2023-11-13T20:37:31+00:00 2022-12-31 350921680 Crowe LLP 5810 Tennyson Parkway Suite 450 Plano TX 750244112 990 2022-01-01 474837308 OCH Holdings OCHH 2144567000 1935 Medical District Drive Dallas TX 75235 Peter C Perialas Jr President 2023-11-14 true Robert Fries 999009999 Rachel Spurlock P00520729 2147775200 2022 2023-04-26 12:10:37Z Our Children's House Peter C Perialas Jr 1935 Medical District Drive Dallas TX 75235 16796192 false X www.childrens.com X 2015 TX Dedicated to making life better for children. 3 0 0 4 0 0 2117418 2663895 25009170 14084879 0 -88573 80539 47418 27207127 16707619 0 0 0 14908957 7887340 0 0 0 19148437 12163225 34057394 20050565 -6850267 -3342946 64620565 60144381 68339959 67206721 -3719394 -7062340 X OCH Holdings, doing business as Our Children's House (OCH), is a specialty hospital providing comprehensive services to children from infancy through age 18 with developmental or birth disorders, traumatic injuries or severe illnesses. Our Children's House is the only one of its kind in the region, providing transition from acute-care hospitals to home after experiencing life-changing health issues. The hospital focuses on patient stabilization, family education and maximizing the patient's functional ability. Inpatient programs include feeding, rehabilitation and pulmonary services, while the intensive day patient programs include neurological, feeding and constraint-induced therapies. false true 12120036 0 14132297 Children's Health Clinical Operations, a 501(c)(3) Texas non-profit corporation, is the sole member of OCH Holdings, a 501(c)(3) Texas non-profit corporation. The clinical services, programs, and activities of OCH Holdings are being transferred to the Dallas campus of CHCO. The transfer of OCH Holdings's clinical programming from a standalone licensed hospital model to a fully integrated clinical program at the Dallas campus will enhance the continuum of care, improve patient experience, lower the cost of care, and align the care model for these patient populations to be consistent with other Honor Roll hospitals. This transfer of services to the Dallas campus is in effect a transfer of clinical services from the OCH Holdings entity to CHCO. In accordance with OCH Holdings's Bylaws, the CHCO Board is being asked to approve the transfer of services as the sole member of OCH Holdings. 12120036 true true false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 81 0 true 0 false false false false false false false false false false false false X 3 0 true false false false true true true true true false false false true true true true true false false false X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 Peter C Perialas Jr Director & President and COO 1.0 54.0 X X 0 1825216 360477 Tammy Webb Director & Chief Nursing Officer 1.0 53.0 X X 0 724976 180530 Matthew M Davis Chairman / CHST Dallas Market President 1.0 54.0 X 0 1014910 221117 Amy Yeager Chief Legal Officer and Secretary 1.0 54.0 X 0 953089 218316 Kelli Terpstra Administrator (Term. Date 7/8/22) 1.0 55.0 X 0 571248 69301 Robert S Fries Chief Financial Officer 1.0 54.0 X 0 1054848 259868 David T Berry Former Officer 0.0 55.0 X 0 2095280 51063 Jeremiah Radandt Former Officer 0.0 0.0 X 0 409238 0 Joe Cavender Former Officer 0.0 55.0 X 0 556011 132028 Vanessa U Walls Former Officer 0.0 55.0 X 0 935050 242208 0 10139866 1734908 0 true true false DPR CONSTRUCTION 310 Comal Street Building A Suite 300 Austin TX 78702 Construction Services 1367068 UNIVERSAL PROTECTION SVC LP PO BOX 828854 Philadelphia PA 191828854 Security servcies 242454 PREMIER TRANSPORTATION SVCS 4525 Production Dr Dallas TX 75235 Transportation Services 137787 DMI TECHNOLOGIES INC 14900 Grand River Road Suite 100 Fort Worth TX 76155 Technology Services 123271 CORGAN ASSOCIATES INC PO Box 910253 Dallas TX 753910253 Architecture and design 114657 5 309374 2354521 2663895 Medical Service Revenue 621110 14084879 14084879 0 0 0 0 14084879 0 0 88573 0 -88573 -88573 -88573 Dietary Revenue 621990 47418 47418 0 0 0 0 47418 16707619 14132297 0 -88573 X 6015191 3378882 2636309 409705 230141 179564 985063 553334 431729 477381 268157 209224 2073738 1724003 349735 0 290256 163044 127212 7087 3981 3106 2426903 1363252 1063651 4783 2687 2096 737295 414157 323138 Shared Services 5943219 3338454 2604765 Medical Surgical Supplies 679944 679944 0 0 0 0 20050565 12120036 7930529 0 20260248 17114818 0 0 0 0 103345 0 7691896 3247143 4699373 4444753 0 0 0 39557599 38584810 64620565 60144381 3523831 4385843 0 0 64816128 62820878 68339959 67206721 X -3719394 -7062340 -3719394 -7062340 64620565 60144381 -3342946 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6044209 3241647 2802562 1647687 5496 1642191 4444753 Due from Affiliates 38584810 38584810 LT Advances - Affiliates 62820878 62820878 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote OCH Holdings' financial information is included in the consolidated audited financial statements of Children's Health System of Texas, a related organization. Children's Health System of Texas's FIN 48 (ASC 740) footnote for the year ended December 31, 2022, reads as follows: "The authoritative guidance in ASC 740 Income Taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The statute of limitations remains open for tax years 2019 through 2022 in Children's Health main taxing jurisdictions." true true false false false false false false false David T Berry Former Officer 0 57012 0 388002 0 1650266 0 45681 0 5382 0 2146343 0 616905 Joe Cavender Former Officer 0 282546 0 169152 0 104313 0 84964 0 47064 0 688039 0 73169 Vanessa U Walls Former Officer 0 554444 0 281010 0 99596 0 199658 0 42550 0 1177258 0 66150 Peter C Perialas Jr Director & President and COO 0 1048454 0 504726 0 272036 0 334779 0 25698 0 2185693 0 261558 Tammy Webb Director & Chief Nursing Officer 0 441982 0 245543 0 37451 0 152681 0 27849 0 905506 0 13032 Matthew M Davis Chairman / CHST Dallas Market President 0 585431 0 297379 0 132100 0 196396 0 24721 0 1236027 0 126725 Jeremiah Radandt Former Officer 0 0 0 409238 0 0 0 0 0 0 0 409238 0 0 Robert S Fries Chief Financial Officer 0 650232 0 373770 0 30846 0 217700 0 42168 0 1314716 0 0 Kelli Terpstra Administrator (Term. Date 7/8/22) 0 121991 0 116286 0 332971 0 34713 0 34588 0 640549 0 95617 Amy Yeager Chief Legal Officer and Secretary 0 486033 0 281010 0 186046 0 170098 0 48218 0 1171405 0 155196 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation OCH Holdings (The "Corporation") has no employees. Certain individuals identified herein as Directors and Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). Therefore, compensation decisions for the Directors and Officers were determined by the related organization following CHST compensation's policy. in their duties as Directors and Officers of the corporation, they have no influence over the compensation process performed by CHST. The CHST process for determining executive compensation is as follows: The Human Resources Committee (Committee) of the CHST Board is responsible for setting the compensation for executives. The Committee is comprised of independent, non-employee directors. A written compensation philosophy has been developed by the Human Resources Committee for timeliness and appropriateness and defines the desired peer groups for compensation surveys. The HR Committee engages the services of an independent compensation consultant for executive compensation. COMPENSATION PROGRAM COMPONENTS: The elements of total compensation provided to CHST executives include: - Cash compensation (i.e., base salary, short-term and long-term incentive compensation, and/or other cash compensation), determined in consideration of competitive market practices, organizational and individual performance, recruitment and retention considerations, and other relevant factors. - Standard benefits, assisting in each executive's medical, dental, disability, life insurance, time off, and retirement needs, reflective of the employment status (i.e., full or part time) of the executive. - Supplemental benefits, including supplemental insurance, retirement benefits, and/or other supplemental benefits determined by the Committee to be appropriate and reasonable in relation to marketplace practices. Compensation and benefits decisions are made in consideration of each executive's position, responsibilities, skills, effort, and performance, in relation to documented practices within the appropriate comparator group(s). PEER GROUP: The Committee has defined its primary peer group for executives as not-for-profit health care organizations similar in size, structure, and complexity. This group will include leading pediatric health systems as well as integrated health systems and academic medical centers. - Data will be compiled in a manner consistent with the IRS Intermediate Sanctions rules of federal tax law, to reflect what is dinarily paid to like executives by like enterprises under like circumstances." - In certain circumstances, market data from additional comparator groups (e.g., research institutions, insurance industry, and general industry companies) may also be referenced. - The specific nature of the role at CHST will be considered when adding comparator groups outside of the primary peer group, and the Committee will discuss and agree on the appropriateness of adding comparator groups whenever the specific nature of the CHST role requires additional comparator groups to be used. Schedule J, Part I, Line 4a Severance or change-of-control payment David Berry - $1,012,500 Kelli Terpstra - $232,700 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Executive Defined Contribution Retirement Plan (EDCRP): Employees who received taxable income from the EDCRP include: Peter Perialas - $261,558 David Berry - $616,905 Matthew Davis - $126,725 Vanessa Walls - $66,150 Amy Yeager - $155,196 Tammy Webb - $13,032 Joe Cavender - $73,169 Kelli Terpstra - $95,617 Employees who participated in and have contributions to the EDCRP include: Peter Perialas - $316,479 David Berry - $23,365 Robert Fries - $205,500 Matthew Davis - $178,096 Vanessa Walls - $177,058 Amy Yeager - $157,898 Tammy Webb - $140,481 Joe Cavender - $64,464 Kelli Terpstra - $16,110 Form 990, Part III, Line 3 Significant changes in program services Children's Health Clinical Operations, a 501(c)(3) Texas non-profit corporation, is the sole member of OCH Holdings, a 501(c)(3) Texas non-profit corporation. The clinical services, programs, and activities of OCH Holdings are being transferred to the Dallas campus of CHCO. The transfer of OCH Holdings's clinical programming from a standalone licensed hospital model to a fully integrated clinical program at the Dallas campus will enhance the continuum of care, improve patient experience, lower the cost of care, and align the care model for these patient populations to be consistent with other Honor Roll hospitals. This transfer of services to the Dallas campus is in effect a transfer of clinical services from the OCH Holdings entity to CHCO. In accordance with OCH Holdings's Bylaws, the CHCO Board is being asked to approve the transfer of services as the sole member of OCH Holdings. Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OFFICERS OCH HOLDINGS (The "Corporation") has no employees. Certain individuals identified herein as Officers of the Corporation are employed and compensated by a related organization, Children's Health System of Texas (CHST). The Individuals perform services for the Corporation, and in some cases other related organizations, by arrangement between CHST and such organization(s). As set forth in the Schedule R, the Corporation and CHST are related organizations. In their duties as Officers of the Corporation, they have no influence over the compensation process performed by CHST, which is explained in Schedule J, Part I, Line 3. Form 990, Part VI, Line 8b Committees Children's Health System of Texas has established seven standing Committees of the Board, which have the authority to act for and on behalf of CHST, Children's Health Clinical Operations, Children's Medical Center Foundation, and their affiliates, operating divisions and division facilities to fulfill the responsibilities designated in the respective Committee charters. Written minutes are prepared and maintained for all formal meetings of each Committee. Actions by Written Consent are also prepared and maintained as they occur. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Peter Perialas, Robert Fries, and Amy Yeager - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CHCO is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CHCO elects all voting members of the organization's board of directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Member reserve powers are specified in the the organization's bylaws and represent those actions which require member approval. These powers generally encompass changes in the mission of the organization, addition of new members, certain dispositions of assets, amendments to the organization's Certificate of Formation and Bylaws, and appointment of directors. Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the CHST Audit Committee for review. A copy of the Form 990 is made available to the CHST directors through our Board portal before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees receive annually a copy of the Children's Health Statement of Interest form to complete. Disclosures made are reviewed by the CHST Legal Department and the Chief Compliance Officer, who are authorized under the Children's Health Conflict of Interest Policy to make determinations under the Policy regarding persons who are medical staff members or employees of Children's Health and its affiliates. Disclosures made by senior officers (as defined in the Policy) are reviewed by the Compliance Officer, the Chief Legal Officer, and CHST's President and Chief Executive Officer to determine if a conflict exists. Disclosures made by directors of CHST and its affiliates, as well as by the President and Chief Executive Officer of CHST, are discussed as necessary with the appropriate delegated Board Committee and, if required pursuant to the Policy, by the appropriate Board of Directors at meetings to determine if further action is needed. A Statement of Interest must be completed annually and Board members are requested to report changes if they occur. A Committee or Board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting. Form 990, Part VI, Line 19 Required documents available to the public IRC section 6104 does not require disclosure of the financial statements, conflict of interest policy and governing documents. The Certificate of Formation, Consolidated Financial Statements, and the conflict of interest policy are made available upon request. Form 990, Part IX, Line 11g Other Fees Consulting & Professional fees - Total Expense: 1724003, Program Service Expense: 1724003, Management and General Expenses: , Fundraising Expenses: ; Contract Medical - Total Expense: 349735, Program Service Expense: , Management and General Expenses: 349735, Fundraising Expenses: ; Children's Health Clinical Operations 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS false DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS false PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS false SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I NA false WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER 2777 N STEMMONS FWY 700 DALLAS TX 75207 752485538 WOMEN'S AUXILIARY TX 501(c)(3) 10 CHILDREN'S MEDICAL CENTER FOUNDATION false CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062019 MANAGEMENT COMPANY TX 501(c)(3) Type II NA false Bradford Memorial Hospital for Babies 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756067819 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false The Children's Hospital of Texas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 756081004 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX NA C Corporation false NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX NA C Corporation false Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX NA C Corporation false Texas Trinity River Assurance Company 981318151 Self-insurance CJ NA C Corporation false Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX NA C Corporation false CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX NA C Corporation false false false true false false false false false false false false true false true true false false false false