2023-11-13T20:36:37+00:00 2022-12-31 350921680 Crowe LLP 5810 Tennyson Parkway Suite 450 Plano TX 750244112 990 2022-01-01 750800628 Children's Health Clinical Operations CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Robert Fries EVP and Chief Financial Officer 2144567000 2023-11-14 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2022 2023-04-26 12:10:37Z Children's Health Peter Perialas 1935 Medical District Drive Dallas TX 75235 2001155311 false X www.childrens.com X 1947 TX Dedicated to making life better for children. 3 3 0 584 130034 0 29536218 189716433 1636642375 1802113891 10137292 1253339 4832033 8035069 1681147918 2001118732 1168863 28677131 0 495186634 614261606 0 0 887274159 1042493447 1383629656 1685432184 297518262 315686548 7083569021 7326907535 2283453185 2431905999 4800115836 4895001536 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-for-profit 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. false false 1304386808 28677131 1810017961 Children's Health is committed to making life better for children. As one of the largest and most prestigious pediatric health care providers in the country and the leading pediatric health care 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 490-bed full-service hospital, including the only pediatric Level I Trauma Center in North Texas. Children's Medical Center Dallas continues to be the only North Texas hospital to be ranked in 10 out of 10 pediatric specialties by U.S. News & World Report. 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 1,300 medical and dental staff, we are providing the highest possible quality of care to more children in more places than ever before. Children's Health cares for children through more than 753,000 patient visits annually. 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 2022, Children's Health saw 219,709 unique patients and had 753,267 total patient encounters from the seven-county region that includes Dallas, Collin, Cooke, Denton, Fannin, Grayson and Tarrant counties. 1304386808 true true false true false false false false false true false false true true true false true false false false false false false false false true true true true true true false true false false false false false false false false false false false false false true true true false false true 759 0 true 0 true true false false false false false false false false false false false X 3 3 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 Michael Dardick Director 1.0 1.0 X 0 0 0 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Amy Yeager EVP, CLO & Secretary 1.0 54.0 X 0 953089 218316 Peter C Perialas Jr President 1.0 54.0 X 0 1825216 360477 Robert S Fries Chief Financial Officer 1.0 54.0 X 0 1054848 259868 David T Berry Former Officer 0.0 55.0 X 0 2095280 51063 Jeremiah Radandt Former Officer 0.0 0.0 X 0 409238 0 0 6337671 889724 0 true true false JT VAUGHN CONSTRUCTION 9160 Sterling St Ste 100 Irving TX 75063 Contruction Services 76338036 RIGHT SOURCING INC PO Box 515743 Los Angeles CA 900515118 Professional Service 54913649 UTSW 5323 Harry Hines BLVD DALLAS TX 753908886 Healthcare services 15310497 HILL AND WILKINSON CONSTRUCTION 2703 Telecom Parkway Suite 120 Richardson TX 75082 Contruction Services 11040951 DPR CONSTRUCTION 310 Comal Street Building A Suite 300 Austin TX 78702 CONSTRUCTION SERVICES 9120061 221 29808431 159908002 189716433 Net Patient Revenue 622110 1736623975 1736623975 Other Medical Services Revenue 622110 45123022 45123022 Pharmacy & Lab Revenue 622110 14571227 14440228 130999 Rental Income from Affiliates 531110 5795667 5795667 0 0 0 0 1802113891 1103431 -965 1104396 0 0 186487 36579 186487 -36579 149908 149908 Dietary Revenue 621990 7844864 7844864 Vending Revenue 454210 190205 190205 0 0 0 0 8035069 2001118732 1810017961 130034 1254304 X 26966805 26966805 1710326 1710326 492622558 340954979 151667579 26191132 18127462 8063670 60603533 41945047 18658486 34844383 24116569 10727814 106066 106066 297585851 271173792 26412059 0 593928 411071 182857 21443600 14841590 6602010 1254274 868111 386163 13698738 9481200 4217538 887512 614267 273245 23944722 16572672 7372050 64437758 44598799 19838959 150586 104224 46362 Shared Services 410846421 284355903 126490518 Medical Surgical Supplies 207543991 207543991 0 0 0 0 1685432184 1304386808 381045376 0 782346 181059083 773933487 644965829 236619044 308366188 0 0 0 0 18790608 22292922 641670 639214 1723035830 765576504 831955590 957459326 34877160 31302960 25010 25010 15807647 14155362 5170136459 5166641641 7083569021 7326907535 267679635 276461599 821206368 807516853 0 0 1194567182 1347927547 2283453185 2431905999 X 2469493404 2746576945 2330622432 2148424591 4800115836 4895001536 7083569021 7326907535 X 315686548 -32402075 5592051 -193990824 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 106066 106066 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2022, CHCO 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 2022 membership dues. 49545715 49545715 1101822274 496147765 605674509 41065368 15930966 25134402 350694463 253497773 97196690 179908010 179908010 957459326 Net Assets of Foundation 2129357915 LT Advances to Affliates 3032808726 Investments in Affiliates Project Fund Escrow Mineral Rights 4475000 5166641641 LT Deferred Rent LT - Loan Pay and Def Costs - Urban Ventures Defined Benefit Pension Other LT Liabilities 61226449 Due to Affiliates 1286701098 1347927547 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Children's Health Clinical Operations' financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2022, 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 2019 through 2022 in Children's Health main taxing jurisdictions." true true X true X true X true true true false true true 10102771 6812039 3290732 0.0020 965759480 943375946 22383534 0.0133 19847366 13554717 6292649 0.0037 0 0 995709617 963742702 31966915 0.0190 39085340 3013496 36071844 0.0214 46981173 2904851 44076322 0.0262 0 0 0.0 15844705 4550889 11293816 0.0067 4359631 0 4359631 0.0026 0 0 106270849 10469236 95801613 0.0568 0 0 1101980466 974211938 127768528 0.0758 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2122539 0 2122539 0.0013 0 0.0 0 0.0 0 0.0 0 0 2122539 0 2122539 0.0013 true 0 676 4293787 8143738 -3849951 X true true 2 1 Children's Medical Center Dallas 1935 Medical District Drive Dallas TX 75235 www.childrens.com 000143 X X X X X A 2 Children's Medical Center Plano 7601 Preston Road Plano TX 75024 www.childrens.com 100291 X X X X X A A false false true X X X X X X X X X 22 true true false true X https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment X true 22 true https://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessment false true X 200.0 400.0 X X X X true true X X X true X (See statement in Part VI) X (See statement in Part VI) X (See statement in Part VI) X X X X X X X true X false X X X X true X false false 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 clinical operations collaborated on the 2022 Children's Health joint community health needs assessment (CHNA). The collaboration was conducted with Children's Medical Center Plano (CMCP) and OCH holdings doing business as our children's house (OCH). The Children's Health CHNA collaboration was conducted in compliance with the final federal regulations to section 501(r), specifically §1.501(r)-3(b)(6)(v) joint CHNA reports. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Upon conducting the CHNA and developing the community health implementation strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the 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 2022, Children's Health directly served 418 unique families by assisting with application for state benefits, including Medicaid and CHIP enrollment. The outreach team reported more than 1,200 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. Our Behavioral Health Team has two exciting programs available to more than 700 public and charter school campuses in North Texas. Both programs provide mental health services 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, provides up to eight counseling sessions to students with behavioral health concerns including, but not limited to, depression, anxiety and attentional concerns. Our state-funded Texas Child Health Access Through Telemedicine (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. 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 2023. 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. The initial training cohort finished in October 2022, with a second group kicking off immediately after. The training lasts 6-months and providers earn approximately 17.5 hours of continuing education. Through 2022, we estimate that an additional 96,000 children had improved access to behavioral health care as a result of this initiative. Additional training cohorts continue to begin each quarter with this initiative growing in the years ahead. BHIG also includes a best in practice integrated medical home in an underserved are 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 clinic opened in June 2022 and continues to increase patient volumes. The child psychiatrist also treats more complex patients referred by community-based providers who completed the BHIG training. 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 web site. 17 Specialty Center Dallas Campus 2350 Stemmons Fwy Dallas TX 75207 Outpatient Specialty Care Center Specialty Center 1 Plano 7609 Preston Rd Plano TX 75024 Outpatient Specialty Care Center Specialty Center 2 Plano 7211 Preston Rd Plano TX 75024 Outpatient Specialty Care Center Specialty Center Cityville 6300 Harry Hines Blvd Dallas TX 75235 Outpatient Specialty Care Center Specialty Center Bass Center 2222 Medical District Drive Dallas TX 75235 Outpatient Specialty Care Center Specialty Center Park Cities 1643 Lancaster Dr Ste 300 Grapevine TX 76051 Outpatient Specialty Care Center Specialty Center Grapevine 8 Prestige Circle Ste 101 Allen TX 75002 Outpatient Specialty Care Center Specialty Center Allen 1540 N Hwy 77 Bldg C Ste 10 Waxahacie TX 75165 Outpatient Specialty Care Center Specialty Center Waxahachie 7010 Preston Rd Ste 240 Frisco TX 75034 Outpatient Specialty Care Center Specialty Center Richardson 2455 Ridge Rd Ste 255 Rockwall TX 75087 Outpatient Specialty Care Center Specialty Center South Rockwall 1675 Republic Pkwy Suite 190 MESQUITE TX 75150 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. Sleep Disorders Center 3661 N Plano Rd Ste 3500 Richardson TX 75082 Outpatient Specialty Care Center Specialty Center Mockingbird 2 1250 W Mockingbird Ln 500 Dallas TX 75247 Center for Pediatric Dentistry. Specialty Center North Rockwall 7000 West Plano Pkwy Ste 210 Plano TX 75093 Outpatient Specialty Care Center Specialty Center Tyler 8160 Walnut Hill Lane Dallas TX 75231 Outpatient Specialty Care Center Specialty Center Desoto 1005 W Ralph Hall Pkwy Ste 233 Rockwall TX 75032 Outpatient Specialty Care Center Schedule H, Part I, Line 6a Community Benefit Report The Children's Health community benefit report is included as part of the organization's "BEYOND ABC" report, which is prepared by the Communications department in collaboration with the Community Relations department. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support/full-financial-assistance-policy Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support Schedule H, Part 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 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 2022, Children's Health directly served 418 unique families by assisting with application for state benefits, including Medicaid and CHIP enrollment. The outreach team reported more than 1,200 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 web site. 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 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. 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 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 rationale for including a portion of bad debt as community benefit is that bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in part i, line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application). Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization's financial statements do not contain a bad debt footnote. Children's Health has adopted ASU 2016-09 which treats the provision for doubtful accounts as an implicit price concession within net patient service revenue. the provision for doubtful accounts in 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 Health Clinical Operations adheres to and follows 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 Dallas: Line 16a URL: (See statement in Part VI); Schedule H, Part V, Section B, Line 16b FAP Application website A - Children's Medical Center Dallas: Line 16b URL: (See statement in Part VI); Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Children's Medical Center Dallas: Line 16c URL: (See statement in Part VI); Schedule H, Part VI, Line 2 Needs assessment 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 WellBeing 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 patient's families about eligibility for financial assistance. The Children's Health Financial Assistance Policy and financial assistance application are made widely available online and in print, along with a plain language summary of the financial assistance policy. 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 LEP populations. In addition, Children's Health financial counselors or customer service representatives work with patients' guardians/guarantors to ensure that all public and voluntary assistance programs are fully explored. Children's Health has a financial program for patients who are considered indigent and do not qualify for a federal or state program. The eligibility criteria for financial assistance is based upon federal poverty guidelines published annually. Patients eligible for financial assistance will have charges reduced to the lowest level charged to individuals who have insurance covering such care. gross charges will not be used to calculate patient's bills. Schedule H, Part VI, Line 4 Community information Community Served by Children's Health Clinical Operations 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 2022, Children's Health saw 136,111 unique patients and had 457,251 total patient encounters from Dallas County. The system saw 219,709 unique patients and had 753,267 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 1.19 million children live in the six North Texas counties featured in the 2021 Beyond ABC report, including Dallas, Collin, Cooke, Denton, Fannin and Grayson counties. The child population in Dallas County increased by 3.2 percent from 2014-2019, from 664,584 to 685,833. The population self-identifying as white non-Hispanic decreased from 18.8 percent in 2014 to 16.8 percent in 2019. At the same time, the proportion of the child population identifying as Hispanic or Latino (of any race) increased from 52.1 percent to 53.4 percent. Over that time, the proportion of children identifying as Black remained nearly constant, changing from 22.5 percent to 22.2 percent. The population of Asian children increased from 4.6 percent to 5.3 percent. From 2014-2019, the child population in Collin County grew by about 10 percent. Collin County is becoming more diverse. Of the 255,940 children living in Collin County in 2019, just under half, 49.7 percent, were white, while 19.7 percent were Hispanic or Latino. Nearly 1 in 10 (9.9 percent) of Collin County children were Black, and 15.6 percent were of Asian descent. The white children no longer comprise a majority, and the Black and Asian shares of the child population increased by about 5 and 26 percent, respectively. 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 Clinical Operations (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 700 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 and Enroll North Texas, 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. In 2022, Children's Health directly served 418 unique families by assisting with application for state benefits, including Medicaid and CHIP enrollment. The outreach team reported more than 1,200 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. School-Based Tele-behavioral Health and Texas Child Health Access Through Telemedicine (TCHATT): Our Behavioral Health Team has two exciting programs available to more than 700 public and charter school campuses in North Texas. Both programs provide mental health services 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, provides up to eight counseling sessions to students with behavioral health concerns including, but not limited to, depression, anxiety and attentional concerns. Our state-funded Texas Child Health Access Through Telemedicine (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. Child Psychiatric Access Network (CPAN): Administered with UTSW under the Texas Child Mental Health Care Consortium, we responded to 1,539 calls from pediatric primary care providers who accessed our Child Psychiatry Access Network (CPAN). 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. 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. Childrens 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 710,000 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 - as well as Our Children's House rehabilitation hospital, 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 Orthopaedics & 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. true UT Southwestern Medical College 5323 Harry Hines BLVD Dallas TX 75390 756002868 TX State Gov. 1907905 0 BOOK N/A Program Support Texas Bleeding Disorders Camp Foundation 20212 Champion Forest DR Suite 700-312 Spring TX 77379 462115460 501(c)(3) 7500 0 BOOK N/A Program Support Canine Assistants Inc 3160 Francis Road Milton GA 30004 581974410 501(c)(3) 50000 0 BOOK N/A Program Support Health and Human Services Commission 909 W 45th Street Mail Code 2064 Austin TX 78751 742638006 TX State Gov. 25000000 0 Book N/A Program Support 4 0 May Smith Scholars Program 26 130000 Women's Auxiliary Scholarship Program 7 21000 James J Farnsworth Health Career Scholarship Program 15 15000 Grace Lee Scholarship for Clinical Education 12 36000 Lisa Milonovich Nursing Scholarship 4 14000 Children's Health Care Delivery Innovation Lab Scholarship Program 1 2500 Assistance to Sick Children with Toys & Educational Supplies 158719 1491826 FMV Toys, Books, Educational supplies and Clothing 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. 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. The Children's Health Care Delivery Innovation Lab Scholarship Program The Children's Health Care Delivery Innovation Lab scholarship offers financial support for formal education to students aspiring to positively improve pediatric healthcare through innovation. While there are multiple ways to achieve this goal, we are seeking creative, ambitious applicants who have demonstrated a desire to achieve our mission, to Make Life Better for Children. ELIGIBILITY: - Be a high school senior or college freshman, sophomore, junior, or senior. - Complete an essay discussing your interest in pediatric healthcare innovation. - Have a minimum GPA of 3.0 or greater. true true false false false false false false false David T Berry Former Officer 0 57012 0 388002 0 1650266 0 45681 0 5382 0 2146343 0 616905 Jeremiah Radandt Former Officer 0 0 0 409238 0 0 0 0 0 0 0 409238 0 0 Robert S Fries Chief Financial Officer 0 650232 0 373770 0 30846 0 217700 0 42168 0 1314716 0 0 Peter C Perialas Jr President 0 1048454 0 504726 0 272036 0 334779 0 25698 0 2185693 0 261558 Amy Yeager EVP, CLO & Secretary 0 486033 0 281010 0 186046 0 170098 0 48218 0 1171405 0 155196 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Children's Health Clinical Operations (The "Corporation") has no employees. Certain individuals identified herein as Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, compensation decisions for the officers were determined by the related organization following CHST compensation's policy. in their duties as officer of the corporation, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. 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. Schedule J, Part I, Line 4a Severance or change-of-control payment 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 David Berry - $616,905 Amy Yeager - $155,196 Employees who participated in and have contributions to the EDCRP include: Peter Perialas - $316,479 David Berry - $23,365 Amy Yeager - $157,898 Robert Fries - $205,500 A New Hope Cultural Edu Facilities Fin Corp 261604618 645424AV4 2017-12-28 365809775 Refunding & New Const. (See Part VI) false false false A 7825000 0 365809775 0 0 0 0 0 0 54002458 311807317 2020 false true true true A false true false true false 0.0014 0.0 0.0014 false false true A false false false true false false false false true A true Schedule K, Part I, Column (a) Column (a) Issuer Name is: New Hope Cultural Education Facilities Finance Corporation 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 Edu Facilities Fin. Corp. The calculation for computing no rebate due was performed on 12/28/2022 Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL Childrens Health Clinical Operations (The "Corporation") has no employees. Certain individuals identified herein as Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). As set forth in the Schedule R, the Corporation and CHST are related organizations. In their duties as Officers of the Corporation, they have no influence over the compensation process performed by CHST, which is explained in Schedule J, Part I, Line 3. 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 Peter C. Perialas, Robert S. Fries and Amy R. Yeager - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHST elects all voting members of the organization's Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the the organization's bylaws and represent those actions which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body 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: 2349565, Program Service Expense: , Management and General Expenses: 2349565, 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: 24062494, Program Service Expense: , Management and General Expenses: 24062494, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Extinguishment of related exempt entity debt - -6200932; Net Assets - CMCF - Unrestricted & Temp Restricted - -XXX-XX-XXXX; Net Assets - CMCF - Endowment - -22387731; CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY 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 Clinical Operations true CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX NA C Corporation false Charitable Remainder Trust Investments TX NA Trust false false false true false false false false false false false false false true true true false true true true OCH HOLDINGS S 10193933 GAAP