2019-11-15T08:01:59-06:00 2018-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2018-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Jeremiah Radandt EVP Finance & CFO 2019-11-15 true Rachel Spurlock P00520729 2147775200 2018 2020-04-17 16:48:07Z Children's Health Christopher J Durovich 1935 Medical District Drive Dallas TX 75235 118277782 false X N/A X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS. 14 13 8667 13 0 0 8860373 10298700 60211305 107928981 100150 50101 0 0 69171828 118277782 0 0 0 178553471 183312437 0 0 0 -137534669 -126076287 41018802 57236150 28153026 61041632 436709236 681346353 1192375171 1365309737 -755665935 -683963384 TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. false false 23651634 0 107928981 Children's Health System of Texas (CHST) assists in the management of related 501(c)(3) organizations that are part of an integrated pediatric health care system with a mission to make life better for children. CHST supports two full-service hospitals and one specialty hospital as well as an extensive network offering virtual, urgent, primary, specialty care and more to the children of North Texas and beyond. 23651634 true true false false false false false false false true false false true true false false true false false true false false false false false false false false true false false false false false false false false false false false false true true true true false false true X 814 0 true 8667 true true true true CJ false false false false true false false false false false X 14 13 false false true false false false false true true false false true true true true true true true true false X Stephanie K Smith 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich President & CEO 57.0 3.0 X X 3556525 0 200803 Ed Heffernan Chairman 1.0 2.0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Michael Dardick Director 1.0 1.0 X 0 0 0 John Eagle Director 1.0 1.0 X 0 0 0 Lou Grabowsky Director 1.0 0 X 0 0 0 Steven M Gruber Director 1.0 3.0 X 0 0 0 Lee Hobson Director 1.0 0 X 0 0 0 Lee Jackson Director 1.0 0 X 0 0 0 Caren Kline Director 1.0 2.0 X 0 0 0 Charles Matthews Jr Director 1.0 0 X 0 0 0 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Anne Motsenbocker Director 1.0 0 X 0 0 0 Connie O'Neill Director 1.0 1.0 X 0 0 0 Kent Jackman Director (until 1/29/2018) 1.0 0 X 0 0 0 Richard P Goode President Corporate Services & CFO 50.0 5.0 X 1029022 0 418477 Tammie L Sibley SVP Finance 38.0 12.0 X 347144 0 63065 Jeffrey Vawrinek Secretary 46.0 4.0 X 343457 0 0 Pamela Arora SVP Information Svcs & CIO 55.0 0.0 X 814103 0 165529 Kimberly Besse EVP & Chief HR Officer 55.0 0.0 X 628252 0 152542 William M Elvey SVP Facilities and Real Estate 50.0 0 X 438859 0 121429 Julie C Hall-Barrow SVP Network Development and Innovation 50.0 0 X 394418 0 69372 James Herring EVP & Chief of Staff 54.0 1.0 X 848293 0 16500 Keri A Kaiser SVP Marketing Comm Consumer Exp & Chief Exp Officer 50.0 0.0 X 499782 0 129246 Peter C Perialas EVP Chief Strategy Officer 54.0 1.0 X 712037 0 156697 David T Berry Pres. Clin & Scientific Ops (until 5/17/2018) 53.0 2.0 X 855960 0 210627 Brent E Christopher President Foundation (until 5/17/2018) 54.0 1.0 X 784727 0 172776 Matthew M Davis Dallas Market EVP (until 5/17/2018) 1.0 54.0 X 605565 0 134078 Lawrence L Foust EVP CLO & General Counsel (until 2/20/2018) 51.0 4.0 X 1580407 0 43617 Doris E Hunt SVP CHST Insurance Services (until 5/17/2018) 1.0 54.0 X 597546 0 135774 Jerry D Lee VP Accounting and Treasury (until 4/13/2018) 37.0 13.0 X 906965 0 37689 William R Morrow MD Pres Phys Orgs & Acdmc Rel CCO (until 5/17/2018) 42.0 13.0 X 2248262 0 115677 Jeremiah Radandt Northern Market EVP (until 5/17/2018) 55.0 0 X 471811 0 113877 Ray Tsai MD SVP Dallas Market Operations (until 5/17/2018) 1.0 54.0 X 684614 0 155384 Lisa M Frenkel Associate General Counsel 38.0 12.0 X 275033 0 5732 Christopher Menzies VP Chief Med Information Offcr 50.0 0 X 507781 0 90857 Matthew P Moore VP Gvmt Rltns and Public Policy 50.0 0 X 311297 0 74256 Rustin Morse SVP Quality and Safety 55.0 0 X 466891 0 75775 Robert K Robidou VP CMC Hlth Plan 50.0 0 X 678277 0 53945 Michele Chulick Former President CHST Ventures 0.0 0.0 X 548268 0 0 Douglas Duwe Former Officer 50.0 0.0 X 357841 0 69446 Holland K Hassmann Former Officer 0.0 0.0 X 332110 0 71042 Jodi L Landon Former Officer 0.0 0 X 409894 0 84927 Brenda Paulsen Former Officer 50.0 0 X 379149 0 68425 Sue L Schell Former Officer 0.0 0 X 357999 0 77319 Stephanie K Smith Former Corporate Secretary 40.0 0.0 X 162833 0 4591 Claud Kern Wildenthal MD PhD Consultant & Former Officer 55.0 0.0 X 405496 0 0 Mark E Ziemianski Former Officer 50.0 0.0 X 346751 0 79027 23887370 0 3368501 1153 true true false UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Svcs 122382902 MEDLINE INDUSTRIES INC PO BOX 121080 Dallas TX 75312 Medical Products and Services 15394704 Philips Health Care PO Box 100355 Atlanta GA 303840355 Medical Products 12489937 UNIQUE DIGITAL INC 10595 Westoffice Drive Houston TX 77042 Technology Solutions 6492748 BARKLEY INC PO BOX 879948 Kansas City MO 64187 Strategic Consulting Svcs 5409509 253 3121405 7177295 10298700 Health System Service Revenue 622110 107928981 107928981 0 0 0 0 107928981 0 0 50101 0 50101 50101 50101 0 0 0 0 0 118277782 107928981 0 50101 X 18347750 6974959 11372791 131900453 50459936 81440517 5423955 2074992 3348963 18684585 7147989 11536596 8955694 3426097 5529597 3427749 101529 3326220 487588 487588 54155233 32550201 21605032 0 13014343 28974 12985369 8672041 240509 8431532 45574188 9013060 36561128 24036051 2983370 21052681 1058137 190074 868063 2801868 405962 2395906 37305 37305 17345678 7125261 10220417 7699558 150470 7549088 Health System Allocated Shared Services -361015133 -148297865 -212717268 Community Benefit Expense 46542108 46542108 Research 2309078 636042 1673036 Special Events & Projects 2238133 149606 2088527 5539788 1711055 3828733 0 57236150 23651634 33584516 0 180444932 100478576 0 107524374 7742313 43711164 0 0 0 0 1808266 2771586 19061124 11406417 260916499 145377719 93556555 115538780 0 0 134096046 299915456 436709236 681346353 105167382 81107163 0 0 4858545 1087207789 1279344029 1192375171 1365309737 X -755665935 -683963384 -755665935 -683963384 436709236 681346353 X 61041632 10660919 X false true X true false X X 16 Children's Health Clinical Operations 750800628 3 true 336532754 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 2487800 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 2477026 0 Physicians For Children 752854505 3 true 8993376 0 Complex Care Med Svc Corp 461893597 3 true 627455 0 Children's Medical Center Health Plan 462737696 9 true 276016 0 OCH Holdings 474837308 3 true 7825673 0 CHST Physician Group 1 813582843 9 true 0 0 CHST Physician Group 2 813679995 9 true 0 0 CHST Physician Group 3 813691209 9 true 0 0 CHST Physician Group 4 814577909 9 true 0 0 CHST Physician Group 5 814848085 9 true 0 0 CHST Physician Group 6 814865847 9 true 0 0 14 359220100 0 true true false false true false false false false false false false false false false false false Schedule A, Part I, Line 12g(ii) Type of Organization Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Physicians Quality Alliance of North Texas - 509(a)(3) Type I; CHST Physician Group 1 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 2 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 3 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 4 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 5 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 6 - Pending Application for Recognition of Exemption Under Section 501(c)(3) Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) CHST Physician Group 1, CHST Physician Group 2, CHST Physician Group 3, CHST Physician Group 4, CHST Physician Group 5, and CHST Physician Group 6 are new non-profit corporations formed with the State of Texas. At the end of tax year 2018, these organizations did not presently have IRS determination of status. The gross receipts for each organization, each taxable year, are normally no more than $5,000. Internal Revenue Code section 6033(a)(3)(A)(ii) provides a mandatory exception to filing for determination. However, these organizations do comply with Internal Revenue Code section 6033(i)(1) by filing Form 990-EZ each year. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. Children's BMG was dissolved with the State of Texas and its final tax return was filed in 2017. Schedule A, Part IV, Section C, Line 1 Majority director detail The fact that the management of CHST is vested in the same persons that control and manage the supported organizations allows CHST and its supported organizations to function collectively as a health system. CHST provides management and administrative support to the supported organizations and various other services that further the supported organizations' tax-exempt purpose of providing health services to the community. The fact that one or more members of the core leadership team of each of the supported organizations is also a member of the CHST core leadership team assures that CHST is responsive to the needs and demands of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19032825 19032825 11529447 1090310 10439137 3834986 1043969 2791017 203803871 143243440 60560431 22715370 22715370 115538780 Investments in Affiliates 264197170 UTSW Physician Guarantees 2767247 Insurance Recoveries 32951039 299915456 LT Advances - Affiliates 1232539181 UTSW Phys Guarantees 11465093 LT Deferred Rent 1308861 LT Non-Qualified Plan 284000 Reserve for Professional Liab 33746894 1279344029 false Central America and the Caribbean 0 0 Investments 26972100 0 0 0 0 0 0 26972100 0 26972100 false false true false false false X X X X true true X X X X X true true false false false false false true false Christopher J Durovich President & CEO 1132271 0 1262355 0 1161899 0 175306 0 25497 0 3757328 0 0 0 Douglas Duwe Former Officer 240783 0 75351 0 41707 0 60872 0 8575 0 427288 0 0 0 Holland K Hassmann Former Officer 241760 0 56434 0 33917 0 62802 0 8240 0 403152 0 0 0 Jodi L Landon Former Officer 282598 0 89486 0 37809 0 75745 0 9182 0 494821 0 0 0 Brenda Paulsen Former Officer 262727 0 82394 0 34028 0 62729 0 5696 0 447574 0 0 0 Sue L Schell Former Officer 242302 0 81297 0 34400 0 61955 0 15364 0 435318 0 0 0 Stephanie K Smith Former Corporate Secretary 128098 0 14598 0 20137 0 0 0 4591 0 167424 0 0 0 Claud Kern Wildenthal MD PhD Consultant & Former Officer 405496 0 0 0 0 0 0 0 0 0 405496 0 0 0 Mark E Ziemianski Former Officer 239302 0 74434 0 33014 0 62222 0 16805 0 425778 0 0 0 Richard P Goode President Corporate Services & CFO 716612 0 310110 0 2300 0 408147 0 10330 0 1447500 0 0 0 Tammie L Sibley SVP Finance 277938 0 67464 0 1742 0 52448 0 10616 0 410209 0 0 0 Jeffrey Vawrinek Secretary 297660 0 42953 0 2845 0 0 0 0 0 343457 0 0 0 Pamela Arora SVP Information Svcs & CIO 423011 0 334666 0 56426 0 150048 0 15481 0 979632 0 0 0 Kimberly Besse EVP & Chief HR Officer 374135 0 191028 0 63089 0 133677 0 18865 0 780794 0 0 0 William M Elvey SVP Facilities and Real Estate 299983 0 130467 0 8409 0 106279 0 15151 0 560288 0 0 0 Julie C Hall-Barrow SVP Network Development and Innovation 272848 0 112175 0 9396 0 63354 0 6018 0 463790 0 0 0 James Herring EVP & Chief of Staff 490523 0 277884 0 79886 0 16500 0 0 0 864793 0 0 0 Keri A Kaiser SVP Marketing Comm Consumer Exp & Chief Exp Officer 308299 0 160383 0 31100 0 113664 0 15582 0 629028 0 0 0 Peter C Perialas EVP Chief Strategy Officer 434648 0 223604 0 53784 0 144926 0 11771 0 868733 0 0 0 David T Berry Pres. Clin & Scientific Ops (until 5/17/2018) 612490 0 234136 0 9334 0 198944 0 11683 0 1066587 0 0 0 Brent E Christopher President Foundation (until 5/17/2018) 505370 0 265146 0 14212 0 167275 0 5501 0 957503 0 0 0 Matthew M Davis Dallas Market EVP (until 5/17/2018) 384390 0 173016 0 48160 0 126990 0 7087 0 739643 0 0 0 Lawrence L Foust EVP CLO & General Counsel (until 2/20/2018) 77211 0 322689 0 1180507 0 35406 0 8211 0 1624024 0 0 0 Doris E Hunt SVP CHST Insurance Services (until 5/17/2018) 372046 0 175843 0 49657 0 125651 0 10123 0 733320 0 0 0 Jerry D Lee VP Accounting and Treasury (until 4/13/2018) 85821 0 111213 0 709931 0 31756 0 5933 0 944655 0 0 0 William R Morrow MD Pres Phys Orgs & Acdmc Rel CCO (until 5/17/2018) 327078 0 471289 0 1449895 0 110636 0 5041 0 2363939 0 0 0 Jeremiah Radandt Northern Market EVP (until 5/17/2018) 353423 0 116576 0 1812 0 100453 0 13423 0 585688 0 0 0 Ray Tsai MD SVP Dallas Market Operations (until 5/17/2018) 385115 0 240355 0 59144 0 138665 0 16720 0 839998 0 0 0 Michele Chulick Former President CHST Ventures 0 0 548268 0 0 0 0 0 0 0 548268 0 0 0 Lisa M Frenkel Associate General Counsel 228264 0 42092 0 4677 0 0 0 5732 0 280765 0 0 0 Christopher Menzies VP Chief Med Information Offcr 357080 0 112680 0 38021 0 88406 0 2451 0 598638 0 0 0 Matthew P Moore VP Gvmt Rltns and Public Policy 234426 0 75631 0 1240 0 65197 0 9059 0 385552 0 0 0 Rustin Morse SVP Quality and Safety 378420 0 86262 0 2209 0 65445 0 10330 0 542666 0 0 0 Robert K Robidou VP CMC Hlth Plan 193874 0 72790 0 411613 0 47894 0 6050 0 732222 0 0 0 Schedule J, Part I, Line 3 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The Children's Health System of Texas (CHST) process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 1a First-class or charter travel * The Children's Health written policy on business and educational travel prohibits first class travel except when approved in advance by the CEO or by the Board Chair. Schedule J, Part I, Line 1a Travel for companions * Companion travel is prohibited except when it is deemed to further Children's business activities and must be approved in advance by the CEO or Board Chair. There were no employees that received taxable income as a result of companion travel in 2018. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments * Compensation is grossed up in limited circumstances with prior approval of the appropriate board committee. There were no employees that received taxable income as a result of grossed up compensation in 2018. Schedule J, Part I, Line 1a Housing allowance or residence for personal use * In an effort to continue to attract quality leadership, Children's Health provides temporary housing allowances as a taxable benefit to executives and other key employees relocating to Dallas. There were no employees that received taxable nor non-taxable income as a result of housing allowances compensation in 2018. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Payment: *Severance - Robert Robidou - $259,900 *Severance - Lawrence Foust - $793,200 * Severance - Jerry Lee - $475,800 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Non-Qualified Retirement Plan: * Retirement Income Restoration Plan - Christopher J Durovich participated in the Retirement Income Restoration Plan and received $647,485 in taxable income during 2018. * Savings Restoration Plan: Employees who received taxable income from the Savings Restoration Plan include: Christopher J Durovich - $352,127, Jerry Lee - $13,682, William Morrow - $12,299. Additional employees who participated in the Savings Restoration Plan include Pamela Arora, Kimberly Besse, Jeff Vawrinek, Ray Tsai, Jodi Landon. *Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Christopher J Durovich - $141,304, Jerry Lee - $177,633, William Morrow - $503,367, Pamela Arora - $48,412, Peter Perialas - $50,265, Ray Tsai - $55,523, Doris Hunt - $46,197, Kimberly Besse - $57,259, Matthew Davis - $45,160, Keri Kaiser - $28,239, Jodi Landon - $34,719, James Herring - $73,579, Julie Hall-Barrow - $5,857, Rob Robidou - $121,165, Lawrence Foust - $349,857, Brenda Paulsen - $29,971, Sue Schell - $27,556, Douglas Duwe - $33,067, Mark Ziemianski - $29,595, Holland Hassmann - $30,271. Employees who received compensation reported as deferred in column C from the EDCRP include: Christopher J Durovich - $157,922, Pamela Arora - $131,548, David Berry - $187,944, Kimberly Besse - $117,900, Brent Christopher - $156,275, Matthew Davis - $117,443, William Elvey - $95,279, Lawrence Foust - $24,406, Richard Goode - $400,183, Julie Hall-Barrow - $55,773, Doris Hunt - $114,651, Keri Kaiser - $97,164, Jerry Lee - $18,351, William Morrow - $99,636, Peter Perialas - $133,926, Jeremiah Radandt - $91,129, Tammie Sibley - $41,448, Ray Tsai - $120,550, Christopher Menzies - $71,906, Matthew Moore - $48,697, Rustin Morse - $58,500, Robert Robidou - $37,985, Douglas Duwe - $49,872, Holland Hassmann - $50,000, Jodi Landon - $58,356, Brenda Paulsen - $53,685, Sue Schell - $51,935, Mark Ziemianski - $51,222. Schedule J, Part I, Line 7 Non-fixed payments Non-Fixed Payments - The Human Resources Committee of the Board of Directors of Children's Health System of Texas retains the authority to adjust annual payout percentages solely at their discretion. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 4 Significant changes to organizational documents CHST - Bylaws amended 9/13/18 * The Bylaws were amended to reflect a change in the Board's ex-officio membership. * Amendments to Article 5 of the Bylaws relating to the authority of the Board of Directors and the President and CEO to elect certain officers of the corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 is made available to the directors through our Board portal before it is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy * Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Children's Health System of Texas (CHST) process for determining compensation for the top management position is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for the top management official. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Children's Health System of Texas (CHST) process for determining compensation for officers and executives is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for officers and executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part IX, Line 24a Other expenses - HEALTH SYSTEM ALLOCATED SHARED SERVICES Beginning with the 2016 Form 990, Children's Health System of Texas is presenting expenses in full, as incurred, on lines 1-24e prior to the reduction for those expenses incurred on behalf of wholly-owned organizations . This reduction for the allocation of shared services expenses to wholly-owned organizations is presented on Part IX, line 24a. In prior years, the reduction of allocated shared services expenses was included within each individual functional expense category on Line 1-24e, respectively. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 17656525, Program Service Expense: 1527932, Management and General Expenses: 16128593, Fundraising Expenses: ; Contract Medical - Total Expense: 36490275, Program Service Expense: 31021802, Management and General Expenses: 5468473, Fundraising Expenses: ; Other Contract Services - Total Expense: 8433, Program Service Expense: 467, Management and General Expenses: 7966, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Non controlling interest in Joint Ventures - -273707; Other changes in net assets or fund balances - -112844; Company Terminations - 9116970; Paid-In Capital - Joint Ventures - 1930500; CHST HOLDINGS 1 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472374583 HEALTH CARE RELATED INVESTMENTS TX 0 5909451 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 2 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472819566 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 3 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472845243 HEALTH CARE RELATED INVESTMENTS TX 0 17213883 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 4 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472851889 HEALTH CARE RELATED INVESTMENTS TX 0 2052000 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472874792 HEALTH CARE RELATED INVESTMENTS TX 0 25113326 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 6 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811003744 HEALTH CARE RELATED INVESTMENTS TX 548966 547400 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 7 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811010503 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Center Southlake LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475207507 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Centers LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475215454 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS MODH LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472459932 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Mend Medical Management LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 473938514 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Associates LLC 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75236 474371967 HEALTH CARE RELATED INVESTMENTS TX -433098 5560759 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Partners LLC 1937 MEDICAL DISTRICT DRIVE DALLAS TX 75237 472104673 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Imaging Center LLC 1938 MEDICAL DISTRICT DRIVE DALLAS TX 75238 384043597 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Legacy Trail Surgery Center LLC 1939 MEDICAL 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