2018-11-13T11:00:34-06:00 2017-12-31 990 2017-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Tammie Sibley SVP, Finance 2018-11-13 2017 2019-02-21 02:37:17Z Children's Health CHRISTOPHER J DUROVICH 1935 Medical District Drive Dallas TX 75235 69171828 false X N/A X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C) ORGANIZATIONS. 13 12 8648 12 0 2433369 10477696 8860373 16069707 60211305 51094 100150 1826485 0 28424982 69171828 0 0 175547991 178553471 0 0 -93366090 -137534669 82181901 41018802 -53756919 28153026 326801573 436709236 1110087157 1192375171 -783285584 -755665935 TO ASSIST IN THE MANAGEMENT OF RELATED 501(C) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. false false 20932431 60211305 TO ASSIST IN THE MANAGEMENT OF RELATED 501(C) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. 20932431 true true false false false false false false false false true false false true true false false true false false true false false false false false false false false true false false false false false false false false false false false false true true true true false false true 824 0 true 8648 true true true true CJ false false false false true false false false X 13 12 true false false false false false false true true false false true true true true true true true true false X JEFFREY VAWRINEK 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 Christopher J Durovich President and CEO 57.0 3.0 X X 3886127 0 34737 Thomas A Montgomery Director 1.0 2.0 X 0 0 0 Connie O'Neill Director 1.0 1.0 X 0 0 0 John Eagle Director 1.0 1.0 X 0 0 0 Steven M Gruber Director 1.0 3.0 X 0 0 0 Ed Heffernan Chairman 1.0 1.0 X 0 0 0 Robert A Chereck Director 1.0 1.0 X 0 0 0 Michael Dardick Director 1.0 0 X 0 0 0 Lou Grabowsky Director 1.0 0 X 0 0 0 Lee Hobson Director 1.0 0 X 0 0 0 Kent Jackman Director 1.0 0 X 0 0 0 Charles Matthews Jr Director 1.0 0 X 0 0 0 Anne Motsenbocker Director 1.0 0 X 0 0 0 David Berry President Sys Clin Ops 53.0 2.0 X 736987 0 22932 Matthew Davis SVP Administrator Children's Medical Center Dallas 1.0 54.0 X 549108 0 17310 Brent Christopher President Foundation 54.0 1.0 X 618765 0 16105 William Morrow MD Pres Phys Orgs and Acdmc Rel CCO 42.0 13.0 X 927755 0 19867 Ray Tsai MD SVP System Ambulatory Services 46.0 9.0 X 628244 0 31511 Doris Hunt SVP CHST Insurance Services 1.0 54.0 X 609822 0 20694 Lawrence Foust EVP CLO and General Counsel 51.0 4.0 X 805476 0 25812 Jeffrey Vawrinek Secretary 46.0 4.0 X 415314 0 9043 Richard Goode EVP CHST Finance CFO and Treas 50.0 5.0 X 786266 0 21340 Jeremiah Radandt SVP Finance 55.0 0 X 282217 0 19962 James Herring EVP CAO 54.0 1.0 X 548809 0 16200 Pamela Arora SVP CIO 55.0 0.0 X 748632 0 84428 Kimberly Besse SVP Human Resources 55.0 0.0 X 561127 0 29231 William Elvey SVP Facilities and Real Estate 55.0 0 X 377047 0 24678 Keri Kaiser SVP Mrktng and Comm 55.0 0.0 X 428569 0 25648 Peter Perialas SVP Strategy and Innovation 52.0 3.0 X 621380 0 21713 Patricia Winning (term 10617) SVP Business Development 55.0 0.0 X 1846503 0 3789 Michele Chulick (term 1617) President CHST Ventures 55.0 0.0 X 1485371 0 10800 Peter Roberts (term 33117) Pres Pop Hlth Insurance Svcs 1.0 54.0 X 1325750 0 19580 Karen Kennedy (term 10617) SVP Family Health Network 55.0 0.0 X 944833 0 7452 Mary Goessler MD (term 100117) VP Medical Dir ACO and HMO 50.0 0.0 X 892243 0 25733 Claud Kern Wildenthal MD PhD Consultant 0.0 55.0 X 405167 0 0 Jerry Lee VP Accounting and Treasury 38.0 12.0 X 390313 0 32789 Jodi Landon VP Managed Care 50.0 0.0 X 368852 0 25020 Brenda Paulsen VP Research Admin Prof Svc Ops 50.0 0 X 338443 0 14730 Douglas Duwe VP Academic Relations and Budget Mgmt 50.0 0.0 X 330482 0 19715 Sue Schell VP Clin Dir Behavioral Hlth 50.0 0 X 323744 0 24626 Holland Hassmann VP External Relations 0.0 50.0 X 307153 0 19843 Mark Ziemianski VP Chief Data Officer 50.0 0.0 X 305618 0 26035 Beth Peters (term 81117) VP Corp Compliance and CCO 50.0 0.0 X 268564 0 16241 Stephanie Smith Sr Legal Counsel 48.0 2.0 X 140567 0 11005 23205245 0 698570 1121 true true false UTSW HI 108 5323 Harry Hines Blvd Dallas TX 753908886 Phys & Medical Svcs 110644194 MEDLINE INDUSTRIES INC PO BOX 121080 Dallas TX 75312 Medical Products and Services 15076296 BARKLEY INC PO BOX 879948 Kansas City MO 64187 Strategic Consulting Svcs 9622744 UNIQUE DIGITAL INC 10595 Westoffice Drive Houston TX 77042 Technology Solutions 6513202 EPIC SYSTEMS CORPORATION PO BOX 88314 Milwaukee WI 532880314 Technology Solutions 6244359 242 2662904 6197469 8860373 Health System Service Revenue 622110 60211305 60211305 0 0 0 0 60211305 0 0 100150 0 100150 100150 100150 0 0 0 0 0 69171828 60211305 0 100150 X 13531643 5052455 8479188 128260456 47889984 80370472 7228924 2699141 4529783 19009218 7097676 11911542 10523230 3929171 6594059 12444 1408 11036 2087514 1435 2086079 560644 4000 556644 166605018 141857380 24747638 0 13004048 35847 12968201 8311256 318879 7992377 40349106 2275709 38073397 18009861 3469739 14540122 950973 211379 739594 1972616 500841 1471775 15811965 8069017 7742948 7083368 145532 6937836 Health System Allocated Shared Services -440015095 -224546081 -215469014 Community Relations/Benefits 19800856 19800856 Special Events & Projects 2869956 167570 2702386 Dietary and Food Costs 628370 325174 303196 4422431 1625319 2797112 0 41018802 20932431 20086371 0 119572195 180444932 17298792 7742313 0 0 0 1235674 1808266 14889362 19061124 214516527 120959972 103538400 93556555 0 0 70267150 134096046 326801573 436709236 95091376 105167382 0 1014995781 1087207789 1110087157 1192375171 X -783285584 -755665935 -783285584 -755665935 326801573 436709236 X 28153026 -533377 X false true X true false X X 21 Children's Medical Center of Dallas 750800628 3 true 410900793 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 1831185 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 1569587 0 Physicians For Children 752854505 3 true 13603086 0 Children's Med Ctr Research Inst at UTSWMC 433462044 9 true 0 0 Complex Care Med Svc Corp 461893597 3 true 784793 0 Pediatric Partners 461917702 9 true 261598 0 Children's Medical Center Health Plan 462737696 9 true 277403 0 Children's Population Health 463104601 9 true 4185565 0 The Health and Wellness Alliance For Children 463080586 9 true 261598 0 Physicians Quality Alliance of North Texas 464049491 9 true 0 0 OCH Holdings 474837308 3 true 6339488 0 CHST Physician Group 1 813582843 9 true 0 0 CHST Physician Group 2 813679995 9 true 0 0 CHST Physician Group 3 813691209 9 true 0 0 CHST Physician Group 4 814577909 9 true 0 0 CHST Physician Group 5 814848085 9 true 0 0 CHST Physician Group 6 814865847 9 true 0 0 Wellness Innovations Physician Partners 811734937 9 true 0 0 Children's BMG 475057374 9 true 0 0 21 440015096 0 true true false false true false false false false false false false false false false false true Schedule A, Part I, Line 12g(ii) Type of Organization Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Children's Medical Center Services - 6033(a)(3)(A)(II); Children's Population Health - 509(a)(3) Type I; The Health and Wellness Alliance -509(a)(3) Type I; Specialists for Children -6033(a)(3)(A)(II); Physicians Quality Alliance of North Texas - 509(a)(3) Type I; Community Providers for Children -509(a)(3) Type I Children's BMG - Pending Application for Recognition of Exemption Under Section 501(c)(3) Wellness Innovations Physician Partners - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 1 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 2 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 3 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 4 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 5 - Pending Application for Recognition of Exemption Under Section 501(c)(3) CHST Physician Group 6 - Pending Application for Recognition of Exemption Under Section 501(c)(3) Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) CHST Physician Group 1, CHST Physician Group 2, CHST Physician Group 3, CHST Physician Group 4, CHST Physician Group 5, and CHST Physician Group 6 are new non-profit corporations formed with the State of Texas. At the end of tax year 2017, these organizations did not presently have IRS determination of status. The gross receipts for each organization, each taxable year, are normally no more than $5,000. Internal Revenue Code section 6033(a)(3)(A)(ii) provides a mandatory exception to filing for determination. However, these organizations do comply with Internal Revenue Code section 6033(i)(1) by filing Form 990-EZ each year. Wellness Innovations Physician Partners and Children's BMG were formed as non-profit corporations with the State of Texas. These organizations were in the process of seeking tax exemption, however, the purposes and programs were deemed unsustainable and the corporate wind-down began, including the abandonment of applying for federal income tax exemption. As a result, the organizations will file as taxable corporations for their respective final income tax returns. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. The non-profit organization Children's Medical Center Services, Specialist For Children, Community Providers for Children were dissolved with the State of Texas during the prior tax year. 19032825 19032825 4484640 1285788 3198852 4542243 747629 3794614 162329549 118926555 43402994 24127270 24127270 93556555 Goodwill Investments in Affiliates 126628541 UTSW Physician Guarantees 5629710 Insurance Recoveries 1837795 134096046 LT Advances - Affiliates 1064223561 UTSW Phys Guarantees 10429808 LT Deferred Rent 1679213 LT Non-Qualified Plan 757006 Reserve for Professional Liab 10118201 1087207789 Schedule D, Part X, Line 2 In 2017, Children's Health System of Texas was not required to have a FIN48 (ASC 740) footnote disclosure. false Central America and the Caribbean 0 0 Investments 100000 0 0 0 0 0 0 100000 0 100000 true false true false false false X X X X true true X X X X X true true false false false false false true false Christopher J Durovich President and CEO 1087098 0 2641501 0 157528 0 12946 0 21791 0 3920864 0 0 0 Claud Kern Wildenthal MD PhD Consultant 405167 0 0 0 0 0 0 0 0 0 405167 0 0 0 Jerry Lee VP Accounting and Treasury 278646 0 66547 0 45120 0 14507 0 18282 0 423102 0 0 0 Jodi Landon VP Managed Care 269935 0 64623 0 34295 0 16922 0 8098 0 393872 0 0 0 Brenda Paulsen VP Research Admin Prof Svc Ops 255669 0 70349 0 12425 0 8816 0 5914 0 353173 0 0 0 Douglas Duwe VP Academic Relations and Budget Mgmt 234934 0 58543 0 37005 0 10762 0 8953 0 350197 0 0 0 Sue Schell VP Clin Dir Behavioral Hlth 238936 0 75713 0 9095 0 9654 0 14972 0 348370 0 0 0 Holland Hassmann VP External Relations 260412 0 19000 0 27740 0 12356 0 7487 0 326996 0 0 0 Mark Ziemianski VP Chief Data Officer 216225 0 60315 0 29078 0 9660 0 16375 0 331653 0 0 0 Beth Peters (term 81117) VP Corp Compliance and CCO 147921 0 67079 0 53563 0 12086 0 4155 0 284804 0 0 0 Stephanie Smith Sr Legal Counsel 124399 0 12883 0 3285 0 6793 0 4213 0 151572 0 0 0 David Berry President Sys Clin Ops 584983 0 145155 0 6849 0 10800 0 12132 0 759919 0 0 0 Matthew Davis SVP Administrator Children's Medical Center Dallas 348399 0 176781 0 23929 0 9836 0 7474 0 566419 0 0 0 Brent Christopher President Foundation 498830 0 115834 0 4101 0 10800 0 5305 0 634870 0 0 0 William Morrow MD Pres Phys Orgs and Acdmc Rel CCO 556606 0 291820 0 79328 0 10800 0 9067 0 947622 0 0 0 Ray Tsai MD SVP System Ambulatory Services 375621 0 207525 0 45098 0 14901 0 16610 0 659754 0 0 0 Doris Hunt SVP CHST Insurance Services 363743 0 223715 0 22363 0 10800 0 9894 0 630516 0 0 0 Lawrence Foust EVP CLO and General Counsel 511526 0 270308 0 23642 0 10800 0 15012 0 831288 0 0 0 Jeffrey Vawrinek Secretary 294860 0 90417 0 30038 0 9043 0 0 0 424358 0 0 0 Richard Goode EVP CHST Finance CFO and Treas 638971 0 144875 0 2420 0 10696 0 10644 0 807606 0 0 0 Jeremiah Radandt SVP Finance 255853 0 25000 0 1364 0 9277 0 10685 0 302179 0 0 0 James Herring EVP CAO 470769 0 0 0 78040 0 16200 0 0 0 565009 0 0 0 Pamela Arora SVP CIO 415985 0 279084 0 53563 0 72336 0 12092 0 833060 0 0 0 Kimberly Besse SVP Human Resources 353876 0 153354 0 53897 0 10761 0 18470 0 590358 0 0 0 William Elvey SVP Facilities and Real Estate 295545 0 17043 0 64459 0 10800 0 13878 0 401725 0 0 0 Keri Kaiser SVP Mrktng and Comm 288902 0 110636 0 29031 0 10800 0 14848 0 454218 0 0 0 Peter Perialas SVP Strategy and Innovation 409183 0 208812 0 3385 0 10800 0 10913 0 643093 0 0 0 Patricia Winning (term 10617) SVP Business Development 14060 0 205551 0 1626892 0 3156 0 632 0 1850291 0 0 0 Michele Chulick (term 1617) President CHST Ventures 20596 0 311646 0 1153129 0 10800 0 0 0 1496171 0 0 0 Peter Roberts (term 33117) Pres Pop Hlth Insurance Svcs 152837 0 605165 0 567748 0 16200 0 3380 0 1345330 0 0 0 Karen Kennedy (term 10617) SVP Family Health Network 12887 0 262380 0 669566 0 3470 0 3982 0 952285 0 0 0 Mary Goessler MD (term 100117) VP Medical Dir ACO and HMO 243263 0 150411 0 498569 0 10800 0 14933 0 917976 0 0 0 Schedule J, Part I, Line 3 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The Children's Health System of Texas (CHST) process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is "ordinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 1a First-class or charter travel * The Children's Health written policy on business and educational travel prohibits first class travel except when approved in advance by the CEO or by the Board Chair. Schedule J, Part I, Line 1a Travel for companions * Companion travel is prohibited except when it is deemed to further Children's business activities and must be approved in advance by the CEO or Board Chair. There were no employees that received taxable income as a result of companion travel in 2017. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments * Compensation is grossed up in limited circumstances with prior approval of the appropriate board committee. There were no employees that received taxable income as a result of grossed up compensation in 2017. Schedule J, Part I, Line 1a Housing allowance or residence for personal use * In an effort to continue to attract quality leadership, Children's Health provides temporary housing allowances as a taxable benefit to executives and other key employees relocating to Dallas. There were no employees that received taxable nor non-taxable income as a result of housing allowances compensation in 2017. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Payment: *Severance - Patricia Winning - $ 573,000 *Severance - Michele Chulick - $803,250 *Severance - Karen Kennedy - $540,750 *Severance - Mary Goessler - $337,600 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 from the Retirement Income restoration Plan in 2017. Additional employees who participated in the Retirement Income Restoration Plan include Christopher J Durovich. * Savings Restoration Plan - Patricia Winning received $111,465, Michele Chulick received $22,998, and Peter Roberts received $76,232 as taxable income from the Savings Restoration Plan. Additional employees who participated in the Savings Restoration Plan include Pamela Arora, Kimberly Besse, Jerry Lee, William Morrow, Ray Tsai, 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. Form 990, Part I, Line 15 Prior year Salaries, other compensation, employee benefits Prior year Salaries, other compensation, employee benefits have been restated to present those expenses incurred by the filing organization prior to the reduction of those expenses through the shared services allocations of expenses that were incurred on behalf of wholly-owned organizations. This change is based on the 2016 presentation of Part IX - Statement of Functional Expenses which includes expenses in full presented on line 1-24e. The reduction for the allocation of shared services expenses to wholly-owned organizations is then presented on Part IX, line 24a. Form 990, Part I, Line 17 Prior year Other expenses Prior year Other expenses have been restated to present those expenses incurred by the filing organization inclusive of the reduction of expenses incurred on behalf of wholly-owned organizations which are allocated as shared services. This change is based on the 2016 presentation of Part IX - Statement of Functional Expenses which includes expenses in full reported on line 1-24e. The reduction for the allocation of shared services expenses to wholly-owned organizations is then presented on Part IX, line 24a. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Charles Matthews, Jr (voting Director) and David W Biegler (non-voting Director) - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 as filed is made available to the 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 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 15a Process to establish compensation of top management official The Children's Health System of Texas (CHST) process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. 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 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 IX, Line 24a Other expenses - HEALTH SYSTEM ALLOCATED SHARED SERVICES Beginning with the 2016 Form 990, Children's Health System of Texas is presenting expenses in full, as incurred, on lines 1-24e prior to the reduction for those expenses incurred on behalf of wholly-owned organizations . This reduction for the allocation of shared services expenses to wholly-owned organizations is presented on Part IX, line 24a. In prior years, the reduction of allocated shared services expenses was included within each individual functional expense category on Line 1-24e, respectively. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 22481966, Program Service Expense: 1265723, Management and General Expenses: 21216243, Fundraising Expenses: ; Contract Medical - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 3531395, Fundraising Expenses: ; Form 990, Part IX, Line 11g Other Expenses Miscellaneous expenses - Total Expense: 4422431, Program Service Expense: 1625319, Management and General Expenses: 2797112, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Non controlling interest in Joint Ventures - -233436; Other changes in net assets or fund balances - -299939; Rounding - -2; CHST HOLDINGS 1 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472374583 HEALTH CARE RELATED INVESTMENTS TX 0 3021449 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 2 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472819566 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 3 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472845243 HEALTH CARE RELATED INVESTMENTS TX -406762 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 4 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472851889 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472874792 HEALTH CARE RELATED INVESTMENTS TX 0 17777082 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 6 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811003744 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 7 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811010503 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Center Southlake LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475207507 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Centers LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475215454 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS MODH LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472459932 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Mend Medical Management LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 473938514 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Associates LLC 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75236 474371967 HEALTH CARE RELATED INVESTMENTS TX -35267 3113577 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Partners LLC 1937 MEDICAL DISTRICT DRIVE DALLAS TX 75237 472104673 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Imaging Center LLC 1938 MEDICAL DISTRICT DRIVE DALLAS TX 75238 384043597 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Legacy Trail Surgery Center LLC 1939 MEDICAL DISTRICT DRIVE DALLAS TX 75239 822278618 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHSR LLC 1940 MEDICAL DISTRICT DRIVE DALLAS TX 75240 371865547 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Wellness Innovation LLC (41917 - 123117) 1935 Medical District Drive Dallas TX 75235 472546461 Health Care Services TX 0 1401899 Children's Health System of Texas 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 true CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS true PHYSICIANS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752854505 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true 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 true CHILDREN'S POPULATION HEALTH 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 463104601 POPULATION HEALTH TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true 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 true 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 true OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Medical Center of Dallas 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 true CHST Physician Group 2 1935 Medical District Drive Dallas TX 75235 813679995 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHST Physician Group 3 1935 Medical District Drive Dallas TX 75235 813691209 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHST Physician Group 4 1935 Medical District Drive Dallas TX 75235 814577909 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHST Physician Group 5 1935 Medical District Drive Dallas TX 75235 814848085 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHST Physician Group 6 1935 Medical District Drive Dallas TX 75235 814865847 Physician TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true Wellness Innovations LLC (1117 - 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