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Children's Health Clinical Operations

1935 Medical District Drive
Dallas, TX 75235
EIN: 750800628
Individual Facility Details: Childrens Medical Center Of Dallas
1935 Medical Center Drive
Dallas, TX 75235
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count406Medicare provider number453302Member of the Council of Teaching HospitalsYESChildren's hospitalYES

Children's Health Clinical OperationsDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.54%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 1,383,629,656
      Total amount spent on community benefits
      as % of operating expenses
      $ 90,436,323
      6.54 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 10,110,139
        0.73 %
        Medicaid
        as % of operating expenses
        $ 11,513,318
        0.83 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 4,897,047
        0.35 %
        Health professions education
        as % of operating expenses
        $ 39,696,193
        2.87 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 10,901,865
        0.79 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 12,993,277
        0.94 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 324,484
        0.02 %
        Community building*
        as % of operating expenses
        $ 1,994,656
        0.14 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 1,994,656
          0.14 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 0
          0 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 1,994,656
          100 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 0
          0 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 0
        0 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 10,251
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 1048340982 including grants of $ 1168863) (Revenue $ 1641354104)
      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 750,000 patient visits annually. In 2021, 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.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Schedule H, Part V, Section B, Line 3E
      The significant health needs of the community are included and prioritized within the joint CHNA conducted by Children's Health. The priority needs identified are health, economic security, safety, and education.
      Schedule H, Part V, Section B, Line 5 Facility A, 1
      Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Every other year, Children's Health recruits a citizen advisory council made up of key stakeholders serving children and knowledgeable in public health. These community leaders meet regularly to discuss children's health care issues and to contribute their experience, insights and expert recommendations for the Beyond ABC report prepared by Children's Health. The citizen advisory boards for Beyond ABC identify recommendations for advocates and public officials in order to improve the lives and health of children. Recent advisory boards have included city and county officials, former legislators, members of law enforcement, school district administrators, nonprofit organizations' executives, child-advocacy representatives, chambers of commerce and senior staff from corporations and financial institutions. Additionally, Children's Health participates in the regional healthcare partnership (RHP) task force, which was created as part of the Texas healthcare transformation and quality improvement program. Hospitals within each region work together to identify needs and develop plans to respond to those needs and transform the health care delivery system. Children's Health participates in the (RHP) for regions 9 and 10. Some of the organizations from which input was solicited for this year's CHNA are as follows: Dallas Independent School District, City of Dallas, Habitat for Humanity, American Heart Association, Children at Risk, Catholic Charities, ChildCareGroup, The Commit Partnership, Dallas Children's Advocacy Center, Dallas County Health & Human Services, Dallas-Fort Worth Hospital Council, Dallas Housing Authority, Genesis Women's Shelter, Momentous Institute, North Texas Food Bank, Reese-Jones Center for Foster Care Excellence, TexProtects, The Concilio, United Way of Metropolitan Dallas, Dallas Regional Chamber, Dallas College, Jewish Family Service of Greater Dallas, Los Barrios Unidos, Axxess, Assistance Center of Collin County, Capital One, Children's Advocacy Center of Collin County, City of Plano, Collin County District Attorney's Office, Frisco Family Services, LifePath Systems, Plano ISD, Texoma Council of Governments, Veritex Bank, Raise Your Hand Texas, Texas Muslim Women's Foundation, Richardson ISD, Atmos Energy, Hope Clinic of McKinney.
      Schedule H, Part V, Section B, Line 6a Facility A, 1
      Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. As a part of Children's Health, Children's Health clinical operations collaborated on the 2021 Children's Health joint community health needs assessment (CHNA). The collaboration was conducted with Children's Medical Center Plano (CMCP) and OCH holdings doing business as our children's house (OCH). The Children's Health CHNA collaboration was conducted in compliance with the final federal regulations to section 501(r), specifically 1.501(r)-3(b)(6)(v) joint CHNA reports.
      Schedule H, Part V, Section B, Line 11 Facility A, 1
      Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Upon conducting the CHNA and developing the community health implementation strategy, Children's Health decided on priority areas of the identified health needs that were reviewed. The priority areas are those areas which Children's Health has decided to focus its resources and integrate into its strategic and operational plans. Multiple goals were developed for each priority area, along with strategies to accomplish those goals. Children's Health has implemented and/or is working towards implementation of the strategies for accomplishing the developed goals. Full details of priority areas, goals, and strategies are contained with the publicly available CHNA and community health implementation strategy. Actions taken during the tax year to address significant health needs identified through its most recently conducted CHNA include the following: HEALTH: Nearly two-thirds of the children we serve at children's health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition and Enroll North Texas, two coalitions that work on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at Children's Health help eligible families with children enroll in CHIP and Medicaid, ensuring North Texas families have access to health care. In 2021, the Children's Health Community Outreach Team directly served more than 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Children's Health is using telemedicine to provide more children access to behavioral health care and address youth mental health issues such as anxiety, bullying and depression. In 2017, Children's Health launched an integrated tele-behavioral health program that connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. School-based tele-behavioral health services are now available to students in more than 270 schools across North Texas. ECONOMIC SECURITY: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. These broad-based coalition groups are dedicated to working together to raise awareness about the importance of quality early education, coordinate advocacy efforts and increase funding for quality early learning to ultimately ensure a strong future workforce. Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for different programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), and the public charge. The Children's Health Community Relations team also helps eligible families and children enroll in other government assistance programs, such as SNAP and TANF, and provides referrals to additional community resources and services. SAFETY: The Rees-Jones Center for Foster Care Excellence at Children's Health is the only clinic in North Texas dedicated to exclusively providing integrated primary medical care for children in foster care. Our providers are experienced in treating victims of abuse and neglect and provide a wide range of support to caregivers and families. Through health services, research, policy analysis and medical education, the Center's experts promote policies and practices that advance care and outcomes for children and families in the child welfare system. EDUCATION: Children's Health is part of a community-wide initiative led by the Dallas-Fort Worth hospital council to train 10,000 people in mental health first aid, a national curriculum that teaches lay people how to identify and respond to a mental health crisis. Children's Health has three behavioral health clinicians who are certified in the youth mental health first aid curriculum and provide the training to different groups, primarily schoolteachers and school administrative staff. This helps school personnel talk with students they identify as in need of behavioral health treatment and make appropriate referrals to care. In addition, the Children's Health Behavioral Health team meets with educators, parents, and others across the community to provide training on behavioral health topics to continue to increase awareness and end the stigma of mental illness. Developed in 2021, Children's Health launched a new initiative in March, 2022, the Behavioral Health Integration and Guidance (BHIG), in conjunction with the Meadows Mental Health Policy Institute to train pediatric primary care providers to identify, diagnose and treat mild to moderate behavioral health conditions in the scope of their primary care practice. This initiative will assure that children receive treatment earlier on in the disease process and reserve child psychiatry and other specialty behavioral health resources for more complex patient conditions. Thus far, 32 providers have completed the robust training curriculum increasing access to care to approximately 60,000 children and adolescents. Additional training cohorts will begin each quarter with this initiative growing in the years ahead.
      Schedule H, Part V, Section B, Line 13 Facility A, 1
      Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. Children's Health uses the federal poverty guidelines to determine eligibility for low-income individuals. 200% of the federal poverty guidelines is used for 100% charity adjustment, and 201% to 400% of the federal poverty guidelines is used for a sliding scale adjustment. Children's Health uses various documents and forms to verify income and expenses when determining the eligibility for financial assistance of a patient and their family. These documents include, but are not limited to, w2 form, wage and earning statement, paycheck remittance, worker's compensation, unemployment compensation determination letters, income tax returns, statement from employer, bank statements, copy of checks, documents of sources of income, telephone verification of gross income with the employer, proof of participation in government assistance programs such as Medicaid signed affidavit or attestation by patient, and veterans benefit statement.
      Schedule H, Part V, Section B, Line 16 Facility A, 1
      Facility A, 1 - Children's Medical Center Dallas and Children's Medical Center Plano. In addition to ensuring that the Children's Health charity care criteria is posted prominently and continuously in common entry points of the facility, a director of patient financial service ensures that the Children's Health charity care criteria is published at all times on its web site.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Schedule H, Part I, Line 6a Community Benefit Report
      "The Children's Health community benefit report is included as part of the organization's ""BEYOND ABC"" report, which is prepared by the Communications department in collaboration with the Community Relations department."
      Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE
      https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-andsupport
      Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
      https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
      Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE
      https://www.childrens.com/patient-families/billing-and-insurance/financial-assistance-and-support
      Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT
      Children's Medical Center of Dallas and Children's Medical Center Plano are required to file a Community Benefit Plan and Report with the State of Texas as required by Senate Bill 427.
      Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)
      Children's Health Website: Our hospital web site, www.childrens.com, empowers parents with information about childhood illnesses, prevention, treatment and services available at our hospitals or locations. More than 1,300 common pediatric topics are addressed on the web site. Also available are interactive guides promoting healthy living. Children's Health has launched numerous renovations and technological improvements as well as expansion of programs designed to better serve our patient families and the community, including the following programs and/or capital projects: -Development of the School-Based Telemedicine Program, virtual health options for employees and families and telespecialty programs provide access points for families across town or across the state. -A fully renovated Pediatric Intensive Care Unit at Children's Medical Center Dallas. -Comprehensive Emergency Room renovation at Children's Medical Center Dallas. -Expansion of the Heart Center at Children's Health through the addition of cardiology providers to the Children's Health Care Network. -Expansion of the Children's Medical Center Plano Campus. -Building of the Children's Health Medical Office Building in Prosper. -Involvement in the Reimagine RedBird development. -Providing funding to create an approximately 100-bed inpatient unit at the new State Psychiatric Hospital for children and adolescents, in partnership with UT Southwestern Medical Center and the Texas health and Human Services Commission.
      Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
      Children's Health uses Worksheet 2 from the Form 990, Schedule H instructions to calculate the costs for Part I, Line 7 and ratio of patient care cost to charges attributable to community benefits.
      Schedule H, Part II Community Building Activities
      Children's Health is passionate about maintaining a vocal presence in legislative affairs on the local, state, and federal levels, and is at the forefront of advocacy efforts that impact the community at large, from booster seat and car safety measures to critical funding for health care providers. Additionally, Children's Health collaborates extensively with stakeholders in coalitions like the Children's Hospital Association of Texas and The Texas Hospital Association in Austin, Texas, as well as the Children's Hospital Association in Washington, D.C. Through these affiliations, Children's Health is better able to advocate for the development of an effective, comprehensive and appropriately funded health care system in Texas and across the country.
      Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
      Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in part i, line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application).
      Schedule H, Part III, Line 3 Bad Debt Expense Methodology
      Children's Health uses its cost accounting system and the actual costs that are written off by patient accounts to calculate the bad debt expense attributable to patients eligible under the organization's charity care policy. Children's rationale for including a portion of bad debt as community benefit is that bad debt expense should be treated as a community benefit as it is similar to other unreimbursed financial assistance, as reported in part i, line 7a, but for a different population (namely, those patients who would qualify for charity care if they completed the financial assistance application).
      Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
      The organization's financial statements do not contain a bad debt footnote. Children's Health has adopted ASU 2016-09 which treats the provision for doubtful accounts as an implicit price concession within net patient service revenue. the provision for doubtful accounts in no longer separately stated as a reduction to net patient service revenue.
      Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
      Worksheet a from the as filed Medicare cost report and the IRS schedule h instructions to determine Medicare allowable costs.
      Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
      As a part of Children's Health System of Texas (Children's Health), Children's Health Clinical Operations adheres to and follows Children's Health collection policy and practices. If a patient qualifies or is attempting to qualify for assistance under the Children's Health Financial Assistance Policy and is attempting in good faith to settle an outstanding bill by negotiating a reasonable payment plan or by making regular partial payments of a reasonable amount, the unpaid bill will not be sent to any collection agency or other assignee. Children's Health does not engage in extraordinary collection actions against patients to obtain payment of care.
      Schedule H, Part V, Section B, Line 16a FAP website
      A - Children's Medical Center Dallas: Line 16a URL: (See statement in Part VI);
      Schedule H, Part V, Section B, Line 16b FAP Application website
      A - Children's Medical Center Dallas: Line 16b URL: (See statement in Part VI);
      Schedule H, Part V, Section B, Line 16c FAP plain language summary website
      A - Children's Medical Center Dallas: Line 16c URL: (See statement in Part VI);
      Schedule H, Part VI, Line 2 Needs assessment
      "Children's Health produced a 2019 community health needs assessment from an integrated system perspective that includes all three licensed hospital facilities. In addition, Children's Health produced ""Beyond ABC,"" a comprehensive quality-of life report on children in the North Texas counties of Dallas, Collin, Cooke, Denton, Fannin And Grayson. Since 1996, Children's Health has published Beyond ABC. The report tracks not only health and safety factors, but also economic and education data. These reports provide trended data on more than 50 indicators of well-being for children in our community."
      Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
      Children's Health makes extensive efforts to inform and educate patients and patient's families about eligibility for financial assistance. The Children's Health Financial Assistance Policy and financial assistance application are made widely available online and in print, along with a plain language summary of the financial assistance policy. The plain language summary of the financial assistance policy is provided at patient discharge. all three documents are available without charge and available in the primary languages spoken by LEP populations. In addition, Children's Health financial counselors or customer service representatives work with patients' guardians/guarantors to ensure that all public and voluntary assistance programs are fully explored. Children's Health has a financial program for patients who are considered indigent and do not qualify for a federal or state program. The eligibility criteria for financial assistance is based upon federal poverty guidelines published annually. Patients eligible for financial assistance will have charges reduced to the lowest level charged to individuals who have insurance covering such care. gross charges will not be used to calculate patient's bills.
      Schedule H, Part VI, Line 4 Community information
      Community Served by Children's Health Clinical Operations Children's Medical Center Dallas, the flagship campus of the Children's Health, is located at 1935 Medical District Drive in Dallas, Texas, and is an academic medical center campus anchored by a 490-bed full-service hospital, including the only pediatric Level I trauma center in North Texas. The city of Dallas is the county seat of Dallas County. The city of Dallas is one of the most populous cities in Texas, as well as the United States. Children's Health has an inpatient facility located at a second campus in Plano, Texas, a 72- bed full-service hospital with two specialty centers, including the Children's Health Andrews Institute for Orthopedics & Sports Medicine. In addition, Children's Health includes Our Children's House, a 16-bed rehabilitation hospital located in Dallas. Identification and Description of Geographical Community The city of Dallas is the third largest city in Texas. The city of Dallas is accessible from I- 30, I-35e, I-45 and I-635. Patients primarily originate from Texas (98 percent). Nearly 46 percent of discharges at Children's Health originate in Dallas county, Texas. Collin county is the sixth-most populous county in Texas and includes two of the fastest growing cities in the nation - Frisco and McKinney. For Children's Health fiscal year ending December 31, 2021, 71.4 percent of inpatient discharges and 79.3 percent of outpatient visits originated in the six counties referred to as North Texas in the 2020-2021 Beyond ABC report - Dallas, Collin, Cooke, Denton, Fannin and Grayson Counties. Community Population and Demographics The U.S. Bureau of Census has compiled population and demographic data based on the 2020 census. Data shows Dallas-Fort Worth is the country's fourth largest metro area, with 7,637,387 residents counted. DFW was one of only three U.S. metro areas to gain at least 1.2 million residents over the decade, behind Houston and New York City. More than 1.19 million children live in the six North Texas counties featured in the Beyond ABC report, including Dallas, Collin, Cooke, Denton, Fannin and Grayson counties. The child population in Dallas County increased by 3.2 percent from 2014-2019, from 664,584 to 685,833. The population self-identifying as white non-Hispanic decreased from 18.8 percent in 2014 to 16.8 percent in 2019. At the same time, the proportion of the child population identifying as Hispanic or Latino (of any race) increased from 52.1 percent to 53.4 percent. Over that time, the proportion of children identifying as Black remained nearly constant, changing from 22.5 percent to 22.2 percent. The population of Asian children increased from 4.6 percent to 5.3 percent. From 2014-2019, the child population in Collin County grew by about 10 percent. Collin County is becoming more diverse. Of the 255,940 children living in Collin County in 2019, just under half, 49.7 percent, were white, while 19.7 percent were Hispanic or Latino. Nearly 1 in 10 (9.9 percent) of Collin County children were Black, and 15.6 percent were of Asian descent. The white children no longer comprise a majority, and the Black and Asian shares of the child population increased by about 5 and 26 percent, respectively. Service to The Community Children's Health has a longstanding commitment to the community - one that reaches beyond hospital walls and into schools, social-service organizations, corporate boardrooms, city halls and legislative chambers. A large part of the Children's Health mission to make life better for children is a commitment to serving as a voice for the voiceless - an advocate for the children who have no vote and no lobbying group to speak on their behalf. Children's Health devotes itself solely to caring for the complex medical needs of children. Children's Health provides patient care ranging from simple eye exams to specialized treatment in areas such as heart disease, hematology-oncology and cystic fibrosis. In addition, Children's Health is a major pediatric kidney, liver, intestine and heart transplant center. Through its established injury prevention, advocacy program and disease management programs, the hospital works diligently to educate the community so that no child has to ever come through our doors.
      Schedule H, Part VI, Line 5 Promotion of community health
      The mission of Children's Health Clinical Operations (Children's Health) is to make life better for children. With oversight from a board of directors comprised of individuals who are representative of the community served, Children's Health promotes health and benefits the community through its two licensed hospitals - Children's Medical Center Dallas and Children's Medical Center Plano. Children's Health medical staff is open to physicians in the community who meet all requirements outlined in the children's health medical and dental staff bylaws. Children's Health considers it a privilege and responsibility to serve as advocates for kids in Texas and across the country. Through programmatic initiatives, organizational partnerships and community events, Children's Health spreads its influence throughout the region and provides area children with much-needed access to a better quality of life. Whether that means establishing programs to increase services to the area's underserved children or fostering partnerships with existing organizations, Children's Health is committed to connecting families to the services they need. COMMUNITY OUTREACH Expanding Access to Pediatric Mental Health Services: With behavioral health needs in children only increasing as a result of the pandemic, Children's Health is working to expand access to behavioral health services for children when and where they need them most. Our school-based tele-behavioral health program connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. We currently have 272 school-based behavioral health sites across North Texas. Safeguarding access to CHIP and Medicaid/increase the number of insured Texas children: Nearly two-thirds of the children we serve at children's health depend on Medicaid or CHIP for their health care coverage. Children's Health participates in the Children's Health Coverage Coalition and Enroll North Texas, two coalitions that work on strategies to promote CHIP and children's Medicaid and reduce the number of uninsured children in the state. Dedicated outreach representatives at children's health help eligible families with children enroll in CHIP and Medicaid. In 2021, the Children's Health Community Outreach Team directly served more than 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Ensuring all working parents, including low-income families, have access to affordable, safe and quality childcare: Children's Health participates in the Collin County Early Childhood Coalition and the Early Matters Dallas Coalition. These broad-based coalition groups are dedicated to raising awareness about the importance of quality early education, coordinating advocacy efforts and increasing funding for quality early learning. Combating Child Poverty: Children's Health serves as a member of the Dallas Coalition for Hunger Solutions, which is focused on providing education and advocacy opportunities for programs that impact food security for families such as the Supplemental Nutrition Assistance Program (SNAP), the 2020 census and the public charge. The Children's Health community outreach team also helps eligible families and children enroll in other government assistance programs, such as SNAP, and provides referrals to additional community resources. Expanding trauma-informed care education, training and intervention throughout the child welfare system: The Rees-Jones Center for Foster Care Excellence at Children's Health provides integrated primary care for children in foster care, many of whom have experienced abuse and neglect. As a regional leader in trauma-informed care, the center collaborates with school districts, child welfare organizations and other community partners to facilitate trauma-informed trainings and curriculums for educators, providers, volunteers and caregivers. COMMUNITY-BASED PROGRAMMING In recent years, Children's Health has strengthened and expanded our community programs and services to catalyze wellness from the ground up, ultimately creating a healthier community. By working with community leaders and organizations to meet families where they are, we connect health care providers across the community to better integrate care for children. Children's Health encourages organizations to provide wellness programs and primary-care options in non-traditional locations such as neighborhood churches and community centers. These programs include school-based health care, Asthma Management, Get Up and Go Weight Management, Injury Prevention and CHIP/Medicaid Outreach and Community Forums. Asthma Management Program: The Children's Health asthma management program, certified by the joint commission, is a free three-to six-month education and care coordination program to help children age 18 and younger better manage their asthma condition. The program works by connecting with patient families and their health care provider to establish a management plan. It has proven to reduce asthma-related emergency room visits and school absences, ultimately helping children with an asthma diagnosis experience symptom-free sleep, learning and play. Children's Health Andrews Institute for Orthopedics & Sports Medicine: The only institute of its kind in the region, Children's Health Andrews Institute gets athletes back on the field and ensures kids have access to performance training and health care services. Developed under the direction of nationally renowned orthopedic surgeon Dr. James Andrews, the state-of-the-art facility offers a spectrum of services including orthopedic surgery, a same-day fracture clinic, spinal care, sports rehabilitation, performance training and nutrition programs. Get Up and Go Weight Management Program: Designed by physicians and registered dieticians, get up and go addresses the needs of children with high weight or obesity by creating awareness and understanding of how lifestyle choices impact health. This free 10-week physician-referred weight management program for children and families is offered at several YMCA locations in Dallas and Collin counties. Injury Prevention: With evidence-based education tools, both in the hospital and community, the injury prevention services at Children's Health help keep children safe from unintentional and traumatic injuries. From car seat safety to water safety, this program provides educational materials and interactive events in both English and Spanish. School-Based Telehealth: Children's Health connects with school nurses in more than 500 schools to deliver school-based telehealth services to students across North Texas. Whether a child is at school, or learning virtually at home, he or she can connect with a physician or nurse practitioner at Children's Health through innovative video technology. This program is a convenient option for expert care. Tele-behavioral Health: With behavioral health needs in children only increasing as a result of the pandemic, Children's Health is working to expand access to behavioral health services for children when and where they need them most. Our school-based tele-behavioral health program connects students with licensed behavioral health providers at school via secure mobile technology, eliminating traditional barriers to access such as limited provider availability and transportation issues. We currently have 272 school-based behavioral health sites across North Texas. Beyond ABC Road Show: Children's Health offers opportunities to present information gathered from the Beyond ABC report to community coalitions, non-profits, chambers of commerce and other groups to educate the community on issues and data associated with the state of children for Dallas County. In addition, Children's Health includes subject-matter experts on all four pillars - health, economic security, education and public safety - to also educate and share information on a particular topic stemming from the report. The goal is to present the data to community leaders in hopes Medicaid/CHIP Outreach: The Children's Health CHIP and Medicaid outreach program helps families access low-cost or no-cost health insurance coverage through the Children's Health Insurance Program (CHIP) or Children's Medicaid, respectively. Both programs cover office visits, prescription drugs, dental care, eye exams, glasses and more. Dedicated outreach representatives help families apply for assistance throughout the community, whether it is at a child's school, library or other community-based location. In 2021, the Children's Health Community Outreach Team directly served almost 4,500 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community.
      Schedule H, Part VI, Line 7 State filing of community benefit report
      TX
      Schedule H, Part VI, Line 6 Affiliated health care system
      Children's Medical Center Dallas and Children's Medical Center Plano are a part of Children's Health System of Texas. 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, Children's Health cares for children through more than 750,000 patient visits annually. The Children's Health system includes its flagship hospital, Children's Medical Center Dallas, as well as Children's Medical Center Plano, the Children's Health Care Network, specialty centers, rehabilitation facilities and physician services. 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. 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. This affiliation led to establishing the Children's Medical Center Research Institute in 2011, committed to pursuing research in regenerative medicine, cancer biology and metabolism.