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        <PersonNm>TAMMY WEBB RN</PersonNm>
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        <PersonNm>WP ANDREW LEE MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANE PETERSON</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>35416</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathan Efron MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCIA SCHNEIDER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN BRENNAN</PersonNm>
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        <PersonNm>DAI CHUNG MD</PersonNm>
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        <PersonNm>JONATHAN NOWLIN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. CERTAIN INDIVIDUALS IDENTIFIED HEREIN AS DIRECTORS OR OFFICERS OF PHMS ARE EMPLOYED AND COMPENSATED BY RELATED ORGANIZATIONS, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) AND THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSW). COMPENSATION DECISIONS FOR THE DIRECTORS AND OFFICERS ARE DETERMINED BY THE RELATED ORGANIZATION'S COMPENSATION POLICY. IN THEIR DUTIES AS DIRECTORS AND OFFICERS OF THE PHMS, THEY HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST AND UTSW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING EMPLOYEE RECEIVED SEVERANCE PAYMENT: JOHN BRENNAN - $1,645,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DEFINED CONTRIBUTION RETIREMENT PLAN (EDCRP): EMPLOYEES WHO RECEIVED TAXABLE INCOME FROM THE EDCRP INCLUDE: ROBERT FRIES - $79,646 LINDSEY TYRA - $59,904 TAMMY WEBB - $143,478 JONATHAN NOWLIN - $25,190 JOHN BRENNAN - $1,061,356 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: ROBERT FRIES - $236,942 LINDSEY TYRA - $189,317 TAMMY WEBB - $160,961 DANE PETERSON - $354,115 JONATHAN NOWLIN - $35,120</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM OF TEXAS AND THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER ARE BOTH JOINT MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE APPOINTED BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER RESERVED POWERS ARE SPECIFIED IN THE ORGANIZATION'S BYLAWS AND REPRESENT THOSE ACTIONS BY THE ORGANIZATION 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE CHILDREN'S HEALTH SYSTEM OF TEXAS ACCOUNTING DEPARTMENT COORDINATED AND COMPLETED ALL THE INFORMATION REQUIRED FOR THE FORM 990, ACCESSING VARIOUS RESOURCES INCLUDING, LEGAL, CORPORATE COMPLIANCE AND OTHER DEPARTMENTS AS NEEDED. THE FOLLOWING IS THE PROCESS FOR REVIEW: Forvis Mazars, PAID PREPARER, REVIEWS THE FORM 990 PRIOR TO SUBMISSION TO THE BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE DIRECTORS THROUGH AN ONLINE PORTAL BEFORE IT IS FILED WITH THE IRS. THE CORPORATION FILES THE 990 UPON FINAL REVIEW.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE ANNUALLY A COPY OF THE PEDIATRIC HEAL TH MANAGEMENT SERVICES DISCLOSURE STATEMENT FORM TO COMPLETE. ALL DISCLOSURES (AS DEFINED IN THE ORGANIZATION'S CONFLICT OF COMMITMENT AND CONFLICT OF INTEREST POLICY) ARE REVIEWED BY THE COMPLIANCE OFFICER(S) TO DETERMINE IF A CONFLICT EXISTS. A STATEMENT OF INTEREST MUST BE COMPLETED ANNUALLY AND OFFICERS, DIRECTORS, AND KEY EMPLOYEES 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. CERTAIN INDIVIDUALS IDENTIFIED HEREIN AS DIRECTORS OR OFFICERS OF PHMS ARE EMPLOYED AND COMPENSATED BY RELATED ORGANIZATIONS, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) AND THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSW). COMPENSATION DECISIONS FOR THE DIRECTORS AND OFFICERS ARE DETERMINED BY THE RELATED ORGANIZATION'S COMPENSATION POLICY. IN THEIR DUTIES AS DIRECTORS AND OFFICERS OF THE PHMS, THEY HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST AND UTSW.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. THE CHIEF MEDICAL OFFICER OF PHMS IS EMPLOYED AND COMPENSATED BY THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSW), AN INSTITUTION OF HIGHER EDUCATION ORGANIZED AND OPERATED BY THE STATE OF TEXAS. IN HIS DUTIES AS AN EXECUTIVE OF PHMS, HE HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY UTSW. UTSW IS CHARGED WITH SETTING COMPENSATION LEVELS FOR HIGHLY COMPENSATED PERSONNEL AND USES A THIRD-PARTY VENDOR TO PROVIDE INDEPENDENT, FAIR MARKET VALUATIONS OF HIGHLY COMPENSATED PERSONNEL. THE SECRETARY OF PHMS IS EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS DUTIES AS OFFICER OF PHMS, HE HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST. IN THIS POSITION, THEY PERFORM SERVICES FOR PHMS AND IN SOME CASES OTHER RELATED ORGANIZATIONS, BY ARRANGEMENT BETWEEN CHST AND SUCH ORGANIZATION(S). AS SET FORTH IN THE SCHEDULE R, PHMS AND CHST ARE RELATED ORGANIZATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Demolition/Transition Costs - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Other Professional Services - Total Expense: 36516, Program Service Expense: 36516, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CAPITAL CONTRIBUTION FROM CHILDREN'S HEAL TH SYSTEM OF TEXAS - XXX-XX-XXXX; CAPITAL CONTRIBUTION FROM THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER - XXX-XX-XXXX; Total - XXX-XX-XXXX;</ExplanationTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHILDREN'S HEALTH SYSTEM OF TEXAS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
