2023-11-20T07:27:43+00:00 2022-12-31 350921680 Crowe LLP 5810 Tennyson Parkway Suite 450 Plano TX 750244112 990 2022-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich PResident 2023-11-20 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2022 2023-04-26 12:10:37Z Children's Health Christopher J Durovich 1935 Medical District Drive Dallas TX 75235 556137295 false X www.childrens.com X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS. 14 13 9236 13 0 0 1249930 31482181 465445807 516720245 2517867 7934869 0 0 469213604 556137295 458124 253733 0 227705185 244222220 0 0 0 194870106 228643629 423033415 473119582 46180189 83017713 1383077021 1437543635 2161692925 2339458980 -778615904 -901915345 TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. false false 145540824 253733 516720245 Children's Health System of Texas (CHST) assists in the management of related 501(c)(3) organizations that are part of an integrated pediatric health care system with a mission to make life better for children. CHST supports two full-service hospitals and one specialty hospital as well as an extensive network offering virtual, urgent, primary, specialty care and more to the children of North Texas and beyond. 145540824 true true false true false false false false false true false false true true true false true false false true false false false false false false true false true false false false false false false false false false false false false true true true true false false true X 709 0 true 9236 true false true CJ false false false false false false false false true false X 14 13 true false false false false false false true true false false true true true true true true true true true true X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich President & CEO 57.0 3.0 X X 3912737 0 63125 Anne Motsenbocker Director 1.0 0 X 0 0 0 Caren Kline Director 1.0 0 X 0 0 0 Connie O'Neill Director 1.0 1.0 X 0 0 0 Debra B Tagg Director 1.0 0 X 0 0 0 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 Lee Jackson Director 1.0 0 X 0 0 0 Lou Grabowsky Director 1.0 0 X 0 0 0 Mark Speese Director 1.0 0 X 0 0 0 Michael Dardick Director 1.0 1.0 X 0 0 0 Rebecca Egelston Caso Director 1.0 0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 2.0 X 0 0 0 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Amy Yeager EVP, CLO & Secretary 50.0 5.0 X 953089 0 218316 Dai H Chung MD President and Chief Medical Officer 51.0 4.0 X 596486 0 0 Doris E Hunt EVP, Corporate Services and Chief Compliance Officer 53.0 2.0 X 829876 0 206469 Kimberly Besse President and Chief People Officer 55.0 0 X 1308341 0 277598 Lindsey Tyra EVP Chief Strategy Officer (Effec. 1/1/22) 55.0 0 X 763984 0 204003 Matthew M Davis President Dallas Market 54.0 1.0 X 1014910 0 221117 Peter C Perialas Jr President and Chief Operating Officer 50.0 5.0 X 1825216 0 360477 Robert S Fries EVP, Chief Financial Officer 51.0 4.0 X 1054848 0 259868 Tammy Webb EVP. Chief Nursing Executive 53.0 1.0 X 724976 0 180530 Vanessa U Walls President Northern Market 55.0 0.0 X 935050 0 242208 Benigno Salinas EVP Dallas Market Operations 55.0 0 X 540317 0 103594 Brenda Paulsen SVP Physician Administration 55.0 0 X 1118190 0 85254 Chris Akeroyd SVP and CIO 55.0 0 X 552185 0 122072 Coleman Skinner SVP Revenue Cycle 55.0 0 X 651974 0 135881 James Rhodes SVP JPE Strategic Development 55.0 0 X 513633 0 101366 Javier Montemayor SVP CCO Accreditation and Reg Affairs 55.0 0 X 1054996 0 23054 Jean Storey SVP Cardiac and Maternal Fetal and Neonatal Svcs 55.0 0 X 555942 0 108360 Jodi Landon SVP Managed Care 55.0 0 X 611605 0 133470 Joe Cavender Executive Advisor NPC 55.0 0.0 X 556011 0 132028 John Brennan JPE President and CEO 55.0 0 X 642491 0 598336 Julie Hall-Barrow SVP Network Development and Innovation 55.0 0 X 1057029 0 29559 Ken Lee SVP Chief Investment Officer 55.0 0 X 823423 0 123838 Keri Kaiser SVP Mkting Comm Consumer Exp and Chief Exp Offcr 55.0 0 X 1381111 0 34932 Linda Dunlap SVP Chief Process Officer 55.0 0 X 571146 0 116339 Mark Ziemianski SVP Advanced Analytics and Informatics CDO 55.0 0 X 564944 0 114324 Matthew Moore SVP Government Relations and Chief of Staff 55.0 0 X 637797 0 121311 Pamela Arora SVP Strategic Technology 55.0 0 X 1473784 0 39832 Thomas Burt Exec Advisor Workforce Mgmt and Total Rewards 55.0 0 X 719308 0 168871 Tresia Nwamadi SVP HR Talent and Workforce Planning 55.0 0 X 781572 0 53916 William Elvey Executive Advisor Flagship Project 55.0 0 X 933039 0 48420 Brenda Clayton SVP Supply Chain 55.0 0 X 508473 0 54020 Christopher Menzies VP Clinical Informatics 55.0 0 X 624732 0 113799 Kelli Terpstra VP Administrator and ACNO OCH 55.0 1.0 X 571248 0 69301 Miya Maysent SVP Talent Management 55.0 0 X 881301 0 60537 Tyler Krohn VP Northern Market Operations 55.0 0 X 571468 0 23080 Brent E Christopher Former Officer 0.0 55.0 X 1344325 0 238658 David T Berry Former Officer 55.0 0.0 X 2095280 0 51063 Jeremiah Radandt Former Officer 0.0 0.0 X 409238 0 0 36666075 0 5238926 2238 true true true UTSW 5323 HARRY HINES BLVD DALLAS TX 753908886 HEALTHCARE SERVICES 176239218 MEDLINE INDUSTRIES INC 9303 Stoneview Dr Dallas TX 75237 Phys & Medical Svcs 21357734 HKS INC 350 N SAINT PAUL STREET STE 100 DALLAS TX 752014240 Design Services 8936510 COLLE MCVOY LLC 400 First Ave North Suite 700 Minneapolis MN 554011954 Business Services 6588456 CONNECTION PO Box 536464 Pittsburgh PA 15253 technology services 6486837 287 775893 30706288 31482181 Health System Service Revenue 622110 68935696 68935696 Reimbursement of Shared Services 900099 447784549 447784549 0 0 0 0 516720245 7732536 7732536 0 0 202333 0 202333 202333 202333 0 0 0 0 0 556137295 516720245 0 7934869 248733 248733 5000 5000 34296440 10538112 23758328 173998852 53463839 120535013 9979812 3066452 6913360 12637277 3882999 8754278 13309839 4089654 9220185 3591903 3591903 663600 663600 39155 39155 2987386 2987386 44197415 13580340 30617075 0 13454573 4134126 9320447 42345662 13011360 29334302 67414246 20714070 46700176 11982320 3681753 8300567 844924 259616 585308 131421 40381 91040 21289118 6541411 14747707 14049922 4317056 9732866 Medical & Surgical Supplies 3799898 3799898 Excise & Procurement Tax 1299028 1299028 Bad Debt 540327 166024 374303 franchise tax 12731 12731 0 0 0 0 473119582 145540824 327578758 0 166758432 127261431 31022708 84879614 0 0 0 0 14703182 17404051 81284728 92792286 526432077 239515132 164062003 286916945 0 259644819 43467226 665601149 784822082 1383077021 1437543635 48636702 74760271 0 0 3218547 2538362 2109837676 2262160347 2161692925 2339458980 X -778615904 -901915345 -778615904 -901915345 1383077021 1437543635 X 83017713 4132 -206321286 X false true X true false X X 7 Children's Health Clinical Operations 750800628 3 true 410846422 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 6941713 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 23314752 0 Complex Care Med Svc Corp 461893597 3 true 738444 0 Children's Medical Center Health Plan 462737696 9 true 0 0 OCH Holdings 474837308 3 true 5943218 0 7 447784549 0 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 12g(ii) Type of Organization Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Physicians Quality Alliance of North Texas - 509(a)(3) Type I; Schedule A, Part IV, Section C, Line 1 Majority director detail The fact that the management of CHST is vested in the same persons that control and manage the supported organizations allows CHST and its supported organizations to function collectively as a health system. CHST provides management and administrative support to the supported organizations and various other services that further the supported organizations' tax-exempt purpose of providing health services to the community. The fact that one or more members of the core leadership team of each of the supported organizations is also a member of the CHST core leadership team assures that CHST is responsive to the needs and demands of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 39155 39155 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2022, 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) 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 2022 membership dues. In addition, CHST paid professional and consulting fees related to other lobbying activities. 98608895 98608895 114732086 3517681 111214405 7726689 4154357 3572332 292116679 231843094 60273585 13247728 0 13247728 286916945 UTSW Physician Guarantees 2362334 Insurance Recoveries 43912882 Due from Affiliates 664430257 Operating Lease Assets 74116609 784822082 LT Advances - Affiliates 2074088305 UTSW Phys Guarantees 7232385 Reserve for Professional Liab 55411901 Operating Lease Liabilities 78898149 Other Liabilities 46529607 2262160347 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 2019 through 2022 in Children's Health main taxing jurisdictions. false Central America and the Caribbean 0 0 Investments 48430832 0 0 0 0 0 0 48430832 0 48430832 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true Ronald McDonald House of Dallas 4707 Bengal Street Dallas TX 75235 751609401 501(C)(3) 100000 0 BOOK N/A PROGRAM SUPPORT The Crystal Charity Ball 3838 Oak Lawn Ave Ste L150 Dallas TX 75219 756035893 501(C)(3) 25000 0 BOOK N/A PROGRAM SUPPORT Kershaw's Challenge 5949 Sherry Ln Ste 1110 Dallas TX 75225 455554866 501(C)(3) 10000 0 BOOK N/A PROGRAM SUPPORT Woman's Auxiliary to Children's Medical Center 2777 N Stemmons Fwy Ste 170 Dallas TX 75207 752485538 501(C)(3) 6140 0 BOOK N/A PROGRAM SUPPORT North Texas Food Bank 3677 Mapleshade Lane Plano TX 75075 751785357 501(C)(3) 95000 0 BOOK N/A PROGRAM SUPPORT Black Tie Dinner Inc 3824 Cedar Springs Rd 335 Dallas TX 75219 752335996 501(C)(3) 10000 0 BOOK N/A PROGRAM SUPPORT 6 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true X X X X X true true false false false false false true false Christopher J Durovich President & CEO 1715978 0 2128783 0 67976 0 20500 0 42625 0 3975862 0 0 0 David T Berry Former Officer 57012 0 388002 0 1650266 0 45681 0 5382 0 2146343 0 616905 0 Brent E Christopher Former Officer 620502 0 341032 0 382791 0 212552 0 26106 0 1582983 0 353348 0 Jeremiah Radandt Former Officer 0 0 409238 0 0 0 0 0 0 0 409238 0 0 0 Kimberly Besse President and Chief People Officer 664094 0 313749 0 330498 0 231365 0 46233 0 1585939 0 0 0 Dai H Chung MD President and Chief Medical Officer 596486 0 0 0 0 0 0 0 0 0 596486 0 0 0 Matthew M Davis President Dallas Market 585431 0 297379 0 132100 0 196396 0 24721 0 1236027 0 126725 0 Robert S Fries EVP, Chief Financial Officer 650232 0 373770 0 30846 0 217700 0 42168 0 1314716 0 0 0 Doris E Hunt EVP, Corporate Services and Chief Compliance Officer 488609 0 194388 0 146879 0 173853 0 32616 0 1036345 0 118918 0 Peter C Perialas Jr President and Chief Operating Officer 1048454 0 504726 0 272036 0 334779 0 25698 0 2185693 0 261558 0 Lindsey Tyra EVP Chief Strategy Officer (Effec. 1/1/22) 488335 0 245543 0 30106 0 167550 0 36453 0 967987 0 0 0 Vanessa U Walls President Northern Market 554444 0 281010 0 99596 0 199658 0 42550 0 1177258 0 66150 0 Tammy Webb EVP. Chief Nursing Executive 441982 0 245543 0 37451 0 152681 0 27849 0 905506 0 13032 0 Amy Yeager EVP, CLO & Secretary 486033 0 281010 0 186046 0 170098 0 48218 0 1171405 0 155196 0 Chris Akeroyd SVP and CIO 323386 0 171880 0 56919 0 86996 0 35076 0 674257 0 0 0 Pamela Arora SVP Strategic Technology 53923 0 272923 0 1146938 0 36935 0 2897 0 1513616 0 0 0 John Brennan JPE President and CEO 483258 0 100000 0 59233 0 562119 0 36217 0 1240827 0 0 0 Thomas Burt Exec Advisor Workforce Mgmt and Total Rewards 370661 0 282793 0 65854 0 133231 0 35640 0 888179 0 0 0 Joe Cavender Executive Advisor NPC 282546 0 169152 0 104313 0 84964 0 47064 0 688039 0 73169 0 Linda Dunlap SVP Chief Process Officer 283479 0 171880 0 115787 0 82223 0 34116 0 687485 0 0 0 William Elvey Executive Advisor Flagship Project 367895 0 392614 0 172530 0 18970 0 29450 0 981459 0 0 0 Julie Hall-Barrow SVP Network Development and Innovation 42527 0 219062 0 795440 0 11433 0 18126 0 1086588 0 0 0 Keri Kaiser SVP Mkting Comm Consumer Exp and Chief Exp Offcr 69936 0 228706 0 1082469 0 25464 0 9468 0 1416043 0 0 0 Jodi Landon SVP Managed Care 318033 0 185521 0 108051 0 90745 0 42725 0 745075 0 0 0 Ken Lee SVP Chief Investment Officer 461663 0 356250 0 5510 0 83450 0 40388 0 947261 0 0 0 Javier Montemayor SVP CCO Accreditation and Reg Affairs 37411 0 192564 0 825021 0 13361 0 9693 0 1078050 0 0 0 Matthew Moore SVP Government Relations and Chief of Staff 366081 0 193924 0 77792 0 97374 0 23937 0 759108 0 0 0 Tresia Nwamadi SVP HR Talent and Workforce Planning 247554 0 528798 0 5220 0 50342 0 3574 0 835488 0 0 0 Brenda Paulsen SVP Physician Administration 241581 0 93891 0 782718 0 69143 0 16111 0 1203444 0 0 0 James Rhodes SVP JPE Strategic Development 313729 0 171880 0 28024 0 66591 0 34775 0 614999 0 0 0 Benigno Salinas EVP Dallas Market Operations 317146 0 163695 0 59476 0 88679 0 14915 0 643911 0 0 0 Coleman Skinner SVP Revenue Cycle 374874 0 207347 0 69753 0 97323 0 38558 0 787855 0 0 0 Jean Storey SVP Cardiac and Maternal Fetal and Neonatal Svcs 330965 0 182793 0 42184 0 71846 0 36514 0 664302 0 0 0 Mark Ziemianski SVP Advanced Analytics and Informatics CDO 286079 0 171880 0 106985 0 82209 0 32115 0 679268 0 0 0 Brenda Clayton SVP Supply Chain 293451 0 163695 0 51327 0 23544 0 30476 0 562493 0 0 0 Tyler Krohn VP Northern Market Operations 46325 0 107480 0 417663 0 5638 0 17442 0 594548 0 0 0 Miya Maysent SVP Talent Management 89474 0 169152 0 622675 0 28899 0 31638 0 941838 0 0 0 Christopher Menzies VP Clinical Informatics 396953 0 149573 0 78206 0 100410 0 13389 0 738531 0 0 0 Kelli Terpstra VP Administrator and ACNO OCH 121991 0 116286 0 332971 0 34713 0 34588 0 640549 0 95617 0 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 Pamela Arora - $712,200 Keri Kaiser - $684,900 Brenda Paulsen - $ 510,000 Julie Hall-Barrow - $571,650 Javier Montemayor - $502,500 Tyler Krohn - $305,400 Miya Maysent - $472,500 Kelli Terpstra - $232,700 David Berry - $1,012,500 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 - $261,558 Kimberly Besse - $298,349 Matthew Davis - $126,725 Amy Yeager - $155,196 Vanessa Walls - $66,150 Doris Hunt - $118,918 Lindsey Tyra - $26,229 Tammy Webb - $13,032 Pamela Arora - $433,221 Keri Kaiser - $396,593 Brenda Paulsen - $244,138 Julie Hall-Barrow - $222,998 Javier Montemayor - $290,040 William Elvey - $118,373 Thomas Burt - $57,535 Coleman Skinner - $65,946 Matthew Moore - $75,469 Jodi Landon - $82,150 Linda Dunlap - $85,275 Mark Ziemianski - $80,274 Joe Cavender - $73,169 Jean Storey - $37,752 Chris Akeroyd - $49,744 Benigno Salinas - $37,054 James Rhodes - $26,229 Brenda Clayton - $45,987 Tyler Krohn - $111,900 Miya Maysent - $134,774 Christopher Menzies - $74,538 Kelli Terpstra - $95,617 David Berry - $616,905 Brent Christopher - $353,348 Employees who participated in and have contributions to the EDCRP include: Peter Perialas - $316,479 Kimberly Besse - $210,865 Robert Fries - $205,500 Matthew Davis - $178,096 Amy Yeager - $157,898 Vanessa Walls - $177,058 Doris Hunt - $157,096 Lindsey Tyra - $149,250 Tammy Webb - $140,481 Pamela Arora - $16,435 Keri Kaiser - $21,952 Brenda Paulsen - $51,262 Julie Hall-Barrow - $8,795 Javier Montemayor - $7,731 Ken Lee - $71,250 Tresia Nwamadi - $36,579 Thomas Burt - $112,731 Coleman Skinner - $77,462 John Brennan - $549,919 Matthew Moore - $74,675 Jodi Landon - $70,673 Linda Dunlap - $64,388 Mark Ziemianski - $64,388 Joe Cavender - $64,464 Jean Storey - $51,346 Chris Akeroyd - $67,385 Benigno Salinas - $72,115 James Rhodes - $48,291 Tyler Krohn - $5,638 Miya Maysent - $16,154 Christopher Menzies - $79,910 Kelli Terpstra - $16,110 David Berry - $23,365 Brent Christopher - $194,252 Schedule J, Part I, Line 7 Non-fixed payments SEESCHEDULEO,LINE15FORNON-FIXEDPAYMENTS Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - DAI H. CHUNG, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 596486.000000, NAME OF UNRELATED ORGANIZATION - UT SOUTHWESTERN MEDICAL CENTER, TYPE OF COMPENSATION - COMPENSATION FOR SERVICES PROVIDED TO CHILDREN'S HEALTH ENTITIES AS PART OF A MSA BETWEEN THE ORGANIZATIONS. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Christopher J. Durovich, Peter C. Perialas, Robert S. Fries and Doris Hunt - Business relationship, Amy R. Yeager, Robert S. Fries and Peter C. Perialas - Business relationship, Dai. H Chung, MD, Robert S. Fries, Peter C. Perialas, and Amy R. Yeager - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 is made available to the directors through our Board portal before it is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees annually receive 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 15a Process to establish compensation of top management official 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 15b Process to establish compensation of other employees 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 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 XI, Line 9 Other changes in net assets or fund balances Non controlling interest in Joint Ventures - -9232329; Live Oak Changes in Net Assets - -7345744; Extinguishment of related exempt entity debt - -XXX-XX-XXXX; Pediatric Imaging Changes in Net Assets - -51314; CHST Investment Holdings - Impairment Loss - -24311525; CHST HOLDINGS 1 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472374583 HEALTH CARE RELATED INVESTMENTS TX 0 2888001 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 5871485 878100 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE 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