2018-11-13T11:05:00-06:00 2017-12-31 990 2017-01-01 463104601 CHILDREN'S POPULATION HEALTH CHIL 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Tammie Sibley CHST SVP, Finance 2018-11-13 2017 2019-02-21 02:37:17Z X PETER Perialas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 20026777 false X N/A X 2013 TX TO IMPROVE THE HEALTH OF CHILDREN ACROSS THE CONTINUUM OF CARE. X 3 0 80 0 0 118061 131748 20672881 19895029 0 0 20790942 20026777 0 0 15399300 6947495 0 0 22598051 17414716 37997351 24362211 -17206409 -4335434 26285038 0 69420544 0 -43135506 0 CHILDREN'S POPULATION HEALTH STRIVES TO IMPROVE THE HEALTH OF CHILDREN ACROSS THE CONTINUUM OF CARE. false false 16374261 19895029 CHILDREN'S POPULATION HEALTH STRIVES TO IMPROVE THE HEALTH OF CHILDREN ACROSS THE CONTINUUM OF CARE. 16374261 true true false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false true false false true false false false true 34 0 true 80 true false false false false false false true false false false X 3 0 false false false false true true true true true false false false true true true true true false false false X Stephanie K Smith 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Peter Perialas SVP Population Health and COO, CPH & SVP Strategy and Innovation, CHST 1.0 54.0 X X 0 621380 21713 Doris Hunt Director, CPH & SVP CHST Insurance Services, CHST 1.0 54.0 X 0 609822 20694 Amy McGinnis Director, CPH & VP Clinical Integration, CHST 1.0 49.0 X 0 266192 8203 Peter Roberts (term 33117) President, CPH & Pres Pop Hlth Insurance Svcs, CHST 53.0 2.0 X 0 1325750 19580 Stephanie Smith Secretary, CPH & Sr Legal Counsel, CHST 1.0 49.0 X 0 140567 11005 Patricia Winning (term 10617) Former Officer, CPH & SVP Business Development, CHST 0.0 55.0 X 0 1846503 3789 Jodi Landon Former Officer, CPH & VP Managed Care, CHST 0.0 50.0 X 0 368852 25020 0 5179065 110004 0 true true false Ellora Labs 810 RIVERLAWN DRIVE Round Rock TX 78681 Professional Services 1096998 COPE HEALTH SOLUTIONS 315 W 9TH ST 1001 LOS ANGELES CA 90015 Professional Services 240306 YMCA OF METROPOLITAN DALLAS 4144 N CENTRAL EXPY STE 580 Dallas TX 75204 Wellness Solutions and Support 219152 3 131748 131748 Professional Service Revenue 621110 19895029 19895029 0 0 0 0 19895029 0 0 0 0 0 0 0 0 0 20026777 19895029 0 0 5450889 3744924 1705965 305256 209720 95536 781570 536962 244608 409780 281531 128249 1292786 1038681 254105 0 9150 9150 49783 36193 13590 1890 1890 1061133 198371 862762 33384 27897 5487 7714 6961 753 469749 1664 468085 Community Relations 10179109 10179109 Shared Services 4185565 4185565 Special Events & Projects 80599 80599 Transltn & Interprtn Srvc 13965 13965 29889 15794 14095 0 24362211 16374261 7987950 0 21670525 0 0 0 0 88351 0 0 0 4526162 0 0 0 0 0 26285038 0 2755382 0 0 66665162 0 69420544 0 -43135506 -43135506 0 26285038 0 X -4335434 47470940 X false true X true false X X 1 CMCD 750800628 3 false 0 0 1 0 0 true false false false false false false false false false false false false false false true false Schedule D, Part X, Line 2 THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDING DECEMBER 31, 2017 DID NOT REQUIRE A FIN 48 (ASC 740) FOOTNOTE. true true false false false false false true false Peter Perialas SVP Population Health and COO, CPH & SVP Strategy and Innovation, CHST 0 409183 0 208812 0 3385 0 10800 0 10913 0 643093 0 0 Doris Hunt Director, CPH & SVP CHST Insurance Services, CHST 0 363743 0 223715 0 22363 0 10800 0 9894 0 630516 0 0 Amy McGinnis Director, CPH & VP Clinical Integration, CHST 0 208974 0 55352 0 1866 0 7465 0 738 0 274395 0 0 Patricia Winning (term 10617) Former Officer, CPH & SVP Business Development, CHST 0 14060 0 205551 0 1626892 0 3156 0 632 0 1850291 0 0 Jodi Landon Former Officer, CPH & VP Managed Care, CHST 0 269935 0 64623 0 34295 0 16922 0 8098 0 393872 0 0 Peter Roberts (term 33117) President, CPH & Pres Pop Hlth Insurance Svcs, CHST 0 152837 0 605165 0 567748 0 16200 0 3380 0 1345330 0 0 Stephanie Smith Secretary, CPH & Sr Legal Counsel, CHST 0 124399 0 12883 0 3285 0 6793 0 4213 0 151572 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S POPULATION HEALTH (CPH). THEREFORE, CPH'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. 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 4a Severance or change-of-control payment Severance Payments: *Patricia Winning received severance payments of $573,000 as taxable income in 2017. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Non-Qualified Retirement Plan: * Retirement Income Restoration Plan - Patricia Winning received $678,310 as taxable income in 2017 from the Retirement Income Restoration Plan. * Savings Restoration Plan - Peter Roberts received $76,232 and Patricia Winning received $111,465 as taxable income from the Savings Restoration Plan in 2017. Additional employees who participated in the Savings Restoration Plan in 2017 include Jodi Landon. 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. There were no non-fixed payments in 2017 Accounts Receivable 2017-12-31 16373882 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) Prepaid expense and deferred charges 2017-12-31 7217 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) Property and Equipment, Net of Accumulated Depreciation 2017-12-31 4067442 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) Accounts Payable and accrued expenses 2017-12-31 3577310 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) LT Advances 2017-12-31 64342169 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) Net Assets 2017-12-31 -47470938 GAAP 752062019 Children's Health System of Texas 1935 Medical District Drive Dallas TX 75235 501(c)(3) true true false false true true true true false Schedule N, Part I, Line 4b NOTICE OF TERMINATION TO STATE OFFICIAL THE ORGANIZATION SUBMITTED THE CERTIFICATE OF TERMINATION TO THE SECRETARY OF STATE OF TEXAS. THE CERTIFICATE OF TERMINATION WAS CERTIFIED AND EFFECTIVE AS OF December 31, 2017. Schedule N, Part III General Statement Regarding Termination Children's Health System of Texas, the sole member of Children's Population Health, resolved to discontinue and dissolve the operations of the organization effective December 31, 2017. Therefore, Children's Health System of Texas absorbed the organizations negative net assets which resulted from multiple years of operating losses. Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. All directors and officers of Children's Population Health are employees of Children's Health System of Texas, the organization's sole member. Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. All directors and officers of Children's Population Health are employees of Children's Health System of Texas, the organization's sole member. Form 990, Part V, Line 2a CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR CHILDREN'S POPULATION HEALTH (CPH) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF CPH. CPH HAS APPROXIMATELY 80 EMPLOYEES. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE SOLE MEMBER AND COMMON PAYING AGENT FOR CHILDREN'S POPULATION HEALTH (CPH). THEREFORE, CPH'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES ARE EMPLOYED AND COMPENSATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. 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. Form 990, Part VI, Line 6 Classes of members or stockholders Children's Health System of Texas (CHST) is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHST elects all members of the organization's Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the organization's bylaws and represent those actions by the organization which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body Children's Population Health has delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), its Sole Member. A draft of the Form 990 is presented to the CHST Audit Committee for review prior to filing. A copy of the Final Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees received a copy of the Statement of Interest form to execute. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer and discussed as necessary at the appropriate Committee and Board meetings to determine if further action is needed. Form 990, Part VI, Line 19 Required documents available to the public Certificate of Formation, Consolidated Financial Statements , and the conflict of interest policy is made available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Organizational Termination by Sole Member - 47470940; Children's Medical Center of Dallas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Children's Medical Center Foundation 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 Foundation TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false Anesthesiologists for Children 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false Dallas Physician Medical Services for Childrens 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Physicians for Children 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II N/A false OCH Holdings 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 474837308 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false SPECIALISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463110125 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I N/A false WOMEN'S AUXILIARY OF CMCD 12720 HILLCREST RD DALLAS TX 75230 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 N/A false THE HEALTH AND WELLNESS ALLIANCE FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463080586 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 1 1935 Medical District Drive Dallas TX 75235 813582843 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 2 1935 Medical District Drive Dallas TX 75235 813679995 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 3 1935 Medical District Drive Dallas TX 75235 813691209 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 4 1935 Medical District Drive Dallas TX 75235 814577909 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 5 1935 Medical District Drive Dallas TX 75235 814848085 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHST Physician Group 6 1935 Medical District Drive Dallas TX 75235 814865847 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false Wellness Innovations LLC 1935 Medical District Drive Dallas TX 75235 475246461 Physicians TX CHST Investment Holdings LLC Unrelated false false 0 ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHST C Corporation 0 false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX Pediatric Partners C Corporation 0 false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX CHST C Corporation 0 false TEXAS TRINITY RIVER ASSURANCE COMPANY LTD 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY11202 981318151 Self-insurance CJ CHST C Corporation 0 false Wellness Innovations Physician Partners 1935 Medical District Drive Dallas TX 75235 811734937 Physicians TX CHST C Corporation 0 0 0 false Children's BMG 1935 Medical District Drive Dallas TX 75235 475057374 Physicians TX CHST C Corporation 0 0 0 false false false true false true false false false false false false true true true true false true true false