﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-11T14:19:06-06:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Grant Thornton LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1717 Main Street Suite 1500</AddressLine1>
        <City>Dallas</City>
        <State>TX</State>
        <ZIPCode>75201</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990EZ</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>752062019</EIN>
      <Name>
        <BusinessNameLine1>Children's Health Services of Texas</BusinessNameLine1>
      </Name>
      <NameControl>CHIL</NameControl>
      <Phone>2144567000</Phone>
      <USAddress>
        <AddressLine1>1935 Medical District Dr</AddressLine1>
        <City>Dallas</City>
        <State>TX</State>
        <ZIPCode>75235</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Jerry Lee</Name>
      <Title>Senior Director and CAO</Title>
      <Phone>2144562960</Phone>
      <DateSigned>2011-11-11</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Kimberly Temple CPA</Name>
      <Phone>2145612300</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="4">
    <IRS990EZ documentId="RetDoc1234200001" referenceDocumentId="RetDoc10046300000 RetDoc1051800001">
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <ScheduleBNotRequired>X</ScheduleBNotRequired>
      <WebSite>N/A</WebSite>
      <Organization501c3 referenceDocumentId="RetDoc1039100001">X</Organization501c3>
      <GrossReceipts>0</GrossReceipts>
      <TotalRevenue>0</TotalRevenue>
      <TotalExpenses>0</TotalExpenses>
      <ExcessOrDeficitForYear>0</ExcessOrDeficitForYear>
      <NetAssetsOrFundBalancesBOY>-254600</NetAssetsOrFundBalancesBOY>
      <OtherChangesInNetAssets>0</OtherChangesInNetAssets>
      <NetAssetsOrFundBalancesEOY>-254600</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartII>X</InfoInScheduleOPartII>
      <OtherAssetsTotal>
        <BOY>0</BOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TotalAssets>
      <SumOfTotalLiabilities>
        <BOY>254600</BOY>
        <EOY>254600</EOY>
      </SumOfTotalLiabilities>
      <NetAssetsOrFundBalances>
        <BOY>-254600</BOY>
        <EOY>-254600</EOY>
      </NetAssetsOrFundBalances>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <PrimaryExemptPurpose>To assist in the management of a 501(c) organization.</PrimaryExemptPurpose>
      <ProgramServiceAccomplishment>
        <DescriptionProgramServiceAccom>Children's Health Services of Texas assists in the management of a 501(c) organization.</DescriptionProgramServiceAccom>
        <GrantsAndAllocations>0</GrantsAndAllocations>
        <ProgramServiceExpenses>0</ProgramServiceExpenses>
      </ProgramServiceAccomplishment>
      <TotalProgramServiceExpenses>0</TotalProgramServiceExpenses>
      <InfoInScheduleOPartIV>X</InfoInScheduleOPartIV>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>David W Biegler</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Chairman</Title>
        <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Christopher J Durovich</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr Dr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Pres and CEO</Title>
        <AvgHoursPerWkDevotedToPosition>60.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Ray R Dziesinski</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP and CFO</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Douglas G Hock</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP Operatns</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>James Herring</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP, Admin</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Regina M Coggins</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP, General Counsel</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Trent C Smith</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP, Network Dev</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Patricia U Winning</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>SVP, Strategy &amp; Phys</Title>
        <AvgHoursPerWkDevotedToPosition>50.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>John L Adams</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Director</Title>
        <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Thomas Baker</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Director</Title>
        <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Robert A Chereck</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medic</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Director</Title>
        <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>Debbie Scripps</PersonName>
        <AddressUS>
          <AddressLine1>1935 Medical Distr Dr</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <Title>Director</Title>
        <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <InfoInScheduleOPartV>X</InfoInScheduleOPartV>
      <ActivitiesNotPreviouslyRpt>0</ActivitiesNotPreviouslyRpt>
      <MadeChangesToOrgnzngEtcDoc>0</MadeChangesToOrgnzngEtcDoc>
      <OrganizationHadUBI>0</OrganizationHadUBI>
      <OrganizationDissolvedEtc>0</OrganizationDissolvedEtc>
      <DirectIndirectPoliticalExpend>0</DirectIndirectPoliticalExpend>
      <MadeLoansToFromOfficers>0</MadeLoansToFromOfficers>
      <TaxImposedUnderIRC4911>0</TaxImposedUnderIRC4911>
      <TaxImposedUnderIRC4912>0</TaxImposedUnderIRC4912>
      <TaxImposedUnderIRC4955>0</TaxImposedUnderIRC4955>
      <EngagedInExcessBenefitTrans>0</EngagedInExcessBenefitTrans>
      <AmountOfTaxImposedOnOrgMgr>0</AmountOfTaxImposedOnOrgMgr>
      <AmountOfTaxReimbursedByOrg>0</AmountOfTaxReimbursedByOrg>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Children's Health Svcs of Tx</BusinessNameLine1>
        </NameBusiness>
        <AddressUS>
          <AddressLine1>1935 Medical District Drive</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <TelephoneNumber>2144567000</TelephoneNumber>
      </TheBooksAreInCareOf>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ForeignOffice>0</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>0</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>0</DoesOrgHaveHospital>
      <TanningServicesProvided>0</TanningServicesProvided>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionWithControlEntity>0</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>0</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>0</EngageInLobbyingActivities>
      <OperatingSchool>0</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>0</TrnsfrsExemptNonCharRelatedOrg>
      <PartVIOfCompOfHighestPaidEmpl>NONE</PartVIOfCompOfHighestPaidEmpl>
      <PartVIAHghstPaidCntrctProfSer>NONE</PartVIAHghstPaidCntrctProfSer>
      <FiledScheduleA>1</FiledScheduleA>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <WrittenIRSDetermination>X</WrittenIRSDetermination>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>CMCD</BusinessNameLine1>
        </Name>
        <EIN>750800628</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>CMCF</BusinessNameLine1>
        </Name>
        <EIN>752062015</EIN>
        <TypeOfOrganization>7</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>AFC</BusinessNameLine1>
        </Name>
        <EIN>752917570</EIN>
        <TypeOfOrganization>9</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>DPMSC</BusinessNameLine1>
        </Name>
        <EIN>810584868</EIN>
        <TypeOfOrganization>9</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>PFC</BusinessNameLine1>
        </Name>
        <EIN>752854505</EIN>
        <TypeOfOrganization>9</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>5</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleO documentId="RetDoc1051800001">
      <GeneralExplanation>
        <Identifier>Other Liabilities</Identifier>
        <ReturnReference>Form 990-EZ, Part II, Line 26</ReturnReference>
        <Explanation>Description: Accounts Payable. Beg. of Year Amount: 1,000. End of Year Amount: 1,000. Description: Accrued Liabilities. Beg. of Year Amount: 60,000. End of Year Amount: 60,000. Description: Intercompany. Beg. of Year Amount: 193,600. End of Year Amount: 193,600.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <TransferPrsnlBnftContractsDecl documentId="RetDoc10046300000">
      <Declaration>The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.</Declaration>
    </TransferPrsnlBnftContractsDecl>
  </ReturnData>
</Return>