TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (EIN 75-0818178)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-12
IRS object ID: 202132249349301823
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-12T10:47:04-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818178	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Scottish Rite Hospital for Crippled	BusinessNameLine1Txt
Business Name Line2	Children	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% JENNIFER DEASON CONTROLLER	InCareOfNm
Business Name Control	TEXA	BusinessNameControlTxt
Phone	2145595000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TAMMIE SIBLEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2145595000	PhoneNum
Signature	2021-08-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE LEW	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Robert Walker	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$735,652,954	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.scottishritehospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE LIVES OF CHILDREN WITH ORTHOPEDIC RELATED CONDITIONS THROUGH PATIENT CARE, RESEARCH AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	31	VotingMembersGoverningBodyCnt
Voting Members Independent	31	VotingMembersIndependentCnt
Total Employee	1343	TotalEmployeeCnt
Total Volunteers	744	TotalVolunteersCnt
Total Gross UBI	$1,816,727	TotalGrossUBIAmt
PY Contributions Grants	$41,749,432	PYContributionsGrantsAmt
CY Contributions Grants	$25,194,541	CYContributionsGrantsAmt
PY Program Service Revenue	$82,372,618	PYProgramServiceRevenueAmt
CY Program Service Revenue	$77,516,168	CYProgramServiceRevenueAmt
PY Investment Income	$104,077,841	PYInvestmentIncomeAmt
CY Investment Income	$116,152,693	CYInvestmentIncomeAmt
PY Other Revenue	$134,755,657	PYOtherRevenueAmt
CY Other Revenue	$88,109,638	CYOtherRevenueAmt
PY Total Revenue	$362,955,548	PYTotalRevenueAmt
CY Total Revenue	$306,973,040	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,203,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,751,923	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$127,855,760	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$129,069,603	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$12,371,965	CYTotalFundraisingExpenseAmt
PY Other Expenses	$93,617,192	PYOtherExpensesAmt
CY Other Expenses	$92,138,385	CYOtherExpensesAmt
PY Total Expenses	$223,675,952	PYTotalExpensesAmt
CY Total Expenses	$222,959,911	CYTotalExpensesAmt
PY Revenues Less Expenses	$139,279,596	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$84,013,129	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,071,405,778	TotalAssetsBOYAmt
Total Assets EOY	$3,238,922,666	TotalAssetsEOYAmt
Total Liabilities BOY	$202,672,595	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$266,580,016	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,868,733,183	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,972,342,650	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide the highest quality care to improve the lives of children with orthopedic and related conditions and specific learning disabilities. Texas Scottish Rite Hospital for Children focuses on patient care, research and education.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$141,816,703	ExpenseAmt
Grant	$1,751,923	GrantAmt
Revenue	$77,516,168	RevenueAmt
Desc	PATIENT CARE TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS ONE OF THE NATION'S LEADING PEDIATRIC CENTERS FOR THE TREATMENT OF ORTHOPEDIC CONDITIONS, CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND LEARNING DISORDERS, SUCH AS DYSLEXIA. PATIENTS RECEIVE TREATMENT REGARDLESS OF THE FAMILY'S ABILITY TO PAY. THE ORTHOPEDICS PROGRAM INCLUDES OUTPATIENT CLINIC VISITS AND INPATIENT STAYS FOR THE DIAGNOSIS AND TREATMENT OF SUCH CONDITIONS AS SCOLIOSIS, CLUBFOOT, DISLOCATED HIP, LEGG-PERTHES, LIMB-LENGTH DIFFERENCES AND LIMB DEFICIENCIES, HAND DIFFERENCES AND SPORTS INJURIES. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,656,679	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH THE HOSPITAL'S DEDICATED RESEARCH CENTER, THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS OF EXCELLENCE - SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND FOOT DISORDERS, HIP DISORDERS, LIMB LENGTH AND RECONSTRUCTION, HAND DIFFERENCES AND SPORTS MEDICINE - SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,960,119	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	EDUCATION TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAINING TO ORTHOPEDIC RESIDENTS AND POST-GRADUATE ORTHOPEDIC FELLOWS. IN ADDITION , THE HOSPITAL CONTRIBUTES TO THE EDUCATION OF ALLIED HEALTH PROFESSIONALS BY PROVIDING CLINICAL EXPERIENCE AND DIDACTIC EDUCATION FOR STUDENTS AS WELL AS CONTINUING EDUCATION FOR HEALTH CARE PROFESSIONALS. THE HOSPITAL IS CURRENTLY AFFILIATED WITH 57 INSTITUTIONS, INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL PROGRAMS. (CONTINUED ON SCHEDULE O.)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$161,433,501	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	320	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1343	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	31	GoverningBodyVotingMembersCnt
Independent Voting Member	31	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JENNIFER DEASON CONTROLLER	PersonNm
Phone	2145597862	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (66 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
LAWSON A COPLEY MD
FORMER CMIO (SEE SCH J**)	1.0	40.0	Yes (X)	$27,600	$1,398,164	$305,283
DANIEL J SUCATO MDMS
CHIEF OF STAFF (SEE SCH J)**	40.0	1.0		$1,036,570	$42,500	$511,229	Yes (X)
B STEPHENS RICHARDS MD
CMO (SEE SCH J)**(RET 6/30/21)	40.0	0.0		$963,986	$0	$542,195	Yes (X)
KARL E RATHJEN MD
ASSIST COS (SEE SCH J)**	40.0	5.0		$1,262,694	$36,650	$185,871	Yes (X)
ROBERT L WALKER
PRESIDENT/CEO	40.0	1.0		$1,296,726	$0	$26,654		Yes (X)
LORI A KAROL MD RET 620
ASSIST COS & COQ (SEE SCH J)**	40.0	0.0		$875,578	$22,000	$414,751	Yes (X)
PHILIP L WILSON MD
ASST COS, (SEE SCH J)**	40.0	2.0		$740,153	$48,800	$234,616	Yes (X)
DAVID A PODESZWA MD
ORTHOPEDIC SURGEON	40.0	1.0		$710,546	$43,804	$226,059			Yes (X)
MOLLY E DEMPSEY MD
CMIO (SEE SCH J)**	40.0	0.0		$616,647	$0	$252,622	Yes (X)
AMY L MCINTOSH MD
ORTHOPAEDIC SURGEON	40.0	1.0		$760,466	$37,050	$51,431			Yes (X)
BRANDON A RAMO MD
ASST CHIEF OF QUALITY	40.0	1.0		$742,884	$45,050	$53,686	Yes (X)
COREY S GILL MD
ORTHOPEDIC SURGEON	40.0	1.0		$761,500	$49,102	$29,045			Yes (X)
HENRY B ELLIS MD
ORTHOPEDIC SURGEON	40.0	1.0		$732,343	$39,350	$53,186			Yes (X)
ROBERT L WIMBERLY MD
ORTHOPEDIC SURGEON	40.0	1.0		$737,733	$45,450	$32,727			Yes (X)
CHARLES E JOHNSTON MD
ASST COS EMERITUS(RET 4/16/21)	40.0	0.0	Yes (X)	$726,849	$0	$24,463
WILLIAM R HUSTON
SR VP, CFO (RETIRED 9/2020)	40.0	2.0		$681,924	$0	$28,715		Yes (X)
LORI L DALTON
SR VP, GENERAL COUNSEL	40.0	2.0		$541,270	$0	$53,685		Yes (X)
JOHN A HERRING MD
COS EMERITUS (RETIRED 8/31/20)	40.0	0.0	Yes (X)	$562,205	$0	$24,233
DONALD K KATZ
VP, FACILITIES/PROCESS DESIGN	40.0	0.0		$335,954	$0	$234,098		Yes (X)
FREDRIC D RICHMOND
SR VP, CHIEF INVESTMENT OFFICE	40.0	0.0		$512,805	$0	$51,686		Yes (X)
LES A CLONCH JR
VP, CHIEF INFORMATION OFFICER	40.0	0.0		$483,298	$0	$54,186		Yes (X)
MARK G BATEMAN
SR VP, PUBLIC RELATIONS	35.0	5.0		$437,083	$0	$41,263		Yes (X)
MATTHEW S CHANCE
SR VP, OPERATIONS	40.0	1.0		$412,849	$0	$56,321		Yes (X)
DEBRA A SAYLES RN
VP & CNO	40.0	0.0		$409,414	$0	$12,490		Yes (X)
KRISTINA L KEEVER-SMITH
VP, INVESTMENTS	40.0	2.0		$306,135	$0	$86,526		Yes (X)
STEPHANIE K BRIGGER
VP, DEVELOPMENT	40.0	0.0		$251,401	$0	$117,497		Yes (X)
CONNIE B WRIGHT
VP, HR (RES 06/2020)	40.0	0.0		$321,799	$0	$39,587		Yes (X)
JOHN G BIRCH MDRET 1214
FORMER ORTHOPEDIC SURGEON	0.0	0.0	Yes (X)	$342,390	$0	$0
JEREMY L HOWELL
VP, NORTH CAMPUS	40.0	0.0		$264,457	$0	$49,701		Yes (X)
JEAN A ALLEN
CONTROLLER (RETIRED 1/2020)	20.0	1.0		$223,330	$0	$33,196		Yes (X)
ELLEN E HAYNES
VP, MAJOR GIFTS (RES 1/8/2021)	40.0	0.0		$213,406	$0	$23,083		Yes (X)
JENNY J JOHNSON
VP, REVENUE CYCLE	40.0	0.0		$197,200	$0	$31,797		Yes (X)
ASHLEY C GIVENS
VP, DEVELOPMENT/EVENTS	40.0	0.0		$148,858	$0	$63,531		Yes (X)
JC MONTGOMERY JR
President Emeritus (RET. 6/18)	8.0	0.0	Yes (X)	$167,917	$0	$0
RUSSELL C BROWN
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
W VERNON BURKE
TRUSTEE	3.0	1.0		$0	$0	$0				Yes (X)
HAROLD D CARTER
VICE CHAIRMAN	4.0	1.0		$0	$0	$0		Yes (X)		Yes (X)
RONALD L CARTER
TRUSTEE	4.0	1.0		$0	$0	$0				Yes (X)
STEPHEN F CROSS
TRUSTEE	3.0	1.0		$0	$0	$0				Yes (X)
KENNETH C CURRY
TRUSTEE	2.0	0.0		$0	$0	$0				Yes (X)
DAN F DAVIDSON
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
JOSEPH M DEALEY JR
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
CLAUDE O ERVIN
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
JERRY C GILMORE
VP & ASSIST SECRETARY	4.0	1.0		$0	$0	$0		Yes (X)		Yes (X)
W M GOWER
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
TOM L HIGGINS
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
BRACK JONES JR
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
JAMES E LANEY
VP & TREASURER	4.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
ROBERT C MADISON
TRUSTEE (RESIGNED 1/2020)	3.0	0.0		$0	$0	$0				Yes (X)
BERT V MASSEY II
TRUSTEE	5.0	0.0		$0	$0	$0				Yes (X)
DOUGLAS S MAXEY
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
ROBERT A NORTHCUTT PHD
TRUSTEE	4.0	1.0		$0	$0	$0				Yes (X)
JAMES D NYFELER SR
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
LYNDON L OLSON JR
CHAIRMAN & TRUSTEE	6.0	1.0		$0	$0	$0		Yes (X)		Yes (X)
JAMES C PENN
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
MICHAEL K PICKENS
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
RONALD L SKAGGS
VP & SECRETARY	4.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
JEFF W SMITH
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
GUY F STOVALL JR
VP & ASSIST TREASURER	3.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
JOE H TYDLASKA
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
H FINLAY WATKINS
TRUSTEE	4.0	0.0		$0	$0	$0				Yes (X)
RALPH WAYNE
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
MICHAEL L WIGGINS PHD
TRUSTEE	3.0	1.0		$0	$0	$0				Yes (X)
JOHN E WOOD
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)
M DOUGLAS ADKINS
VICE CHAIRMAN	4.0	1.0		$0	$0	$0		Yes (X)		Yes (X)
W EUGENE BROOKSHIRE
TRUSTEE	3.0	0.0		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,675,212	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,807,920	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,587,021	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	234	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt	CityContractorAddress/ForeignAddress/CityNm	Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm	CountryContractorAddress/ForeignAddress/CountryCd	Foreign PostalContractorAddress/ForeignAddress/ForeignPostalCd
HCBECK LTD
1807 ROSS STE 500	DALLAS	TX	752018006	CONSTRUCTION	$11,578,145
UTSW MEDICAL CENTER
LOCK BOX 845477	DALLAS	TX	752845477	RESEARCH & MEDICAL	$1,527,497
VAN BERKOM ASSOC
				INVESTMENT MNGMNT	$1,278,203	1130 SHERBROOKE ST WEST STE 1005	MONTREAL	QUEBEC	CA	H3A 2MB
NORTHERN TRUST COMPANY
500 S LASALLE ST	CHICAGO	IL	60675	INVESTMENT MNGMNT	$1,161,841
HKS INC
POB 731121	DALLAS	TX	753731121	ARCHITECTURAL	$1,071,757

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,760,625	FundraisingAmt
Government Grants	$486,867	GovernmentGrantsAmt
All Other Contributions	$22,947,049	AllOtherContributionsAmt
Noncash Contributions	$2,831,128	NoncashContributionsAmt
Total Contributions	$25,194,541	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTPATIENT REVENUE	622310	$130,197,813	$130,197,813	$0	$0
INPATIENT REVENUE	622310	$62,974,950	$62,974,950	$0	$0
DEDUCTIONS FROM REVENUE	622310	-$121,633,745	-$121,633,745	$0	$0
OTHER PATIENT RELATED REV	622310	$5,977,150	$5,977,150	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$77,516,168	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,706,147	TotalRevenueColumnAmt
Unrelated Business Revenue	$31,016	UnrelatedBusinessRevenueAmt
Exclusion	$73,675,131	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,288,091	TotalRevenueColumnAmt
Exclusion	$80,288,091	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$538,776	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$538,776	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$538,776	TotalRevenueColumnAmt
Exclusion	$538,776	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$465,492,106	SecuritiesAmt
Other	$1,831,233	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$423,492,793	SecuritiesAmt
Other	$1,384,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$41,999,313	SecuritiesAmt
Other	$447,233	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,446,546	TotalRevenueColumnAmt
Unrelated Business Revenue	$7,300	UnrelatedBusinessRevenueAmt
Exclusion	$42,439,246	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$284,480	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,760,625	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$670,450	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$385,970	TotalRevenueColumnAmt
Exclusion	-$385,970	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$19,265	GamingGrossIncomeAmt
Gaming Direct Expenses	$11,189	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,076	TotalRevenueColumnAmt
Exclusion	$8,076	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$5,410,928	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$3,121,482	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,289,446	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,601,028	UnrelatedBusinessRevenueAmt
Exclusion	$688,418	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SURFACE DAMAGE/WATER SALE	110000	$4,874,180	$0	$0	$4,874,180
LEASE BONUS REVENUE	211110	$10,067	$0	$0	$10,067
HUNTING PERMITS	900099	$89,100	$0	$89,100	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$397,872	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$88,283	UnrelatedBusinessRevenueAmt
Exclusion	$309,589	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,371,219	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$306,973,040	TotalRevenueColumnAmt
Related Or Exempt Func Income	$77,516,168	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,816,727	UnrelatedBusinessRevenueAmt
Exclusion	$202,445,604	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,751,923	TotalAmt
Program Services	$1,751,923	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,801,675	TotalAmt
Program Services	$3,392,367	ProgramServicesAmt
Management And General	$6,965,731	ManagementAndGeneralAmt
Fundraising	$1,443,577	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$93,437,286	TotalAmt
Program Services	$79,309,574	ProgramServicesAmt
Management And General	$10,094,101	ManagementAndGeneralAmt
Fundraising	$4,033,611	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,121,378	TotalAmt
Program Services	$5,373,589	ProgramServicesAmt
Management And General	$2,636,872	ManagementAndGeneralAmt
Fundraising	$110,917	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,066,487	TotalAmt
Program Services	$8,627,913	ProgramServicesAmt
Management And General	$1,074,237	ManagementAndGeneralAmt
Fundraising	$364,337	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,642,777	TotalAmt
Program Services	$4,872,434	ProgramServicesAmt
Management And General	$531,908	ManagementAndGeneralAmt
Fundraising	$238,435	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$577,174	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$577,174	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$750,452	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$750,452	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$31,364	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$31,364	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,796,051	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,796,051	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,293,259	TotalAmt
Program Services	$6,640,254	ProgramServicesAmt
Management And General	$3,393,162	ManagementAndGeneralAmt
Fundraising	$259,843	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,750,985	TotalAmt
Program Services	$300	ProgramServicesAmt
Management And General	$1,000	ManagementAndGeneralAmt
Fundraising	$3,749,685	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,806,008	TotalAmt
Program Services	$5,197,454	ProgramServicesAmt
Management And General	$1,565,771	ManagementAndGeneralAmt
Fundraising	$1,042,783	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,548,112	TotalAmt
Program Services	$6,362,890	ProgramServicesAmt
Management And General	$1,921,548	ManagementAndGeneralAmt
Fundraising	$263,674	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,118,632	TotalAmt
Program Services	$5,056,781	ProgramServicesAmt
Management And General	$922,934	ManagementAndGeneralAmt
Fundraising	$138,917	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$314,235	TotalAmt
Program Services	$216,004	ProgramServicesAmt
Management And General	$87,923	ManagementAndGeneralAmt
Fundraising	$10,308	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$150,454	TotalAmt
Program Services	$130,190	ProgramServicesAmt
Management And General	$16,422	ManagementAndGeneralAmt
Fundraising	$3,842	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$491,508	TotalAmt
Program Services	$402,233	ProgramServicesAmt
Management And General	$70,346	ManagementAndGeneralAmt
Fundraising	$18,929	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,382,535	TotalAmt
Program Services	$19,049,896	ProgramServicesAmt
Management And General	$1,748,520	ManagementAndGeneralAmt
Fundraising	$584,119	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,040,503	TotalAmt
Program Services	$29,885	ProgramServicesAmt
Management And General	$1,010,618	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & OTHER SUPPLIES	$15,369,347	$15,019,814	$240,545	$108,988
RANCH OPERATIONS	$3,289,968	$0	$3,289,968	$0
BAD DEBT EXPENSE	$5,239,851	$0	$5,239,851	$0
CGA ACTUARIAL EXPENSE	$154,409	$0	$154,409	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,538	TotalAmt
Management And General	$33,538	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$222,959,911	TotalAmt
Program Services	$161,433,501	ProgramServicesAmt
Management And General	$49,154,445	ManagementAndGeneralAmt
Fundraising	$12,371,965	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,782,050	BOYAmt
EOY	$1,138,643	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,200,763	BOYAmt
EOY	$11,356,316	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,662,225	BOYAmt
EOY	$29,152,082	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,034	BOYAmt
EOY	$6,203	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,570,799	BOYAmt
EOY	$3,962,553	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,108,582	BOYAmt
EOY	$8,090,186	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$481,697,805	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$181,478,242	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$287,578,619	BOYAmt
EOY	$300,219,563	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,629,992,287	BOYAmt
EOY	$2,794,035,441	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$124,670	BOYAmt
EOY	$97,795	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$87,377,749	BOYAmt
EOY	$90,863,884	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,071,405,778	BOYAmt
EOY	$3,238,922,666	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,743,856	BOYAmt
EOY	$24,787,797	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,870,913	BOYAmt
EOY	$463,918	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,000,000	BOYAmt
EOY	$23,000,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,057,826	BOYAmt
EOY	$218,328,301	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$202,672,595	BOYAmt
EOY	$266,580,016	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,741,292,740	BOYAmt
EOY	$2,836,073,082	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,440,443	BOYAmt
EOY	$136,269,568	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,868,733,183	BOYAmt
EOY	$2,972,342,650	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,071,405,778	BOYAmt
EOY	$3,238,922,666	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$84,013,129	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$84,275,875	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$64,679,537	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$31,364	OtherActivitiesAmt
Total Lobbying Expenditures	$31,364	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITIES PER CHILDREN'S HOSPITAL ASSOCIATION, DALLAS REGIONAL, CHAMBER AND TEXAS HOSPITAL ASSOCIATION, $17,335 OF THE HOSPITAL'S DUES WERE ALLOCATED TO LOBBYING. THE HOSPITAL RETAINED THE SERVIES OF GREENBERG TRAURIG LLP TO MEET WITH VARIOUS FEDERAL AND STATE LEGISLATORS OR STAFF AND INCURRED EXPENSES IN THE AMOUNT OF $14,025.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,061,276,404	BeginningYearBalanceAmt
Contributions	$10,690,156	ContributionsAmt
Investment Earnings Or Losses	$150,231,493	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,093,330	OtherExpendituresAmt
End Year Balance	$2,216,104,723	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$164,029,028	BeginningYearBalanceAmt
Contributions	$1,935,008,594	ContributionsAmt
Investment Earnings Or Losses	$63,090,266	InvestmentEarningsOrLossesAmt
Other Expenditures	$100,851,484	OtherExpendituresAmt
End Year Balance	$2,061,276,404	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$159,673,309	BeginningYearBalanceAmt
Contributions	$18,347,909	ContributionsAmt
Investment Earnings Or Losses	$5,735,433	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,727,623	OtherExpendituresAmt
End Year Balance	$164,029,028	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$125,526,503	BeginningYearBalanceAmt
Contributions	$32,469,355	ContributionsAmt
Investment Earnings Or Losses	$11,892,042	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,214,591	OtherExpendituresAmt
End Year Balance	$159,673,309	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,800,210	BeginningYearBalanceAmt
Contributions	$8,057,633	ContributionsAmt
Investment Earnings Or Losses	$8,144,805	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,476,145	OtherExpendituresAmt
End Year Balance	$125,526,503	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.94000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.03000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,210,046	OtherCostOrOtherBasisAmt
Book Value	$49,210,046	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,561,422	OtherCostOrOtherBasisAmt
Depreciation	$117,901,424	DepreciationAmt
Book Value	$194,659,998	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,420,930	OtherCostOrOtherBasisAmt
Depreciation	$327,327	DepreciationAmt
Book Value	$1,093,603	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,321,367	OtherCostOrOtherBasisAmt
Depreciation	$63,249,491	DepreciationAmt
Book Value	$55,071,876	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,040	OtherCostOrOtherBasisAmt
Book Value	$184,040	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$300,219,563	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$125,371,398
MANAGEMENT BENEFIT PLAN	$15,247,068
EMPLOYEE BENEFITS PAYABLE	$2,130,982
RESERVE FOR MALPRACTICE CLAIMS	$1,146,873
CHARITABLE GIFT ANNUITIES	$3,392,214
TRUST OBLIGATIONS	$9,090,801
RESERVE FOR RESTORATION PLAN	$61,948,965

Field	Value	IRS element (for citing)
Total Liability	$218,328,301	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Intended use of endowment funds

SCHEDULE D, PART V, LINE 4 THE INCOME FROM THE ORGANIZATION'S FUNDS WITH DONOR RESTRICTIONS AND FUNDS BOARD DESIGNATED ARE USED TO SUPPORT THE OPERATIONS OF THE MEDICAL, RESEARCH AND EDUCATION PROGRAMS OF THE HOSPITAL.

CONSOLIDATED AUDIT FOOTNOTE 16 - INCOME TAXES

SCHEDULE D, PART X, LINE 2 U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITY. THE HOSPITAL HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENT. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVERE, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE TAX AUTHORITIES FOR YEARS PRIOR TO 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
East Asia and the Pacific	Investments	$80,536
Europe (Including Iceland and Greenland)	Investments	$1,138,686
North America	Investments	$715
Central America and the Caribbean	Investments	$201,629,108
South America	Investments	$186
Europe (Including Iceland and Greenland)	Investments	$5,202	INVEST MGMT FEES
Central America and the Caribbean	Investments	$10,050	INVEST MGMT FEES
East Asia and the Pacific	Program Services	$14,251	CONFERENCES/TRAINING
Europe (Including Iceland and Greenland)	Program Services	$29,124	CONFERENCES/TRAINING
North America	Program Services	$1,200	CONFERENCES/TRAINING
Central America and the Caribbean	Program Services	$3,819	CONFERENCES/TRAINING

Field	Value	IRS element (for citing)
Subtotal Spent	$202,912,877	SubtotalSpentAmt
Total Spent	$202,912,877	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3, COLUMN F	FormAndLineReferenceDesc
Explanation	ACTIVITIES PER REGION THESE AMOUNTS REPRESENT $202,864,483 OF INVESTMENTS AT YEAR END AND $48,394 INEXPENDITURES BASED ON THE ACCRUAL METHOD OF ACCOUNTING. SEE DETAIL BY REGION BELOW: INVESTMENTS BY REGION: EAST ASIA AND THE PACIFIC $ 80,536 EUROPE $ 1,138,686 NORTH AMERICA $ 715 CENTRAL AMERICA AND THE CARIBBEAN $ 201,629,108 SOUTH AMERICA $ 186 TOTAL $ 202,849,231 EXPENSE BY REGION: EAST ASIA AND THE PACIFIC $ 14,251 EUROPE $ 29,124 NORTH AMERICA $ 1,200 CENTRAL AMERICA AND THE CARIBBEAN $ 3,819 TOTAL $ 48,394	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AUCTION 10/20	Event1Nm
Gross Receipts Event1	$563,288	GrossReceiptsEvent1Amt
Charitable Contri Event1	$555,288	CharitableContriEvent1Amt
Gross Revenue Event1	$8,000	GrossRevenueEvent1Amt
Food And Beverage Event1	$2,135	FoodAndBeverageEvent1Amt
Entertainment Event1	$9,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$64,560	OtherDirectExpensesEvent1Amt
Event2	AUCTION 10/19	Event2Nm
Gross Receipts Event2	$155,603	GrossReceiptsEvent2Amt
Charitable Contri Event2	$76,673	CharitableContriEvent2Amt
Gross Revenue Event2	$78,930	GrossRevenueEvent2Amt
Food And Beverage Event2	$23,048	FoodAndBeverageEvent2Amt
Entertainment Event2	$720	EntertainmentEvent2Amt
Other Direct Expenses Event2	$201,662	OtherDirectExpensesEvent2Amt
Other Events Total	73	OtherEventsTotalCnt
Gross Receipts Other Events	$1,326,214	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,128,664	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$197,550	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$47,195	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$144,597	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$28,335	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$400	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$148,298	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,045,105	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,760,625	CharitableContributionsTotAmt
Gross Revenue Total Events	$284,480	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$47,195	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$144,597	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$53,518	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$10,620	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$414,520	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$670,450	DirectExpenseSummaryEventsAmt
Net Income Summary	-$385,970	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Volunteer Labor Bingo	false	VolunteerLaborBingoInd
Volunteer Labor Pull Tabs	false	VolunteerLaborPullTabsInd
Gross Revenue Other Gaming	$19,265	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$11,189	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$19,265	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$11,189	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$11,189	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$8,076	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	TX	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	THE STATE OF TEXAS DOES NOT REQUIRE A LICENSE FOR OCCASIONAL GAMING ACTIVITIEES (UP TO TWO PER YEAR).	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	JENNIFER DEASON CONTROLLER TSRHC	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	NA	GamingManagerPersonNm
Gaming Manager Services Prov	N/A	GamingManagerServicesProvTxt
Charitable Distribution Rqr	false	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	1000.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,172,566	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,172,566	NetCommunityBenefitExpnsAmt
Total Expense	0.08810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,217,101	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,721,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,495,533	NetCommunityBenefitExpnsAmt
Total Expense	0.15840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,389,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,721,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,668,099	NetCommunityBenefitExpnsAmt
Total Expense	0.24650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,555,022	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,555,022	NetCommunityBenefitExpnsAmt
Total Expense	0.04850	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,112,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,053,029	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,095,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,123,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,972,557	NetCommunityBenefitExpnsAmt
Total Expense	0.06420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,660,339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,660,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,423,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,182,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,240,947	NetCommunityBenefitExpnsAmt
Total Expense	0.12510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,812,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,903,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,909,046	NetCommunityBenefitExpnsAmt
Total Expense	0.37160	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$723,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$723,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$723,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$723,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,239,851	BadDebtExpenseAmt
Reimbursed By Medicare	$49,392	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,014	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,378	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS SCOTTISH RITE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.scottishritehospital.org	WebsiteAddressTxt
State License	000054	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Other	ORTHOPEDIC, neurodevelopment & musculoskeletal	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TX SCOT RITE HOSPITAL FOR CHILDREN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	999.99	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.scottishritehospital.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.scottishritehospital.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.scottishritehospital.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	TSRHC AND BKD CONSULTING COLLABORATED TOGETHER TO CONDUCT AND ASSESS THE NEEDS OF THE COMMUNITY IN PRODUCING THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT. BKD CONSULTING, LLP IS ONE OF THE LARGEST CPA AND ADVISORY FIRMS IN THE UNITED STATES, WITH APPROXIMATELY 2,000 PARTNERS AND EMPLOYEES IN 34 OFFICES. BKD SERVES MORE THAN 900 HOSPITALS AND HEALTH CARE SYSTEMS ACROSS THE COUNTRY. PRIMARY DATA WAS OBTAINED FROM PATIENT SURVEYS, PATIENT FOCUS GROUPS AND KEY STAKEHOLDERS. BKD CONDUCTED A HEALTH SURVEY THAT WAS SENT IN ELECTRONIC FORMAT TO MORE THAN 9,000 CURRENT AND FORMER TSRHC PATIENTS. TWO HUNDRED FORTY-SEVEN PATIENT FAMILIES PROVIDED INPUT THROUGH THE HEALTH SURVEY, WHICH WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. SEVENTY-TWO PERCENT OF THE SURVEY RESPONDENTS INDICATED THEY LIVED IN THE CHNA COMMUNITY. IN ADDITION, TSRHC CONDUCTED TWO PATIENT FOCUS GROUPS TO SOLICIT INPUT FROM PATIENTS' FAMILIES REGARDING THE HEALTH NEEDS OF THEIR CHILDREN. THE PATIENT FOCUS GROUPS WERE CONDUCTED ON JUNE 10, 2019 AND JUNE 11, 2019 AT TSRHC'S DALLAS CAMPUS AND FRISCO CAMPUS. NINE QUESTIONS WERE ASKED AND DISCUSSED, THEN UTILIZED TO HELP GATHER DATA FROM THE PARTICIPANTS. INPUT WAS COLLECTED FROM 25 KEY STAKEHOLDERS THROUGH IN-PERSON INTERVIEWS AND ELECTRONIC SURVEYS IN JUNE 2019. THESE KEY STAKEHOLDERS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS OR THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS WHO ARE LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. SECONDARY DATA ASSESSED FACTORS SUCH AS DEMOGRAPHICS, SOCIOECONOMIC INDICATORS (HOUSEHOLD INCOME AND POVERTY, INSURANCE COVERAGE AND CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS) AND COMMUNITY HEALTH STATUS INDICATORS RELEVANT TO THE SERVICES PROVIDED BY TSRHC (RATES FOR CONDITIONS TREATED BY TSRHC, NUMBER OF CHILDREN IN TEXAS WITH DISABILITIES AND RATE FOR HEALTH ISSUES IDENTIFIED BY STAKEHOLDERS AND PATIENTS SUCH AS ASTHMA AND OBESITY). SOME OF THE SECONDARY DATA SOURCES INCLUDED BUT WERE NOT LIMITED TO TEXAS DEMOGRAPHIC CENTER, TEXAS KIDS COUNT DATA, ROBERT WOOD JOHNSON FOUNDATION AND TEXAS DEPARTMENT OF STATE HEALTH SERVICES. A LIST OF IDENTIFIED NEEDS WAS DEVELOPED USING FINDINGS OBTAINED THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA. THE FOLLOWING FACTORS WERE USED TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS: SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, IMPACT OF THE ISSUES ON VULNERABLE POPULATIONS, HOW IMPORTANT THE ISSUE IS TO THE COMMUNITY AND THE PREVALENCE OF COMMON THEMES. MEMBERS OF TSRHC'S MANAGEMENT PROVIDED INPUT REGARDING RATINGS FOR THE FACTORS DESCRIBED ABOVE. THE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED, TAKING INTO ACCOUNT THE IMPORTANCE OF THE NEED AS WELL AS THE PERCEIVED DEGREE OF INFLUENCE TSRHC HAS TO IMPACT OR RESPOND TO THAT NEED. WHILE OBESITY, ASTHMA AND MENTAL HEALTH WERE IDENTIFIED BY THE COMMUNITY AT LARGE AS PRIORITY AREAS, THESE NEEDS WERE NOT FOUND TO BE IN ALIGNMENT WITH TSRHCS PRIMARY MISSION AND STRATEGIC PLAN AS A PREMIER PEDIATRIC ORTHOPEDIC PROVIDER. AS HEALTHCARE ORGANIZATIONS CHANGED THEIR FOCUS TO COVID-19, TSRHCS STRATEGY HAD TO CHANGE AND OUR PRIORITIES SHIFTED. IN ADHERENCE TO CDC GUIDELINES, TSRHC HAS TAKEN EVERY MEASURE TO PROTECT THE WELLBEING OF EACH PATIENT, FAMILY, STAFF AND COMMUNITY MEMBER THROUGHOUT THE COVID-19 PANDEMIC. TSRHC PUT LIMITS ON THE NUMBER OF CAREGIVERS AND FAMILY MEMBERS ALLOWED TO ACCOMPANY PATIENTS TO CLINIC VISITS AND SURGERIES. ANY SURGERY THAT WAS ELECTIVE OR THAT THE PROVIDER DID NOT DEEM CRITICAL WAS RESCHEDULED UNTIL A LATER DATE IN 2020 OR EARLY 2021. ALL COMMUNITY-FOCUSED AMENITIES WERE CLOSED TO THE GENERAL PUBLIC SUCH AS THE CONFERENCE CENTER AND THE HOSPITAL PLAYGROUND, WHICH ALSO SERVES AS A PLACE OF HEALTH FOR OUR PATIENTS. THE CONFERENCE CENTER WAS REPURPOSED TO A WAITING ROOM FOR FAMILIES THAT WERE NOT ABLE TO ATTEND THE APPOINTMENT DUE TO VISITORS RESTRICTIONS, AND THE CENTER ALSO PROVIDED A SPACE FOR FAMILIES TO SOCIAL DISTANCE. TSRHC ALSO CLOSELY MONITORED WHO WAS ENTERING ALL FACILITIES THROUGH MANDATORY SCREENING OF PATIENTS, FAMILIES AND STAFF WITH TEMPERATURE CHECKS AND SYMPTOM TRACKING. THE VOLUNTEER PROGRAM WAS PAUSED AND ALL NON-PATIENT FACING STAFF WERE ADVISED TO STAY AT HOME TO MINIMIZE FOOT TRAFFIC IN THE FACILITY. TSRHCS AMBULATORY CLINIC LOCATED AT THE BAYLOR SCOTT & WHITE SPORTS THERAPY & RESEARCH CLINIC AT THE STAR IN FRISCO WAS CLOSED FOR A TOTAL FOUR MONTH TIMEFRAME DURING 2020. DURING THE COVID-19 PEAK, TSRHC CONTINUED TO ACCEPT PATIENTS AND WALK-INS THROUGH OUR FRACTURE PROGRAM ON OUR FRISCO CAMPUS TO HELP ALLEVIATE EMERGENCY ROOM AND URGENT CARE CROWDING. THE TELEMEDICINE PROGRAM THAT WAS PILOTED IN 2019 BECAME A CRUCIAL WAY FOR TSRHC TO CONTINUE IMPROVING ACCESS TO SERVICES AND PROVIDE CARE TO OUR PATIENTS DURING THE COVID-19 PANDEMIC. FROM MARCH THROUGH SEPTEMBER OF 2020, WE HAD 601 PHONE VISITS, AND 2,777 VIDEO VISITS ACROSS 14 DEPARTMENTS.
PART V, SECTION B, LINE 6B	TSRHC ENGAGED THE SERVICES OF BKD CONSULTING TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATED WITH BKD IN PRODUCING THE HOSPITAL'S CHNA REPORT. PART V, SECTION B, LINE 7A HTTPS://SCOTTISHRITEFORCHILDREN.ORG/GETATTACHMENT/B6C3EAA2-1811-41B6-A4B8- 408CFDF02ECB/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 11	NEEDS IDENTIFIED IN RECENTLY CONDUCTED CHNA AS PART OF THE CHNA, TSRHC AND BKD CONDUCTED THE ASSESSMENT FROM MAY 2019 TO SEPTEMBER 2019. THE PRIMARY AND SECONDARY DATA GATHERED WERE THEN ANALYZED TO IDENTIFY SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY SERVED BY TSRHC. AS A RESULT OF THE ANALYSIS, EIGHT HEALTH NEEDS WERE IDENTIFIED AS BEING SIGNIFICANT TO THE COMMUNITY. THE IDENTIFIED HEALTH NEEDS WERE SUBSEQUENTLY GROUPED AND PRIORITIZED BY HOSPITAL MANAGEMENT INTO THREE PRIORITY AREAS BASED ON THEIR OVERALL ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. TSRHC WILL FOCUS ON THE IDENTIFIED AREAS WHERE THE HOSPITAL CAN MOST EFFECTIVELY USE ITS EXPERTISE AND RESOURCES TO HAVE A SIGNIFICANT IMPACT. THESE THREE AREAS ARE: 1. IMPROVE ACCESS TO HEALTH CARE SERVICES 2. IMPROVE COORDINATION OF CARE 3. IMPROVE CHILD HEALTH STATUS TSRHC STRATEGIES FOR IMPROVING ACCESS TO HEALTH CARE SERVICES: A: AFFORDABILITY OF SERVICES/FINANCIAL STRESS ACCORDING TO THE 2020 AMERICAN COMMUNITY SURVEY, 232,828 CHILDREN (UNDER THE AGE OF 19) IN DALLAS, DENTON, COLLIN, AND TARRANT COMMUNITIES DO NOT HAVE INSURANCE. MANY OF THE PATIENT SURVEY RESPONDENTS RANKED "AFFORDABILITY OF SERVICES AND FINANCIAL STRESS ON THE FAMILY" AS THE BIGGEST CHALLENGE FACED BY PATIENT SURVEY RESPONDENTS. FAMILIES DESIRED MORE INFORMATION AND INCREASED UNDERSTANDING REGARDING FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. OUR OBJECTIVE IS TO INCREASE COMMUNITY AND PATIENT FAMILY AWARENESS OF THE FINANCIAL ASSISTANCE AVAILABLE AT TSRHC AND RESOURCES IN THE COMMUNITY. THE ANTICIPATED IMPACT IS FOR MORE PATIENT FAMILIES TO ENROLL IN OUR FINANCIAL ASSISTANCE PROGRAM AND/OR HAVE ACCESS TO RESOURCES FOR INSURANCE COVERAGE. THE STRATEGIES WE WILL BE IMPLEMENTING TO ADDRESS AFFORDABILITY OF SERVICES/FINANCIAL STRESS ARE: 1. CONTINUE OUTREACH AND EDUCATION TO SCHOOLS, PHYSICIAN OFFICES, EDUCATIONAL CONFERENCES AND FREE/INCOME-BASED CLINICS THAT ARE DELIVERING SERVICES AND WORKING IN UNDERSERVED COMMUNITIES 2. IMPROVE AND EXPAND COMMUNICATION OF OUR FINANCIAL ASSISTANCE PROGRAM 3. CONTINUE TO CONNECT PATIENTS TO ORGANIZATIONS THAT PROVIDE RESOURCES FOR INSURANCE COVERAGE RESOURCES/POTENTIAL PARTNERS TSRHC WILL CONTINUE TO DEDICATE INTERNAL RESOURCES AS WELL AS MAINTAIN AND EXPAND COLLABORATIONS WITHIN THE COMMUNITY TO MEET THE PRIORITIZED HEALTH NEED WITH LOCAL SCHOOL DISTRICTS, PHYSICIAN OFFICES, EDUCATIONAL CONFERENCES, FREE/INCOME-BASED CLINICS AND EDUCATE REGARDING RESOURCES AVAILABLE TO IMPROVE ACCESS FOR INSURANCE COVERAGE. B: ACCESS TO SERVICES NORTH TEXAS HAS A LACK OF SPECIALISTS AND SERVICES IN THE UNDERSERVED AREAS OF THE COMMUNITY. THERE IS A SHORTAGE OF PROVIDERS WHO ACCEPT MEDICAID, AND 32.2% OF CHILDREN IN OUR CHNA COMMUNITY ARE ENROLLED IN MEDICAID. PATIENT SURVEY RESPONDENTS RANKED "AVAILABILITY OF SERVICES CLOSE TO HOME" AS THE SECOND HIGHEST-RANKED CHALLENGE RELATED TO ACCESS FACED BY PATIENT SURVEY RESPONDENTS. OUR OBJECTIVE IS TO INCREASE COMMUNITY ACCESS AND REDUCE BARRIERS TO OUR SERVICES. THE ANTICIPATED IMPACT IS TO TREAT MORE CHILDREN THAT HAVE LIMITED ACCESS TO CARE WITHIN OUR SCOPE OF SERVICES AROUND THE METROPLEX. THE STRATEGIES WE WILL BE IMPLEMENTING TO INCREASE ACCESS TO SERVICES ARE: 1. CONTINUE TO EVALUATE ADDITIONAL ACCESS POINTS TO INCREASE PATIENT ACCESS TO OUR SERVICES IN UNDERSERVED AREAS 2. FURTHER DEVELOP COMMUNITY PARTNERSHIP WITH NOT-FOR-PROFIT ENTITIES TO INCREASE AWARENESS AND BRING SERVICES OUT TO THE COMMUNITY 3. ELIMINATE BARRIERS TO SCHEDULING APPOINTMENTS AND TIMELY CARE 4. CONTINUE OUTREACH EFFORTS TO BRING AWARENESS OF OUR SERVICES AND EXPAND REACH RESOURCES/POTENTIAL PARTNERS TSRHC WILL CONTINUE TO DEDICATE INTERNAL RESOURCES AS WELL AS MAINTAIN AND EXPAND COLLABORATIONS WITHIN THE COMMUNITY TO MEET THE PRIORITIZED HEALTH NEED WITH LOCAL SCHOOL DISTRICTS, YMCA NORTH TEXAS, YOUTH SPORT GROUPS, PHYSICIAN OFFICES, HEALTH SYSTEMS, URGENT CARE FACILITIES, EDUCATIONAL CONFERENCES AND SCHOOL NURSES. TSRHC STRATEGIES FOR IMPROVING COORDINATION OF CARE: LACK OF COORDINATED CARE CONTINUES TO BE A CHALLENGE FACED BY PATIENT FAMILIES. FEEDBACK FROM THE PATIENT FOCUS GROUPS THAT WERE CONDUCTED HIGHLIGHTED A DESIRE FOR HELP NAVIGATING TREATMENT FOR THEIR CHILD. OUR OBJECTIVE IS TO INCREASE COMMUNICATION AND COORDINATION OF CARE AMONG PROVIDERS AND PATIENT FAMILIES. THE ANTICIPATED IMPACT IS FOR BETTER COORDINATION OF CARE THAT IS EFFICIENT AND EFFECTIVE ACROSS OUR ORGANIZATION AND EASE OF NAVIGATING THROUGH THE HEALTH CARE SYSTEM FOR PATIENT FAMILIES. THE STRATEGIES WE WILL BE IMPLEMENTING TO IMPROVE COORDINATION OF CARE ARE: 1. EXPAND CURRENT TRANSITION OF CARE PROGRAM TO ADDITIONAL COMPLEX DIAGNOSES TO IMPROVE THE COORDINATION FROM PEDIATRIC TO ADULT CARE 2. EVALUATE WAYS TO IMPROVE CARE COORDINATION RESOURCES/POTENTIAL PARTNERS TSRHC WILL CONTINUE TO DEDICATE INTERNAL RESOURCES AS WELL AS MAINTAIN AND EXPAND COLLABORATIONS WITHIN THE COMMUNITY TO MEET THE PRIORITIZED HEALTH NEED WITH ADULT PROVIDERS/FACILITIES, PEDIATRIC PROVIDERS AND SCHOOL NURSES TO IMPROVE COORDINATION OF CARE. TSRHC STRATEGIES FOR IMPROVING CHILD HEALTH STATUS: A: HEALTH EDUCATION AND FAMILY SUPPORT PATIENT FAMILIES ARE OFTEN ISOLATED AND WOULD LIKE TO BE CONNECTED WITH OTHER PATIENT FAMILIES WITH SIMILAR EXPERIENCES. MANY DESIRE INFORMATION TO HELP THEM IDENTIFY AVAILABLE RESOURCES IN THE COMMUNITY TO ASSIST IN THE TREATMENT AND CARE OF THEIR CHILD. OUR OBJECTIVE IS TO BRING AWARENESS TO THE COMMUNITY ABOUT THE SERVICES PROVIDED BY TSRHC AND ITS FAMILY RESOURCE CENTER (FRC), WORK WITH KEY LOCAL SUPPORT GROUPS AND PROVIDE PATIENT EDUCATION MATERIALS TO PATIENT FAMILIES REGARDING ADDITIONAL RESOURCES THAT ARE AVAILABLE HERE AND IN THE COMMUNITY. THE ANTICIPATED IMPACT IS FOR A MORE INFORMED COMMUNITY AND PATIENT FAMILIES ON SERVICES PROVIDED AND RESOURCE AVAILABILITY. THE STRATEGIES WE WILL BE IMPLEMENTING TO INCREASE HEALTH EDUCATION AND FAMILY SUPPORT ARE: 1. INCREASE OUR PATIENT FAMILIES AND COMMUNITY AWARENESS ABOUT TSRHC FAMILY RESOURCE CENTER 2. EVALUATE BEST WAYS TO BUILD CONNECTIONS WITH KEY LOCAL SUPPORT GROUPS 3. ENHANCE OUR ONLINE PRESENCE FOR PATIENT EDUCATION MATERIALS BY WEBSITE ENGAGEMENT AND OTHER MEDIA PLATFORMS 4. INCREASE EDUCATION AND AWARENESS THROUGH COMMUNITY PARTNERSHIPS RESOURCES/POTENTIAL PARTNERS TSRHC WILL CONTINUE TO DEDICATE INTERNAL RESOURCES AS WELL AS MAINTAIN AND EXPAND COLLABORATIONS WITHIN THE COMMUNITY TO MEET THE PRIORITIZED HEALTH NEED WITH YMCA NORTH TEXAS, LOCAL SUPPORT GROUPS, COMMUNITY PARTNERS, SCHOOL DISTRICTS, COACHES/ATHLETIC TRAINERS, SCHOOL NURSES, AND YOUTH SPORT GROUPS WITH THE GOAL OF PROVIDING AND CONNECTING THE COMMUNITY TO SERVICES AND RESOURCES PROVIDED BY TSRHC. B: MENTAL HEALTH AND BEHAVIORAL CONDITIONS THERE IS A SHORTAGE OF MENTAL HEALTH SERVICES AND PROVIDERS WITHIN THE COMMUNITY. PATIENT SURVEY RESPONDENTS AND PATIENT FOCUS GROUP PARTICIPANTS RANKED "MENTAL HEALTH/BEHAVIORAL" AS ONE OF THE MOST IMPORTANT HEALTH ISSUES IMPACTING CHILDREN. OUR OBJECTIVE IS TO IMPROVE ACCESS TO MENTAL/BEHAVIORAL HEALTH SERVICES FOR OUR PATIENT POPULATION AND SUPPORT/PROVIDE ADDITIONAL RESOURCES/CARE THAT MAY BE NEEDED. THE ANTICIPATED IMPACT IS TO INCREASE OUR PATIENT FAMILIES ACCESS TO MENTAL/BEHAVIORAL HEALTH PROVIDERS AND RESOURCES. THE STRATEGIES WE WILL BE IMPLEMENTING TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES ARE: 1. PILOT PSYCHOLOGY TELEMEDICINE 2. PROVIDE ADDITIONAL PSYCHOLOGY SUPPORT IN SPECIALTY AREAS TO MEET PATIENT NEEDS 3. CONTINUE TO EVALUATE HOW WE ASSESS AT RISK MENTAL HEALTH BEHAVIORS RESOURCES/POTENTIAL PARTNERS TSRHC WILL CONTINUE TO DEDICATE INTERNAL RESOURCES AS WELL AS MAINTAIN AND EXPAND COLLABORATIONS WITHIN THE COMMUNITY TO MEET THE PRIORITIZED HEALTH NEED BY COMMITTING TO PROVIDING RESOURCES AND PARTNERING WITH OTHER HEALTH CARE PROVIDERS AS APPROPRIATE FOR THE NEEDS OF OUR PATIENT POPULATION. C: OBESITY/UNHEALTHY EATING/LACK OF PHYSICAL ACTIVITY OVER EIGHTEEN PERCENT OF HIGH SCHOOL STUDENTS IN TEXAS ARE OBESE. ACCESS TO HEALTHY FOODS IS A CHALLENGE FOR THOSE WHO LIVE IN POVERTY. OBESITY, UNHEALTHY EATING AND LACK OF PHYSICAL ACTIVITY WERE RANKED THE FIFTH, THIRD AND SECOND HIGHEST BY PATIENT SURVEY RESPONDENTS, RESPECTIVELY. OUR OBJECTIVE IS TO IMPROVE THE OVERALL HEALTH OF OUR PATIENT POPULATION AND PROVIDE THEM THE RESOURCES TO MAKE HEALTHIER CHOICES. THE ANTICIPATED IMPACT IS FOR A HEALTHIER PATIENT POPULATION WHO HAVE ACCESS TO RESOURCES SUCH AS FOOD AND EDUCATION. THE STRATEGIES WE WILL BE IMPLEMENTING TO IMPROVE THE OVERALL HEALTH OF OUR PATIENT POPULATION: 1. SUPPORT AND REFER TO WEIGHT MANAGEMENT PROGRAMS 2. EXPLORE TOOLS WITHIN THE ELECTRONIC HEALTH RECORD THAT WOULD ENHANCE WEIGHT MANAGEMENT FOLLOW-UP 3. CREATE PATIENT EDUCATION MATERIALS THAT PROVIDE A LIST OF FOOD PANTRIES, COMMUNITY GARDENS AND FOOD ASSISTANCE TO PATIENT FAMILIES 4. SPONSOR COMMUNITY-RELATED COOKING CLASSES 5. IMPLEMENT AND DEVELOP A SPORTS NUTRITION PROGRAM INTO OUR SERVICES 6. CONTINUE TO PROVIDE COMMUNITY L

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SCOTTISH RITE FOR CHLDRN ORTHOPEDIC & SP
5700 DALLAS PARKWAY	FRISCO	TX	75034	OUTPATIENT CLINIC DEPARTMENT OF HOSPITAL
SCOTTISH RITE FOR CHILDREN AT THE STAR
3800 GAYLORD PARKWAY SUITE 850	FRISCO	TX	75034	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	ELIGIBILITY FOR FINANCIAL ASSISTANCE SINCE ITS FOUNDING IN 1921, TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN ("TSRHC") HAS PROVIDED CARE TO PATIENTS WITH NEEDS WITHIN THE HOSPITAL'S SCOPE OF SERVICES AT NO CHARGE. AS THE HOSPITAL BEGAN ACCEPTING REIMBURSEMENT IN OCTOBER 2012, IT IMPLEMENTED A NEW CHARITY CARE/FINANCIAL ASSISTANCE POLICY. FINANCIALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPG), ARE ELIGIBLE FOR A 100 PERCENT DISCOUNT. ADDITIONALLY, MEDICALLY INDIGENT PATIENTS ARE ALSO ELIGIBLE FOR DISCOUNTED CARE, WITH ELIGIBILITY BASED ON FPG, MEDICAL EXPENSES AND ABILITY TO PAY.
PART I, LINE 6A	COMMUNITY BENEFIT REPORT FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2020, A COMMUNITY BENEFIT REPORT WILL BE FILED WITH THE STATE OF TEXAS. THE COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST. PART I, LINE 7 COSTING METHODOLOGY LINES 7(A) AND (B) COMMUNITY BENEFIT EXPENSE IN COLUMN (C) WERE CALCULATED USING WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES. LINES 7(E), (F), AND (H) COMMUNITY BENEFIT EXPENSES WERE CALCULATED USING A STEP-DOWN ALLOCATION METHOD.
PART II, LINE 9	COMMUNITY BUILDING ACTIVITIES TSRHC ENGAGES IN COMMUNITY BUILDING ACTIVITIES SUCH AS THERAPEUTIC RECREATION OUTREACH PROGRAMS, WHICH HELP CONNECT PATIENTS TO RESOURCES IN THE COMMUNITY AND PROMOTE HEALTH. FOR EXAMPLE, THE HOSPITAL PROVIDES SPORTS AND RECREATION CAMPS SUCH AS LEARN TO GOLF, A PROGRAM THAT PROVIDES THE TOOLS AND INSTRUCTION NEEDED FOR YOUNG PATIENTS TO EXPERIENCE THE REHABILITATIVE BENEFITS OF THE GAME OF GOLF; SUMMER ALL-STARS, WHICH EMPHASIZES FUN, FITNESS, HEALTHY COMPETITION AND TEAM SPIRIT THROUGH INCLUSIVE SPORTS AND ACTIVITIES, SUCH AS BASKETBALL, GOLF AND TENNIS; AND CHANCE TO DANCE, A PROGRAM DESIGNED TO INTRODUCE HOSPITAL PATIENTS TO VARIOUS TYPES OF DANCE, INCLUDING MODERN, JAZZ, SALSA AND BALLET. EIGHT SPECIALTY CAMPS ARE AVAILABLE FOR CHILDREN UP TO THE AGE OF 17, INCLUDING CAMPS FOR PATIENTS WITH TUBEROUS SCLEROSIS COMPLEX, UPPER LIMB DIFFERENCES, SPINA BIFIDA, JUVENILE ARTHRITIS AND HAND DIFFERENCES. THESE PROGRAMS ARE DESIGNED TO EMPOWER PARTICIPANTS IN THEIR DAILY LIVES AND HAVE A POSITIVE, ENDURING EFFECT ON SELF-ESTEEM. THE HOSPITAL ALSO HOSTS VARIOUS PEER AND PARENT SUPPORT GROUPS FOR THE COMMUNITY, SUCH AS PALS (PROSTHETICS AND LIMB SUPPORT), ETC. THE HOSPITAL HOSTS VARIOUS ANNUAL EVENTS FOCUSED ON COMMUNITY DEVELOPMENT. THESE INCLUDE FARM & RANCH DAY, BIKE RODEO AND CHILD SAFETY DAY, WHICH ARE HELD AT NO CHARGE TO PARTICIPANTS. THESE EVENTS ARE FOCUSED ON EDUCATION AND PREVENTION. TSRHC REGULARLY ENGAGES WITH THE COMMUNITY, EDUCATING YOUNG ATHLETES, PARENTS, COACHES AND SCHOOL DISTRICTS ABOUT SPORTS SAFETY, INJURY PREVENTION AND CONCUSSION MANAGEMENT AT HEALTH FAIRS AND COACHING CLINICS. THE HOSPITAL CONNECTS WITH THE COMMUNITY THROUGH THEIR T. BOONE PICKENS TRAINING AND CONFERENCE CENTER BY HOSTING MANY EVENTS TO EDUCATE AND INFORM COMMUNITY MEMBERS ON VARIOUS MEDICAL AND NON-MEDICAL TOPICS. THROUGH THE CONFERENCE CENTER, WE HOSTED MORE THAN 1,448 MEETINGS BY EXTERNAL GROUPS IN FISCAL YEAR 2020. THIS INCLUDES MEETINGS REGARDING CHILD HEALTH CARE ORGANIZED BY THE DALLAS-FORT WORTH HOSPITAL COUNCIL, ADVANCED MEDICAL TRAINING FOR NURSES AND PHYSICIANS IN CONJUNCTION WITH UT SOUTHWESTERN MEDICAL CENTER AND GATHERINGS OF PATIENT/FAMILY SUPPORT GROUPS FOR THOSE UNDERGOING TREATMENT FOR A CONDITION TREATED AT THE HOSPITAL.
PART III, SECTION A, LINE 2	METHODOLOGY TO DETERMINE BAD DEBT BAD DEBT EXPENSE IS COMPRISED OF ACTUAL UNCOLLECTIBLE AMOUNTS PLUS AN ALLOWANCE BASED ON HISTORICAL DATA. DISCOUNTS ARE NOT INCLUDED IN BAD DEBT.
PART III, SECTION A, LINE 3	BAD DEBT EXCLUSION OF FINANCIAL ASSISTANCE BAD DEBT EXPENSE DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, SECTION A, LINE 4	THE HOSPITAL MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE HOSPITAL ASSESSES THE REASONABLENESS OF THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS, CASH COLLECTIONS, THE AGING OF THE ACCOUNTS AND OTHER ECONOMIC FACTORS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS ARE UNSUCCESSFUL. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019, WAS APPROXIMATELY $288,616 AND $365,539, RESPECTIVELY.
PART III, SECTION B, LINE 8	MEDICARE ALLOWABLE COSTS THE ESTIMATED COSTS OF PROVIDING CHARITY CARE SERVICES TO MEDICARE PATIENTS ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES AS DETERMINED ON PART I, WORKSHEET 2. THE RATIO OF COSTS TO CHARGES IS CALCULATED BASED ON TOTAL EXPENSES DIVIDED BY GROSS PATIENT SERVICES REVENUE.
PART III, SECTION C, LINE 9B	COLLECTION PRACTICES A PATIENT'S ACCOUNT WILL BE REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY AND THE APPROPRIATE APPLICATION OF ANY APPLICABLE THIRD-PARTY PAYMENT, AND/OR DISCOUNTS BEFORE INITIATING A STATEMENT TO THE PATIENT. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE PATIENT SHALL BE NOTIFIED OF THE AMOUNT QUALIFYING UNDER THE POLICY, AND NO FURTHER BILLING ACTIONS SHALL BE TAKEN FOR AMOUNTS QUALIFYING UNDER THE POLICY. AFTER A PATIENT'S ACCOUNT BALANCE IS REDUCED BY ANY DISCOUNTS AVAILABLE UNDER THIS POLICY, THE PATIENT WILL BE RESPONSIBLE FOR THE REMAINDER OF HIS OR HER OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL SEND THREE POST-DISCHARGE BILLING STATEMENTS OVER A 120-DAY PERIOD.
NEEDS ASSESSMENT	PART VI, LINE 2 IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, THE HOSPITAL IS AN ACTIVE PARTICIPANT IN VARIOUS DALLAS-FORT WORTH HOSPITAL COUNCIL ACTION GROUPS. A MEMBER OF THE HOSPITAL LEADERSHIP TEAM CHAIRS THE HEALTHCARE COLLABORATIVE WITH THE COUNCIL. THROUGH THE COLLABORATIVE, THE OTHER MAJOR HOSPITAL REPRESENTATIVES WITHIN THE COMMUNITY COME TOGETHER TO GATHER AND ANALYZE DATA, RESOURCES, DISPARITIES AND ACCESS NEEDS, WHILE STRATEGIZING SOLUTIONS FOR CLOSING IDENTIFIED GAPS. IN RECENT YEARS, UNDERTAKINGS OF THIS COLLABORATIVE HAVE INCLUDED A HEALTH NEEDS ASSESSMENT RELATED TO MENTAL HEALTH ACCESS AND SUBSTANCE ABUSE, AS WELL AS THE CREATION, OPTIMIZATION AND MAINTENANCE OF A SEARCHABLE MENTAL HEALTH RESOURCE GUIDE AVAILABLE THROUGH A PUBLIC WEBSITE. THROUGH ADDITIONAL SUBGROUPS, OTHER HEALTH NEEDS ASSESSMENTS AND ACTION PLANS HAVE BEEN CREATED TO ADDRESS MENTAL HEALTH FIRST AID TRAINING, OBESITY AND HEALTH LITERACY. THE HOSPITAL MAINTAINS REPRESENTATION AND CONTRIBUTIONS ON THE MENTAL HEALTH AND HEALTH LITERACY SUBGROUPS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 FAMILIES ARE CONTACTED BY FAMILY SERVICES COUNSELORS PRIOR TO EACH PATIENT'S SCHEDULED SURGICAL PROCEDURES, INPATIENT VISITS, MRI, CT AND ORTHOTICS AND PROSTHETICS TO INFORM THEM ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND TO ASSESS THEIR POTENTIAL QUALIFICATION FOR FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. FAMILIES ARE NOTIFIED UPON CHECK-IN FOR OUTPATIENT APPOINTMENTS THAT FAMILY SERVICES COUNSELORS ARE AVAILABLE TO OFFER THE SAME APPLICATION. THE FACILITY HAS ALSO POSTED SPECIFICS ABOUT AVAILABLE FINANCIAL ASSISTANCE AT REGISTRATION, IN MAJOR WAITING AREAS, PUBLICATION IN THE HOSPITAL MAGAZINE, HOSPITAL WEBSITE AND A SUMMARY PRINTED IN ENGLISH AND SPANISH THAT IS INSERTED INTO EACH FAMILY'S ANNUAL FOLDER. IN ADDITION, EACH POST-DISCHARGE BILLING STATEMENT WILL NOTIFY THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, INCLUDING A PHONE NUMBER FOR INQUIRIES ABOUT FINANCIAL ASSISTANCE AND A WEBSITE WHERE ADDITIONAL INFORMATION CAN BE OBTAINED. INFORMATION REGARDING THIS POLICY AND HOW TO APPLY FOR FINANCIAL ASSISTANCE WILL ALSO BE PROVIDED DURING PHONE CONVERSATIONS WITH PATIENTS REGARDING FINANCIAL CHARGES AND/OR ACCOUNT BALANCES.
COMMUNITY INFORMATION	PART VI, LINE 4 THE COMMUNITY SERVED BY TSRHC CAN BEST BE DEFINED BY UNDERSTANDING ITS PATIENT POPULATION AND CLINICAL FOCUS. THE HOSPITAL IS A 501(C)(3) PEDIATRIC ORTHOPEDIC HOSPITAL IN DALLAS, TEXAS, AND AN OUTPATIENT DEPARTMENT OF THE HOSPITAL, INCLUDING AN AMBULATORY SURGERY CENTER IN FRISCO, TEXAS, WHICH TREATS PEDIATRIC ORTHOPEDIC CONDITIONS, SPORTS INJURIES, FRACTURES, AS WELL AS CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND DYSLEXIA/LEARNING DISORDERS. TSRHC PROVIDES PREMIER PEDIATRIC ORTHOPEDIC AND DYSLEXIA SERVICES TO PEDIATRIC PATIENTS FOR WHOM THE SERVICES PROVIDED BY THE HOSPITAL OFFER HOPE OF IMPROVEMENT. THOUGH THE HOSPITAL IS DEDICATED TO PROVIDING CARE TO CHILDREN FROM AROUND THE STATE OF TEXAS AND THROUGHOUT THE U.S., THE MAJORITY OF ITS PATIENTS LIVE IN AN 11-COUNTY GEOGRAPHIC AREA LOCATED IN NORTH TEXAS, WHICH ACCOUNTS FOR MORE THAN 80 PERCENT OF THE HOSPITAL'S PATIENTS. DEFINING ITS PRIMARY COMMUNITY WILL ALLOW THE HOSPITAL TO MORE EFFECTIVELY FOCUS ITS RESOURCES TO ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS TARGETING AREAS OF GREATEST NEED AND HEALTH DISPARITIES. ACCORDING TO THE CENSUS BUREAU, THE 2020 ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA WAS 7,935,919 PEOPLE. BASED ON 2020 CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA WAS $64,359. IN 2020, APPROXIMATELY 28.3 PERCENT OF THE PRIMARY SERVICE AREA POPULATION WAS 18 YEARS OR YOUNGER.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 MEDICAL CARE IS PROVIDED TO CHILDREN WITH ORTHOPEDIC AND RELATED CONDITIONS NOT TREATED AT OTHER MEDICAL FACILITIES. MANY PROVIDERS AT TSRHC RECEIVE REFERRALS FROM PHYSICIANS AND CHILDREN'S HOSPITALS IN THE PRIMARY SERVICE AREA BECAUSE THE PATIENT'S CONDITION IS EITHER TOO ACUTE OR IN SOME CASES, SO RARE, THE REFERRING FACILITY DOES NOT HAVE ADEQUATELY TRAINED OR EXPERIENCED STAFF TO PROVIDE THE NECESSARY CARE. THE HOSPITAL HAS A PROCESS TO DETERMINE IF IT IS THE APPROPRIATE FACILITY TO MEET A CHILD'S CLINICAL NEEDS. THE PROCESS BEGINS WITH A TELEPHONE CALL, REQUEST THROUGH THE WEBSITE, REFERRAL FROM A PHYSICIAN OR AN APPLICATION FOR SERVICES. AN INTERNAL MECHANISM IS UTILIZED TO DETERMINE IF TSRHC CAN APPROPRIATELY MEET THE NEEDS OF THE CHILD. WHEN TSRHC IS UNABLE TO PROVIDE SERVICES, TSRHC, AS PART OF ITS CARE COORDINATION SERVICES, IDENTIFIES REFERRAL RESOURCES THAT ARE PROVIDED TO THE FAMILY. IN ADDITION TO GENERAL PEDIATRIC ORTHOPEDIC SERVICES, THE PEDIATRIC ORTHOPEDIC SERVICES FOR WHICH PATIENTS ARE PRIMARILY REFERRED TO THE HOSPITAL INCLUDE SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND OTHER FOOT DISORDERS, REDUCTION DEFICITS (LIMB LENGTHENING), HAND AND UPPER LIMB DIFFERENCES, HIP DISORDERS, SPORTS MEDICINE, FRACTURES, PROGRAMS RELATED TO CONGENITAL LIMB DEFICIENCIES AND AMPUTATIONS, NEUROLOGY, RHEUMATOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES TREATED IN ADDITION OR RELATED TO OTHER ORTHOPEDIC CONDITIONS. RESEARCH: SINCE OPENING ITS DOORS IN 1921, TSRHC HAS STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN AFFECTED BY PEDIATRIC ORTHOPEDIC CONDITIONS AND CERTAIN RELATED NEUROLOGICAL DISORDERS. THE HOSPITAL'S DEDICATED RESEARCH CENTER, THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS FOR EXCELLENCE SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES: SCOLIOSIS AND SPINE; CLUBFOOT AND FOOT DISORDERS; HIP DISORDERS; LIMB LENGTH DISCREPANCIES; HAND DIFFERENCES; AND SPORTS MEDICINE. THROUGH THE YEARS, TSRHC RESEARCHERS AND PHYSICIANS HAVE GENERATED MORE THAN 30 PATENTS AND MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE. THESE FINDINGS AND INNOVATIONS ALLOW THE MEDICAL COMMUNITY TO FORM NEW HYPOTHESES TO EXPLAIN WHAT CAUSES CERTAIN CONDITIONS WHILE PROVIDING TOOLS FOR FUTURE RESEARCH. THE MAJOR DISCOVERIES AND RESEARCH APPLICATIONS AT TSRHC INCLUDE: THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS; TWO MORE GENETIC MARKERS OF THE CONDITION; THE TSRH SILO 5.5 SPINAL SYSTEM; THE TRUE/LOK EXTERNAL FIXATION SYSTEM; AND THE TRUE/LOK HEXAPOD SYSTEM. THE HOSPITAL IS COMMITTED TO TRANSLATING ITS SCIENTIFIC DISCOVERIES INTO IMPROVED CARE AND TREATMENT OUTCOMES FOR CHILDREN WITH MUSCULOSKELETAL CONDITIONS. TO THAT END, THE HOSPITAL HAS LAUNCHED A MULTIDISCIPLINARY CENTER FOR PEDIATRIC BONE BIOLOGY AND TRANSLATIONAL RESEARCH. THE CENTER INCLUDES 3,200 SQUARE FEET OF LABORATORIES AND OFFICES DEDICATED TO BONE-RELATED RESEARCH. IN COLLABORATION WITH UT SOUTHWESTERN MEDICAL CENTER, RESEARCHERS WILL EXPLORE THE ROOT CAUSES OF BONE DISORDERS WITH A "BENCH TO BEDSIDE" TRANSLATIONAL RESEARCH AND TREATMENT APPROACH. IN ADDITION, IT WILL FURTHER EXPAND THE FACILITY'S ROLE AS A TRAINING SITE FOR FELLOWS, VISITING SCIENTISTS AND STUDENTS AND WILL ALSO HOST INTERNATIONAL GATHERINGS DEDICATED TO COLLABORATIVE RESEARCH THAT WILL BENEFIT CHILDREN THROUGHOUT THE COMMUNITY AND AROUND THE WORLD. MEDICAL EDUCATION: FOR 39 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, TSRHC HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. NEARLY 200 PHYSICIANS HAVE BENEFITED FROM THE FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION TO THE FELLOWSHIP PROGRAM, THE HOSPITAL PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, ORTHOPEDICS, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENT DISABILITIES. THE HOSPITAL ALSO HAS VARIOUS AFFILIATION PROGRAMS FOR EDUCATION IN PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PROSTHETICS AND VARIOUS OTHER DISCIPLINES. FAMILY RESOURCE CENTER: THE CHRISTI CARTER URSCHEL FAMILY RESOURCE CENTER'S MISSION IS TO PROVIDE HEALTH INFORMATION AND SUPPORT RESOURCES TO PATIENTS AND FAMILIES IN ORDER TO HELP THEM MAKE INFORMED HEALTH CARE DECISIONS AND IMPROVE THEIR QUALITY OF LIFE. TSRHC UNDERSTANDS THAT FAMILIES WHOSE CHILDREN ARE DIAGNOSED WITH MEDICAL CONDITIONS HAVE MANY QUESTIONS, AND THE FAMILY RESOURCE CENTER CAN HELP THE TSRHC PATIENTS AND FAMILIES FIND ANSWERS. THE CENTER SERVES AN AVERAGE OF 2,000 FAMILIES ANNUALLY. FAMILY ROOM AND CHAPEL: THE FAMILY ROOM IS PRIMARILY UTILIZED BY PATIENT FAMILIES AS A COMFORTABLE SURGERY WAITING AREA, WHILE THE CHAPEL LOCATED NEXT DOOR PROVIDES A PLACE OF WORSHIP WITH NONDENOMINATIONAL SERVICES EACH SUNDAY. CHILD LIFE SERVICES: CHILD LIFE SPECIALISTS FOCUS ON EACH PATIENT AND THEIR FAMILY'S SPECIFIC NEEDS BY PROMOTING OPTIMAL PSYCHOSOCIAL DEVELOPMENT AND EDUCATIONAL NEEDS OF CHILDREN AND TEENAGERS TO HELP REDUCE FEAR AND PROMOTE COPING DURING THEIR VISIT. THEY PROVIDE SERVICES SUCH AS PREPARATION AND SUPPORT FOR MEDICAL PROCEDURES, EDUCATION ABOUT DIAGNOSIS, COPING TECHNIQUES TO USE DURING MEDICAL EXPERIENCES, ENGAGEMENT IN MEDICAL PLAY, OUTLETS FOR SELF-EXPRESSION AND SUPPORT FOR BROTHERS AND SISTERS. FAMILY SERVICES DEPARTMENT: THE FAMILY SERVICES DEPARTMENT SERVES AS A SUPPORT CENTER FOR PATIENTS AND THEIR FAMILIES WHILE THEY ARE RECEIVING TREATMENT AT TSRHC. FAMILY SERVICES INCLUDES THESE AREAS: MEDICAL SOCIAL WORK FOR RESOURCES AND REFERRALS, FINANCIAL ASSISTANCE PROGRAMS AND FAMILY SERVICES COUNSELING, LANGUAGE INTERPRETATION AND TRANSLATION SERVICES, AND COORDINATION OF OFF-SITE MEDICAL SERVICES. RESOURCES TO ADDRESS CHILD HEALTH STATUS: SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE FOR THE SERVICES ORDERED BY THE MEDICAL STAFF. PATIENT FAMILIES CHOOSE THEIR VENDOR(S) FROM A LIST OF VENDORS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING SOURCE. THESE SERVICES INCLUDE WEIGHT MANAGEMENT, OUTPATIENT PHYSICAL REHAB, HOME HEALTH SERVICES, DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, TESTING AND SPECIALISTS AND MENTAL HEALTH. TSRHC'S PATIENT EDUCATION IS CREATED AND MAINTAINED BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES AND ANCILLARY SERVICES THROUGHOUT THE ORGANIZATION. THIS ROBUST LIBRARY OF MATERIALS INCLUDES EDUCATION PIECES ON SPECIFIC SURGERIES, CONDITIONS, AND MEDICAL PROCESSES, ALONG WITH MORE GENERAL AND BASIC HEALTH EDUCATION. AVAILABLE IN BOTH ENGLISH AND SPANISH, OVER 700 PIECES OF EDUCATION ARE AVAILABLE FOR STAFF USE TO PROVIDE TO PATIENTS AND FAMILIES. THE MATERIAL IS WRITTEN BY TSRHC STAFF AND MANAGED BY THE PATIENT EDUCATION COMMITTEE, WITH OVERSIGHT BY THE PATIENT EDUCATION ADVISORY BOARD. REFERRAL TO OTHER PROVIDERS: WHEN TSRHC IS UNABLE TO PROVIDE SERVICES, TSRHC IDENTIFIES EXTERNAL RESOURCES THAT ARE AVAILABLE TO THE FAMILY. EXAMPLES OF EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS INCLUDE BUT ARE NOT LIMITED TO: CHILDREN'S HEALTH; UT SOUTHWESTERN MEDICAL CENTER; COOK CHILDREN'S MEDICAL CENTER; MEDICAL CITY CHILDREN'S HOSPITAL; BAYLOR INSTITUTE FOR IMMUNOLOGY RESEARCH; TEXAS CHILD NEUROLOGY; AND ATHENA DIAGNOSTICS. RESOURCES TO ADDRESS COORDINATION OF CARE: RESOURCE DETAILS ARE MAINTAINED BY THE TSRHC SOCIAL WORK TEAM, AND ARE FOUND IN THE RESOURCE DIRECTORY AND ARE FOUND ON THE HOSPITAL'S STAFF INTRANET PAGE. RESOURCES FOUND WITHIN THIS DIRECTORY INCLUDE VENDOR INFORMATION FOR SERVICES SUCH AS DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, CUSTOM EQUIPMENT, HOME NURSING SERVICES, SPECIALTY THERAPIES (EXAMPLES: AQUATIC, EQUESTRIAN THERAPY), NUTRITION SUPPLIES, OUTPATIENT AND INPATIENT BEHAVIORAL HEALTH RESOURCES, SOCIAL SKILLS TRAINING AND PSYCHIATRY. THIS INFORMATION IS SEARCHABLE BY THE SERVICE NEEDED, COUNTIES SERVED AND INSURANCE ACCEPTED. OTHER COORDINATION EFFORTS INCLUDE SOCIAL WORK RESPONSE TO TRANSITION PLANNING, SCHOOL ACCOMMODATIONS, ACCESS TO HEALTH CARE, PSYCHOSOCIAL SUPPORT AND PARENT ADVOCACY. TSRHC TRANSITIONS PATIENTS TO ADULT PROVIDERS AS THEY APPROACH THE AGE OF 18. A GROUP OF TSRHC SOCIAL WORKERS, NURSES, ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION TSRHC PATIENTS TO ENSURE THAT ALL PATIENTS NEEDING ADDITIONAL COORDINATION AS THEY AGE OUT OF SERVICES RECEIVE THE NECESSARY ASSISTANCE. CATEGORIES OF CARE WITH WHICH STAFF HELPS TRANSITION PATIENTS TO ADULT CARE INCLUDE LEGAL AND GUARDIANSHIP, PRIMARY AND SPECIALTY CARE, FUNDING, EDUCATION AND/OR VOCATIONAL PROGRAMS. MEDICAID TRANSPORTATION: SOCIAL WORKERS IN THE TSRHC FAMILY SERVICES DEPARTMENT ARE AVAILABLE TO HELP FAMILIES UNDERSTAND AND NAVIGATE THE PROCESSES FOR MEDICAID TRANSPORTATION ASSISTANCE, LODGING AND MEALS, WHEN ELIGIBLE FOR THESE SERVICES. SOUTHWEST AIRLINES TICKET
STATE FILINGS OF COMMUNITY BENEFIT REPORT	REPORT PART VI, LINE 7 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2020, A COMMUNITY BENEFIT REPORT WAS FILED WITH THE STATE OF TEXAS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt
PEDI-ORTHO HEALTH CORP
2222 Welborn	Dallas	TX	75219	752665759	501(c)(3)	$91,584	MEDICAL CARE AND RESEARCH
DALLAS SAFETY NET SUPPORT CORPORATION
1441 N BECKLEY	Dallas	TX	75203	823131059	501(c)(3)	$1,660,339	DALLAS COUNTY INDIGENT CARE	$0

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART 1, LINE 2 THE GRANT TO PEDI-ORTHO HEALTH CORPORATION, A RELATED MEDICAL ENTITY, IS TO SUPPORT THE SERVICES PROVIDED BY THE CORPORATION. THE HOSPITAL, AS A SOLE MEMBER, MONITORS THE ACTIVITIES OF THE ENTITY WHICH PROVIDES PEDIATRIC PHYSICIAN SERVICES TO LOCAL MEDICAL FACILITIES THAT PROVIDE EMERGENCY CARE FOR CHILDREN. THE ENTITY IS INDEPENDENTLY AUDITED ANNUALLY AND THE HOSPITAL RECEIVES A COPY OF THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL PROVIDES FUNDING TO DALLAS SAFETY NET SUPPORT CORPORATION TO SUPPORT LOCAL HOSPITALS IN THE DALLAS COMMUNITY. THE CORPORATION IS MONITORED BY REVIEW OF THE ANNUAL IRS FORM 990.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT L WALKER
PRESIDENT/CEO	$1,172,479	$0	$0	$0	$124,247	$0	$0	$0	$26,654	$0	$1,323,380	$0	$16,176	$0
MARK G BATEMAN
SR VP, PUBLIC RELATIONS	$387,398	$0	$0		$49,685		$16,800	$0	$24,463	$0	$478,346	$0	$0	$0
MATTHEW S CHANCE
SR VP, OPERATIONS	$369,785	$0	$0		$43,064		$16,800	$0	$39,521	$0	$469,170	$0	$0	$0
LORI L DALTON
SR VP, GENERAL COUNSEL	$494,052	$0			$47,218		$16,800	$0	$36,885	$0	$594,955	$0	$0	$0
WILLIAM R HUSTON
SR VP, CFO (RETIRED 9/2020)	$604,358	$0			$77,566		$16,800	$0	$11,915	$0	$710,639	$0	$0	$0
FREDRIC D RICHMOND
SR VP, CHIEF INVESTMENT OFFICE	$466,852	$0			$45,953		$16,800	$0	$34,886	$0	$564,491	$0	$0	$0
STEPHANIE K BRIGGER
VP, DEVELOPMENT	$223,303	$0			$28,098		$104,215	$0	$13,282	$0	$368,898	$0	$0	$0
LES A CLONCH JR
VP, CHIEF INFORMATION OFFICER	$429,109	$0			$54,189		$16,800	$0	$37,386	$0	$537,484	$0	$0	$0
ASHLEY C GIVENS
VP, DEVELOPMENT/EVENTS	$137,176	$0			$11,682		$28,451	$0	$35,080	$0	$212,389	$0	$0	$0
ELLEN E HAYNES
VP, MAJOR GIFTS (RES 1/8/2021)	$189,312	$0			$24,094		$11,799	$0	$11,284	$0	$236,489	$0	$0	$0
JEREMY L HOWELL
VP, NORTH CAMPUS	$237,541	$0		$0	$26,916		$15,136	$0	$34,565	$0	$314,158	$0	$0	$0
JENNY J JOHNSON
VP, REVENUE CYCLE	$189,843	$0			$7,357		$11,600	$0	$20,197	$0	$228,997	$0	$0	$0
DONALD K KATZ
VP, FACILITIES/PROCESS DESIGN	$279,262	$0			$56,692		$194,989	$0	$39,109	$0	$570,052	$0	$0	$0
KRISTINA L KEEVER-SMITH
VP, INVESTMENTS	$284,960	$0			$21,175		$84,936	$0	$1,590	$0	$392,661	$0	$0	$0
DEBRA A SAYLES RN
VP & CNO	$369,325	$0			$40,089		$0	$0	$12,490	$0	$421,904	$0	$0	$0
CONNIE B WRIGHT
VP, HR (RES 06/2020)	$298,856	$0		$0	$22,943		$16,800	$0	$22,787	$0	$361,386	$0	$0	$0
JEAN A ALLEN
CONTROLLER (RETIRED 1/2020)	$207,950	$0			$15,380		$10,843	$0	$22,353	$0	$256,526	$0	$0	$0
DANIEL J SUCATO MDMS
CHIEF OF STAFF (SEE SCH J)**	$949,395	$42,500			$87,175		$476,343	$0	$34,886	$0	$1,547,799	$42,500	$0	$0
B STEPHENS RICHARDS MD
CMO (SEE SCH J)**(RET 6/30/21)	$747,656	$0			$216,330		$515,732	$0	$26,463	$0	$1,506,181	$0	$0	$0
LORI A KAROL MD RET 620
ASSIST COS & COQ (SEE SCH J)**	$678,935	$22,000			$196,643		$377,620	$0	$37,131	$0	$1,290,329	$22,000	$0	$0
KARL E RATHJEN MD
ASSIST COS (SEE SCH J)**	$498,632	$36,650			$764,062		$173,828	$0	$12,043	$0	$1,448,565	$36,650	$0	$0
PHILIP L WILSON MD
ASST COS, (SEE SCH J)**	$680,801	$48,800			$59,352		$207,653	$0	$26,963	$0	$974,769	$48,800	$0	$0
MOLLY E DEMPSEY MD
CMIO (SEE SCH J)**	$588,153	$0			$28,494		$244,871	$0	$7,751	$0	$869,269	$0	$0	$0
AMY L MCINTOSH MD
ORTHOPAEDIC SURGEON	$683,349	$37,050			$77,117		$16,800	$0	$34,631	$0	$811,897	$37,050	$0	$0
BRANDON A RAMO MD
ASST CHIEF OF QUALITY	$676,045	$45,050			$66,839		$16,800	$0	$36,886	$0	$796,570	$45,050	$0	$0
ROBERT L WIMBERLY MD
ORTHOPEDIC SURGEON	$680,173	$45,450			$57,560		$16,800	$0	$15,927	$0	$770,460	$45,450	$0	$0
HENRY B ELLIS MD
ORTHOPEDIC SURGEON	$674,866	$39,350			$57,477		$16,800	$0	$36,386	$0	$785,529	$39,350	$0	$0
COREY S GILL MD
ORTHOPEDIC SURGEON	$704,694	$49,102			$56,806		$16,800	$0	$12,245	$0	$790,545	$49,102	$0	$0
DAVID A PODESZWA MD
ORTHOPEDIC SURGEON	$652,457	$43,804			$58,089		$190,296	$0	$35,763	$0	$936,605	$43,804	$0	$0
JC MONTGOMERY JR
President Emeritus (RET. 6/18)	$0	$0			$167,917		$0	$0	$0	$0	$167,917	$0	$0	$0
JOHN A HERRING MD
COS EMERITUS (RETIRED 8/31/20)	$519,907	$0			$42,298		$0	$0	$24,233	$0	$586,438	$0	$0	$0
CHARLES E JOHNSTON MD
ASST COS EMERITUS(RET 4/16/21)	$598,375	$0			$128,474		$0	$0	$24,463	$0	$751,312	$0	$52,163	$0
LAWSON A COPLEY MD
FORMER CMIO (SEE SCH J**)	$27,600	$679,206				$718,958	$0	$270,397	$0	$34,886	$27,600	$1,703,447	$0	$0
JOHN G BIRCH MDRET 1214
FORMER ORTHOPEDIC SURGEON	$0	$0			$342,390		$0	$0	$0	$0	$342,390	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VII & SCHEDULE J FOOTNOTE	*PREVIOUSLY VESTED IN NON-QUALIFIED PENSION PLAN AND ACCRUED ADDITIONAL TAXABLE BENEFITS IN CALENDAR 2019.
SCHEDULE J, PART I, LINE 1A	TRAVEL FOR COMPANIONS (INCLUDED ON SCH J, PART II, COL B (III) & W-2, BOX 5) HENRY ELLIS $645 J. ANTHONY HERRING $325 CHARLES JOHNSTON $800 LORI KAROL $747 B. STEPHEN RICHARDS $800 DANIEL SUCATO $800
**SCHEDULE J, PART I, LINE 4B	THE RESTORATION OF RETIREMENT INCOME PLAN (RRIP) IS A NON-QUALIFIED PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC) AND A RELATED ENTITY, WHOSE BENEFITS UNDER THE TAX-QUALIFIED RETIREMENT PLAN HAVE BEEN LIMITED BY THE MAXIMUM BENEFIT AND MAXIMUM COMPENSATION LIMITATIONS IMPOSED UNDER THE TAX-QUALIFIED RETIREMENT PLAN IN ORDER TO COMPLY WITH THE INTERNAL REVENUE CODE. THE TOTAL ACCUMULATED BENEFIT THAT HAS ACCRUED FOR A PARTICIPANT UNDER THE RRIP NORMALLY BECOMES VESTED AND TAXABLE TO A PARTICIPANT WHEN HE OR SHE EITHER HAS ATTAINED AGE 55 AND COMPLETED 15 YEARS OF SERVICE OR ATTAINS AGE 65. THE BENEFIT ACCRUALS FOR A PARTICIPANT AFTER THE DATE OF INITIAL VESTING ARE TAXABLE TO THE PARTICIPANT WHEN AND AS ACCRUED. RRIP BENEFITS BECOME PAYABLE AFTER TERMINATION OF EMPLOYMENT. UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES ARE NON-VESTED PARTICIPANTS WHO ARE ACCRUING AN ANNUAL BENEFIT IN 2019 (INCLUDED ON SCH J, PART II, COL C) MOLLY DEMPSEY $157,951 PHILIP WILSON $140,545 DANIEL SUCATO $394,612 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2019, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) LORI KAROL $133,968 B. STEPHEN RICHARDS $146,450 ***UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES VESTED IN THIS PLAN IN CALENDAR YEAR 2019 AND THEIR CUMULATIVE ACCRUED BENEFITS SINCE INCEPTION, AS REFERENCED BELOW, ARE SUBJECT TO TAXATION(INCLUDED ON SCHEDULE J, PART II, COLULMN B(III) AND W-2, BOX 5): KARL RATHJEN $730,251 DON KATZ $ 24,238 LAWSON COPLEY $679,398 (EMPLOYED BY RELATED ENTITY) UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE RETIRED AND RECEIVED PAYMENTS FROM THE PLAN WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNT. (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) JOHN BIRCH $77,411 J.C. MONTGOMERY, JR $121,889 THE MANAGEMENT BENEFIT PLAN IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN ELIBIGLE EMPLOYEES WHO BECAME PARTICIPANTS PRIOR TO 1988. MONTHLY RETIREMENT INCOME BENEFITS BECOME PAYABLE UNDER THE PLAN COMMENCING AT AGE 65 (OR EARLIER DISABILITY), AND ARE TAXABLE TO PARTICIPANTS WHEN AND AS PAID. UNDER THE TERMS OF THE MANAGEMENT BENEFIT PLAN, THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS IN 2019. (INCLUDED ON SCH J, PART II, COL F AND W-2, BOX 1 AND 5) ROBERT WALKER $32,352 JOHN BIRCH $85,416 CHARLES JOHNSTON $100,848 THE FLEXIBLE BENEFITS PLAN IS A NON-QUALIFIED PLAN PROVIDING LIFE INSURANCE, DISABILITY INSURANCE, LONG-TERM CARE INSURANCE AND/OR RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN TSRHC) AND A RELATED ENTITY, AT THEIR ELECTION. THE INSURANCE PREMIUM AND RETIREMENT ACCOUNT CONTRIBUTION AMOUNTS ALLOCATED TO A PARTICIPANT UNDER THIS PLAN FOR EACH YEAR ARE TAXABLE TO THE PARTICIPANT FOR SUCH YEAR. THE EARNINGS ON RETIREMENT ACCOUNT CONTRIBUTIONS BECOME TAXABLE TO A PARTICIPANT WHEN PAID OR MADE AVAILABLE TO THE PARTICIPANT. UNDER THE TERMS OF THE FLEXIBLE BENEFITS PLAN, THE FOLLOWING EMPLOYEES WERE TAXED ON THE FOLLOWING AMOUNTS FOR CALENDAR YEAR 2019. (INCLUDED IN SCH J, PART II, COL 8 (III), AND W-2, BOX 5) JEAN ALLEN $9,585 MARK BATEMAN $17,520 STEPHANIE BRIGGER $10,125 MATT CHANCE $16,200 LESLIE CLONCH $19,620 LORI DALTON $22,500 MOLLY DEMPSEY, M.D. $26,544 HENRY ELLIS, M.D. $29,096 COREY GILL, M.D. $29,070 ELLEN HAYNES $8,610 J. ANTHONY HERRING, M.D. $23,625 JEREMY HOWELL $10,980 WILLIAM HUSTON $27,000 CHARLES JOHNSTON, M.D $27,145 LORI KAROL, M.D. $29,282 DONALD KATZ $12,960 KRIS KEEVER-SMITH $12,735 AMY MCINTOSH, M.D. $29,096 DAVID PODESZWA, M.D. $28,250 BRANDON RAMO, M.D. $29,096 KARL RATHJEN, M.D. $22,090 ANTHONY RICCIO, M.D. $29,096 B STEPHENS RICHARDS, M.D. $33,056 FREDRIC RICHMOND $21,195 DEBRA SAYLES $16,605 CHRIS STUTZ, M.D. $28,071 DANIEL SUCATO, M.D. $40,518 ROBERT WALKER $52,470 PHILIP WILSON, M.D. $29,282 ROBERT WIMBERLY, M.D. $29,096 CONNIE WRIGHT $13,500 LAWSON COPLEY $28,250 (EMPLOYED BY RELATED ENTITY)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF PARKER TX CULTURAL EDUCATION FACILITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	270365113	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2010-12-30	BondIssuedDt
Issue Price	$23,000,000	IssuePriceAmt
Purpose	CONSTRUCT & EQUIP POWER PLANT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$23,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$2,912,366	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$111,125	IssuanceCostsFromProceedsAmt
Credit Enhancement	-$1,497,601	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$22,735,606	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2012	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Term Of Hedge	10.	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2B:	FormAndLineReferenceDesc
Explanation	Arbitrage - Exception to rebate Construction fund exempt from rebate based on two year spend down rules.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$2,831,120	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MINERAL INTERESTS	Desc
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$8	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, LINE 32A	FormAndLineReferenceDesc
Explanation	SOLICITATION, PROCESSING, OR NONCASH CONTRIBUTIONS TSRHC USES THIRD PARTY BROKERS TO SELL DONATED SECURITIES AND OTHER THIRD PARTY SPECIALISTS TO SELL OTHER NON-CASH DONATIONS OF VEHICLES, REAL ESTATE AND OTHER ASSETS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FAMILY OR BUSINESS RELATIONSHIPS	FORM 990, BOX C TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN PROGRAM SERVICES - PATIENT CARE (CONT.) FORM 990, PART III, LINE 4A THE NEUROLOGY PROGRAM PROVIDES CARE IN SPECIALIZED CLINICS FOR ORTHOPEDIC PATIENTS WHO HAVE RELATED NEUROLOGICAL DISORDERS AND NEUROMUSCULAR DISEASES SUCH AS TUBEROUS SCLEROSIS. THE PEDIATRIC DEVELOPMENTAL DISABILITIES PROGRAM INCLUDES OUTPATIENT CLINIC VISITS FOR THE DIAGNOSIS AND TREATMENT OF CONDITIONS SUCH AS SPINA BIFIDA AND CEREBRAL PALSY. ALL PROGRAMS, INCLUDING ORTHOPEDIC, NEUROLOGY AND LEARNING DISORDERS, TAKES AN INTERDISCIPLINARY APPROACH TO PROVIDING THE BEST POSSIBLE FAMILY-CENTERED CARE. Program Services - Research (Cont.) FORM 990, PART III, LINE 4B HOSPITAL RESEARCHERS HAVE STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN, WHICH HAVE GENERATED MORE THAN 25 PATENTS. THEY HAVE MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE, INCLUDING DISCOVERING THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS AND TWO MORE GENETIC MARKERS OF THE CONDITION. THROUGH RESEARCH, NEW DEVICES AND TREATMENT SYSTEMS HAVE BEEN CREATED, INCLUDING THE TSRH SILO 5.5 SPINAL SYSTEM, THE TRUE/LOK EXTERNAL FIXATION SYSTEM AND THE TRUE/LOK HEXAPOD SYSTEM. Program Services - Education (Cont.) FORM 990, PART III, LINE 4C FOR 39 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, THE HOSPITAL HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. MORE THAN 180 PHYSICIANS HAVE BENEFITED FROM THE HOSPITAL'S FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, WITH MANY GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION, PHYSICIANS FROM SOME OF THE MAJOR HAND CENTERS HAVE TRAINED AT THE HOSPITAL IN THE SUB-SPECIALTY OF PEDIATRIC HAND SURGERY. THE HOSPITAL ALSO PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES. AFFILIATION PROGRAMS IN NURSING, PHYSICAL THERAPY, PROSTHETICS AND OTHER DISCIPLINES ALSO EXIST. FAMILY AND BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2: LYNDON L. OLSON AND RON CARTER HAVE A BUSINESS RELATIONSHIP. J. A. ANTHONY HERRING, MD, JOHN G. BIRCH, MD, CHARLES E. JOHNSTON, MD, LORI A. KAROL, MD, B. STEPHENS RICHARDS, MD, KARL E. RATHJEN, MD, PHILIP L. WILSON, MD, LAWSON A.B. COPLEY, MD, AMY MCINTOSH, MD, BRANDON RAMO, MD, DANIEL J. SUCATO, MD, DAVID PODESZWA, MH, AND COREY GILL, MD, HAVE A BUSINESS RELATIONSHIP WITH ROBERT WALKER, WILLIAM HUSTON AND LORI DALTON IN THAT THE PHYSICIANS ARE DIRECTORS OF PEDI-ORTHO HEALTH CORPORATION, AN ENTITY FOR WHICH TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS THE SOLE MEMBER, IN WHICH THE LATTER INDIVIDUALS SERVE AS OFFICERS. LORI DALTON AND KRISTINA KEEVER-SMITH HAVE A BUSINESS RELATIONSHIP IN THAT THEY ARE EMPLOYED BY TEXAS SCOTTISH HOSPITAL FOR CHILDREN AND ALSO SERVE AS OFFICERS OF LEGACY SCHOLARSHIP FUND, A RELATED ENTITY. ROBERT L. WALKER, LORI DALTON, WILLIAM HUSTON AND KARL RATHJEN HAVE A BUSINESS RELATIONSHIP IN THAT THEY ARE EMPLOYED BY TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN AND ALSO SERVE AS OFFICERS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FOUNDATION, AN ENTITY FOR WHICH TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS THE SOLE MEMBER.
Process used to review the Form 990	Form 990, Part VI , Section B, Line 11b: THE FORM 990 IS PREPARED INTERNALLY IN CONJUNCTION WITH OUTSIDE ACCOUNTANTS AND THEN REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. THE FORM 990 IS PROVIDED TO THE BOARD THROUGH ACCESS TO A SECURE PORTAL FOR REVIEW BEFORE IT IS FILED.
Monitoring and enforcement of compliance with conflict of interest policy	Form 990, Part VI, Section B, Line 12c: THE ORGANIZATION ANNUALLY REQUIRES OFFICERS, KEY EMPLOYEES AND TRUSTEES TO COMPLETE A CONFLICTS OF INTEREST FORM DISCLOSING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY. ADDITIONALLY, THESE INDIVIDUALS ARE TO REPORT ANY NEW MATTERS THAT ARISE DURING THE YEAR IF THEY BECOME AWARE OF A TRANSACTION THAT IS UNDER CONSIDERATION THAT PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANNUALLY THE GENERAL COUNSEL PREPARES AND SUBMITS A SUMMARY OF THE DISCLOSED POTENTIAL CONFLICTS TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. ADDITIONALLY, AT THE TIME A KEY STAFF MEMBER IS HIRED OR PROMOTED TO A POSITION WITH ADMINISTRATIVE OR MANAGEMENT RESPONSIBILITIES, THE ORGANIZATION PROVIDES THE INDIVIDUAL WITH A COPY OF THE CONFLICTS OF INTEREST POLICY AND THE INDIVIDUAL IS REQUIRED TO COMPLETE A CONFLICTS OF INTEREST DISCLOSURE FORM. ALL MATERIAL FACTS SURROUNDING CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS INVOLVING A CONFLICT OF INTEREST ARE TO BE DISCLOSED TO ENSURE THAT THE CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR TO THE HOSPITAL AT THE TIME IT IS AUTHORIZED, APPROVED, OR RATIFIED.
Process for determining compensation	Form 990, Part VI, Section B, Line 15a and 15b: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY REVIEWS AND APPROVES SALARIES AND BENEFITS FOR OFFICERS, MEMBERS OF THE MEDICAL STAFF AND KEY EMPLOYEES OF THE ORGANIZATION. THE HOSPITAL REVIEWS VARIOUS EXECUTIVE/PHYSICIAN COMPENSATION SURVEYS, INCLUDING DATA FROM PEDIATRIC HOSPITALS AND PHYSICIAN PRACTICES ON BOTH A LOCAL AND NATIONAL BASIS. BI-ANNUALLY, AN INDEPENDENT CONSULTANT REVIEWS SALARIES AND BENEFITS OF OFFICERS, PHYSICIANS AND KEY EMPLOYEES. THIS REVIEW WAS LAST UNDERTAKEN IN FISCAL YEAR 2020 FOR OFFICERS AND MEDICAL STAFF.
Process for making documents available to the public	Form 990, Part VI, Section C, Line 19: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE HOSPITAL AND ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. JOHN BIRCH, MD RETIREMENT FORM 990, PART VII John Birch, M.D. retired from Texas Scottish Rite Hospital for Children (TSRHC), the sole member of the Organization, on December 31, 2014. In addition to receiving retirement benefits from TSRHC, he also receives ongoing royalty payments, which for the year 2019, totaled $179,562.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT $ (66,556,629) CHANGE IN BENEFICIAL INTEREST IN TRUSTS $ 1,876,176 TOTAL $ (64,680,453)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PEDI-ORTHO HEALTH CORPORATION
2222 Welborn	Dallas	TX	75219	752665759	PHYSICIANS	TX	501(c)(3)	10	TSRH	Yes (true)
TSRHC SCHOLARSHIP FD (DBA LEGACY SCHLRP)
2222 Welborn	Dallas	TX	75219	752106637	SCHOLARSHIPS	TX	501(c)(3)	7	NA	false
TEXAS SCOTTISH RITE HOSPITAL TRUST
C/O JPMORGAN CHASE POB 3038	MILWAUKEE	WI	53201	756013875	SUPPORT ORG	WI	501(c)(3)	12D, III-O	NA	false
TSRH FOR CHILDREN FOUNDATION
2222 Welborn	Dallas	TX	75219	460683787	SUPPORT ORG	TX	501(c)(3)	7	TSRH	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PEDI-ORTHO HEALTH CORPORATION
b	$91,584	MARKET
PEDI-ORTHO HEALTH CORPORATION
l	$849,041	MARKET
PEDI-ORTHO HEALTH CORPORATION
m	$58,966	MARKET
PEDI-ORTHO HEALTH CORPORATION
p	$277,131	MARKET
PEDI-ORTHO HEALTH CORPORATION
q	$1,369,662	MARKET
PEDI-ORTHO HEALTH CORPORATION
r	$200,000	MARKET
PEDI-ORTHO HEALTH CORPORATION
s	$200,000	MARKET
TSRH FOR CHILDREN FOUNDATION
c	$57,200	MARKET