OCH HOLDINGS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
OCH HOLDINGS (EIN 47-4837308)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201813179349303006
Schema version
2017v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T11:01:11-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474837308EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OCH HOLDINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOCHHBusinessNameControlTxt
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTammie SibleyPersonNm
Person TitleCHST SVP, FinancePersonTitleTxt
Signature2018-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Our Children's HouseBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1David BerryBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,615,573GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.childrens.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionDedicated to making life better for children.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee202TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,372PYContributionsGrantsAmt
CY Contributions Grants$8,569CYContributionsGrantsAmt
PY Program Service Revenue$38,440,942PYProgramServiceRevenueAmt
CY Program Service Revenue$34,414,102CYProgramServiceRevenueAmt
PY Investment Income-$206,971PYInvestmentIncomeAmt
CY Investment Income$1,628CYInvestmentIncomeAmt
PY Other Revenue$93,041PYOtherRevenueAmt
CY Other Revenue$191,274CYOtherRevenueAmt
PY Total Revenue$38,341,384PYTotalRevenueAmt
CY Total Revenue$34,615,573CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,350,934PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,643,180CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,331,365PYOtherExpensesAmt
CY Other Expenses$15,284,263CYOtherExpensesAmt
PY Total Expenses$32,682,299PYTotalExpensesAmt
CY Total Expenses$37,927,443CYTotalExpensesAmt
PY Revenues Less Expenses$5,659,085PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,311,870CYRevenuesLessExpensesAmt
Total Assets BOY$21,231,239TotalAssetsBOYAmt
Total Assets EOY$30,694,551TotalAssetsEOYAmt
Total Liabilities BOY$14,223,591TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,998,774TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,007,648NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,695,777NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOCH Holdings, doing business as Our Children's House (OCH), is dedicated to making life better for Children through its licensed specialty hospital and outpatient therapy services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$27,376,875ExpenseAmt
Revenue$34,605,376RevenueAmt
DescOCH Holdings, doing business as Our Children's House (OCH), is a licensed specialty hospital serving children from infancy through age 18. OCH provides both inpatient and outpatient care for conditions such as communication disorders, developmental delay, traumatic brain injury, feeding disorders, congenital disorders, chromosomal abnormalities, premature birth and more, which furthers the exempt purposes of OCH. Parents of patients at OCH find an extraordinary amount of support, education and counseling. An average inpatient length of stay is approximately 25 days due to the time required to progress rehabilitative care and therapy while also equipping parents to care for their children in a home setting. OCH also offers specialized outpatient therapy services across the DallasFt. Worth area. The activities are conducted in the DallasFt. Worth metroplex area.Desc
Total Program Service Expenses$27,376,875TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document150IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee202EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Stephanie K SmithBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2144567000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David Berry
Dir. and Pres., OCH & President Sys Clin Ops, CHST1.054.0Yes (X)Yes (X)$0$736,987$22,932
William Morrow MD
Director, OCH & Pres Phys Orgs and Acdmc Rel CCO, CHST1.054.0Yes (X)$0$927,755$19,867
Mary Stowe RN
Director, OCH & SVP and CMC CNO, CHST1.054.0Yes (X)$0$585,586$30,269
Jeffrey Vawrinek
Secretary, OCH & Secretary, CHST1.049.0Yes (X)$0$415,314$9,043
Richard Goode
Treasurer, OCH & EVP CHST Finance CFO and Treas, CHST1.054.0Yes (X)$0$786,266$21,340
Vanessa Walls
VP/Administrator, OCH & VP Regional Specialty Care Svc, CHST1.049.0Yes (X)$0$355,251$27,195
Christopher J Durovich
Former Chairman, OCH & President and CEO, CHST0.060.0$0$3,886,127$34,737Yes (X)
Michele Chulick (term 1617)
Former Director, OCH & President CHST Ventures, CHST0.055.0$0$1,485,371$10,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,178,657TotReportableCompRltdOrgAmt
Total Other Compensation$176,183TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SKILES GROUP
PO BOX 743636DallasTX75374Construction Services$6,634,113
BKM TOTAL OFFICE OF TEXAS LLC
9755 CLIFFORD DR STE 100DallasTX75220Construction Services$661,527
PRESIDIO NETWORKED SOLUTIONS
1955 Lakeway Drive Suite 220LewisvilleTX75057IT Services/Solutions$621,803
SHEARWATER HEALTH INC
20 BURTON HILLS BLVD STE 400NashvilleTN37215Staffing Services$355,949
TEXADIA SYSTEMS LLC
15850 DALLAS PARKWAYDallasTX75248IT Services/Solutions$314,776
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$8,569RelatedOrganizationsAmt
Total Contributions$8,569TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621110$35,174,336$35,174,336
Provision for Doubtful Accounts621110-$760,234-$760,234

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,414,102TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,628OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,628OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,628TotalRevenueColumnAmt
Exclusion$1,628ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other Medical Svc Rev622110$132,971$132,971
Dietary Revenue621990$58,303$58,303

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$191,274OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,615,573TotalRevenueColumnAmt
Related Or Exempt Func Income$34,605,376RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,628ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,619,093TotalAmt
Program Services$15,399,348ProgramServicesAmt
Management And General$2,219,745ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$973,750TotalAmt
Program Services$851,072ProgramServicesAmt
Management And General$122,678ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,802,693TotalAmt
Program Services$2,449,595ProgramServicesAmt
Management And General$353,098ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,247,644TotalAmt
Program Services$1,090,459ProgramServicesAmt
Management And General$157,185ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$139,106TotalAmt
Management And General$139,106ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,721,903TotalAmt
Program Services$1,397,511ProgramServicesAmt
Management And General$324,392ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$191,201TotalAmt
Program Services$183,035ProgramServicesAmt
Management And General$8,166ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,620TotalAmt
Program Services$5,808ProgramServicesAmt
Management And General$10,812ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,299,146TotalAmt
Program Services$3,900,367ProgramServicesAmt
Management And General$398,779ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,432TotalAmt
Program Services$16,166ProgramServicesAmt
Management And General$7,266ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,546TotalAmt
Program Services$17,294ProgramServicesAmt
Management And General$26,252ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$523,479TotalAmt
Program Services$377,859ProgramServicesAmt
Management And General$145,620ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Shared Services$6,339,487$6,339,487
Medical Surgical Supplies$1,011,828$1,011,828
Dietary and Food Costs$212,608$58,353$154,255
Special Events & Projects$25,815$23,099$2,716

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$736,092TotalAmt
Program Services$519,562ProgramServicesAmt
Management And General$216,530ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,927,443TotalAmt
Program Services$27,376,875ProgramServicesAmt
Management And General$10,550,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,242,551BOYAmt
EOY$10,392,890EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$94,696BOYAmt
EOY$83,968EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$25,714BOYAmt
EOY$10,214EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,063,752LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$587,484LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,008,067BOYAmt
EOY$13,476,268EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,860,211BOYAmt
EOY$6,731,211EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,231,239BOYAmt
EOY$30,694,551EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$917,338BOYAmt
EOY$1,192,852EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,306,253BOYAmt
EOY$25,805,922EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,223,591BOYAmt
EOY$26,998,774EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,007,648BOYAmt
EOY$3,695,777EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,007,648BOYAmt
EOY$3,695,777EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,231,239BOYAmt
EOY$30,694,551EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,311,870ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,949,019OtherCostOrOtherBasisAmt
Depreciation$235,668DepreciationAmt
Book Value$4,713,351BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,137,475OtherCostOrOtherBasisAmt
Depreciation$351,816DepreciationAmt
Book Value$785,659BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,977,258OtherCostOrOtherBasisAmt
Book Value$7,977,258BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,476,268TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Trade Name$2,429,750
Goodwill$4,301,461
Non-compete Agreement$0
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,731,211TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLT Advances - AffiliatesDesc
Amt$25,805,922Amt
FieldValueIRS element (for citing)
Total Liability$25,805,922TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationIn 2017, OCH Holdings was not required to have a FIN48 (ASC 740) footnote disclosure.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,010NetCommunityBenefitExpnsAmt
Total Expense0.0023TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,656,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,582,386DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,074,405NetCommunityBenefitExpnsAmt
Total Expense0.0547TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$597,061TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$312,835DirectOffsettingRevenueAmt
Net Community Benefit Expns$284,226NetCommunityBenefitExpnsAmt
Total Expense0.0075TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$18,342,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,895,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,447,641NetCommunityBenefitExpnsAmt
Total Expense0.0645TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,556,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,771DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,504,778NetCommunityBenefitExpnsAmt
Total Expense0.0397TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,556,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,771DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,504,778NetCommunityBenefitExpnsAmt
Total Expense0.0397TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$19,899,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,946,992DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,952,419NetCommunityBenefitExpnsAmt
Total Expense0.1042TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$398,320BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,190ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,890CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,700MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Our Children's HouseBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11340 Empire CentralAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75247ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.childrens.comWebsiteAddressTxt
State License1255708715StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Our Children's HouseBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.childrens.com/keeping-families-healthy/dfw-childrens-health-assessmentStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URL(SEE STATEMENT IN PART VI)FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL(SEE STATEMENT IN PART VI)FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URL(SEE STATEMENT IN PART VI)FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EBased on the information gathered through the joint CHNA conducted by Children's Health and the prioritization process described therein, the health needs listed below have been identified as the most significant health needs in the community: -High rates of uninsured children -Obesity -Poor air quality -Lack of access to physicians for persons on Medicaid or CHIP -Downward trend in reading proficiency for third graders -Food insecurity -Child abuse
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - OCH Holdings dba Our Children's House. Each year, Children's Health recruits a citizen advisory council made up of key stakeholders serving children and knowledgeable in public health. These community leaders meet monthly to discuss children's health care issues and to contribute their experience, insights and expert recommendations for the the Beyond ABC report prepared by Children'sHealth . Additionally, the citizen advisory boards for Beyond ABC identify recommendations for advocates and public officials in order to improve the lives and health of children. Recent advisory boards have included city and county officials, former legislators, members of law enforcement, school district administrators, nonprofit organizations' executives, child-advocacy representatives, chambers of commerce and senior staff from corporations and financial institutions. Additionally, as part of the Texas Healthcare Transformation and Quality Improvement Program, the state of Texas has been divided into 20 regions. Hospitals within each region have worked together to develop plans to respond to health needs and transform the health care delivery system. Children's Health participates in the Regional Healthcare Partnership (RHP) Plans for Regions 9 and 10.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - OCH Holdings dba Our Children's House. As a part of Children's Health, OCH Holdings doing business as Our Children's House (OCH) collaborated on the 2016 Children's Health joint Community Health Needs Assessment (CHNA). The collaboration was conducted with Children's Medical Center of Dallas (CMCD) and Children's Medical Center Plano (CMCP). The Children's Health CHNA collaboration was conducted in compliance with the Final Federal Regulations to Section 501(r), specifically §1.501(R)-3(B)(6)(V) Joint CHNA reports.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - OCH Holdings dba Our Children's House. Upon conducting the CHNA and developing the Community Health Implementation Strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the publically available CHNA and Community Health Implementation Strategy. Needs Not Addressed: Some issues identified through the Children's Health CHNA have not been addressed in this plan. In initial discussion and subsequent prioritization, Children's Health Needs Assessment Team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Children's Health. Children's Health Community Health Implementation Strategy includes details on Needs Not Addressed. The following are some of the needs that have been identified in the current and prior assessments that are addressed by others or in different ways: safe and affordable housing, palliative care capacity/need for increased geriatric/long-term/home care resources, discourage elective deliveries/increase the percentage of women who receive prenatal care, provide comprehensive sexuality education/high incidence of STDs in RHP Region 10, protect green spaces/add bike lanes/improve access to parks. These needs are not being addressed by Children's as our priorities were established based on unmet community health needs that intersect with our mission and key clinical strengths. There are community and state agencies that have greater expertise in housing, palliative care, prenatal care, sex education, and protecting green spaces in our community. At this time, these issues have not been incorporated into our community benefit plan because we do not have the infrastructure, expertise, or funding needed to have a significant impact in these areas.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - OCH Holdings dba Our Children's House. As a part of the Children's Health System of Texas, Our Children's House adheres to and is under the the Children's Health Patient Financial Assistance Policy. CHILDREN'S HEALTH USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR LOW INCOME INDIVIDUALS. 200% OF THE FEDERAL POVERTY GUIDELINES IS USED FOR 100% CHARITY ADJUSTMENT, AND 201% TO 400% OF THE FEDERAL POVERTY GUIDELINES IS USED FOR A SLIDING SCALE ADJUSTMENT. CHILDREN'S HEALTH USES VARIOUS DOCUMENTS AND FORMS TO VERIFY INCOME AND EXPENSES WHEN DETERMINING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE OF A PATIENT AND THEIR FAMILY. THESE DOCUMENTS INCLUDE, BUT ARE NOT LIMITED TO, W2 FORM, WAGE AND EARNING STATEMENT, PAY CHECK REMITTANCE, WORKER'S COMPENSATION, UNEMPLOYMENT COMPENSATION DETERMINATION LETTERS, INCOME TAX RETURNS, STATEMENT FROM EMPLOYER, BANK STATEMENTS, COPY OF CHECKS, DOCUMENTS OF SOURCES OF INCOME, TELEPHONE VERIFICATION OF GROSS INCOME WITH THE EMPLOYER, PROOF OF PARTICIPATION IN GOVERNMENT ASSISTANCE PROGRAMS SUCH AS MEDICAID, SIGNED AFFIDAVIT OR ATTESTATION BY PATIENT, AND VETERANS BENEFIT STATEMENT.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - OCH Holdings dba Our Children's House. In addition to ensuring that the Children's Health charity care criteria is posted prominently and continuously in common entry points of the facility, a Director of Patient Financial Service ensures that the Children's Health charity care criteria is published annually in a local newspaper of general circulation in the county.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Our Children's House Dallas
1208 N Hall StDallasTX75204Outpatient Rehabilitation Clinic
Our Children's House Allen
8 Prestige Circle Ste 101AllenTX75002Outpatient Rehabilitation Clinic
Our Children's House Frisco
7010 Preston Road Ste 240FriscoTX75034Outpatient Rehabilitation Clinic
Our Children's House Las Colinas
7453 Las Colinas BlvdLas ColinasTX75063Outpatient Rehabilitation Clinic
Our Children's House Rockwall
2455 Ridge Rd Ste 255RockwallTX75087Outpatient Rehabilitation Clinic
Our Children's House Grapevine
1643 Lancaster Drive Ste 300GrapevineTX76051Outpatient Rehabilitation Clinic
Our Children's House Waxahcie
1540 N Hwy 77 Bldg C Ste 10WaxahcieTX75165Outpatient Rehabilitation Clinic
Our Children's House Plano
7000 West Plano Pkwy Ste 210PlanoTX75093Outpatient Rehabilitation Clinic
Our Children's House Irving
3337 Stovall StIrvingTX75061Outpatient Rehabilitation Clinic

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community Benefit ReportThe Children's Health Community Benefit Report (Beyond ABC) is prepared by our Marketing & Public Relations department with collaboration from numerous departments within the hospital.
Schedule H, Part VI, Line 7Beginning with calendar year 2016, OCH Holdings dba Our Children's House was required to file a Community Benefit Plan with the State of Texas as required by Senate Bill 427. Any state community benefit reporting prior to calendar year 2016 was required of the predecessor organization that conducted the activities of Our Children's House.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEhttps://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
Schedule H, Part V Section D - Non-Hospital Facility InformationOCH Holdings' sole member, Children's Medical Center of Dallas, took over the operations of all outpatient therapy sites that were previous operated by the organization. This change was effective November 30, 2017 and was done to streamline and consolidate the outpatient therapy services of Children's Health in support of its mission to make life better for children.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationChildren's Medical Center of Dallas
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceOCH Holdings uses Worksheet 2 from the Form 990 Schedule H instructions to calculate the costs for Part I, Line 7 and ratio of patient care cost to charges attributable to community benefits.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountOCH Holdings uses the ratio of cost to charge (RCC) as calculated on Worksheet 2 from the Form 990 Schedule H instructions to calculate the cost of bad debt. The Worksheet 2 RCC is applied to gross charges written off during the year to calculate the bad debt expense attributable to community benefits..
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyAs a part of Children's Health System of Texas (Children's Health), Our Children's House adheres to the Children's Health processes and methodologies for calculating community benefits. Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that, bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in Part I, Line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Health Audited Financial Statements. Children's Health maintains allowances for doubtful accounts to reserve for potential write-offs relating to a patient's inability to make payments on an account. Accounts are written off when collection efforts have been exhausted. Children's Health routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Health Audited Financial Statements. Children's Health maintains allowances for doubtful accounts to reserve for potential write-offs relating to a patient's inability to make payments on an account. Accounts are written off when collection efforts have been exhausted. Children's Health routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceAs a part of Children's Health System of Texas (Children's Health),Our Children's House adheres and is under the Children's Health collection policy and practices. Children's Health has written debt collection policies which identify collection practices to be followed. The collection practices determine for what financial assistance a patient qualifies, and if a patient does not qualify for financial assistance, Children's Health also has written collection practices to be followed to determine if a patient qualifies for charity care. If a patient qualifies or is attempting to qualify for assistance under the Children's Health Financial Assistance Policy and is attempting in good faith to settle an outstanding bill by negotiating a reasonable payment plan or by making regular partial payments of a reasonable amount, the unpaid bill will not be sent to any collection agency or other assignee. Children's Health does not engage in extraordinary collection actions against patients to obtain payment of care.
Schedule H, Part V, Section B, Line 16a FAP website- Our Children's House: Line 16a URL: (SEE STATEMENT IN PART VI);
Schedule H, Part V, Section B, Line 16b FAP Application website- Our Children's House: Line 16b URL: (SEE STATEMENT IN PART VI);
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Our Children's House: Line 16c URL: (SEE STATEMENT IN PART VI);
Schedule H, Part VI, Line 2 Needs assessmentAs a part of the Children's Health System of Texas (Children's Health), OCH Holdings dba Our Children's House (OCH) adheres to the Children's Health processes and procedures for assessing the health care needs of the communities it serves. In addition to the 2016 Community Health Needs Assessment, Children's Health has produced a comprehensive quality-of life report on area children, Beyond ABC: Growing Up in Dallas County, since 1994. Beginning in 2008, a separate study has been published to focus on youth in Collin County as well. These biennial reports provide 10 years of trended data on the many factors facing children in our community. Beyond ABC analyzes more than 50 indicators of well-being with respect to health, education, safety and security for the more than 900,000 children that call those areas home.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCHILDREN'S HEALTH MAKES EXTENSIVE EFFORTS TO INFORM AND EDUCATE PATIENTS AND PATIENT'S FAMILIES ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE CHILDREN'S HEALTH FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE MADE WIDELY AVAILABLE ONLINE AND IN PRINT, ALONG WITH A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ALL THREE DOCUMENTS ARE AVAILABLE WITHOUT CHARGE AND AVAILABLE IN THE PRIMARY LANGUAGES SPOKEN BY LEP POPULATIONS. IN ADDITION, CHILDREN'S HEALTH FINANCIAL COUNSELORS OR CUSTOMER SERVICE REPRESENTATIVES WORK WITH PATIENTS' GUARDIANS/GUARANTORS TO ENSURE THAT ALL PUBLIC AND VOLUNTARY ASSISTANCE PROGRAMS ARE FULLY EXPLORED. CHILDREN'S HEALTH HAS A FINANCIAL PROGRAM FOR PATIENTS WHO ARE CONSIDERED INDIGENT AND DO NOT QUALIFY FOR A FEDERAL OR STATE PROGRAM. THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS BASED UPON FEDERAL POVERTY GUIDELINES PUBLISHED ANNUALLY. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL HAVE CHARGES REDUCED TO THE LOWEST LEVEL CHARGED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. GROSS CHARGES WILL NOT BE USED TO CALCULATE PATIENT'S BILLS.
Schedule H, Part VI, Line 4 Community informationCommunity Served by OCH Holdings dba Our Children's House - Our Children's House hospital facility is currently located at 3301 Swiss Avenue, Dallas, Texas. The city of Dallas is the county seat of Dallas County. The city of Dallas is one of the most populous cities in Texas, as well as the United States. Identification and Description of Geographical Community - The city of Dallas is the third largest city in Texas. The city of Dallas is accessible from I-30, I-35E, I-45 and I-635. Patients primarily originate from Texas, more specifically, Dallas County, Texas. Community Population and Demographics - The U.S. Bureau of Census has compiled population and demographic data based on the 2010 census. The Nielsen Company, a firm specializing in the analysis of demographic data, has extrapolated this data to estimate population trends from 2013 through 2018. Based on the data, the overall population for the service area is projected to increase over the five-year period from 3,320,715 to 3,608,755. The age categories that represent youth and adolescents (0-14 and 15-20) is projected to increase 7.0 percent and 8.9 percent,respectively. According to the American Community Survey, 670,217 children under the age of 18 lived in Dallas County in 2012. In terms of race, nearly 54 percent of all children in Dallas County were Caucasian, followed by 23 percent African-American. Although more than half of the children in Dallas County are Caucasian, only 35 percent of the Caucasian child population is non-Hispanic. Moreover, Hispanic children make up more than 52 percent of the child population of Dallas County.
Schedule H, Part VI, Line 5 Promotion of community healthThe sole member of OCH Holdings dba Our Children's House (OCH) is Children's Medical Center of Dallas (CMCD), an organization described in section 501(c)3. CMCD has a volunteer board of directors comprised of independent individuals who are representative of the community served. With the oversight of Children's Medical Center of Dallas, OCH promotes health and benefits the community through its licensed hospital OCH provides both inpatient and outpatient care for conditions such as communication disorders, developmental delay, traumatic brain injury, feeding disorders, congenital disorders, chromosomal abnormalities, premature birth and more, which furthers the exempt purposes of OCH. Parents of patients at OCH find an extraordinary amount of support, education and counseling. An average inpatient length of stay is approximately 25 days due to the time required to progress rehabilitative care and therapy while also equipping parents to care for their children in a home setting. OCH also offers specialized outpatient therapy services across the DallasFt. Worth area. The activities are conducted in the DallasFt. Worth metroplex area. OCH services include: Child life services Neurorehabilitation (inpatient, day and outpatient programs) Feeding Disorders (inpatient, day and outpatient programs) Pediatric headache treatment Pulmonary Rehabilitation and Support Sleep studies Care coordination/case management Inpatient and outpatient medical management provided by: pediatric nurse practitioners, pediatric hospitalists, pediatric neurologists, pediatric physical medicine physicians and pediatric pulmonologists Neuropsychology/psychology Nursing care Occupational therapy Patient education and support Physical therapy Developmental screenings and equipment assessments Respiratory therapy Social services Speech/language therapy Spiritual support and counseling Imaging Laboratory Pharmacy The medical staff of OCH is open to physicians in the community who meet all requirements outlined in the Children's Health Medical/Dental Staff Bylaws.
Schedule H, Part VI, Line 6 Affiliated health care systemOCH Holdings dba Our Children's House is a part of Children's Health System of Texas. Children's Health System of Texas is the leading pediatric health care system in North Texas, the seventh largest pediatric health care provider in the nation (according to Modern Healthcare 2014), and the second busiest in terms of admissions and pediatric Emergency Department visits. A private, not-for-profit organization, Children's Health is anchored by two full-service hospitals and encompasses a full range of pediatric health, wellness and acute care services for children from birth to age 18, including specialty care, primary care, home health, a pediatric research institute and community outreach services, among other forms of health care delivery.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Berry
Dir. and Pres., OCH & President Sys Clin Ops, CHST$0$584,983$0$145,155$0$6,849$0$10,800$0$12,132$0$759,919$0$0
Christopher J Durovich
Former Chairman, OCH & President and CEO, CHST$0$1,087,098$0$2,641,501$0$157,528$0$12,946$0$21,791$0$3,920,864$0$0
Michele Chulick (term 1617)
Former Director, OCH & President CHST Ventures, CHST$0$20,596$0$311,646$0$1,153,129$0$10,800$0$0$0$1,496,171$0$0
William Morrow MD
Director, OCH & Pres Phys Orgs and Acdmc Rel CCO, CHST$0$556,606$0$291,820$0$79,328$0$10,800$0$9,067$0$947,622$0$0
Mary Stowe RN
Director, OCH & SVP and CMC CNO, CHST$0$342,939$0$195,123$0$47,524$0$19,464$0$10,805$0$615,855$0$0
Jeffrey Vawrinek
Secretary, OCH & Secretary, CHST$0$294,860$0$90,417$0$30,038$0$9,043$0$0$0$424,358$0$0
Richard Goode
Treasurer, OCH & EVP CHST Finance CFO and Treas, CHST$0$638,971$0$144,875$0$2,420$0$10,696$0$10,644$0$807,606$0$0
Vanessa Walls
VP/Administrator, OCH & VP Regional Specialty Care Svc, CHST$0$257,795$0$67,050$0$30,406$0$16,200$0$10,995$0$382,446$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE COMMON PAYING AGENT FOR OCH HOLDINGS (OCH). THEREFORE, OCH'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 paymentSeverance payment: *Severance - Michele Chulick - $803,250
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planNon-Qualified Retirement Plan: *Retirement Income Restoration Plan - No employees received taxable income from the the Retirement Income Restoration Plan. Employees who participated in the Retirement Income Restoration Plan include Christopher J Durovich and Mary Stowe *Savings Restoration Plan - Michele Chulick received $22,998 as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan include Christopher J Durovich and William Morrow.
Schedule J, Part I, Line 7 Non-fixed paymentsNon-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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program servicesOCH Holdings' sole member, Children's Medical Center of Dallas, took over the operations of all outpatient therapy sites that were previous operated by the organization. This change was effective November 30, 2017 and was done to streamline and consolidate the outpatient therapy services of Children's Health in support of its mission to make life better for children.
Form 990, Part V, Line 2aCHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) EIN 75-2062019 IS THE COMMON PAYING AGENT FOR OCH Holdings (OCH) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY CHST ON BEHALF OF OCH. OCH HAS APPROXIMATELY 202 EMPLOYEES.
Form 990, Part VI, Line 6 Classes of members or stockholdersChildren's Medical Center of Dallas is the sole member.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyChildren's Medical Center of Dallas elects all members of the organization's Board of Directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersMember 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 disposition 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 bodyOCH Holdings and its Sole Member, Children's Medical Center of Dallas, have delegated its oversight and review of the Form 990 to the Board of Directors of Children's Health System of Texas (CHST), the Sole Member of Children's Medical Center of Dallas. 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 policyOfficers, 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 meeting to determine if further action is needed.
Form 990, Part VI, Line 19 Required documents available to the publicCertificate 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 balancesRounding - -1;
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALCHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 75-2062019) IS THE COMMON PAYING AGENT FOR OCH HOLDINGS (OCH). THEREFORE, OCH'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 R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Children's Medical Center of Dallas
1935 MEDICAL DISTRICT DRIVEDALLASTX75235750800628HospitalTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
Children's Medical Center Foundation
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752062015FoundationTX501(c)(3)7CHILDREN'S HEALTH SYSTEM OF TEXASfalse
PHYSICIANS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752854505PHYSICIANSTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
DALLAS PHYS MED SVCS FOR CHILDREN INC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235810584868PHYSICIANSTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
COMPLEX CARE MED SVC CORP
1935 MEDICAL DISTRICT DRIVEDALLASTX75235461893597MEDICAL SERVICESTX501(c)(3)3CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S MEDICAL CENTER HEALTH PLAN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235462737696HMOTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235453462044RESEARCH INSTITUTETX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
PEDIATRIC PARTNERS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235461917702CLINICALLY INTEGRATED NETWORKTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S POPULATION HEALTH
1935 MEDICAL DISTRICT DRIVEDALLASTX75235463104601POPULATION HEALTHTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752062019MANAGEMENT COMPANYTX501(c)(3)Type IIfalseN/A
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752917570PHYSICIANSTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235464049491PHYSICIANSTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
SOUTHWESTERN MEDICAL DISTRICT
1935 MEDICAL DISTRICT DRIVEDALLASTX75235204101612MEDICAL DISTRICTTX501(c)(3)Type IfalseN/A
WOMEN'S AUXILIARY OF CMCD
12720 HILLCREST RDDALLASTX75230752485538WOMEN'S AUXILIARYTX501(c)(3)10falseN/A
THE HEALTH AND WELLNESS ALLIANCE FOR CHILDREN
1935 MEDICAL DISTRICT DRIVEDALLASTX75235463080586PHYSICIANSTX501(c)(3)Type ICHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 1
1935 Medical District DriveDallasTX75235813582843PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 2
1935 Medical District DriveDallasTX75235813679995PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 3
1935 Medical District DriveDallasTX75235813691209PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 4
1935 Medical District DriveDallasTX75235814577909PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 5
1935 Medical District DriveDallasTX75235814848085PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse
CHST Physician Group 6
1935 Medical District DriveDallasTX75235814865847PhysicianTX501(c)(3)10CHILDREN'S HEALTH SYSTEM OF TEXASfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Wellness Innovations LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11935 Medical District DriveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75235ZIPCd
FieldValueIRS element (for citing)
EIN475246461EIN
Primary ActivitiesPhysiciansPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHST Investment Holdings LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeUnrelatedPredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVEDALLASTX75235752244475OTHER MEDICAL SERVICESTXCHILDREN'S HEALTH SYSTEM OF TEXASC Corporation0false
NTPSS INC
1935 MEDICAL DISTRICT DRIVEDALLASTX75235471036641PHYSICIAN SOLUTIONSTXPediatric PartnersC Corporation0false
Texas Bluebonnet Insurance Company
1935 Medical District DriveDallasTX75235475032893Insurance CompanyTXChildren's Health System of TexasC Corporation0false
TEXAS TRINITY RIVER ASSURANCE COMPANY LTD
981318151Self-insuranceChildren's Health System of TexasC Corporation0falseCJ
Children's BMG dba One Care Domain
1935 Medical District DriveDallasTX75235475057374PhysicianTXChildren's Health System of TexasC Corporation0false$0$0
Wellness Innovations Physician Partners
1935 Medical District DriveDallasTX75235811734937PhysicianTXChildren's Health System of TexasC Corporation0false$0$0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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