,703	$0	$70,190	$0
Jean Storey
SVP Cardiac and Maternal Fetal and Neonatal Svcs	$341,560	$0	$181,125	$0	$54,730	$0	$75,894	$0	$42,673	$0	$695,982	$0	$49,456	$0
Lindsey Tyra
EVP Chief Strategy Officer	$528,275	$0	$420,375	$0	$37,138	$0	$182,105	$0	$43,527	$0	$1,211,419	$0	$32,863	$0
Tammy Webb
EVP Chief Nurse Executive	$486,821	$0	$349,375	$0	$74,581	$0	$167,781	$0	$26,399	$0	$1,104,957	$0	$69,353	$0
Brenda Clayton
Former Highest Paid Employee	$11,712	$0	$108,150	$0	$465,465	$0	$0	$0	$172	$0	$585,500	$0	$1,783	$0
Philip Bernard
Chief Medical Information Officer	$396,512	$0	$50,000	$0	$100,952	$0	$73,431	$0	$8,502	$0	$629,397	$0	$0	$0
Cassandra Dike
EVP CNO Dallas Market	$433,930	$0	$83,011	$0	$23,092	$0	$136,449	$0	$12,776	$0	$689,259	$0	$0	$0
Holland Hassmann
Executive Advisor NPC	$310,972	$0	$197,197	$0	$69,459	$0	$86,075	$0	$18,838	$0	$682,541	$0	$63,512	$0
Christopher Menzies
VP Clinical Informatics	$414,121	$0	$195,810	$0	$79,807	$0	$105,393	$0	$12,438	$0	$807,569	$0	$76,848	$0
James Rhodes
SVP JPE Strategic Development	$327,210	$0	$170,363	$0	$32,934	$0	$69,900	$0	$36,920	$0	$637,327	$0	$31,759	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	THE TBA (TAXABLE BENEFIT ALLOWANCE) WAS DESIGNED TO PROVIDE EXECUTIVES WITH REIMBURSEMENT FOR TRAVEL RELATED EXPENSES BETWEEN CHST AND ITS AFFILIATES' LOCATIONS AND TO ACQUIRE SUPPLEMENTAL BENEFITS. THERE IS CURRENTLY ONLY ONE OFFICER WHO RECEIVES PAYMENTS FROM THE TBA.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Peter Perialas - $1,654,200 William Elvey - $600,000 Mark Ziemianski - $486,750 Linda Dunlap - $486,750 Brenda Clayton - $463,500
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	EXECUTIVE DEFINED CONTRIBUTION RETIREMENT PLAN (EDCRP): EMPLOYEES WHO RECEIVED TAXABLE INCOME FROM THE EDCRP INCLUDE: Peter Perialas - $878,664 Kimberly Besse - $151,108 Robert Fries - $25,021 Matthew Davis - $132,823 Vanessa Walls - $90,038 Amy Yeager - $209,214 William Elvey - $13,846 Thomas Burt - $167,367 Lindsey Tyra - $32,863 Doris Hunt - $128,857 Ken Lee - $103,313 Tammy Webb - $69,353 Matthew Moore - $109,422 Jodi Landon - $64,074 Queen Greene - $78,923 Joe Cavender - $69,860 Laran O'Neill - $37,909 Coleman Skinner - $70,190 Benigno Salinas - $36,529 Ira Kirkley - $71,523 Angela Cupp - $30,520 Kathleen Benner - $34,448 Chris Akeroyd - $56,144 Holland Hassmann - $63,512 Jean Storey - $49,456 Christopher Menzies - $76,848 James Rhodes - $31,759 Mark Ziemianski - $189,985 Linda Dunlap - $214,398 Brenda Clayton - $1,783 Brent Christopher - $200,160 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: Peter Perialas - $50,898 Kimberly Besse - $223,769 Robert Fries - $216,462 Matthew Davis - $186,577 Vanessa Walls - $186,577 Amy Yeager - $169,059 Thomas Burt - $120,000 Lindsey Tyra - $162,305 Doris Hunt - $165,621 Ken Lee - $75,087 Tammy Webb - $147,981 Matthew Moore - $80,414 Jodi Landon - $76,730 JENNIFER Barrera - $62,631 Queen Greene - $48,346 Joe Cavender - $70,282 Laran O'Neill - $54,916 Coleman Skinner - $80,280 Benigno Salinas - $45,165 Ira Kirkley - $48,346 Angela Cupp - $54,144 Kathleen Benner - $44,249 Chris Akeroyd - $73,385 Holland Hassmann - $63,575 Jean Storey - $53,394 Christopher Menzies - $82,893 Philip Bernard - $60,231 Cassandra Dike - $128,139 James Rhodes - $50,100 Dane Peterson - $101,538 Mark Ziemianski - $2,496 Linda Dunlap - $2,496 Brent Christopher - $206,430
Schedule J, Part I, Line 7 Non-fixed payments	SEE SCHEDULE O, LINE 15 FOR NON-FIXED PAYMENTS

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	261604618	BondIssuerEIN
CUSIP	645424AV4	CUSIPNum
Bond Issued	2017-12-28	BondIssuedDt
Issue Price	$365,809,775	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$19,125,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$365,809,775	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$54,002,458	CapitalExpendituresAmt
Other Spent Proceeds	$311,807,317	OtherSpentProceedsAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0014	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0014	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) COLUMN (F)	THE PURPOSE OF THE ISSUE WAS TO ADVANCE REFUND THE SERIES 2012 BONDS DATED: 06/21/2012; TO ADVANCE REFUND THE SERIES 2009 BONDS DATED: 07/01/2009; AND TO FINANCE OR REFINANCE CERTAIN CAPITAL PROJECTS.
Schedule K, Part II, Line 11 COLUMN A	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.
Schedule K, Part III, Line 3d COLUMN A	THESE ANSWERS ARE MARKED NO BECAUSE BOND COUNSEL DOES NOT REVIEW THESE AGREEMENTS, BUT THE AGREEMENTS ARE REVIEWED BY INTERNAL COUNSEL AND COMPLIANCE SPECIALIST TO ENSURE COMPLIANCE WITH THE SAFE HARBOR GUIDELINES.
Schedule K, Part IV, Line 2c COLUMN A	A REBATE COMPUTATION WAS COMPLETED ON 12/28/2022 WITH NO REBATE BEING DUE.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION The calculation for computing no rebate due was performed on 12/28/2022

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a & 15B - PROCESS TO ESTABLISH COMPENSATION	THE CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) PROCESS FOR DETERMINING EXECUTIVE COMPENSATION IS AS FOLLOWS: THE HUMAN RESOURCES COMMITTEE (COMMITTEE) OF THE CHST BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR EXECUTIVES. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NON-EMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE HUMAN RESOURCES COMMITTEE FOR TIMELINESS AND APPROPRIATENESS AND DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION SURVEYS. THE HR COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT FOR EXECUTIVE COMPENSATION. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO CHST EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, SHORT-TERM AND LONG-TERM INCENTIVE COMPENSATION, AND/OR OTHER CASH COMPENSATION), DETERMINED IN CONSIDERATION OF COMPETITIVE MARKET PRACTICES, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE, RECRUITMENT AND RETENTION CONSIDERATIONS, AND OTHER RELEVANT FACTORS. - STANDARD BENEFITS, ASSISTING IN EACH EXECUTIVE'S MEDICAL, DENTAL, DISABILITY, LIFE INSURANCE, TIME OFF, AND RETIREMENT NEEDS, REFLECTIVE OF THE EMPLOYMENT STATUS (I.E., FULL OR PART TIME) OF THE EXECUTIVE. - SUPPLEMENTAL BENEFITS, INCLUDING SUPPLEMENTAL INSURANCE, RETIREMENT BENEFITS, AND/OR OTHER SUPPLEMENTAL BENEFITS DETERMINED BY THE COMMITTEE TO BE APPROPRIATE AND REASONABLE IN RELATION TO MARKETPLACE PRACTICES. COMPENSATION AND BENEFITS DECISIONS ARE MADE IN CONSIDERATION OF EACH EXECUTIVE'S POSITION, RESPONSIBILITIES, SKILLS, EFFORT, AND PERFORMANCE, IN RELATION TO DOCUMENTED PRACTICES WITHIN THE APPROPRIATE COMPARATOR GROUP(S). PEER GROUP: THE COMMITTEE HAS DEFINED ITS PRIMARY PEER GROUP FOR EXECUTIVES AS NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SIMILAR IN SIZE, STRUCTURE, AND COMPLEXITY. THIS GROUP WILL INCLUDE LEADING PEDIATRIC HEALTH SYSTEMS AS WELL AS INTEGRATED HEALTH SYSTEMS AND ACADEMIC MEDICAL CENTERS. - DATA WILL BE COMPILED IN A MANNER CONSISTENT WITH THE IRS INTERMEDIATE SANCTIONS RULES OF FEDERAL TAX LAW, TO REFLECT WHAT IS DINARILY PAID TO LIKE EXECUTIVES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES." - IN CERTAIN CIRCUMSTANCES, MARKET DATA FROM ADDITIONAL COMPARATOR GROUPS (E.G., RESEARCH INSTITUTIONS, INSURANCE INDUSTRY, AND GENERAL INDUSTRY COMPANIES) MAY ALSO BE REFERENCED. - THE SPECIFIC NATURE OF THE ROLE AT CHST WILL BE CONSIDERED WHEN ADDING COMPARATOR GROUPS OUTSIDE OF THE PRIMARY PEER GROUP, AND THE COMMITTEE WILL DISCUSS AND AGREE ON THE APPROPRIATENESS OF ADDING COMPARATOR GROUPS WHENEVER THE SPECIFIC NATURE OF THE CHST ROLE REQUIRES ADDITIONAL COMPARATOR GROUPS TO BE USED.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	CHRISTOPHER J. DUROVICH, PETER C. PERIALAS, AND ROBERT S. FRIES - Business relationship, AMY YEAGER, PETER C. PERIALAS AND ROBERT FRIES - Business relationship, AMY YEAGER, LINDSEY TYRA, AND PETER C. PERIALAS - Business relationship, AMY R. YEAGER AND VANESSA WALLS - Business relationship, AMY R. YEAGER, DAI H. CHUNG, MATTHEW DAVIS, PETER C. PERIALAS, AND ROBERT S. FRIES - Business relationship, LINDSEY TYRA AND VANESSA WALLS - Business relationship, AMY R. YEAGER, DAI. H CHUNG, LINDSEY TYRA, PETER C. PERIALAS AND ROBERT S. FRIES - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	The organization amended its governing documents to change its name to Children's Health System of Texas and eliminate the organization's member and member reserve powers.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A DRAFT OF THE FORM 990 IS PRESENTED TO THE CHST AUDIT COMMITTEE FOR REVIEW. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE CHST DIRECTORS THROUGH OUR BOARD PORTAL BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policy	OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE ANNUALLY A COPY OF THE CHILDREN'S HEALTH STATEMENT OF INTEREST FORM TO COMPLETE. DISCLOSURES MADE ARE REVIEWED BY THE CHST LEGAL DEPARTMENT AND THE CHIEF COMPLIANCE OFFICER, WHO ARE AUTHORIZED UNDER THE CHILDREN'S HEALTH CONFLICT OF INTEREST POLICY TO MAKE DETERMINATIONS UNDER THE POLICY REGARDING PERSONS WHO ARE MEDICAL STAFF MEMBERS OR EMPLOYEES OF CHILDREN'S HEALTH AND ITS AFFILIATES. DISCLOSURES MADE BY SENIOR OFFICERS (AS DEFINED IN THE POLICY) ARE REVIEWED BY THE COMPLIANCE OFFICER, THE CHIEF LEGAL OFFICER, AND CHST'S PRESIDENT AND CHIEF EXECUTIVE OFFICER TO DETERMINE IF A CONFLICT EXISTS. DISCLOSURES MADE BY DIRECTORS OF CHST AND ITS AFFILIATES, AS WELL AS BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CHST, ARE DISCUSSED AS NECESSARY WITH THE APPROPRIATE DELEGATED BOARD COMMITTEE AND, IF REQUIRED PURSUANT TO THE POLICY, BY THE APPROPRIATE BOARD OF DIRECTORS AT MEETINGS TO DETERMINE IF FURTHER ACTION IS NEEDED. A STATEMENT OF INTEREST MUST BE COMPLETED ANNUALLY AND BOARD MEMBERS ARE REQUESTED TO REPORT CHANGES IF THEY OCCUR. A COMMITTEE OR BOARD MEMBER WITH A POTENTIAL CONFLICT IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS REGARDING THE TRANSACTION IN QUESTION AND WILL RECUSE THEMSELVES FROM VOTING.
Form 990, Part VI, Line 19 Required documents available to the public	IRC SECTION 6104 DOES NOT REQUIRE DISCLOSURE OF THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS. THE CERTIFICATE OF FORMATION, CONSOLIDATED FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	CONSULTING & PROFESSIONAL FEES - Total Expense: 18225947, Program Service Expense: , Management and General Expenses: 18225947, Fundraising Expenses: ; CONTRACT MEDICAL - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 61679568, Program Service Expense: , Management and General Expenses: 61679568, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers to/from CMCF - -24500; NET ASSETS - CMCF - UNRESTRICTED & TEMP RESTRICTED - XXX-XX-XXXX; NET ASSETS - CMCF - ENDOWMENT - 18763133; Special Purpose-Grants - -205454; Non Controlling Interest in Joint Ventures - -1718094; PHMS Changes in Net Assets - -2253985; CHST Investment Holdings - Impairment Loss - -3036215; Contribution forgiveness RELATED EXEMPT ENTITY - 4326536;
FORM 990, PART VI, LINE 8B COMMITTEES	Children's Health System of Texas Board of Directors has established four standing committees, which have the authority to act for and on behalf of the CHST Board of Directors to fulfill the responsibilities designated in their respective committee charters. The CHST Board of Directors has established two special committees that do not have delegated authority; however, the special committees provide oversight as provided for in their respective charters. Written minutes are prepared and maintained for all Board of Directors and board committee meetings, and actions by written consent are also prepared and maintained as they occur.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHST HOLDINGS 1 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472374583	HEALTH CARE RELATED INVESTMENTS	TX	$0	$2,888,001	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 2 LLC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	472819566	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 3 LLC
1935 Medical District Drive	Dallas	TX	75235	472845243	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 4 LLC
1935 Medical District Drive	Dallas	TX	75235	472851889	HEALTH CARE RELATED INVESTMENTS	TX	$5,707,378	$1,797,877	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST INVESTMENT HOLDINGS LLC
1935 Medical District Drive	dallas	TX	75235	472874792	HEALTH CARE RELATED INVESTMENTS	TX	-$5,674,086	$24,707,129	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHST HOLDINGS 6 LLC
1935 Medical District Drive	Dallas	TX	75235	811003744	HEALTH CARE RELATED INVESTMENTS	TX	$3,114,109	$14,742,547	CHILDREN'S HEALTH SYSTEM OF TEXAS
The Surgery Center at Childrens Health Dallas LLC
1935 Medical District Drive	Dallas	TX	75235	811010503	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
PEDIATRIC AMBULATORY SURGERY CENTER SOUTHLAKE LLC
1935 Medical District Drive	Dallas	TX	75235	475207507	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
PEDIATRIC AMBULATORY SURGERY CENTERS LLC
1935 Medical District Drive	Dallas	TX	75235	475215454	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
PEDIATRIC IMAGING ASSOCIATES LLC
1935 Medical District Drive	Dallas	TX	75235	474371967	HEALTH CARE RELATED INVESTMENTS	TX	$3,261,591	$6,017,546	CHILDREN'S HEALTH SYSTEM OF TEXAS
PEDIATRIC IMAGING PARTNERS LLC
1935 Medical District Drive	Dallas	TX	75235	472104673	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHILDREN'S HEALTH IMAGING CENTER LLC
1935 Medical District Drive	Dallas	TX	75235	384043597	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS
CHSR LLC
1935 Medical District Drive	Dallas	TX	75235	371865547	HEALTH CARE RELATED INVESTMENTS	TX	$0	$0	CHILDREN'S HEALTH SYSTEM OF TEXAS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S MEDICAL CENTER FOUNDATION
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752062015	FOUNDATION	TX	501(c)(3)	7	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
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	Yes (true)
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	Yes (true)
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	453462044	RESEARCH INSTITUTE	TX	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752917570	PHYSICIANS	TX	501(c)(3)	10	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
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	Yes (true)
SOUTHWESTERN MEDICAL DISTRICT
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	204101612	MEDICAL DISTRICT	TX	501(c)(3)	Type I	NA	false
WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER
2777 N STEMMONS FWY 700	DALLAS	TX	75207	752485538	WOMEN'S AUXILIARY	TX	501(c)(3)	10	CHILDREN'S MEDICAL CENTER FOUNDATION	false
OCH HOLDINGS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	474837308	HOSPITAL	TX	501(c)(3)	3	CHILDREN'S HEALTH SYSTEM OF TEXAS	Yes (true)
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 Medical District Dr	Dallas	TX	75235	752062019	MGMT CO. (DISSOLVED 1.1.23)	TX	501(c)(3)	Type II	NA	false
PEDIATRIC HEALTH MANAGEMENT SERVICES
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	752357701	844596436	PROGRAM SUPPORT	TX	501(c)(3)	Type I	NA	false
DALLAS SAFETY NET SUPPORT CORPORATION
1441 N BECKLEY AVE	Dallas	TX	75203	823131059	HEALTH CARE SERVICES	TX	501(c)(3)	Type I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LEGACY TRAIL SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 MEDICAL DISTRICT DRIVE	AddressLine1Txt
City	Daalas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75235	ZIPCd

Field	Value	IRS element (for citing)
EIN	822278618	EIN
Primary Activities	HEALTH CARE RELATED INVESTMENTS	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$6,034,762	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,677,407	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.5104	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	752244475	INACTIVE	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)
NTPSS INC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75325	471036641	INACTIVE	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)
TEXAS BLUEBONNET INSURANCE COMPANY
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	475032893	INACTIVE	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)
TEXAS TRINITY RIVER ASSURANCE COMPANY
				981318151	SELF-INSURANCE		CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$1,372,600	$76,214,139	1	Yes (true)	CJ
CHILDREN'S HEALTH
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	833809987	INACTIVE	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)
CHFH INC
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	831336111	INACTIVE	TX	NA	C Corporation	$0	$0		false
CHILDREN'S HEALTH CARE NETWORK
1935 MEDICAL DISTRICT DRIVE	DALLAS	TX	75235	834560427	INACTIVE	TX	CHILDREN'S HEALTH SYSTEM OF TEXAS	C Corporation	$0	$0	1	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Children's Medical Center Foundation
C	$15,902,271	GAAP
Complex Care Medical Services Corporation
L	$861,161	GAAP
Dallas Physician Medical Services For Children
L	$27,191,129	GAAP
Anesthesiologists for Children
L	$8,095,756	GAAP
Children's Medical Center Foundation
S	$988,702	GAAP
Anesthesiologists for Children
S	$13,609,885	GAAP
Dallas Physician Medical Services for Children
R	$84,297,828	GAAP
OCH Holdings
R	$979,846	GAAP
Complex Care Medical Services Corporation
R	$2,078,764	GAAP
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
S	$802,516	GAAP