Children's Health System of Texas
Nonprofit profile at a glance
- EIN
- 750800628
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Dallas, TX, USA
- Phone
- 2144567000
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, Specialty
Reported finances
- Revenue
- $2,662,618,681
- Expenses
- $2,449,136,918
- Assets
- $5,930,052,679
- Liabilities
- $1,490,205,416
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
49 people listed
Executive titles in this filing
- Christopher J Durovich (President CEO)
Highest reported compensation
- Christopher J Durovich (President CEO): $4,345,262 total reported compensation
- Kimberly Besse (Chief People Officer): $3,310,749 total reported compensation
- Vanessa U Walls (CME & CMC PLANO ADMINISTRATOR): $2,117,698 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
With more than 1 million patient visits each year, Children's Health is North Texas' leading pediatric health system and among the largest in the nation. For more than a century, our mission has been clear: make life better for children. Founded in 1913 as the first free "baby camp" in the Southwest, (CONTINUED ON SCHEDULE O)
What it reported doing in 2024
Children's Health is committed to making life better for children as one of the largest and most prestigious pediatric health care systems in the nation and the leading pediatric provider in North Texas. A private, not-for-profit organization, Children's Health includes two full-service hospitals and an extensive network offering specialty, urgent, primary and virtual care to children in North Texas and beyond. Children's Medical Center Dallas: An academic medical center with 488 licensed beds, including the only pediatric Level I trauma center in North Texas. For seven consecutive years, U.S. News & World Report has ranked Children's Medical Center Dallas in all pediatric specialties, the only hospital in North Texas with this distinction. (CONTINUED ON SCHEDULE O)
Operating model
- Revenue model
- Other-operating. 97% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 91% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and reported officer compensation is a large share of total spending, which may reflect staffing concentration.
Rating breakdown
- Financial Efficiency: 66
- Transparency & Controls: 81
- Accountability: 96
- Sustainability: 66
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 72.3%; rating input score 72
- Program expense ratio: 78.2%; rating input score 78
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 100%; rating input score 100; 53rd percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 93.3%; rating input score 93; 44th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 8%; rating input score 67; 67th percentile among comparable filings
- Total-asset coverage ratio: 2.42; rating input score 69; 69th percentile among comparable filings
- Liabilities to assets ratio: 0.25; rating input score 62; 62nd percentile among comparable filings
- Officer compensation ratio: 1.9%; rating input score 58; 58th percentile among comparable filings
Growth
- Program expense growth: 8.3% per year; rating input score 100; 65th percentile among comparable filings
- Revenue growth: 7.1% per year; rating input score 100; 61st percentile among comparable filings
- Asset growth: 10.5% per year; rating input score 100; 72nd percentile among comparable filings
Details
- Where the money goes: 72.3% of revenue deployed · 78.2% of spending went to programs
- Governance: 14 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $1.9B in reported program spending
- Leadership: top reported pay $4.3M · 49 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $431.9M reported
- Consistency: 36 of 36 current checks pass
- Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 44 filed money-flow records
- Related organizations: 41 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- Review — Sustainability: Officer compensation ratio scored 58/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.