2025-07-14T15:36:44+00:00 2024-08-31 440160260 Forvis Mazars LLP 120 E Palmetto Park Road Suite 403 Boca Raton FL 33432 990 2023-09-01 844596436 PEDIATRIC HEALTH MANAGEMENT SERVICES PEDI 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 752357701 CHRISTOPHER MADDEN CEO 2144567000 2025-07-14 true true April Arnold P01559426 5612991820 2025-07-14 2023 2025-03-06 01:10:19Z CHRISTOPHER MADDEN MD 1935 MEDICAL DISTRICT DRIVE DALLAS TX 752357701 21884491 false X N/A X 2019 TX TO PROVIDE OVERALL GOVERNANCE AND STRATEGIC PLANNING FOR A JOINT PEDIATRIC CLINICAL ENTERPRISE OF UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, A STATE AGENCY, AND CHILDREN'S HEALTH SYSTEM OF TEXAS, A CHARITABLE 501(C)(3) PEDIATRIC HEALTH SYSTEM. 8 0 0 0 0 0 0 20000000 0 0 742628 1884491 0 0 742628 21884491 0 0 0 3514044 4315091 0 0 0 1710966 2918009 5225010 7233100 -4482382 14651391 75796317 261178478 20727631 57112024 55068686 204066454 TO PROVIDE SUPPORT TO A STRATEGIC ALIGNMENT BETWEEN THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER ("UTSW") AND CHILDREN'S HEALTH SYSTEM OF TEXAS ("CHILDREN'S") WITH RESPECT TO A JOINT ENTERPRISE RELATING TO CERTAIN CHARITABLE PEDIATRIC HEALTH FACILITIES, MEDICAL GROUPS, AND OTHER CLINICAL AND PROFESSIONAL PEDIATRIC SERVICES IN NORTH TEXAS. false false 7233100 0 0 TO PROVIDE SUPPORT TO A STRATEGIC ALIGNMENT BETWEEN THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER ("UTSW") AND CHILDREN'S HEALTH SYSTEM OF TEXAS ("CHILDREN'S") WITH RESPECT TO A JOINT ENTERPRISE RELATING TO CERTAIN CHARITABLE PEDIATRIC HEALTH FACILITIES, MEDICAL GROUPS, AND OTHER CLINICAL AND PROFESSIONAL PEDIATRIC SERVICES IN NORTH TEXAS. 7233100 true true false false false false false false false true false false false true false true false 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 true false true 0 0 0 false false false false false false false false false false true false X 8 0 false false false false true true true true false false false true true true true false false true true false X JONATHAN NOWLIN 2144567000 1935 MEDICAL DISTRICT DRIVE DALLAS TX 752357701 CHRISTOPHER MADDEN MD CO-CHAIR 1.0 54.0 X X 0 825930 36297 LINDSEY TYRA CO-CHAIR 1.0 54.0 X X 0 985787 225631 DANE PETERSON Director EFFECT. 9/8/2023 1.0 54.0 X 0 438783 128760 HOLLY CRAWFORD DIRECTOR THRU. 4/1/2024 1.0 54.0 X 0 993416 44226 Jonathan Efron MD Director EFFECT. 4/1/2024 1.0 54.0 X 0 100000 0 MARCIA SCHNEIDER DIRECTOR 1.0 54.0 X 0 565339 39894 ROBERT S FRIES DIRECTOR 1.0 54.0 X 0 1247053 280158 TAMMY WEBB RN DIRECTOR 1.0 54.0 X 0 910778 194180 WP ANDREW LEE MD DIRECTOR 1.0 54.0 X 0 1183695 44226 DAI CHUNG MD CHIEF MEDICAL OFFICER 51.0 4.0 X 0 1471120 113509 JOHN BRENNAN MD PRESIDENT AND CEO THRU. 03/18/2024 55.0 1.0 X 0 1662545 603360 JONATHAN NOWLIN SECRETARY 1.0 54.0 X 0 351103 92880 0 10735549 1803121 0 false true false WINSTEAD PC 2728 N HARWOOD ST Suite 500 Dallas TX 752011743 Legal Services 508820 1 20000000 20000000 0 0 0 0 0 1884491 1884491 0 0 0 0 0 0 0 0 0 21884491 0 0 1884491 3821603 3821603 135499 135499 264564 264564 30444 30444 62981 62981 343736 343736 962525 962525 33000 33000 20594 20594 0 0 175306 175306 1114244 1114244 6076 6076 968 968 10698 10698 6304 6304 Federal Excise Taxes 244558 244558 0 0 0 0 7233100 7233100 0 0 29594611 28662910 27494259 0 0 0 0 39600 203161270 19868 46201706 203141402 0 0 0 1840307 75796317 261178478 20727631 55260683 0 0 0 1851341 20727631 57112024 X 60875495 195221873 -5806809 8844581 55068686 204066454 75796317 261178478 X 14651391 134346377 X false true X true false X X X 6 CHILDREN'S HEALTH SYSTEM OF TEXAS 750800628 3 true 104541205 0 THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 756002868 6 true 29805172 0 OCH HOLDINGS 474837308 3 true 0 0 DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN 810584868 3 false 0 0 ANESTHESIOLOGISTS FOR CHILDREN 752917570 9 false 0 0 COMPLEX CARE MEDICAL SERVICES CORPORATION 461893597 3 false 0 0 6 134346377 0 false false false false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE ORGANIZATION'S BYLAWS DO NOT SPECIFICALLY NAME DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN, ANESTHESIOLOGISTS FOR CHILDREN, OR COMPLEX CARE MEDICAL SERVICES CORPORATION AS SUPPORTED ORGANIZATIONS. THE BYLAWS DO, HOWEVER, STATE THAT THE ORGANIZATION WILL PROVIDE SUPPORT FOR OTHER TAX-EXEMPT HOSPITALS AND MEDICAL GROUPS OWNED OR OPERATED BY CHILDREN'S HEALTH SYSTEM OF TEXAS. DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN, ANESTHESIOLOGISTS FOR CHILDREN AND COMPLEX CARE MEDICAL SERVICES CORPORATION HAVE A COMMON PARENT, CHILDREN'S HEALTH SYSTEM OF TEXAS, WHO IS A MEMBER OF THE SUPPORTED ORGANIZATION, AND THEY ARE THUS CONTROLLED IN CONNECTION WITH CHILDREN'S HEALTH SYSTEM OF TEXAS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27510 19868 7642 203133760 203133760 203141402 Operating Lease Liability 1851341 1851341 21884491 0 0 21884491 0 0 21884491 7233100 0 0 7233100 0 0 7233100 Schedule D, Part X FIN48 (ASC 740) FOOTNOTE THE ENTITY IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW; HOWEVER, THE ENTITY IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THERE WAS NO UNRELATED BUSINESS TAXABLE INCOME FOR THE YEARS ENDING AUGUST 31, 2024 OR AUGUST 31, 2023, NOR WERE THERE ANY UNCERTAIN TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. X X X X X false true false false false false false false false CHRISTOPHER MADDEN MD CO-CHAIR 0 619235 0 194725 0 11970 0 28050 0 8247 0 862227 0 0 LINDSEY TYRA CO-CHAIR 0 528275 0 420375 0 37138 0 182105 0 43526 0 1211419 0 32863 HOLLY CRAWFORD DIRECTOR THRU. 4/1/2024 0 758026 0 234670 0 720 0 28050 0 16176 0 1037642 0 0 MARCIA SCHNEIDER DIRECTOR 0 416449 0 148170 0 720 0 25122 0 14772 0 605233 0 0 ROBERT S FRIES DIRECTOR 0 678996 0 509625 0 58432 0 229662 0 50496 0 1527211 0 25021 TAMMY WEBB RN DIRECTOR 0 486821 0 349375 0 74581 0 167781 0 26399 0 1104957 0 69353 WP ANDREW LEE MD DIRECTOR 0 878314 0 304661 0 720 0 28050 0 16176 0 1227921 0 0 DANE PETERSON Director EFFECT. 9/8/2023 0 336684 0 100000 0 2099 0 106615 0 22145 0 567543 0 0 JOHN BRENNAN MD PRESIDENT AND CEO THRU. 03/18/2024 0 1057338 0 532500 0 72707 0 558316 0 45044 0 2265905 0 0 DAI CHUNG MD CHIEF MEDICAL OFFICER 0 1061164 0 409090 0 866 0 91056 0 22453 0 1584629 0 0 JONATHAN NOWLIN SECRETARY 0 259654 0 77972 0 13477 0 55288 0 37592 0 443983 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PHMS ("CEO") IS EMPLOYED BY AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS POSITION AS AN OFFICER OF PHMS, THE CEO HAS NO INFLUENCE OVER THE COMPENSATION PROVIDED BY CHST. THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION IS AS FOLLOWS: THE EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS OF PHMS IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR THE PHMS CEO. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NONEMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE EXECUTIVE COMPENSATION COMMITTEE THAT DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION BENCHMARKING AND GUIDES DECISIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO PROVIDE MARKET DATA AND GUIDANCE ON GOVERNANCE AND COMPLIANCE MATTERS. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO PHMS EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, ANNUAL 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, INCLUDING MEDICAL, DENTAL, DISABILITY AND LIFE INSURANCE; AND - QUALIFIED AND NONQUALIFIED RETIREMENT PLANS CONSISTENT WITH PEER HEALTH CARE ORGANIZATION PRACTICES. PEER GROUP REVIEW: THE COMMITTEE HAS DEFINED ITS PEER GROUP FOR EXECUTIVE COMPENSATION AS NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SIMILAR IN SIZE, STRUCTURE, AND COMPLEXITY. EXECUTIVE COMPENSATION MARKET DATA ARE PROVIDED BY AN INDEPENDENT CONSULTANT 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". THE COMMITTEE'S COMPENSATION AND BENEFITS DECISIONS ARE MADE IN CONSIDERATION OF THE SCOPE OF RESPONSIBILITY, SKILLS, PERFORMANCE AND EXPERIENCE IN RELATION TO DOCUMENTED PRACTICES WITHIN THE APPROPRIATE PEER GROUP. 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: ROBERT FRIES - $25,021 LINDSEY TYRA - $32,863 TAMMY WEBB - $69,353 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: JOHN BRENNAN - $545,520 ROBERT FRIES - $216,462 LINDSEY TYRA - $162,305 TAMMY WEBB - $147,981 DANE PETERSON - $101,538 JONATHAN NOWLIN - $34,200 Form 990, Part VI, Line 6 Classes of members or stockholders CHILDREN'S HEALTH SYSTEM OF TEXAS AND THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER ARE BOTH JOINT MEMBERS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DIRECTORS ARE APPOINTED BY THE MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official PEDIATRIC HEALTH MANAGEMENT SERVICES ("PHMS") HAS NO EMPLOYEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PHMS ("CEO") IS EMPLOYED BY AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). IN HIS POSITION AS AN OFFICER OF PHMS, THE CEO HAS NO INFLUENCE OVER THE COMPENSATION PROVIDED BY CHST. THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION IS AS FOLLOWS: THE EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS OF PHMS IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR THE PHMS CEO. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NONEMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE EXECUTIVE COMPENSATION COMMITTEE THAT DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION BENCHMARKING AND GUIDES DECISIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO PROVIDE MARKET DATA AND GUIDANCE ON GOVERNANCE AND COMPLIANCE MATTERS. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO PHMS EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, ANNUAL 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, INCLUDING MEDICAL, DENTAL, DISABILITY AND LIFE INSURANCE; AND - QUALIFIED AND NONQUALIFIED RETIREMENT PLANS CONSISTENT WITH PEER HEALTH CARE ORGANIZATION PRACTICES. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. 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 CAPITAL CONTRIBUTION FROM CHILDREN'S HEAL TH SYSTEM OF TEXAS - XXX-XX-XXXX; CAPITAL CONTRIBUTION FROM THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER - 29805172; CHILDREN'S HEALTH SYSTEM OF TEXAS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 HOSPITAL TX 501(c)(3) 3 NA 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 1936 MEDICAL DISTRICT DRIVE DALLAS TX 75235 461893597 MEDICAL SERVICES TX 501(c)(3) 3 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 THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS TX 75390 756002868 GOVERNMENT ENTITY TX NA false OCH HOLDINGS 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 474837308 HOSPITAL TX 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM OF TEXAS false false false false false false false false false false false false false true true false false false false