2022-11-15T11:02:58-06:00 2021-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2021-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich PResident 2022-11-15 false Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2021 2022-09-23 18:48:47Z Children's Health Christopher J Durovich 1935 Medical District Drive Dallas TX 75235 469213604 false X www.childrens.com X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS. 16 15 8652 15 0 0 1727465 1249930 473131120 465445807 -1105465 2517867 0 473753120 469213604 297100 458124 0 205270304 227705185 0 0 239222678 194870106 444790082 423033415 28963038 46180189 1327985975 1383077021 2094736468 2161692925 -766750493 -778615904 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 129983562 458124 465445807 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. 129983562 true true false true false false false false false true false true 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 697 0 true 8652 true false true CJ false false false false false false false false true false X 16 15 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 3389547 0 62242 Anne Motsenbocker Director 1.0 0 X 0 0 0 Caren Kline Director 1.0 0 X 0 0 0 Charles Matthews Jr Director 1.0 0 X 0 0 0 Connie O'Neill Director 1.0 1.0 X 0 0 0 Debra Brennan Tagg Director (Effec. 01/01/2021) 1.0 1.0 X 0 0 0 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 Lee Hobson Director 1.0 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 (Effec. 01/01/2021) 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 762030 0 211728 Dai H Chung MD EVP, Physician Organization (Effec. 01/01/2021) 51.0 4.0 X 849999 66668 0 David T Berry President, Strategic Capital Projects 55.0 0.0 X 1220782 0 261802 Doris E Hunt EVP, Corporate Services 53.0 2.0 X 1152930 0 190990 Jeremiah Radandt President, Corp. Services, and CFO (Term. 11/06/2021) 51.0 4.0 X 2912736 0 248161 Kimberly Besse President and Chief People Officer 55.0 0 X 1029624 0 264215 Matthew M Davis EVP Dallas Market (Effec. 01/01/2021) 54.0 1.0 X 893139 0 205424 Peter C Perialas Jr President and Chief Operating Officer 50.0 5.0 X 1548349 0 327607 Robert S Fries EVP, Chief Financial Officer (Effec. 11/07/2021) 51.0 4.0 X 551559 0 131827 Tammy Webb EVP, Chief Nursing Officer (Effec. 01/01/2021) 53.0 1.0 X 686205 0 172390 Vanessa U Walls EVP Northern Market (Effec. 01/01/2021) 55.0 0.0 X 787505 0 213136 Benigno Salinas SVP Operations 55.0 0 X 414667 0 110195 Brenda Clayton SVP Supply Chain 55.0 0 X 538768 0 44573 Brenda Paulsen SVP Physician Administration 55.0 0 X 465929 0 136713 Chris Akeroyd SVP and CIO 55.0 0 X 479486 0 110153 Coleman Skinner SVP Revenue Cycle 55.0 0 X 561166 0 126721 Javier Montemayor SVP CCO Accreditation and Reg Affairs 55.0 0 X 543361 0 202785 Jean Storey SVP Cardiac and Maternal Fetal and Neonatal Svcs 55.0 0 X 530762 0 106974 Jodi Landon SVP Managed Care 55.0 0 X 527770 0 138762 Joe Cavender SVP Dallas Mkt Patient Care Services 55.0 0.0 X 551232 0 128964 Julie Hall-Barrow SVP Network Development and Innovation 55.0 0 X 626074 0 122374 Kenneth Stewart EVP Compliance and Legal Affairs 54.0 1.0 X 709660 0 1018 Keri Kaiser SVP Mkting Comm Consumer Exp and Chief Exp Offcr 55.0 0 X 654100 0 224745 Linda Dunlap SVP Chief Process Officer 55.0 0 X 502040 0 140380 Lindsey Tyra EVP Chief Strategy Officer 55.0 0 X 416011 0 110331 Mark Ziemianski SVP Advanced Analytics and Informatics CDO 55.0 0 X 504493 0 122810 Matthew Moore SVP Government Relations and Chief of Staff 55.0 0 X 599883 0 114184 Pamela Arora SVP Strategic Technology 55.0 0 X 965818 0 186300 Ray Tsai MD SVP Dallas Market Operations 40.0 0.0 X 1464945 0 56596 Thomas Burt Exec Advisor Workforce Mgmt and Total Rewards 55.0 0 X 548451 0 122045 William Elvey Executive Advisor Flagship Project 55.0 0 X 635472 0 45226 Dean Cannon MD VP Chief Outcomes Officer 54.0 1.0 X 1095784 0 63641 James Rhodes SVP JPE Strategic Development 55.0 0 X 400912 0 99656 Ken Lee SVP Chief Investment Officer 55.0 0 X 400457 0 106602 Kim Cummings SVP HR Talent and Workforce Planning 55.0 0 X 395987 0 63443 Miya Maysent SVP Talent Management 55.0 0 X 382906 0 95863 Brent E Christopher Former Officer 0.0 55.0 X 1105943 0 245401 Claud Kern Wildenthal MD PhD Former Officer 0.0 0.0 X 433329 0 0 32239811 66668 5315977 1453 true true true UTSW 5323 HARRY HINES BLVD DALLAS TX 753908886 HEALTHCARE SERVICES 117211784 MEDLINE INDUSTRIES INC 9303 Stoneview Dr Dallas TX 75237 Phys & Medical Svcs 18213390 PHILIPS HEALTH CARE 2140 Lake Park Blvd Richardson TX 75080 Medical Services 9492095 Z CONSTRUCTORS 201 W Kaufman St Richardson TX 75081 Contruction Services 7848590 BAIN & COMPANY INC 1717 McKinney Ave Dallas TX 75202 Consulting Svcs 6657500 248 1249930 1249930 Health System Service Revenue 622110 63322718 63322718 Reimbursement of Shared Services 900099 402123089 402123089 0 0 0 0 465445807 2320958 2320958 0 0 196909 0 0 196909 196909 196909 0 0 0 0 0 469213604 465445807 0 2517867 X 458124 458124 26730418 8226280 18504138 157994414 48622744 109371670 6338100 1950548 4387552 23276154 7163231 16112923 13366099 4113414 9252685 3417745 3417745 666646 666646 36278 36278 2120560 2120560 44323416 13640521 30682895 0 11943554 3675626 8267928 27502880 8464005 19038875 57301214 17634435 39666779 11880093 3656096 8223997 156582 48188 108394 163123 50201 112922 21345598 6569103 14776495 9738340 2996972 6741368 Medical & Surgical Supplies 2588684 2588684 Excise & Procurement Tax 1266360 1266360 Bad Debt 407441 125390 282051 franchise tax 11592 11592 0 0 0 0 423033415 129983562 293049853 0 218188763 166758432 30804572 31022708 0 0 0 0 11607192 14703182 43915245 81284728 383815107 219753104 158405519 164062003 0 251239274 259644819 613825410 665601149 1327985975 1383077021 59844836 48636702 0 0 3872709 3218547 2031018923 2109837676 2094736468 2161692925 X -766750493 -778615904 -766750493 -778615904 1327985975 1383077021 X 46180189 32083 -58077683 X false true X true false X X 8 Children's Health Clinical Operations 750800628 3 true 366494983 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 7198003 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 16768533 0 Physicians For Children 752854505 3 true 0 0 Complex Care Med Svc Corp 461893597 3 true 764034 0 Children's Medical Center Health Plan 462737696 9 true 0 0 OCH Holdings 474837308 3 true 10897536 0 8 402123089 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 36278 36278 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In 2021, 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), THA (Texas Hospital Association), 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 2021 membership dues. In addition, CHST paid professional and consulting fees related to other lobbying activities. 69975251 69975251 13026181 2375610 10650571 5894085 2013005 3881080 267888091 215364489 52523602 27031499 27031499 164062003 Investments in Affiliates 259644819 F 259644819 UTSW Physician Guarantees 3008757 Insurance Recoveries 32418263 Due from Affiliates 550376611 Operating Lease Assets 79797518 665601149 LT Advances - Affiliates 1973496848 UTSW Phys Guarantees 6909958 LT Deferred Rent 169976 Reserve for Professional Liab 43777883 Operating Lease Liabilities 85483011 2109837676 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 2018 through 2021 in Children's Health main taxing jurisdictions. false Central America and the Caribbean 0 0 Investments 36590483 0 0 0 0 0 0 36590483 0 36590483 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 Musicians On Call 39 W 32nd Street Suite 1103 New York NY 10001 134067116 501(C)(3) 225000 BOOK PROGRAM SUPPORT Ronald McDonald House of Dallas 4707 Bengal Street Dallas TX 75235 751609401 501(C)(3) 50000 BOOK PROGRAM SUPPORT Children's Cancer Fund 4201 Spring Valley Suite 370 Dallas TX 75244 752113401 501(C)(3) 50000 BOOK PROGRAM SUPPORT Junior League of Dallas Inc 8003 Inwood Road Dallas TX 75209 751004680 501(C)(3) 30000 BOOK PROGRAM SUPPORT United Way of Metropolitian Dallas 1800 North Lamar Dallas TX 75202 756005352 501(C)(3) 25000 BOOK PROGRAM SUPPORT The Crystal Charity Ball 3838 Oak Lawn Avenue Suite L150 Dallas TX 75219 756035893 501(C)(3) 25000 BOOK PROGRAM SUPPORT Black Tie Dinner Inc 3824 Cedar Springs Road 335 Dallas TX 75219 752335996 501(C)(3) 10000 BOOK PROGRAM SUPPORT Dirk Nowitzki Foundation 5949 Sherry Lane Dallas TX 75225 900036829 501(C)(3) 7500 BOOK PROGRAM SUPPORT 8 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 false false Christopher J Durovich President & CEO 1595313 0 1734814 0 59420 0 19530 0 42712 0 3451789 0 0 0 Brent E Christopher Former Officer 597529 0 268716 0 239698 0 221236 0 24165 0 1351344 0 0 0 Claud Kern Wildenthal MD PhD Former Officer 433329 0 0 0 0 0 0 0 0 0 433329 0 0 0 David T Berry President, Strategic Capital Projects 639433 0 349623 0 231726 0 227356 0 34446 0 1482584 0 0 0 Kimberly Besse President and Chief People Officer 535510 0 304089 0 190025 0 215284 0 48931 0 1293839 0 0 0 Dai H Chung MD EVP, Physician Organization (Effec. 01/01/2021) 849999 66668 0 0 0 0 0 0 0 0 849999 66668 0 0 Matthew M Davis EVP Dallas Market (Effec. 01/01/2021) 533317 0 233223 0 126599 0 179700 0 25724 0 1098563 0 0 0 Robert S Fries EVP, Chief Financial Officer (Effec. 11/07/2021) 442790 0 104395 0 4374 0 87025 0 44802 0 683386 0 0 0 Doris E Hunt EVP, Corporate Services 444281 0 356250 0 352399 0 160788 0 30202 0 1343920 0 0 0 Peter C Perialas Jr President and Chief Operating Officer 911324 0 489187 0 147838 0 294900 0 32707 0 1875956 0 0 0 Jeremiah Radandt President, Corp. Services, and CFO (Term. 11/06/2021) 650988 0 396638 0 1865110 0 210639 0 37522 0 3160897 0 0 0 Vanessa U Walls EVP Northern Market (Effec. 01/01/2021) 446536 0 215771 0 125198 0 169549 0 43587 0 1000641 0 0 0 Tammy Webb EVP, Chief Nursing Officer (Effec. 01/01/2021) 440318 0 237983 0 7904 0 146600 0 25790 0 858595 0 0 0 Amy Yeager EVP, CLO & Secretary 494517 0 256916 0 10597 0 162960 0 48768 0 973758 0 0 0 Chris Akeroyd SVP and CIO 304131 0 121413 0 53942 0 74803 0 35350 0 589639 0 0 0 Pamela Arora SVP Strategic Technology 464196 0 246180 0 255442 0 161189 0 25111 0 1152118 0 0 0 Thomas Burt Exec Advisor Workforce Mgmt and Total Rewards 313680 0 171877 0 62894 0 85961 0 36084 0 670496 0 0 0 Joe Cavender SVP Dallas Mkt Patient Care Services 275234 0 178655 0 97343 0 89518 0 39446 0 680196 0 0 0 Brenda Clayton SVP Supply Chain 286974 0 113146 0 138648 0 13667 0 30906 0 583341 0 0 0 Linda Dunlap SVP Chief Process Officer 278829 0 121765 0 101446 0 105732 0 34648 0 642420 0 0 0 William Elvey Executive Advisor Flagship Project 318029 0 180973 0 136470 0 15449 0 29777 0 680698 0 0 0 Julie Hall-Barrow SVP Network Development and Innovation 365683 0 195675 0 64716 0 91332 0 31042 0 748448 0 0 0 Keri Kaiser SVP Mkting Comm Consumer Exp and Chief Exp Offcr 359123 0 191021 0 103956 0 180023 0 44722 0 878845 0 0 0 Jodi Landon SVP Managed Care 305765 0 113933 0 108072 0 95747 0 43015 0 666532 0 0 0 Javier Montemayor SVP CCO Accreditation and Reg Affairs 319294 0 163944 0 60123 0 183539 0 19246 0 746146 0 0 0 Matthew Moore SVP Government Relations and Chief of Staff 345379 0 182454 0 72050 0 90020 0 24164 0 714067 0 0 0 Brenda Paulsen SVP Physician Administration 265668 0 88405 0 111856 0 119267 0 17446 0 602642 0 0 0 Benigno Salinas SVP Operations 271674 0 106456 0 36537 0 83489 0 26706 0 524862 0 0 0 Coleman Skinner SVP Revenue Cycle 367552 0 124156 0 69458 0 87600 0 39121 0 687887 0 0 0 Kenneth Stewart EVP Compliance and Legal Affairs 23077 0 317310 0 369273 0 923 0 95 0 710678 0 0 0 Jean Storey SVP Cardiac and Maternal Fetal and Neonatal Svcs 322928 0 171877 0 35957 0 69346 0 37628 0 637736 0 0 0 Ray Tsai MD SVP Dallas Market Operations 89812 0 250098 0 1125035 0 45481 0 11115 0 1521541 0 0 0 Lindsey Tyra EVP Chief Strategy Officer 315055 0 98477 0 2479 0 73765 0 36566 0 526342 0 0 0 Mark Ziemianski SVP Advanced Analytics and Informatics CDO 280619 0 121413 0 102461 0 90602 0 32208 0 627303 0 0 0 Dean Cannon MD VP Chief Outcomes Officer 241406 0 188484 0 665894 0 40059 0 23582 0 1159425 0 0 0 Kim Cummings SVP HR Talent and Workforce Planning 249348 0 142500 0 4139 0 40379 0 23064 0 459430 0 0 0 Ken Lee SVP Chief Investment Officer 396703 0 0 0 3754 0 62631 0 43971 0 507059 0 0 0 Miya Maysent SVP Talent Management 291024 0 83612 0 8270 0 55070 0 40793 0 478769 0 0 0 James Rhodes SVP JPE Strategic Development 306897 0 91905 0 2110 0 64650 0 35006 0 500568 0 0 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 Jeremiah Radandt - $1,125,000 Ray Tsai - $627,450 Dean Cannon - $360,500 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: Christopher Durovich - $13,569 David Berry - $193,414 Kimberly Besse - $159,322 Matthew Davis - $120,845 Doris Hunt - $325,530 Peter Perialas - $137,823 Jeremiah Radandt - $736,271 Vanessa Walls - $63,175 Chris Akeroyd - $49,378 Pamela Arora - $135,373 Thomas Burt - $54,775 Joe Cavender - $66,996 Brenda Clayton - $133,101 Linda Dunlap - $73,034 William Elvey - $105,028 Julie Hall-Barrow - $57,376 Keri Kaiser - $99,982 Jodi Landon - $82,988 Javier Montemayor - $53,314 Matthew Moore - $69,463 Brenda Paulsen - $84,637 Benigno Salinas - $15,000 Coleman Skinner - $65,303 Kenneth Stewart - $368,871 Jean Storey - $32,577 Ray Tsai - $439,738 Mark Ziemianski - $76,544 Dean Cannon - $303,583 Brent Christopher - $210,980 Employees who participated in and have contributions to the EDCRP include: David Berry - $202,340 Kimberly Besse - $172,500 Matthew Davis - $162,300 Robert Fries - $80,642 Doris Hunt - $142,500 Peter Perialas - $277,500 Jeremiah Radandt - $199,039 Vanessa Walls - $151,696 Tammy Webb - $135,000 Amy Yeager - $151,360 Chris Akeroyd - $63,000 Pamela Arora - $141,689 Thomas Burt - $66,461 Joe Cavender - $61,462 Linda Dunlap - $63,000 Julie Hall-Barrow - $75,622 Keri Kaiser - $162,591 Jodi Landon - $68,000 Javier Montemayor - $165,654 Matthew Moore - $70,520 Brenda Paulsen - $58,477 Benigno Salinas - $45,000 Coleman Skinner - $76,000 Jean Storey - $49,846 Ray Tsai - $24,133 Lindsey Tyra - $56,365 Mark Ziemianski - $63,000 Dean Cannon - $29,610 Kim Cummings - $30,552 Ken Lee - $51,031 Miya Maysent - $46,096 James Rhodes - $47,250 Brent Christopher - $186,924 Schedule J, Part I, Line 3 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 "ordinarily 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 II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - DAI H. CHUNG, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 849999.000000, 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 Durovich and Peter Perialas - Business relationship, Amy Yeager, Jeremiah Radandt, and Peter Perialas - 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 compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and 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. 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: 21600030, Program Service Expense: 6647404, Management and General Expenses: 14952626, Fundraising Expenses: ; Contract Medical - Total Expense: 22538256, Program Service Expense: 6936143, Management and General Expenses: 15602113, Fundraising Expenses: ; Facilities Management - Total Expense: 185130, Program Service Expense: 56974, Management and General Expenses: 128156, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Non controlling interest in Joint Ventures - -5083432; Live Oak Changes in Net Assets - -3157854; Extinguishment of related exempt entity debt - -49836397; 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 30029 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 4 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472851889 HEALTH CARE RELATED INVESTMENTS TX 2315798 1157866 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472874792 HEALTH CARE RELATED INVESTMENTS TX -4078704 40418942 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 6 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811003744 HEALTH CARE RELATED INVESTMENTS TX 2244204 9032594 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 7 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811010503 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Center Southlake LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475207507 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Centers LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475215454 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Associates LLC 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75236 474371967 HEALTH CARE RELATED INVESTMENTS TX 824800 4461504 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Partners LLC 1937 MEDICAL DISTRICT DRIVE DALLAS TX 75237 472104673 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Imaging Center LLC 1938 MEDICAL DISTRICT DRIVE DALLAS TX 75238 384043597 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Legacy Trail Surgery Center LLC 1939 MEDICAL DISTRICT DRIVE DALLAS TX 75239 822278618 HEALTH CARE RELATED INVESTMENTS TX 2844959 9672148 CHILDREN'S HEALTH SYSTEM OF TEXAS CHSR LLC 1940 MEDICAL DISTRICT DRIVE DALLAS TX 75240 371865547 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true 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 true PHYSICIANS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true 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 true CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I 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