2023-12-14T10:51:41+00:00 2023-01-01 350921680 CROWE LLP 5810 TENNYSON PARKWAY Suite 450 Plano TX 750244112 990 2023-01-01 752062019 Children's Health System of Texas CHIL 2144567000 1935 Medical District Drive Dallas TX 75235 Christopher J Durovich President 2023-12-14 false Robert Fries 999009999 true Rachel Spurlock P00520729 2147775200 2022 2023-04-26 12:10:37Z X Children's Health Christopher J Durovich 1935 Medical District Drive Dallas TX 75235 0 false X www.childrens.com X 1985 TX TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS. X 14 13 0 0 0 0 31482181 0 516720245 0 7934869 0 0 556137295 0 253733 0 0 244222220 0 0 0 228643629 0 473119582 0 83017713 0 1437543635 0 2339458980 0 -901915345 0 X TO ASSIST IN THE MANAGEMENT OF RELATED 501(C)(3) ORGANIZATIONS, THAT ARE A PART OF AN INTEGRATED PEDIATRIC HEALTH CARE SYSTEM WITH A MISSION TO MAKE LIFE BETTER FOR CHILDREN. false true 0 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS MERGED INTO CHILDREN'S HEALTH CLINICAL OPERATIONS, WITH CHILDREN'S HEALTH CLINICAL OPERATIONS AS THE SURVIVING ENTITY; CONSEQUENTLY, CHILDREN'S HEALTH CLINICAL OPERATIONS WAS RENAMED CHILDREN'S HEALTH SYSTEM OF TEXAS EFFECTIVE JANUARY 1, 2023. AS A RESULT, THERE WERE NO PROGRAM SERVICE ACCOMPLISHMENTS DURING THE FINAL TAX PERIOD. 0 true false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false true false true true true true false false true X 0 0 0 false true CJ false false false false false false false false false false X 14 13 true false false false false false false true true false false true true true true true true false false true true X Amy Yeager 2144567000 1935 Medical District Drive Dallas TX 75235 CHRISTOPHER J DUROVICH PRESIDENT & CEO 0.3 X X 0 0 0 ANNE MOTSENBOCKER DIRECTOR 0.3 X 0 0 0 CAREN KLINE DIRECTOR 0.3 X 0 0 0 CONNIE O'NEILL DIRECTOR 0.3 X 0 0 0 DEBRA B TAGG DIRECTOR 0.3 X 0 0 0 ED HEFFERNAN CHAIRMAN 0.3 X 0 0 0 ED HEFFERNAN CHAIRMAN 0.3 X 0 0 0 LEE JACKSON DIRECTOR 0.3 X 0 0 0 LEE JACKSON DIRECTOR 0.3 X 0 0 0 LOU GRABOWSKY DIRECTOR 0.3 X 0 0 0 LOU GRABOWSKY DIRECTOR 0.3 X 0 0 0 MARK SPEESE DIRECTOR 0.3 X 0 0 0 MARK SPEESE DIRECTOR 0.3 X 0 0 0 MICHAEL DARDICK DIRECTOR 0.3 X 0 0 0 MICHAEL DARDICK DIRECTOR 0.3 X 0 0 0 REBECCA EGELSTON CASO DIRECTOR 0.3 X 0 0 0 REBECCA EGELSTON CASO DIRECTOR 0.3 X 0 0 0 ROBERT A CHERECK DIRECTOR 0.3 X 0 0 0 ROBERT A CHERECK DIRECTOR 0.3 X 0 0 0 STEVEN M GRUBER DIRECTOR 0.3 X 0 0 0 STEVEN M GRUBER DIRECTOR 0.3 X 0 0 0 THOMAS A MONTGOMERY DIRECTOR 0.3 X 0 0 0 THOMAS A MONTGOMERY DIRECTOR 0.3 X 0 0 0 AMY YEAGER EVP, CLO & SECRETARY 0.3 X 0 0 0 DAI H CHUNG MD PRESIDENT AND CHIEF MEDICAL OFFICER 0.3 X 0 0 0 DORIS E HUNT EVP, CORPORATE SERVICES AND CHIEF COMPLIANCE OFFICER 0.3 X 0 0 0 KIMBERLY BESSE PRESIDENT AND CHIEF PEOPLE OFFICER 0.3 X 0 0 0 LINDSEY TYRA EVP, CHIEF STRATEGY OFFICER 0.3 X 0 0 0 MATTHEW M DAVIS PRESIDENT DALLAS MARKET 0.3 X 0 0 0 PETER C PERIALAS PRESIDENT AND CHIEF OPERATING OFFICER 0.3 X 0 0 0 ROBERT S FRIES EVP, CHIEF FINANCIAL OFFICER 0.3 X 0 0 0 TAMMY WEBB EVP, CHIEF NURSING EXECUTIVE 0.3 X 0 0 0 VANESSA U WALLS PRESIDENT NORTHERN MARKET 0.3 X 0 0 0 0 0 0 0 false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127261431 0 84879614 0 0 0 0 0 17404051 0 92792286 0 0 0 286916945 0 0 43467226 784822082 0 1437543635 0 74760271 0 0 0 2538362 0 2262160347 0 2339458980 0 X -901915345 0 -901915345 0 1437543635 0 X 0 901915345 X false true X true false X X 7 Children's Health Clinical Operations 750800628 3 true 0 0 Children's Medical Center Foundation 752062015 7 true 0 0 Anesthesiologists For Children 752917570 9 true 0 0 Dallas Phys Med Svcs for Children Inc 810584868 3 true 0 0 Complex Care Med Svc Corp 461893597 3 true 0 0 Children's Medical Center Health Plan 462737696 9 true 0 0 OCH Holdings 474837308 3 true 0 0 7 0 0 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 12g(ii) Type of Organization Children's Med Ctr Research Inst at UTSWMC - 509(a)(3) Type I; Pediatric Partners - 509(a)(3) Type I; Physicians Quality Alliance of North Texas - 509(a)(3) Type I; Schedule A, Part IV, Section C, Line 1 Majority director detail The fact that the management of CHST is vested in the same persons that control and manage the supported organizations allows CHST and its supported organizations to function collectively as a health system. CHST provides management and administrative support to the supported organizations and various other services that further the supported organizations' tax-exempt purpose of providing health services to the community. The fact that one or more members of the core leadership team of each of the supported organizations is also a member of the CHST core leadership team assures that CHST is responsive to the needs and demands of the supported organizations. LT Advances - Affiliates UTSW Phys Guarantees Reserve for Professional Liab Operating Lease Liabilities Other Liabilities 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. Cash & Cash Equivalents 2023-01-01 127261431 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical District Drive Dallas TX 75235 501(c)(3) Accounts Receivable 2023-01-01 869701696 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical District Drive Dallas TX 75235 501(c)(3) Prepaid Expenses 2023-01-01 92792286 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical District Drive Dallas TX 75235 501(c)(3) Inventories 2023-01-01 17404051 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical District Drive Dallas TX 75235 501(c)(3) Land, buildings, and equipment 2023-01-01 286916945 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical District Drive Dallas TX 75235 501(c)(3) Investments in Affiliates 2023-01-01 43467226 FMV 750800628 CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 Medical DIstrict Drive Dallas TX 75235 501(c)(3) false false false false true true true true false Form 990, Part III, Line 3 Significant changes in program services THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN:75-2062019) HAS DETERMINED IT IS IN THE CORPORATION'S BEST INTEREST TO MERGE THE CORPORATION TO CHILDREN'S HEALTH CLINICAL OPERATIONS (EIN:75-0800628) THAT CHANGED ITS NAME TO CHILDREN'S HEALTH SYSTEM OF TEXAS AFTER MERGER. 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 CHRISTOPHER J. DUROVICH, PETER C. PERIALAS, ROBERT S. FRIES AND DORIS HUNT - Business relationship, AMY R. YEAGER, ROBERT S. FRIES AND PETER C. PERIALAS - Business relationship, DAI. H CHUNG, MD, ROBERT S. FRIES, PETER C. PERIALAS, AND AMY R. YEAGER - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 is presented to the corporation's Audit Committee for review. A copy of the Form 990 is made available to the directors through our Board portal before it is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Officers, directors, and key employees annually receive 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 XI, Line 9 Other changes in net assets or fund balances Transfer of Net Assets to Affiliate - XXX-XX-XXXX; CHST HOLDINGS 1 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472374583 HEALTH CARE RELATED INVESTMENTS TX 0 2888001 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 2 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472819566 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 3 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472845243 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST HOLDINGS 4 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472851889 HEALTH CARE RELATED INVESTMENTS TX 0 878100 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Investment Holdings LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 472874792 HEALTH CARE RELATED INVESTMENTS TX 0 25636104 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 6 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811003744 HEALTH CARE RELATED INVESTMENTS TX 0 11606583 CHILDREN'S HEALTH SYSTEM OF TEXAS CHST Holdings 7 LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 811010503 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Center Southlake LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475207507 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Ambulatory Surgery Centers LLC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 475215454 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Associates LLC 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75236 474371967 HEALTH CARE RELATED INVESTMENTS TX 0 5034814 CHILDREN'S HEALTH SYSTEM OF TEXAS Pediatric Imaging Partners LLC 1937 MEDICAL DISTRICT DRIVE DALLAS TX 75237 472104673 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Children's Health Imaging Center LLC 1938 MEDICAL DISTRICT DRIVE DALLAS TX 75238 384043597 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS Legacy Trail Surgery Center LLC 1939 MEDICAL DISTRICT DRIVE DALLAS TX 75239 822278618 HEALTH CARE RELATED INVESTMENTS TX 0 30134130 CHILDREN'S HEALTH SYSTEM OF TEXAS CHSR LLC 1940 MEDICAL DISTRICT DRIVE DALLAS TX 75240 371865547 HEALTH CARE RELATED INVESTMENTS TX 0 0 CHILDREN'S HEALTH SYSTEM OF TEXAS 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 true CHILDREN'S MEDICAL CENTER FOUNDATION 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752062015 FOUNDATION TX 501(c)(3) 7 CHILDREN'S HEALTH SYSTEM OF TEXAS true DALLAS PHYS MED SVCS FOR CHILDREN INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 810584868 PHYSICIANS TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true COMPLEX CARE MED SVC CORP 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MEDICAL CENTER HEALTH PLAN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 462737696 HMO TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true CHILDREN'S MED CTR RESEARCH INST AT UTSWMC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 453462044 RESEARCH INSTITUTE TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true PEDIATRIC PARTNERS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461917702 CLINICALLY INTEGRATED NETWORK TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true ANESTHESIOLOGISTS FOR CHILDREN 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752917570 PHYSICIANS TX 501(c)(3) 10 CHILDREN'S HEALTH SYSTEM OF TEXAS true PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 464049491 PHYSICIANS TX 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM OF TEXAS true SOUTHWESTERN MEDICAL DISTRICT 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 204101612 MEDICAL DISTRICT TX 501(c)(3) Type I 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 OCH Holdings 1935 Medical District Drive Dallas TX 75235 474837308 Hospital TX 501(c)(3) 3 Children's Health Clinical Operations 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 true Richmond Freeman Memorial Clinic 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 237079698 Hospital TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS true 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 true ALTERNATIVE CARE SYSTEMS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 752244475 OTHER MEDICAL SERVICES TX CHILDREN'S HEALTH SYSTEM OF TEXAS C Corporation 0 4903231 1 true NTPSS INC 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 471036641 PHYSICIAN SOLUTIONS TX CHST C Corporation 0 0 1 true Texas Bluebonnet Insurance Company 1935 Medical District Drive Dallas TX 75235 475032893 Insurance Company TX Children's Health System of Texas C Corporation 0 4787969 1 true Texas Trinity River Assurance Company 981318151 Self-insurance CJ Children's Health System of Texas C Corporation 0 48430835 1 true Children's Health 1935 Medical District Drive Dallas TX 75235 833809987 Other Medical Services TX Children's Health System of Texas C Corporation 0 0 1 true CHFH Inc 1935 Medical District Drive Dallas TX 75235 831336111 Other Medical Services TX NA C Corporation 0 0 false Children's Health Care Network 1935 Medical District Drive Dallas TX 75235 834560427 Other Medical Services TX Children's Health System of Texas C Corporation 0 0 1 true false false false false false false false false false false false false false false false false false true false CHILDREN'S HEALTH SYSTEM OF TEXAS (previously Children's Health Clinical Op erations) R 901915345 GAAP