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Nonprofiteer
← CHILDRENS HEALTH SYSTEM OF TEXAS

Form 990 for tax year 2022

Filed by CHILDRENS HEALTH SYSTEM OF TEXAS.

Totals

Total revenue
$2,001,118,732
Total expenses
$1,685,432,184
Contributions and grants received
$189,716,433
Grants paid
$28,677,131
Program service revenue
$1,802,113,891
Investment income
$1,253,339
Other revenue
$8,035,069
Total assets, end of year
$7,326,907,535
Total liabilities, end of year
$2,431,905,999
Net assets or fund balances, end of year
$4,895,001,536
Program services expenses (Part IX)
$1,304,386,808
Management and general expenses
$381,045,376
Fundraising expenses
$0
Program service expenses (Part III)
$1,304,386,808

Program services were 77.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $29,808,431

  • 1e · Government grants (contributions)

    $159,908,002

  • 2a · Program service revenue: Net Patient Revenue

    total $1,736,623,975 · related or exempt $1,736,623,975

  • 2b · Program service revenue: Other Medical Services Revenue

    total $45,123,022 · related or exempt $45,123,022

  • 2c · Program service revenue: Pharmacy & Lab Revenue

    total $14,571,227 · related or exempt $14,440,228 · unrelated business $130,999

  • 2d · Program service revenue: Rental Income from Affiliates

    total $5,795,667 · related or exempt $5,795,667

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,103,431 · unrelated business -$965 · excluded $1,104,396

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $186,487

  • 7b · Less cost or other basis and sales expenses

    other assets $36,579

  • 7c · Gain or loss

    securities $186,487 · other assets -$36,579

  • 7d · Net gain or loss

    total $149,908 · excluded $149,908

  • 11a · Other revenue: Dietary Revenue

    total $7,844,864 · related or exempt $7,844,864

  • 11b · Other revenue: Vending Revenue

    total $190,205 · related or exempt $190,205

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $8,035,069

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $26,966,805 · program services $26,966,805

  • 2 · Grants to domestic individuals

    total $1,710,326 · program services $1,710,326

  • 7 · Other salaries and wages

    total $492,622,558 · program services $340,954,979 · management and general $151,667,579

  • 8 · Pension plan contributions

    total $26,191,132 · program services $18,127,462 · management and general $8,063,670

  • 9 · Other employee benefits

    total $60,603,533 · program services $41,945,047 · management and general $18,658,486

  • 10 · Payroll taxes

    total $34,844,383 · program services $24,116,569 · management and general $10,727,814

  • 11d · Fees: lobbying

    total $106,066 · management and general $106,066

  • 11g · Fees: other

    total $297,585,851 · program services $271,173,792 · management and general $26,412,059 · fundraising $0

  • 12 · Advertising and promotion

    total $593,928 · program services $411,071 · management and general $182,857

  • 13 · Office expenses

    total $21,443,600 · program services $14,841,590 · management and general $6,602,010

  • 14 · Information technology

    total $1,254,274 · program services $868,111 · management and general $386,163

  • 16 · Occupancy

    total $13,698,738 · program services $9,481,200 · management and general $4,217,538

  • 17 · Travel

    total $887,512 · program services $614,267 · management and general $273,245

  • 20 · Interest

    total $23,944,722 · program services $16,572,672 · management and general $7,372,050

  • 22 · Depreciation, depletion and amortization

    total $64,437,758 · program services $44,598,799 · management and general $19,838,959

  • 23 · Insurance

    total $150,586 · program services $104,224 · management and general $46,362

  • 24a · Other expenses: Shared Services

    total $410,846,421 · program services $284,355,903 · management and general $126,490,518

  • 24b · Other expenses: Medical Surgical Supplies

    total $207,543,991 · program services $207,543,991

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $782,346 · end of year $181,059,083

  • 2 · Savings and temporary cash investments

    beginning of year $773,933,487 · end of year $644,965,829

  • 4 · Accounts receivable

    beginning of year $236,619,044 · end of year $308,366,188

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $18,790,608 · end of year $22,292,922

  • 9 · Prepaid expenses and deferred charges

    beginning of year $641,670 · end of year $639,214

  • 10a · Land, buildings and equipment: cost or other basis

    $1,723,035,830

  • 10b · Land, buildings and equipment: accumulated depreciation

    $765,576,504

  • 10c · Land, buildings and equipment, net

    beginning of year $831,955,590 · end of year $957,459,326

  • 12 · Investments: other securities

    beginning of year $34,877,160 · end of year $31,302,960

  • 13 · Investments: program-related

    beginning of year $25,010 · end of year $25,010

  • 14 · Intangible assets

    beginning of year $15,807,647 · end of year $14,155,362

  • 15 · Other assets

    beginning of year $5,170,136,459 · end of year $5,166,641,641

  • 17 · Accounts payable and accrued expenses

    beginning of year $267,679,635 · end of year $276,461,599

  • 20 · Tax-exempt bond liabilities

    beginning of year $821,206,368 · end of year $807,516,853

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,194,567,182 · end of year $1,347,927,547

  • 27 · Net assets without donor restrictions

    beginning of year $2,469,493,404 · end of year $2,746,576,945

  • 28 · Net assets with donor restrictions

    beginning of year $2,330,622,432 · end of year $2,148,424,591

Mission and programs · 2022

Mission

For more than 100 years, our mission has been to make life better for children. Since our humble beginnings in 1913 as the first free "baby camp" in the Southwest, an open-air tent hospital dedicated to the care of babies, we have maintained a commitment to our community that includes not only high-quality patient care but also advocacy, education and preventive care with an unwavering focus on our mission. Children's Health is the leading pediatric health care system in North Texas and one of the largest pediatric health care providers in the nation. A private, not-for-profit organization, Children's Health is anchored by two full-service hospitals. The system includes an extensive network offering specialty, urgent, primary and virtual care, as well as much more, to the children of North Texas and beyond. In addition, Children's Health is the official pediatric teaching hospital for UT Southwestern Medical Center's medical school.

Activities or mission (Part I)

Dedicated to making life better for children.

  • Children's Health is committed to making life better for children. As one of the largest and most prestigious pediatric health care providers in the country and the leading pediatric health care system in North Texas. A private, not-for-profit organization, Children's Health is anchored by two full-service hospitals. Children's Health Dallas: an academic medical center campus anchored by a 490-bed full-service hospital, including the only pediatric Level I Trauma Center in North Texas. Children's Medical Center Dallas continues to be the only North Texas hospital to be ranked in 10 out of 10 pediatric specialties by U.S. News & World Report. Children's Health Plano: a 72-bed full-service hospital with two specialty centers, including the Children's Health Andrews Institute for Orthopedics & Sports Medicine, and a new hospital tower to add 140 beds in 2024. The system includes an extensive network offering specialty, urgent, primary, virtual care and more to the children of North Texas and beyond. In addition, Children's Health is affiliated with UT Southwestern as the official pediatric teaching hospital for the medical school. This means access to a world-renowned medical faculty and transformative biomedical research. Through its academic affiliation with UT Southwestern Medical Center, Children's Health is a leader in life-changing treatments, innovative technology and ground-breaking research. Our mission - to make life better for children - extends beyond the walls of our hospitals and clinics, meeting families where they live, learn and play. With more than 50 pediatric specialty and subspecialty programs across North Texas and more than 1,300 medical and dental staff, we are providing the highest possible quality of care to more children in more places than ever before. Children's Health cares for children through more than 753,000 patient visits annually. The joint pediatric enterprise set forth its first-ever joint strategic plan, which outlines our collective roadmap to making life better for children for many generations yet to come. We will do this by investing in innovation and clinical program excellence, delivering an unparalleled consumer experience, growing alongside North Texas, and improving, expanding and uniting our physician network. Our singular focus on children makes us the very best at transformative pediatric medicine, and together we will provide family-centered, compassionate patient experiences designed entirely around the child. In 2022, Children's Health saw 219,709 unique patients and had 753,267 total patient encounters from the seven-county region that includes Dallas, Collin, Cooke, Denton, Fannin, Grayson and Tarrant counties.

    Expenses $1,304,386,808 · Grants $28,677,131 · Revenue $1,810,017,961

As filed on the 2022 return.

Listed in Part VII

  • Ed Heffernan

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Michael Dardick

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Thomas A Montgomery

    Director

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Amy Yeager

    EVP, CLO & Secretary

    Total calculated
    $1,171,405
    From this org
    $0
    From related orgs
    $953,089
    Other
    $218,316
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $486,033 related
    Bonus
    $0 + $281,010 related
    Other
    $0 + $186,046 related
    Deferred
    $0 + $170,098 related
    Nontaxable benefits
    $0 + $48,218 related
    Filer's total
    $0 + $1,171,405 related

  • Peter C Perialas Jr

    President

    Total calculated
    $2,185,693
    From this org
    $0
    From related orgs
    $1,825,216
    Other
    $360,477
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,048,454 related
    Bonus
    $0 + $504,726 related
    Other
    $0 + $272,036 related
    Deferred
    $0 + $334,779 related
    Nontaxable benefits
    $0 + $25,698 related
    Filer's total
    $0 + $2,185,693 related

  • Robert S Fries

    Chief Financial Officer

    Total calculated
    $1,314,716
    From this org
    $0
    From related orgs
    $1,054,848
    Other
    $259,868
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $650,232 related
    Bonus
    $0 + $373,770 related
    Other
    $0 + $30,846 related
    Deferred
    $0 + $217,700 related
    Nontaxable benefits
    $0 + $42,168 related
    Filer's total
    $0 + $1,314,716 related

  • David T Berry

    Former Officer

    Total calculated
    $2,146,343
    From this org
    $0
    From related orgs
    $2,095,280
    Other
    $51,063
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $57,012 related
    Bonus
    $0 + $388,002 related
    Other
    $0 + $1,650,266 related
    Deferred
    $0 + $45,681 related
    Nontaxable benefits
    $0 + $5,382 related
    Filer's total
    $0 + $2,146,343 related

  • Jeremiah Radandt

    Former Officer

    Total calculated
    $409,238
    From this org
    $0
    From related orgs
    $409,238
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $409,238 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $409,238 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
Children's Health Clinical Operations (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). Therefore, compensation decisions for the officers were determined by the related organization following CHST compensation's policy. in their duties as officer 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
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 Amy Yeager - $155,196 Employees who participated in and have contributions to the EDCRP include: Peter Perialas - $316,479 David Berry - $23,365 Amy Yeager - $157,898 Robert Fries - $205,500

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ALTERNATIVE CARE SYSTEMS

    C Corporation · OTHER MEDICAL SERVICES · TX

    Directly controlled by NA

  • NTPSS INC

    C Corporation · PHYSICIAN SOLUTIONS · TX

    Directly controlled by NA

  • Texas Bluebonnet Insurance Company

    C Corporation · Insurance Company · TX

    Directly controlled by NA

  • Texas Trinity River Assurance Company

    C Corporation · Self-insurance · CJ

    Directly controlled by NA

  • Children's Health

    C Corporation · Other Medical Services · TX

    Directly controlled by NA

  • CHFH Inc

    C Corporation · Other Medical Services · TX

    Directly controlled by NA

  • Children's Health Care Network

    C Corporation · Other Medical Services · TX

    Directly controlled by NA

  • Charitable Remainder Trust

    Trust · Investments · TX

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333179349312303

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