CHILDRENS HEALTH SYSTEM OF TEXAS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HEALTH SYSTEM OF TEXAS (EIN 75-0800628)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201343179349301114
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T09:05:11-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	366055558	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1717 Main Street Suite 1500	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	750800628	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Medical Center of Dallas	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	2144567000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jerry Lee	Name
Title	VP, Accounting & Revenue Cycle	Title
Phone	2144567000	Phone
Date Signed	2013-11-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kimberly Temple CPA	Name
PTIN	P00669176	PTIN
Phone	2145612300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Christopher J Durovich	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Dr	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1064980296	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.childrens.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Dedicated to making life better for children	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	6693	TotalNbrEmployees
Total Nbr Volunteers	6179	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	22203306	ContributionsGrantsPriorYear
Contributions Grants Current Year	28808277	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	986650594	ProgramServiceRevenuePriorYear
Program Service Revenue CY	984976635	ProgramServiceRevenueCY
Investment Income Prior Year	34066370	InvestmentIncomePriorYear
Investment Income Current Year	24210891	InvestmentIncomeCurrentYear
Other Revenue Prior Year	17729771	OtherRevenuePriorYear
Other Revenue Current Year	26856715	OtherRevenueCurrentYear
Total Revenue Prior Year	1060650041	TotalRevenuePriorYear
Total Revenue Current Year	1064852518	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	30500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	472214736	SalariesEtcPriorYear
Salaries Etc Current Year	517642683	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	429496069	OtherExpensePriorYear
Other Expenses Current Year	407504890	OtherExpensesCurrentYear
Total Expenses Prior Year	901741305	TotalExpensesPriorYear
Total Expenses Current Year	925169073	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	158908736	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	139683445	RevenuesLessExpensesCY
Total Assets BOY	1913488935	TotalAssetsBOY
Total Assets EOY	2116928959	TotalAssetsEOY
Total Liabilities BOY	690388149	TotalLiabilitiesBOY
Total Liabilities EOY	693568732	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1223100786	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1423360227	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Children's Medical Center of Dallas is dedicated to making life better for children. Children's is committed to carry out this mission through adherence to four guiding principles: quality care; research & innovation; education & advocacy; and excellence & accountability.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	644451096	Expense
Grants	21500	Grants
Revenue	1008146372	Revenue
Description	Consistent with its charitable mission, Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The local service regions stretch from the Oklahoma border south to Waco and from Parker County (west of Ft. Worth) east to Wood County. For the fiscal year ended December 31, 2012, Children's absorbed $157 million of uncompensated healthcare services as a result of this open-door charitable policy. Children's participates in applicable government sponsored entitlement programs. For the year ended December 31, 2012, approximately 58% of Children's gross revenue is attributable to patients enrolled in state Medicaid programs.During 2012, Children's served approximately 150,000 patients. Children's had 46,141 patient admissions resulting in 102,899 patient days, and provided services in 540,082 outpatient visits. In addition, the hospital staff performed 17,820 day surgeries. In recognizing its mission to the community, Children's participates in the Medicaid, Medicare, Children's Health Insurance Program (CHIP), Chronically Ill and Disabled Children (CIDC), and Champus government programs. Under an agreement with the Dallas County Hospital District, Children's provides services to the indigent children of Dallas County.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4291107	Expense
Revenue	6713012	Revenue
Description	Children's is the primary pediatric teaching hospital for the University of Texas Southwestern Medical School at Dallas and has the fifth largest pediatric training program in the country. Currently, there are 100 pediatric residents, three chief residents and approximately 120 pediatric subspecialty residents and fellows enrolled in this training program. Children's offers fellowships/residencies in these pediatric subspecialties, as well as internships and fellowships/residencies in nursing, dentistry, allied health, social sciences and religious studies. In addition to internship and fellowship programs, many students representing a variety of health care professions come to Children's to complete a pediatric rotation as a requisite of their training.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2529290	Expense
Revenue	3963956	Revenue
Description	Through Children's affiliation with UTSW Medical Center, ongoing research is promoted in many different clinical areas of the hospital. The end goal of this research is the development of newer, more effective diagnostic & treatment methods to meet the health care needs of children. All research involving human subjects is approved by the Institutional Review Board at UTSW. Joint areas of research efforts between UTSW's Department of Pediatrics & Children's are: critical care, immunology, gastroenterology, emergency medicine, radiology, nutrition, endocrinology, psychiatry, cardiology, pharmacology, nephrology, neurology, pulmonology, rheumatology, infectious diseases & hematology/oncology. Many of these clinical studies have been published in medical journals & presented to professional health care societies.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	651271493	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1359	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	6693	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Stephanie K Smith	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2144567000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1935 Medical District Drive	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75235	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (54 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Christopher J Durovich
President,CEO,Ex Off Vtg	60.00	0.00	X	X	1975308	0	85059
Robert Chereck
Chairman & Director	1.00	0.00	X	X	0	0	0
Richie L Butler
Director	1.00	0.00	X		0	0	0
Ann Goddard Corrigan
Director	1.00	0.00	X		0	0	0
Michael Dardick
Director	1.00	0.00	X		0	0	0
Gregg L Engles
Director	1.00	0.00	X		0	0	0
Robert A Estrada
Director	1.00	0.00	X		0	0	0
Ed Heffernan
Director	2.00	0.00	X		0	0	0
Richard Knight Jr
Director	1.00	0.00	X		0	0	0
Tracey Kozmetsky
Director	1.00	0.00	X		0	0	0
Charles Matthews Jr
Director	1.00	0.00	X		0	0	0
Thomas A Montgomery
Director	1.00	0.00	X		0	0	0
Anne Motsenbocker
Director	1.00	0.00	X		0	0	0
Connie O'Neill
Director	1.00	0.00	X		0	0	0
Barbara Stuart
Director	1.00	0.00	X		0	0	0
Gifford Touchstone
Director	1.00	0.00	X		0	0	0
John F Young
Director	1.00	0.00	X		0	0	0
David Biegler
Ex Officio Voting Member	1.00	0.00	X		0	0	0
Steven M Gruber
Ex Officio Voting Member	1.00	0.00	X		0	0	0
Michele Chulick
EVP, Corp Svs (hire date 9/10/12)	55.00	0.00		X	180740	0	0
James Herring
EVP, Corp Svs (term date 6/30/12)	55.00	0.00		X	586754	0	155791
Douglas G Hock
EVP, Hospital and Clinic Ops and COO	55.00	0.00		X	802982	0	24605
Julio Perez-Fontan MD
EVP, Medical Affairs	55.00	0.00		X	480000	0	0
Peter W Roberts
EVP, Population Health and Netw Dev	55.00	0.00		X	558786	0	26025
David G Biggerstaff
SVP, Clinical and Support Operations	55.00	0.00		X	416376	0	22079
Ray R Dziesinski
SVP, CFO, Treasurer	55.00	0.00		X	722122	0	20019
Michael Frick
SVP, Development (hire date 9/24/12)	55.00	0.00		X	160175	0	0
John P Kline
SVP, Development (term date 10/31/12)	55.00	0.00		X	698016	0	15009
Regina M Coggins
SVP, Ext Rel and General Counsel	55.00	0.00		X	466685	0	18606
Trent C Smith
SVP, MyChildrens President	55.00	0.00		X	515080	0	23859
Patricia U Winning
SVP, Strategy and Physician Orgs	55.00	0.00		X	741612	0	45224
Pamela K Arora
VP, CIO	50.00	0.00		X	567847	0	16953
Kim S Besse
VP, Human Resources	50.00	0.00		X	375671	0	23586
Daniel T Carney
VP, Facilities Development and Ops	50.00	0.00		X	361056	0	14298
Paul Hain MD
VP, Medical Director, Pop Health	50.00	0.00		X	288310	0	0
Keri Kaiser
VP, Mktg & Comm (hire date 11/12/12)	50.00	0.00		X	42888	0	278
Jerry Lee
VP, Acctg and Revenue Cycle	50.00	0.00		X	291531	0	13938
Justin J Lombardo
VP, Learning Institute and CLO	50.00	0.00		X	435967	0	16118
Mitchell Mulvehill
VP, Finance and Treasury	50.00	0.00		X	172285	0	17332
Paul M Musgrave
VP, Planning	50.00	0.00		X	308859	0	13601
Ronald C Skillens
VP, Compli and Int Audit and CCO	50.00	0.00		X	293004	0	24187
Stephanie Slaughter
VP, HMO (hire date 10/22/12)	50.00	0.00		X	85524	0	1779
Mary E Stowe RN
VP, Chief Nursing Officer	50.00	0.00		X	456849	0	21559
Jeffery J Vawrinek
VP, Legal Affairs and Governance	50.00	0.00		X	252742	0	8274
Vanessa U Walls
VP, Ambulatory Services	50.00	0.00		X	258608	0	25427
Thomas M Zellers MD
VP, Medical Staff Affairs	50.00	0.00		X	150000	0	0
Jean Ann Larson
VP, Cln & Ql Svc (term date 6/30/12)	50.00	0.00		X	415218	0	7055
Elizabeth Field Mackay
VP, Publ Affairs (term date 3/31/12)	50.00	0.00		X	307354	0	3761
Stephanie K Smith
Corporate Secretary	40.00	0.00		X	102713	0	744
Christopher Menzies MD
Chief Med Info Officer	40.00	0.00			276582	0	618	X
Deborah Sheppard
Sr Dir Oper Lgy (term date 6/7/12)	40.00	0.00			213271	0	3262	X
Karissa Luckett
Dir Pop Hlth Mgt (term date 11/20/12)	40.00	0.00			235088	0	660	X
Michele Whitsett
VP, COO Foundation	50.00	0.00			210425	0	12073	X
Teresa Egan
Admin Dir Child Research	40.00	0.00			289018	0	886	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	14695446	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	662665	TotalOtherCompensation
Number Individuals GT100 K	612	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UTSW
HI 108 5323 Harry Hines Blvd	Dallas	TX	753908886	Phys & Medical Svcs	62782601
DPR Construction
1450 Veterans Blvd	Redwood City	CA	94063	Construction Services	11762831
Comforce Technical Services
PO Box 31001-0893	Pasadena	CA	911100893	Staffing/Consulting Svcs	9992876
JE Dunn Construction Co
16000 Dallas Pkwy 500	Dallas	TX	75248	Construction Services	9463970
Medline Industries Inc
9303 Stoneview Dr	Dallas	TX	75237	Medical Supplies	9254657

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	366	NumberOfContractorsGT100K
Related Organizations	21467207	RelatedOrganizations
Government Grants	7341070	GovernmentGrants
Noncash Contributions	20000	NoncashContributions
Total Contributions	28808277	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Inpatient Revenue	622110	1213597852	1213597852
Outpatient Revenue	621400	875488236	875488236
Day Surgery Revenue	621400	177069052	177069052
Prov for Dbtful Accts	622110	-41052204	-41052204
Deductions from Rev.	622110	-1240126301	-1240126301

Field	Value	IRS element (for citing)
Total Program Service Revenue	984976635	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24338669	TotalRevenueColumn
Exclusion	$24,338,669	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	169677	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	169677	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	169677	TotalRevenueColumn
Exclusion	$169,677	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	127778	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-127778	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-127778	TotalRevenueColumn
Exclusion	-$127,778	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Other Med Svc Revenue	622110	22201785	22201785
Dietary Revenue	621990	4296717	4296717
Vending Revenue	454210	188536		$188,536

Field	Value	IRS element (for citing)
Total Other Revenue	26687038	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1064852518	TotalRevenueColumn
Related Or Exempt Function Income	1011475137	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$24,569,104	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	21500	Total
Program Services	21500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	15077896	Total
Program Services	3686392	ProgramServices
Management And General	11391504	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	384608400	Total
Program Services	306024318	ProgramServices
Management And General	78584082	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	44100469	Total
Program Services	34172769	ProgramServices
Management And General	9927700	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	45841824	Total
Program Services	34229422	ProgramServices
Management And General	11612402	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	28014094	Total
Program Services	21707687	ProgramServices
Management And General	6306407	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5009445	Total
Program Services	1229862	ProgramServices
Management And General	3779583	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1994230	Total
Management And General	1994230	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	488974	Total
Management And General	488974	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	116167757	Total
Program Services	104064814	ProgramServices
Management And General	12102943	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	15284302	Total
Program Services	500723	ProgramServices
Management And General	14783579	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6087690	Total
Program Services	2282459	ProgramServices
Management And General	3805231	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	21295495	Total
Program Services	1341162	ProgramServices
Management And General	19954333	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	37235905	Total
Program Services	6573624	ProgramServices
Management And General	30662281	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1963703	Total
Program Services	853308	ProgramServices
Management And General	1110395	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2660755	Total
Program Services	869098	ProgramServices
Management And General	1791657	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	25071439	Total
Management And General	25071439	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	56537710	Total
Program Services	39799643	ProgramServices
Management And General	16738067	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7796437	Total
Program Services	144612	ProgramServices
Management And General	7651825	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Med./Surgical Supplies	86100520	85133717	966803
Consulting & Prof Fees	13070026	1261271	11808755
Dietary and Food Costs	4875259	4476765	398494
Collection Fees	1688553		1688553

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4176690	Total
Program Services	2898347	ProgramServices
Management And General	1278343	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	925169073	Total
Program Services	651271493	ProgramServices
Management And General	273897580	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	276459420	BOY
EOY	221398992	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	60174111	BOY
EOY	185907889	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	107673297	BOY
EOY	131246984	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9440176	BOY
EOY	10205126	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	11473098	BOY
EOY	10557487	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1200159273	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	499029066	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	688391209	BOY
EOY	701130207	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	453558956	BOY
EOY	502599817	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	306318668	BOY
EOY	353882457	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1913488935	BOY
EOY	2116928959	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	147005857	BOY
EOY	160024344	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	12739	BOY
EOY	16827	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	387391709	BOY
EOY	386575772	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	10793392	BOY
EOY	132489	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	145184452	BOY
EOY	146819300	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	690388149	BOY
EOY	693568732	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	956004433	BOY
EOY	1125704796	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	216997465	BOY
EOY	224474963	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	50098888	BOY
EOY	73180468	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1223100786	BOY
EOY	1423360227	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1913488935	BOY
EOY	2116928959	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	139683445	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	26107582	ReconciliationUnrealizedInvest
Reconcilation Other Changes	34468414	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$107,614	OtherActivitiesAmount
Total Lobbying Expenditures IIB	107614	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	In 2012, CMCD paid membership dues to organizations in which a portion of the membership dues were related to lobbying activities. NACH (National Association of Children's Hospitals), AHA (American Hospital Association), THA (Texas Hospital Association), TAVH (Texas Association of Voluntary Hospitals), THOT (Teaching Hospitals of Texas), and CHAT (Children's Hospital Association of Texas) identifed a portion of their membership dues as being related to lobbying activities. Lobbying percentages were identified by said organizations and applied to 2012 membership dues.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	39925662	OtherCostOrOtherBasis
Book Value	39925662	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	705921314	OtherCostOrOtherBasis
Depreciation	205574874	Depreciation
Book Value	500346440	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9237351	OtherCostOrOtherBasis
Depreciation	6414537	Depreciation
Book Value	2822814	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	379220896	OtherCostOrOtherBasis
Depreciation	287039655	Depreciation
Book Value	92181241	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	65854050	OtherCostOrOtherBasis
Book Value	65854050	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	701130207	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Net Assets of Foundation	297628187
Other Assets	19714292
LT Advances to Affiliates	36539978

Field	Value	IRS element (for citing)
Total Book Value Other Assets	353882457	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
UTSW Phys Guarantees	$7,334,442
Retirement Plan Accr	$128,882,263
Rsv for Professional Liab	$8,216,291
Other Liabilities	$2,386,304

Field	Value	IRS element (for citing)
Total Of Amounts	146819300	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Explanation	Part X, Line 2: In 2012 Children's Medical Center of Dallas was not required to have a FIN48 footnote disclosure.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24495391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	367819	DirectOffsettingRevenue
Net Community Benefit Expense	24127572	NetCommunityBenefitExpense
Percent Of Total Expense	0.02830	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	493407738	TotalCommunityBenefitExpense
Direct Offsetting Revenue	442592162	DirectOffsettingRevenue
Net Community Benefit Expense	50815576	NetCommunityBenefitExpense
Percent Of Total Expense	0.05970	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64890158	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51808495	DirectOffsettingRevenue
Net Community Benefit Expense	13081663	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	582793287	TotalCommunityBenefitExpense
Direct Offsetting Revenue	494768476	DirectOffsettingRevenue
Net Community Benefit Expense	88024811	NetCommunityBenefitExpense
Percent Of Total Expense	0.10340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7717192	TotalCommunityBenefitExpense
Direct Offsetting Revenue	498135	DirectOffsettingRevenue
Net Community Benefit Expense	7219057	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31349244	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1884554	DirectOffsettingRevenue
Net Community Benefit Expense	29464690	NetCommunityBenefitExpense
Percent Of Total Expense	0.03460	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5819683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5819683	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1952946	TotalCommunityBenefitExpense
Direct Offsetting Revenue	123329	DirectOffsettingRevenue
Net Community Benefit Expense	1829617	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46839065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2506018	DirectOffsettingRevenue
Net Community Benefit Expense	44333047	NetCommunityBenefitExpense
Percent Of Total Expense	0.05200	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	629632352	TotalCommunityBenefitExpense
Direct Offsetting Revenue	497274494	DirectOffsettingRevenue
Net Community Benefit Expense	132357858	NetCommunityBenefitExpense
Percent Of Total Expense	0.15540	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	304823	TotalCommunityBuildingExpense
Net Community Building Expense	304823	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	304823	TotalCommunityBuildingExpense
Net Community Building Expense	304823	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$14,093,603	BadDebtExpenseAmount
Amount Attributable To	5145891	AmountAttributableTo
Amount Reimbursed By Medicare	6901413	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	1475426	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	5425987	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Children's Medical Center of Dallas
1	1935 Medical District Drive	Dallas	TX	75235	X	X	X	X	X	Both Dallas and Legacy campuses share a License,
Children's Medical Center of Legacy
2	7601 Preston Road	Plano	TX	75024	X	X	X	X	X	EIN, and MCR provider number. _

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Children's Medical Center of Dallas
1	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
Children's Medical Center of Legacy
2	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanation	IdentifierIdentifier
Part I, Line 3c: Children's 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.
Part I, Line 6a: Children's Community Benefit Report is prepared by our Public Relations department with collaboration from numerous departments within the hospital.
Part I, Line 7: Total expenses for Schedule H purposes are calculated using Worksheet 2, Ratio of Patient Care Cost to Charges, from the Form 990 Schedule H guidelines.
Part I, L7 Col(f): Children's recorded $41,052,204 in bad debt expense for the year. The bad debt expense recorded was excluded from the calculation of community benefit expense.
Part II: Children's is passionate about maintaining a vocal presence in legislative affairs on the local, state and federal levels and is at the forefront of governmental efforts that affect the community at large, from booster seat and car safety measures to critical funding initiatives. Additionally, Children's collaborates extensively with our partners in coalitions such as the Children's Hospital Association of Texas (CHAT) and the Texas Hospital Association (THA) at the state level, as well as the Children's Hospital Association (formerly the National Association of Children's Hospitals and Related Institutions). Children's President and Chief Executive Officer also serves on the Board of Trustees for the American Hospital Association. Through these affiliations, Children's is better able to advocate the development of an effective, comprehensive and appropriately funded children's health care system in Texas and across the country.
Part III, Line 4: and Part III, Line 2 and 3: The following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Audited Financial Statements. Children's 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. Childrens routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts.Children's uses Worksheet 2 from the Form 990 Schedule H instructions to calculate the bad debt expense and ratio of patient care cost to charges attributable to community benefits.
Part III, Line 8: Children's uses Worksheet A from the As Filed Medicare Cost Report and the IRS Schedule H Instructions to determine Medicare allowable costs.
Part III, Line 9b: and Part VI, Line 3: Children's 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 also has written collection practices to be followed to determine if a patient qualifies for charity care. As part of the collection practice, Childrens' financial counselors review with the patient and their family the various state and federal programs available to them.
Part V, Section B, Line 10: Children's Medical Center of Dallas 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 Medical Center of Dallas
Part V, Section B, Line 10: Children's Medical Center of Legacy 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 Medical Center of Legacy
Part V, Section B, Line 12h: Children's Medical Center of Dallas uses various documents and forms to verify income and expenses when determining the eligibilty 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 affadavit or attestation by patient, and veterans benefit statement.	Children's Medical Center of Dallas
Part V, Section B, Line 12h: Children's Medical Center of Legacy uses various documents and forms to verify income and expenses when determining the eligibilty 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 affadavit or attestation by patient, and veterans benefit statement.	Children's Medical Center of Legacy
Part V, Section B, Line 14g: In addition to ensuring that the Children's 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 charity care criteria is published annually in a local newspaper of general circulation in the county.	Children's Medical Center of Dallas
Part V, Section B, Line 14g: In addition to ensuring that the Children's 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 charity care criteria is published annually in a local newspaper of general circulation in the county.	Children's Medical Center of Legacy
Part V, Section B, Line 20d: Children's Medical Center of Dallas determines the maximum amount that can be charged to individuals eligible for financial assistance for emergency or other medically necessary care by calculating the average commercial and government payor amounts received by Children's.	Children's Medical Center of Dallas
Part V, Section B, Line 20d: Children's Medical Center of Legacy determines the maximum amount that can be charged to individuals eligible for financial assistance for emergency or other medically necessary care by calculating the average commercial and government payor amounts received by Children's.	Children's Medical Center of Legacy
Part VI, Line 2: Community Needs AssessmentSince 1994, Children's has produced a comprehensive quality-of-life report on area children, Beyond ABC: Growing Up in Dallas County. 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.Children's has taken on the task of preparing Beyond ABC and distributing it to child advocates, service agencies, community leaders and lawmakers because of the presence the hospital holds in the community. In turn, these community leaders and organizations as well as Children's use the report to help determine how best to employ their resources each year.
Part VI, Line 4: Children's Medical Center of Dallas is well known for bringing exceptional medical and surgical care to the children of North Texas. Through community events, child-specific initiatives and organizational affiliations, the hospital invests in prevention, research, education, clinical excellence and advocacy to benefit all children.Children's devotes itself solely to caring for the complex medical needs of children. Children's provides patient care ranging from simple eye exams to specialized treatment in areas such as heart disease, hematology-oncology and cystic fibrosis. In addition, Children's is a major pediatric kidney, liver, intestine and heart transplant center. Through its established injury prevention, advocacy program and disease management programs, the hospital works diligently to educate the community so that no child has to ever to come through our doors.Licensed for 559 beds and supporting more than 50 specialty and subspecialty programs, Children's was the state's first pediatric hospital with a designated Level I Trauma center. To better serve the region's growing pediatric population Children's Medical Center at Legacy, a second full-service campus opened in 2008 in Plano. Children's is a private, not-for-profit hospital system that does not receive local tax dollars to offer the care we provide. We are philanthropically supported in our efforts to provide care for every child who comes to us, regardless of their family's ability to pay. Donors also play a significant part in our ability to conduct research, education and advocacy.Annually, we attend to approximately 150,000 patients who represent over 570,000 individual visits. But that doesn't stop us from offering an elite level of individual care and attention to each family. As the primary pediatric teaching facility for the UT Southwestern Medical Center at Dallas, ("UTSW") we are the only full-service, academic-affiliated pediatric hospital in North Texas. Through our academic affiliation, the Children's medical staff conducts research that is instrumental in developing treatments, therapies, and greater understanding of pediatric diseases and trains more than 200 pediatric residents and fellows annually.Because of that, access to leading-edge research and treatments gives the children of North Texas and far beyond the most innovative options available. Children's also has affiliations with more than 100 other nursing and allied health educational programs across the country, providing our professionals access to curricula at other leading academic institutions. With more than 800 physicians on the medical staff, Children's brings together some of the world's top minds to provide the highest level of pediatric healthcare to North Texas and beyond.A voice for childrenAt Children's we consider it a privilege and responsibility to serve as ardent advocates for children.We work tenaciously to influence health and public policies. Through a combination of programmatic initiatives, organizational affiliations and community events, Children's spreads its influence into the region and provides area children much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's is committed to connecting families to the services they need.Children First! Collin County CoalitionChildren's is the founding member and sponsor of the Children First! Collin County Coalition, a nonpartisan alliance of more than 80 non-profit organizations. The coalition works to improve the quality of life of children through the development of initiatives related to public policy, advocacy, public awareness and community programs. The coalition's five work groups focus on economic security, education, family strengthening, health and safety. Community Outreach Through the efforts of the Community Relations staff at Children's, more area children who are eligible for Medicaid or the Children's Health Insurance Program (CHIP) are receiving coverage. Almost 18 percent of the children living in Dallas County are uninsured. Lack of health insurance leads to poorer health in childhood, greater rates of avoidable hospitalizations and higher childhood mortality. Uninsured children are 8 times more likely to have delayed care and 12 times more likely to have an unmet medical need than children with private insurance.Children's is committed to helping families obtain health insurance, an important factor in the health and well-being for our entire community. Children's has a vision to help address the shortage of primary pediatric medical care for families with limited resources.Dallas CHIP CoalitionChildren's founded and sponsors the Dallas Children's Health Insurance Program Coalition, an alliance of more than 90 organizations focused on helping families of uninsured children apply for CHIP or Medicaid. In addition, the coalition provides community leadership on public policy issues that affect the crisis of uninsured children in our community. MEDICAID/CHIP Outreach EventsAnnually, Children's coordinates two large community outreach events targeting the families of uninsured children. Working with the Dallas Children's Health Insurance Program Coalition, these events are promoted through school flyers and the media. Since 2005, these events have helped more than 12,000 families apply for coverage for more than 24,000 children. The coalition has trained more than 250 volunteers to assist families with applications for CHIP or Medicaid. School Based Medicaid/Chip Outreach Children's outreach team conducts Medicaid/Children's Health Insurance Program outreach at 8 area school districts with a combined enrollment of more than 350,000. Each student's family receives at least four communications during a school year with information on the importance of health insurance and the tools to apply for CHIP/Medicaid. In 10 years, Children's has trained more than 2,500 school staff and volunteers, completed more than 60,000 applications for Medicaid/CHIP and participated in over 700 special events. Children's serves as a liasion with the state for families who could not successfully navigate the state's eligibility system.
Part VI, Line 5: Children's mission is to make life better for children. We consider it our privilege and our responsibility to serve as ardent advocates for kids in Texas and across the country. To that end, we work tirelessly to ensure that children's voices are heard and that their needs are met. Our efforts to influence public policies that impact children's health are comprehensive and ongoing. Through programmatic initiatives, organizational partnerships and community events, Children's spreads its influence throughout the region and provides area children with much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's is committed to connecting families to the services they need.
Tackling an epidemic Texas ranks sixth in the nation for obesity in 10 to 17 year-olds, and the problem is even more pressing in Dallas County. More than one-third (36.1 percent) of Dallas Independent School District high-school students are obese or overweight, almost double the national average, according to the Department of State Health Services. In 2008, only one in five Dallas ISD third-graders passed the Texas-mandated school Fitnessgram assessment, compared to about one in three statewide. At Children's, we provide services to 7,500 patients each year with diagnoses that research shows to be obesity-related. These include cardiology, endocrine, gastrointestinal, pulmonary and psychiatric diagnoses. Dental OutreachAlthough effective methods exist to prevent tooth decay, cavities remain the most prevalent chronic condition among children-five times more common than asthma and seven times more common than hay fever. Inpartnership with UT Southwestern Medical Center at Dallas, a grant has been obtained so that children from the continuity clinics and ARCH (At-Risk Children) clinic who are identified as at-risk are now provided oral health education and fluoride varnish every three months to reduce their risk of cavities.Children's websiteOur hospital web site, www.childrens.com, empowers parents with the latest information about childhood illnesses, prevention, treatment and services available at the hospital. More than 1,300 common pediatric topics are addressed on the Web site. Also available are interactive guides promoting healthy living that target both children and their parents. The site also offers a free subscription to a monthly electronic newsletter that connects our community to the amazing things that take place at Children's every day.Reaching out to support the families of our communities is at the heart of the Children's mission. The challenge of ensuring the safety and well-being of all children is a driving force for the hospital, its employees and its medical staff. Assessing how many lives our services touch requires a look into our community, where the Children's influence has impact far beyond the hospital's walls.Disease Management and WellnessThe Disease Management and Wellness Department at Children's improves quality of life and decreases the use of healthcare services through education and pro-active self-management. Children's has seven disease-specific certifications, the most of any pediatric center in the United States. The programs offer access to evidence-based care and support that is needed for the management of conditions like asthma, diabetes and obesity.The disease management initiative is part of the hospital's ongoingefforts to reduce emergency department use, decrease admissions, curtail healthcare costs and ultimately, improve the quality of life for children with chronic conditions. Each program provides a family-centered environment that focuses on providing quality care to patients and overall increased disease awareness.
Coaching coaches, athletes and parentsChildren's is committed to educating coaches, parents and young athletes on the importance of sports injury prevention. The hospital has a presence at dozens of coaches' clinics each year at facilities such as the Plano Sports Authority and Dallas Baseball Academy of Texas. During the clinics, Children's provides sports-specific injury-prevention cards and clipboards to thousands of coaches each year. So far, we have impacted the health and safety of 400,000 young athletes. Children's has also worked with companies such as Kohl's Corporation and their Sports Health and Wellness Outreach Program, to further support community outreach efforts. Spreading a message of water safetyDrowning is the second-leading cause of unintentional injury-related deaths among American children ages 1 to 14. The Know Before You Go Program spreads the message that every drowning is preventable when parents take appropriate precautions. The program includes distributing water safety materials, providing demonstrations on proper water rescue techniques and the use and proper fit of Coast Guard approved flotation devices. Working to reduce preventable injuriesMore than a decade ago, Children's formed the Safe Kids Dallas Area Coalition - the local chapter of Safe Kids Worldwide - to prevent childhood injuries. Traumatic injuries are the leading cause of death in Texas in children ages 1 to 14, and preventing these injuries is imperative at Children's - the first Level I trauma center in Texas (and one of only two in the state) that is solely dedicated to treating pediatric patients. Since 2002, the number of patients hospitalized because of motor vehicle crashes has steadily risen. Children's Injury Prevention Program has expanded its outreach efforts accordingly to bring car seat safety education and installation services to the community in an effort to reduce the number of children injured in car crashes. A specific initiative within the Safe Kids Dallas program is our car-seat safety inspection project. The project offers child safety-seat inspections by certified car seat technicians at Children's Dallas and Legacy campus so parents can learn to buckle up their children appropriately.
Part VI, Line 6: Children's is not part of an affiliated health care system.Part VI, Line 7: Children's files a Community Benefit Plan with the State of Texas as required by Senate Bill 427.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
May Smith Scholars Program	1	4500
Women's Auxiliary Education Assistance Program	10	11000
University of Texas at Arlington	1	5000
James J. Farnsworth Health Careers Scholarship	1	1000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	May Smith Scholars Program The May Smith Scholars program provides both financial assistance and practical clinical experience for students interested in pediatric nursing. The scholarship program is named for May Forster Smith, who began an open-air clinic for infants in 1913 in Dallas. Sophomore and junior undergraduate students are eligible to apply to receive $5,000 each year for up to two years. Recipients of the scholarships must work at Children's as nurse externs for at least 400 hours during their undergraduate program. After graduation, recipients will be offered employment as registered nurses in one of the Children's Nurse Internship Tracts: Critical Care, Emergency, General Pediatrics, Hematology-Oncology, or Perioperative Services. Women's Auxiliary Educational Assistance Program The Women's Auxiliary to Children's offers educational support to nursing and allied health students who are registered for or currently enrolled in an accredited program through the Educational Assistance program for Nursing and Allied Health Students. Students who qualify may receive up to $1,000 per semester. Educational assistance is granted and paid on a per-semester basis. Students or prospective students of accredited nursing or allied health programs may apply if they: 1.) Are junior or senior level students enrolled full or part time in an accredited undergraduate or graduate nursing program. 2.) Maintain an overall grade point average of 3.0 on a 4.0 scale, or cumulative 3.0 prior to being accepted into an accredited program. Students are asked to sign agreements to work full time for 12 months at Children's for each academic year they receive education assistance or 6 months for each semester. If the students are offered employment with Children's but decline the offer, they will be obligated to repay the full amount plus interest calculated at the current prime interest rate at the time the offer is declined. Pediatric Post-Masters Certificate Program The University of Texas at Arlington School of Nursing and Children's Medical Center Dallas offer an Acute Care Pediatric Nurse Practitioner Post-Masters Certificate Program that consists of 31 credit hours. The program prepares students to serve in advanced practice leadership roles with infants, children and adolescents who have acute and chronic health care needs. Requirements include: an MSN from an NLN-accredited program 3.0 GPA on a 4.0 scale for the MSN, Registered Nurse Licensure in Texas, Physical Assessment content within the past three years, and Two years' experience in Pediatric Acute Care nursing recommended. James J. Farnsworth Health Career Scholarship Program The James J. Farnsworth Health Career Scholarship offers educational support to students planning careers in pediatric healthcare. The scholarship is named in honor of James J. Farnsworth and was established from gifts to endowments made in tribute to Mr. Farnsworth by his friends and colleagues. Mr. Farnsworth served as president of Children's Medical Center Dallas for more than 30 years and was a fellow in the College of Healthcare Executives. Junior or senior undergraduate students or graduate students planning a career in pediatric healthcare may apply. Preference will be given to students who fall into the following categories: Former patients of Children's Current full or part-time employees. Former or current volunteers at Children's. Parent is employed at Children's. Parent is a volunteer at Children's. Student demonstrating strong academic achievement and financial needs. The James J. Farnsworth Health Career Scholarship is a forgivable loan, meaning students do not owe any service time to Children's Medical Center of Dallas after receiving the scholarship.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christopher J Durovich
President,CEO,Ex Off Vtg	893847	0	934334	0	147127	0	60405	0	24653	0	2060366	0	514968	0
Michele Chulick
EVP, Corp Svs (hire date 9/10/12)	149740	0	30000	0	1000	0	0	0	0	0	180740	0	0	0
James Herring
EVP, Corp Svs (term date 6/30/12)	196876	0	150796	0	239082	0	155767	0	24	0	742545	0	0	0
Douglas G Hock
EVP, Hospital and Clinic Ops and COO	436013	0	321814	0	45155	0	14018	0	10587	0	827587	0	183814	0
Julio Perez-Fontan MD
EVP, Medical Affairs	480000	0	0	0	0	0	0	0	0	0	480000	0	0	0
Peter W Roberts
EVP, Population Health and Netw Dev	437735	0	100000	0	21051	0	10000	0	16025	0	584811	0	0	0
David G Biggerstaff
SVP, Clinical and Support Operations	244875	0	144323	0	27178	0	7355	0	14725	0	438456	0	104889	0
Ray R Dziesinski
SVP, CFO, Treasurer	383861	0	287925	0	50336	0	13379	0	6639	0	742140	0	173018	0
Michael Frick
SVP, Development (hire date 9/24/12)	105897	0	20000	0	34278	0	0	0	0	0	160175	0	0	0
John P Kline
SVP, Development (term date 10/31/12	256157	0	237295	0	204564	0	1666	0	13343	0	713025	0	64257	0
Regina M Coggins
SVP, Ext Rel and General Counsel	299144	0	119574	0	47967	0	7550	0	11056	0	485291	0	39394	0
Trent C Smith
SVP, MyChildrens President	324053	0	143091	0	47936	0	11313	0	12547	0	538940	0	44948	0
Patricia U Winning
SVP, Strategy and Physician Orgs	379696	0	306500	0	55416	0	36620	0	8604	0	786836	0	191137	0
Pamela K Arora
VP, CIO	328058	0	193780	0	46009	0	13076	0	3877	0	584800	0	150114	0
Kim S Besse
VP, Human Resources	251214	0	76283	0	48174	0	9699	0	13886	0	399256	0	44928	0
Daniel T Carney
VP, Facilities Development and Ops	263253	0	74024	0	23779	0	10252	0	4047	0	375355	0	22082	0
Paul Hain MD
VP, Medical Director, Pop Health	288310	0	0	0	0	0	0	0	0	0	288310	0	0	0
Jerry Lee
VP, Acctg and Revenue Cycle	247110	0	40688	0	3733	0	9529	0	4410	0	305470	0	0	0
Justin J Lombardo
VP, Learning Institute and CLO	286381	0	80746	0	68840	0	12364	0	3754	0	452085	0	65690	0
Mitchell Mulvehill
VP, Finance and Treasury	155400	0	15000	0	1885	0	4880	0	12452	0	189617	0	0	0
Paul M Musgrave
VP, Planning	241272	0	65464	0	2123	0	10000	0	3601	0	322460	0	0	0
Ronald C Skillens
VP, Compli and Int Audit and CCO	195419	0	58094	0	39491	0	9781	0	14406	0	317191	0	36121	0
Mary E Stowe RN
VP, Chief Nursing Officer	264730	0	157674	0	34445	0	13214	0	8345	0	478408	0	113296	0
Jeffery J Vawrinek
VP, Legal Affairs and Governance	224120	0	27103	0	1519	0	8274	0	0	0	261016	0	0	0
Vanessa U Walls
VP, Ambulatory Services	222176	0	34149	0	2283	0	9728	0	15699	0	284035	0	0	0
Jean Ann Larson
VP, Cln & Ql Svc (term date 6/30/12)	104306	0	57398	0	253514	0	3703	0	3351	0	422272	0	13912	0
Elizabeth Field Mackay
VP, Publ Affairs (term date 3/31/12)	44724	0	51630	0	211000	0	2218	0	1543	0	311115	0	13608	0
Christopher Menzies MD
Chief Med Info Officer	248998	0	22130	0	5454	0	0	0	618	0	277200	0	0	0
Deborah Sheppard
Sr Dir Oper Lgy (term date 6/7/12)	78453	0	18313	0	116505	0	0	0	3262	0	216533	0	0	0
Karissa Luckett
Dir Pop Hlth Mgt (term date 11/20/12	122016	0	17952	0	95120	0	0	0	660	0	235748	0	0	0
Michele Whitsett
VP, COO Foundation	186135	0	20580	0	3710	0	0	0	12073	0	222498	0	0	0
Teresa Egan
Admin Dir Child Research	189306	0	55000	0	44712	0	0	0	886	0	289904	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	* Children's written policy on business and educational travel prohibits first class travel except when approved in advance by the CEO or by the Board Chair. * 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. Approved companion travel is included as taxable income in 2012 for Christopher J Durovich. * Compensation is grossed up in limited circumstances with prior approval of the appropriate board committee. Approved one-time, grossed up compensation has been included as 2012 taxable income for Christopher J Durovich, Peter W Roberts, Michael Frick. * In an effort to continue to attract quality leadership, Children's provides temporary housing allowances as a taxable benefit to executives and other key employees relocating to Dallas.
Part I, Lines 4a-b	Severance Payment and Non-Qualified Retirement Plan: * Severance - Jean Ann Larson - $195,750 * Severance - Elizabeth Field MacKay - $168,250 * Severance - Karissa Luckett - $65,585 * Severance - Deborah Sheppard - $96,251 * Retirement Income Restoration Plan - James Herring received $153,267 as taxable income from the Retirement Income Restoration Plan as he is over the age of 65. Elizabeth Field MacKay received $1,073 as taxable income from the Retirement Income Restoration Plan, as a result of a Qualifying Termination under the severance plan. Additional employees who participate in the Retirement Income Restoration Plan are Christopher J Durovich, Douglas G Hock, Mary E Stowe, and Patricia U Winning. * Savings Restoration Plan - James Herring received $991 as taxable income from the Savings Restoration Plan as he is over the age of 65. John P Kline received $44,386 as taxable income from the Savings Restoration Plan, as a result of a Qualifying Termination under the severance plan. Jean Ann Larson received $239 as taxable income from the Savings Restoration Plan, as a result of a Qualifying Termination under the severance plan. Additional employees who participate in the Savings Restoration Plan are Christopher J Durovich, Douglas G Hock, Mary E Stowe, Patricia U Winning, Pamela Arora, Kimberly Besse, David G Biggerstaff, Daniel Carney, Regina M Coggins, Ray R Dziesinski, Jerry Lee, Justin Lombardo, Paul Musgrave, Peter Roberts, Ronald Skillens, Trent C Smith, Jeffrey Vawrinek, and Vanessa Walls.
Part I, Line 7	Non-Fixed Payments - The Human Resources Committee of the Board of Directors retains the authority to adjust annual payout percentages solely at their discretion.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
N Central Tx Hlth Fac Dev Corp Hosp
A	521304502	65854RAL4	2009-07-01	193697772	Reimburse Construction Cost	0	0	0
N Central Tx Hlth Fac Dev Corp Hosp
B	521304502	65854RBD1	2012-08-15	183637368	Refund Series 2002 Bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	193697772	2819039	190566160	312573	2009	0	0	0	1
B	183637368	2020125				1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	0	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00210	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.00210	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	0	0	0	0	0	1
B	0	0	0	0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K, Part I, Line B	Identifier
Explanation	Series 2012 Bonds were issued for the purpose of currently refunding the Issuer's Hospital Revenue Bonds (Children's Medical Center of Dallas Project) Series 2002 (original issue date prior to December 31, 2002).	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 1	Children's Board membership includes four ex officio non voting members.
Form 990, Part VI, Section A, line 1	An Executive Committee, whose membership must be approved by the Board of Directors of the Corporation, may be appointed annually. The Executive Committee shall have full power in the intervals between the meetings of the Board to perform any and all acts relating to the affairs of the Corporation and to exercise any and all powers of the Board in the management and direction of the business and conduct of the Corporation, subject to any limitations provided by applicable law, the Certificate of Formation of the Corporation or the Bylaws. It may meet or conduct its business in any fashion or by any means applicable to the meetings of the Board of Directors and shall keep a record of its proceedings and report the same to the Board at each succeeding meeting of the Board.
Form 990, Part VI, Section A, line 6	Children's Health Services of Texas ("CHST"), a Texas non-profit corporation, is the sole member of the corporation.
Form 990, Part VI, Section A, line 7a	CHST elects all members of the organization's Board of Directors.
Form 990, Part VI, Section A, line 7b	A list of decisions requiring approval by the member is as follows: a) Any change in the mission or purpose of the Corporation; b) Any amendment to the Articles of Incorporation or Bylaws of the Corporation; c) Any addition of new Members; d) Any purchase or acquisition, sale, gift, lease, disposition of, mortgage or other encumbrance of any property, real, personal, or mixed by the Corporation, excluding routine expenditures, the value of which in the aggregate exceeds five percent (5%) of the total assets of the Corporation; e) Selling, exchanging, or otherwise disposing of all or substantially all of the Corporation's assets; f) Any incurrence or guarantee of indebtedness by the Corporation that in the aggregate exceeds five percent (5%) of the total assets of the Corporation; g) Any merger, acquisition, or consolidation of the Corporation or entering into any joint business venture with any other person, corporation or other legal entity that exceeds five percent (5%) of the total assets of the Corporation; h) Any dissolution of the Corporation; i) Any proposed amendments to the affiliation agreement between the Corporation and The UTSW Medical School (Medical School); (j) Appointment and removal of directors in accordance with Article 3 of these Bylaws; (k) Creation, acquisition, or disposition of any subsidiary or affiliated entity of the Corporation; the value of which in the aggregate exceeds five percent (5%) of the total assets of the Corporation; and (l) Approval of the annual budget for the Corporation.
Form 990, Part VI, Section B, line 11	A draft of the Form 990 is presented to the organization's Audit Committee. The Chief Financial Officer provides a detailed review of the Form 990 and answers questions presented by the Committee members.
Form 990, Part VI, Section B, line 12c	The Board members receive a copy of the policy, along with a Disclosure of possible Conflict of Interests form to complete, with their annual Board appointment letter. All disclosures made are reviewed by the Chief Compliance Officer and Vice President of Legal Affairs and Governance prior to being presented and discussed at a meeting of the Board of Directors to determine if further action is required.
Form 990, Part VI, Section B, line 15	The corporation's CEO, President, other officers, and key employees are employed and compensated by Children's Medical Center of Dallas ("Children's"). The Children's process is as follows: 1. The Human Resources Committee of the Board is responsible for setting the compensation for executives, except the President and CEO which is set by the Board of Directors. The Committee is comprised of independent, non-employee directors with no conflict of interest regarding executive compensation. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness. The philosophy defined desired comparator groups for compensation surveys. The comparator groups are from domestic healthcare industry sectors only and do not include any non-healthcare organizations. 2. The compensation philosophy also defines target levels relative to the marketplace comparator groups for base pay, base pay plus incentive pay, and fringe benefits provided to Children's executives. A third-party consultant, Sullivan Cotter, is engaged by the Human Resources Committee and provides independent, expert consulting services in the area of executive compensation market surveying, pay and benefits program design, and administrative services. Salaries for Children's executives (except for the President and CEO) are set by comparing the salaries paid for comparable positions in integrated systems academic medical centers and children's hospitals in similar size and scope of services to Children's. 3. The salary for the President and CEO is set in reference to salaries paid for Presidents and CEOs of children's hospitals in similar size and scope of services to Children's. The data is compiled by Sullivan Cotter and they develop and update annually salary ranges unique to each executive position. The Human Resources Committee approves base pay for each executive (except the President and CEO, whose base pay is approved by the Board of Directors) aimed in the aggregate at approximately the middle of executive pay ranges. 4. For other officers and key employees, Children's uses a combination of job evaluation and survey data to determine the market pay range.
Form 990, Part VI, Section C, line 19	Governing documents, conflict of interest policy and financial statements are made available upon request.
	Form 990, Part VII, Section A - Average Hours per Week Average hours per week have been identified as 60 hours/week for the CEO as there are numerous offsite community events which involve weekend, breakfast, and evening meetings. Average hours per week for Executive Vice Presidents and Senior Vice Presidents have been identified as 55 hours per week as they are involved with limited offsite community events. Average hours per week for Vice Presidents have been identified as 50 hours per week as they have some involvement with offsite community events. Key Employees and Highest Compensated Employees have been identified as 40 hours per week.
Form 990, Part IX, line 11g	Contract Medical: Program service expenses 104,064,814. Management and general expenses 12,102,943. Fundraising expenses 0. Total expenses 116,167,757.	Other Fees
Form 990, Part XI, line 9:	Acc Pens Liab-OCI 3,909,336. Net Assets-CMCF-Unrest&Temp Rest 7,477,497. Net Assets-CMCF-Endowment 23,081,581.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Children's Medical Center Foundation
1935 Medical District Drive	Dallas	TX	75235	752062015	Foundation	TX	501(c)(3)	Line 7	Children's Hlth Svc of TX	0
Anesthesiologists For Children
1935 Medical District Drive	Dallas	TX	75235	752917570	Physicians	TX	501(c)(3)	Line 9	Children's Medical Center of Dallas	1
Dallas Phys Medical Svcs for Children Inc
1935 Medical District Drive	Dallas	TX	75235	810584868	Physicians	TX	501(c)(3)	Line 9	Children's Medical Center of Dallas	1
Children's Health Svc of Texas
1935 Medical District Drive	Dallas	TX	75235	752062019	Management Company	TX	501(c)(3)	Line 11a, I		0	N/A
Physicians For Children
1935 Medical District Drive	Dallas	TX	75235	752854505	Physicians	TX	501(c)(3)	Line 9	Children's Medical Center of Dallas	1
Children's Med Ctr Research Inst at UTSWMC
1935 Medical District Drive	Dallas	TX	75235	433462044	Research Institute	TX	Pending	Pending	Children's Hlth Svc of TX	0
Complex Care Medical Services
1935 Medical District Drive	Dallas	TX	75235	461893597	Medical Services	TX	Pending	Pending	Children's Medical Center of Dallas	1
Pediatric Partners For Children
1935 Medical District Drive	Dallas	TX	75235	461917702	Clinically Integrated Network	TX	Pending	Pending	Children's Medical Center of Dallas	1
Children's Medical Center Services
1935 Medical District Drive	Dallas	TX	75235	461934007	Medical Services	TX	Pending	Pending	Children's Medical Center of Dallas	1
Southwestern Medical District
1935 Medical District Drive	Dallas	TX	75235	204101612	Medical District	TX	501(c)(3)	Line 11a, I		0	N/A
Women's Auxiliary of CMCD
1935 Medical District Drive	Dallas	TX	75235	752485538	Women's Auxiliary	TX	501(c)(3)	Line 9		0	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Alternative Care Systems
1935 Medical District Drive	Dallas	TX	75235	752244475	Other Medical Svcs	TX	Children's Hlth Svc of TX	C	0
Children's Insurance Co
76 St Paul Street Suite 500	Burlington	VT	05401	030328102	Insurance	VT	Children's Med Ctr of Dallas	C	1	270070	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Anesthesiologists for Children
D	5978178	actual cost
Anesthesiologists for Children
Q	648538	actual cost
Physicians for Children
D	20295515	actual cost
Physicians for Children
Q	775110	actual cost
Dallas Phys Medical Svcs for Children Inc
D	127481	actual cost
Dallas Phys Medical Svcs for Children Inc
Q	65144	actual cost