Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
EIN 46-1893597 • 501(c)3 • Dallas, TX
Profile
To provide an exemplary model of family-centered complex care that unites the medical neighborhood to improve quality of life and community integration for children and their families.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Liabilities / Revenue
69th percentile
Higher debt load relative to revenue than 69% of similar nonprofits.
Net Margin
2nd percentile
Higher net margin than 2% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 115.0% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Down$1,243,923
Down $117,711 (-8.6%) from 2023
Liabilities
Down$401,528
Down $22,754,161 (-98%) from 2023
Net Assets
Up$842,395
Up $22,636,450 (+104%) from 2023
Revenue
Up$1,721,436
Up $118,848 (+7.4%) from 2023
Expenses
Up$4,372,415
Up $448,245 (+11%) from 2023
Net Income
Down-$2,650,979
Down $329,397 (-14%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To serve as the medical home for children with complex medical illnesses where a multi-disciplinary team of care givers oversee and coordinate their care.
To serve as the medical home for children with complex medical illnesses.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,338,540 | $1,214,919 | ▼ $123,621 |
| Accounts Receivable | $22,994 | $28,904 | ▲ $5,910 |
| Cash and Non-Interest-Bearing Accounts | $100 | $100 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $1,361,634 | $1,243,923 | ▼ $117,711 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Other Liabilities | $22,864,816 | $0 | ▼ $22,864,816 |
| Accounts Payable and Accrued Expenses | $290,873 | $401,528 | ▲ $110,655 |
| Total Liabilities | $23,155,689 | $401,528 | ▼ $22,754,161 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-21,794,055 | $842,395 | ▲ $22,636,450 |
| Total Net Assets Fund Balance | $-21,794,055 | $842,395 | ▲ $22,636,450 |
| Total Liabilities and Net Assets / Fund Balance | $1,361,634 | $1,243,923 | ▼ $117,711 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,204,117 | $1,224,064 | $2,428,181 |
| Equipment | $10,802 | $110,690 | $121,492 |
| Name | Title |
|---|---|
| Patricia Petroff MD | Chairman |
| Dai H Chung MD | President |
| Andrew Gelfand MD | Director |
| Lauren Lazar | Director (Effective 1/1/24) |
| Robert S Fries | CFO & Treasurer |
| Lisa M Frenkel | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Utsw | Phys & Medical Services | HI 108 5323 Harry Hines Blvd, Dallas, TX 75390-8886 | $1,216,573 |
| Line Item | Amount |
|---|---|
| Other Expenses | $2,594,417 |
| Salaries, Compensation, and Employee Benefits | $1,777,998 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $1,060,238 | $299,046 | $0 | $1,359,284 |
| Other Salaries and Wages | $1,048,129 | $295,631 | - | $1,343,760 |
| Other Expenses | $278,228 | $144,855 | - | $278,228 |
| Other Employee Benefits | $200,674 | $56,601 | - | $257,275 |
| Occupancy | $123,829 | $34,926 | - | $158,755 |
| Depreciation Depletion | $96,424 | $27,197 | - | $123,621 |
| Payroll Taxes | $73,183 | $20,642 | - | $93,825 |
| Pension Plan Contributions | $64,847 | $18,291 | - | $83,138 |
| Office Expenses | $11,335 | $3,197 | - | $14,532 |
| Insurance | $684 | - | - | $684 |
| Information Technology | $532 | $150 | - | $682 |
| Advertising | - | $209 | - | $209 |
| Total Functional Expenses | $3,471,670 | $900,745 | $0 | $4,372,415 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Other Expense Adjustments | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Federal Income Taxes | - |
| Lt Advances - Affiliates | - |
| Lt Deferred Rent | - |
“Complex care medical services corporation (ccmsc) (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). As set forth in the schedule r, the corporation and chst are related organizations. In their duties as officers of the corporation, they have no influence over the compensation process performed by chst, which is explained in schedule j, part i, line 3.”
“Children's Health System of Texas Board of Directors has established four standing committees, which have the authority to act for and on behalf of the CHST Board of Directors to fulfill the responsibilities designated in their respective committee charters. The CHST Board of Directors has established two special committees that do not have delegated authority; however, the special committees provide oversight as provided for in their respective charters. Written minutes are prepared and maintained for all Board of Directors and board committee meetings, and actions by written consent are also prepared and maintained as they occur.”
“Children's health system of texas (chst) is the sole member.”
“Directors are appointed by the sole member and approved by the current ccmsc board of directors.”
“Member reserve 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.”
“Complex care medical services corporation has delegated its oversight and review of the form 990 to the board of directors of children's health system of texas (chst), its sole member. A draft of the form 990 is presented to the chst audit committee for review prior to filing. A copy of the final form 990 is made available to the chst directors through our board portal before it is filed.”
“Officers, directors, and key employees receive annually a copy of the children's health statement of interest form to complete. Disclosures made are reviewed by the chst legal department and the chief compliance officer, who are authorized under the children's health conflict of interest policy to make determinations under the policy regarding persons who are medical staff members or employees of children's health and its affiliates. Disclosures made by senior officers (as defined in the policy) are reviewed by the compliance officer, the chief legal officer, and chst's president and chief executive officer to determine if a conflict exists. Disclosures made by directors of chst and its affiliates, as well as by the president and chief executive officer of chst, are discussed as necessary with the appropriate delegated board committee and, if required pursuant to the policy, by the appropriate board of directors at meetings to determine if further action is needed. A statement of interest must be completed annually and board members are requested to report changes if they occur. A committee or board member with a potential conflict is prohibited from participating in deliberations regarding the transaction in question and will recuse themselves from voting.”
“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.”
“CONTRACT MEDICAL - Total Expense: 1359284, Program Service Expense: 1060238, Management and General Expenses: 299046, Fundraising Expenses: ;”
“Transfers from Affiliates - 25287429; Total - 25287429;”
“Complex care medical services's financial information is included in the consolidated audited financial statements of children's health system of texas, a related organization. Children's health system of texas's fin 48 (asc 740) footnote for the year ended december 31, 2024, reads as follows: "the authoritative guidance in asc 740 income taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The statute of limitations remains open for tax years 2021 through 2024 in children's health main taxing jurisdictions."”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 290873 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 401528 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 22994 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 28904 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO SERVE AS THE MEDICAL HOME FOR CHILDREN WITH COMPLEX MEDICAL ILLNESSES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 209 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 209 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | AMY YEAGER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2144567000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1935 MEDICAL DISTRICT DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DALLAS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 75235 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 100 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1216573 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | HI 108 5323 Harry Hines Blvd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 753908886 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | UTSW |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Phys & Medical Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 2594417 |
| IRS990/CYOtherRevenueAmt | 0 | 2136 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1719300 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2650979 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1777998 |
| IRS990/CYTotalExpensesAmt | 0 | 4372415 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1721436 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 27197 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 96424 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 123621 |
| IRS990/Desc | 0 | To achieve the triple aim of the right care, at the right place, at the right time through centralized, coordinated, comprehensive, and compassionate care with the intent to improve the child's growth and development, the family's satisfaction, and decrease unnecessary hospital utilization. To optimize care for children with medical complexity through partnerships with caregivers and medical neighborhoods so that children can reach their greatest potential and experience life more fully. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 3471670 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 299046 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1060238 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1359284 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 54.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 52.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 56.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 106148 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 89553 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 311883 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Patricia Petroff MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Andrew Gelfand MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Lauren Lazar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Dai H Chung MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Lisa M Frenkel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Robert S Fries |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 1357030 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 519491 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 1667936 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director (Effective 1/1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CFO & Treasurer |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2012 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 1721436 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2136 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 3 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 150 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 532 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 682 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 684 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 684 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 2 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1334754 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1338540 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1214919 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 2549673 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | To provide an exemplary model of family-centered complex care that unites the medical neighborhood to improve quality of life and community integration for children and their families. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -21794055 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 842395 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 2136 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 2136 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -21794055 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 842395 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 34926 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 123829 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 158755 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 3197 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 11335 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 14532 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 25287429 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 56601 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 200674 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 257275 |
| IRS990/OtherExpensesGrp/Desc | 0 | SHARED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SURGICAL SUPPLIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 144855 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 513567 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 278228 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 658422 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 278228 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 22864816 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 295631 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1048129 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1343760 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 20642 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 73183 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 93825 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 18291 |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | COMPLEX CARE MEDICAL SERVICES'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHILDREN'S HEALTH SYSTEM OF TEXAS, A RELATED ORGANIZATION. CHILDREN'S HEALTH SYSTEM OF TEXAS'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2024, READS AS FOLLOWS: "THE AUTHORITATIVE GUIDANCE IN ASC 740 INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2021 THROUGH 2024 IN CHILDREN'S HEALTH MAIN TAXING JURISDICTIONS." |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | COMPLEX CARE MEDICAL SERVICES CORPORATION (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 OFFICERS 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, NONEMPLOYEE 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. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | EXECUTIVE DEFINED CONTRIBUTION RETIREMENT PLAN (EDCRP): EMPLOYEES WHO RECEIVED TAXABLE INCOME FROM THE EDCRP INCLUDE: ROBERT FRIES - $79,646 LISA FRENKEL - $40,149 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: ROBERT FRIES - $236,942 LISA FRENKEL - $49,983 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | COMPLEX CARE MEDICAL SERVICES CORPORATION (CCMSC) (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). AS SET FORTH IN THE SCHEDULE R, THE CORPORATION AND CHST ARE RELATED ORGANIZATIONS. IN THEIR DUTIES AS OFFICERS OF THE CORPORATION, THEY HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST, WHICH IS EXPLAINED IN SCHEDULE J, PART I, LINE 3. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Children's Health System of Texas Board of Directors has established four standing committees, which have the authority to act for and on behalf of the CHST Board of Directors to fulfill the responsibilities designated in their respective committee charters. The CHST Board of Directors has established two special committees that do not have delegated authority; however, the special committees provide oversight as provided for in their respective charters. Written minutes are prepared and maintained for all Board of Directors and board committee meetings, and actions by written consent are also prepared and maintained as they occur. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) IS THE SOLE MEMBER. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DIRECTORS ARE APPOINTED BY THE SOLE MEMBER AND APPROVED BY THE CURRENT CCMSC BOARD OF DIRECTORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | MEMBER RESERVE 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | COMPLEX CARE MEDICAL SERVICES CORPORATION HAS DELEGATED ITS OVERSIGHT AND REVIEW OF THE FORM 990 TO THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST), ITS SOLE MEMBER. A DRAFT OF THE FORM 990 IS PRESENTED TO THE CHST AUDIT COMMITTEE FOR REVIEW PRIOR TO FILING. A COPY OF THE FINAL FORM 990 IS MADE AVAILABLE TO THE CHST DIRECTORS THROUGH OUR BOARD PORTAL BEFORE IT IS FILED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE ANNUALLY A COPY OF THE CHILDREN'S HEALTH STATEMENT OF INTEREST FORM TO COMPLETE. DISCLOSURES MADE ARE REVIEWED BY THE CHST LEGAL DEPARTMENT AND THE CHIEF COMPLIANCE OFFICER, WHO ARE AUTHORIZED UNDER THE CHILDREN'S HEALTH CONFLICT OF INTEREST POLICY TO MAKE DETERMINATIONS UNDER THE POLICY REGARDING PERSONS WHO ARE MEDICAL STAFF MEMBERS OR EMPLOYEES OF CHILDREN'S HEALTH AND ITS AFFILIATES. DISCLOSURES MADE BY SENIOR OFFICERS (AS DEFINED IN THE POLICY) ARE REVIEWED BY THE COMPLIANCE OFFICER, THE CHIEF LEGAL OFFICER, AND CHST'S PRESIDENT AND CHIEF EXECUTIVE OFFICER TO DETERMINE IF A CONFLICT EXISTS. DISCLOSURES MADE BY DIRECTORS OF CHST AND ITS AFFILIATES, AS WELL AS BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CHST, ARE DISCUSSED AS NECESSARY WITH THE APPROPRIATE DELEGATED BOARD COMMITTEE AND, IF REQUIRED PURSUANT TO THE POLICY, BY THE APPROPRIATE BOARD OF DIRECTORS AT MEETINGS TO DETERMINE IF FURTHER ACTION IS NEEDED. A STATEMENT OF INTEREST MUST BE COMPLETED ANNUALLY AND BOARD MEMBERS ARE REQUESTED TO REPORT CHANGES IF THEY OCCUR. A COMMITTEE OR BOARD MEMBER WITH A POTENTIAL CONFLICT IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS REGARDING THE TRANSACTION IN QUESTION AND WILL RECUSE THEMSELVES FROM VOTING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | CONTRACT MEDICAL - Total Expense: 1359284, Program Service Expense: 1060238, Management and General Expenses: 299046, Fundraising Expenses: ; |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | Transfers from Affiliates - 25287429; Total - 25287429; |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OFFICERS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Line 8b COMMITTEES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Line 6 Classes of members or stockholders |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Line 7a Members or stockholders electing members of governing body |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Line 11b Review of form 990 by governing body |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Line 12c Conflict of interest policy |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Line 19 Required documents available to the public |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Form 990, Part IX, Line 11g Other Fees |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
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