SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
OCH HOLDINGS
 
Employer identification number

47-4837308
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    552,266 0 552,266 1.69 %
b Medicaid (from Worksheet 3, column a) . . . . .     14,375,821 13,751,002 624,819 1.91 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     423,633 382,402 41,231 0.13 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 15,351,720 14,133,404 1,218,316 3.73 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     940,757 93,041 847,716 2.59 %
f Health professions education (from Worksheet 5) . . .         0 0 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .         0 0 %
j Total. Other Benefits . . 0 0 940,757 93,041 847,716 2.59 %
k Total. Add lines 7d and 7j . 0 0 16,292,477 14,226,445 2,066,032 6.32 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
307,167
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
616
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,080
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
0
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,080
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Our Children's House
1340 Empire Central
Dallas,TX75247
www.childrens.com
1255708715 		X X X              
Schedule H (Form 990) 2016
Page 4
Schedule H (Form 990) 2016
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Our Children's House
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.childrens.com/footer/aboutsection/about/reports-and-publications/community-reports
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Our Children's House
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
(SEE STATEMENT IN PART VI)
b
(SEE STATEMENT IN PART VI)
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
Our Children's House
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Our Children's House
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 2 Our Children's House (formerly Our Children's House at Baylor) was previous operated by Baylor Specialty Health Centers, an affiliate of Baylor Health Care System. Children's Medical Center of Dallas, an affiliate of Children's Health System of Texas, formed OCH Holdings to assume the activities of Our Children's House, including the licensed pediatric hospital and eight outpatient clinics. Children's Medical Center of Dallas and Children's Health System of Texas have no affiliation with either Baylor Specialty Health Centers or Baylor Health Care System. The activities were assumed through an acquisition. The activities of Our Children's House were assumed to be able to continue the longstanding mission of unparalleled care for children with very special needs, and to ensure that these patients would not be left without proper care.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. Each 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 monthly to discuss children's health care issues and to contribute their experience, insights and expert recommendations for the the Beyond ABC report prepared by Children'sHealth . Additionally, 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, as part of the Texas Healthcare Transformation and Quality Improvement Program, the state of Texas has been divided into 20 regions. Hospitals within each region have worked together to develop plans to respond to health needs and transform the health care delivery system. Children's Health participates in the Regional Healthcare Partnership (RHP) Plans for Regions 9 and 10.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. As a part of Children's Health, OCH Holdings doing business as Our Children's House (OCH) collaborated on the 2016 Children's Health joint Community Health Needs Assessment (CHNA). The collaboration was conducted with Children's Medical Center of Dallas (CMCD) and Children's Medical Center Plano (CMCP). 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 , 1 Facility , 1 - OCH Holdings dba Our Children's House. 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 publically available CHNA and Community Health Implementation Strategy. Needs Not Addressed: Some issues identified through the Children's Health CHNA have not been addressed in this plan. In initial discussion and subsequent prioritization, Children's Health Needs Assessment Team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Children's Health. Children's Health Community Health Implementation Strategy includes details on Needs Not Addressed. The following are some of the needs that have been identified in the current and prior assessments that are addressed by others or in different ways: safe and affordable housing, palliative care capacity/need for increased geriatric/long-term/home care resources, discourage elective deliveries/increase the percentage of women who receive prenatal care, provide comprehensive sexuality education/high incidence of STDs in RHP Region 10, protect green spaces/add bike lanes/improve access to parks. These needs are not being addressed by Children's as our priorities were established based on unmet community health needs that intersect with our mission and key clinical strengths. There are community and state agencies that have greater expertise in housing, palliative care, prenatal care, sex education, and protecting green spaces in our community. At this time, these issues have not been incorporated into our community benefit plan because we do not have the infrastructure, expertise, or funding needed to have a significant impact in these areas.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OCH Holdings dba Our Children's House. As a part of the Children's Health System of Texas, Our Children's House adheres to and is under the the Children's Health Patient Financial Assistance Policy. 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, PAY CHECK 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 , 1 Facility , 1 - OCH Holdings dba Our Children's House. 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 annually in a local newspaper of general circulation in the county.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Page 9
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address Type of Facility (describe)
1 Our Children's House Dallas
1208 N Hall St
Dallas,TX75204 		Outpatient Rehabilitation Clinic
2 Our Children's House Allen
8 Prestige Circle Ste 101
Allen,TX75002 		Outpatient Rehabilitation Clinic
3 Our Children's House Frisco
7010 Preston Road Ste 240
Frisco,TX75034 		Outpatient Rehabilitation Clinic
4 Our Children's House Las Colinas
7453 Las Colinas Blvd
Las Colinas,TX75063 		Outpatient Rehabilitation Clinic
5 Our Children's House Rockwall
2455 Ridge Rd Ste 255
Rockwall,TX75087 		Outpatient Rehabilitation Clinic
6 Our Children's House Grapevine
1643 Lancaster Drive Ste 300
Grapevine,TX76051 		Outpatient Rehabilitation Clinic
7 Our Children's House Waxahcie
1540 N Hwy 77 Bldg C Ste 10
Waxahcie,TX75165 		Outpatient Rehabilitation Clinic
8 Our Children's House Plano
7000 West Plano Pkwy Ste 210
Plano,TX75093 		Outpatient Rehabilitation Clinic
9 Our Children's House Irving
3337 Stovall St
Irving,TX75061 		Outpatient Rehabilitation Clinic
10
Schedule H (Form 990) 2016
Page 10
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 6a The Children's Health Community Benefit Report (Beyond ABC) is prepared by our Marketing & Public Relations department with collaboration from numerous departments within the hospital.
Schedule H, Part VI, Line 7 Beginning with calendar year 2016, OCH Holdings dba Our Children's House was required to file a Community Benefit Plan with the State of Texas as required by Senate Bill 427. Any state community benefit reporting prior to calendar year 2016 was required of the predecessor organization that conducted the activities of Our Children's House.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.childrens.com/patient-resources/manage-your-care/billing-insurance-legal-matters/financial-aid
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.childrens.com/patient-resources/manage-your-care/billing-insurance-legal-matters/financial-aid
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.childrens.com/patient-resources/manage-your-care/billing-insurance-legal-matters/financial-aid
Schedule H, Part I, Line 6a Community benefit report prepared by related organization Children's Medical Center of Dallas
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount OCH Holdings uses Worksheet 2 from the Form 990 Schedule H instructions to calculate the bad debt expense and ratio of patient care cost to charges attributable to community benefits.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology As a part of Children's Health System of Texas (Children's Health), Our Children's House adheres to the Children's Health processes and methodologies for calculating community benefits. 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 following is the footnote disclosure related to the Allowance for Doubtful Accounts, provided with Children's Health Audited Financial Statements. Children's Health maintains allowances for doubtful accounts to reserve for potential write-offs relating to a patient's inability to make payments on an account. Accounts are written off when collection efforts have been exhausted. Children's Health routinely monitors its accounts receivable balances and utilizes historical collection experience to support the basis for its estimates of the provision for doubtful accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs As a part of Children's Health System of Texas (Children's Health), Our Children's House adheres to the Children's Health processes and methodologies for calculating community benefits.Children's Health uses 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),Our Children's House adheres and is under the Children's Health collection policy and practices. Children's Health has written debt collection policies which identify collection practices to be followed. The collection practices determine for what financial assistance a patient qualifies, and if a patient does not qualify for financial assistance, Children's Health also has written collection practices to be followed to determine if a patient qualifies for charity care. As part of the collection practice, financial counselors review with the patient and their family the various state and federal programs available to them.
Schedule H, Part V, Section B, Line 16a FAP website - Our Children's House: Line 16a URL: (SEE STATEMENT IN PART VI);
Schedule H, Part V, Section B, Line 16b FAP Application website - Our Children's House: Line 16b URL: (SEE STATEMENT IN PART VI);
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Our Children's House: Line 16c URL: (SEE STATEMENT IN PART VI);
Schedule H, Part VI, Line 2 Needs assessment As a part of the Children's Health System of Texas (Children's Health), OCH Holdings dba Our Children's House (OCH) adheres to the Children's Health processes and procedures for assessing the health care needs of the communities it serves. In addition to the 2016 Community Health Needs Assessment, Children's Health has produced a comprehensive quality-of life report on area children, Beyond ABC: Growing Up in Dallas County, since 1994. Beginning in 2008, a separate study has been published to focus on youth in Collin County as well. These biennial reports provide 10 years of trended data on the many factors facing children in our community. Beyond ABC analyzes more than 50 indicators of well-being with respect to health, education, safety and security for the more than 900,000 children that call those areas home.
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. 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 OCH Holdings dba Our Children's House - Our Children's House hospital facility is currently located at 3301 Swiss Avenue, Dallas, 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. 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, more specifically, Dallas County, Texas. Community Population and Demographics - The U.S. Bureau of Census has compiled population and demographic data based on the 2010 census. The Nielsen Company, a firm specializing in the analysis of demographic data, has extrapolated this data to estimate population trends from 2013 through 2018. Based on the data, the overall population for the service area is projected to increase over the five-year period from 3,320,715 to 3,608,755. The age categories that represent youth and adolescents (0-14 and 15-20) is projected to increase 7.0 percent and 8.9 percent,respectively. According to the American Community Survey, 670,217 children under the age of 18 lived in Dallas County in 2012. In terms of race, nearly 54 percent of all children in Dallas County were Caucasian, followed by 23 percent African-American. Although more than half of the children in Dallas County are Caucasian, only 35 percent of the Caucasian child population is non-Hispanic. Moreover, Hispanic children make up more than 52 percent of the child population of Dallas County.
Schedule H, Part VI, Line 5 Promotion of community health The sole member of OCH Holdings dba Our Children's House (OCH) is Children's Medical Center of Dallas (CMCD), an organization described in section 501(c)3. CMCD has a volunteer board of directors comprised of independent individuals who are representative of the community served. With the oversight of Children's Medical Center of Dallas, OCH promotes health and benefits the community through its licensed hospital OCH provides both inpatient and outpatient care for conditions such as communication disorders, developmental delay, traumatic brain injury, feeding disorders, congenital disorders, chromosomal abnormalities, premature birth and more, which furthers the exempt purposes of OCH. Parents of patients at OCH find an extraordinary amount of support, education and counseling. An average inpatient length of stay is approximately 25 days due to the time required to progress rehabilitative care and therapy while also equipping parents to care for their children in a home setting. OCH also offers specialized outpatient therapy services across the DallasFt. Worth area. The activities are conducted in the DallasFt. Worth metroplex area. OCH services include: Child life services Neurorehabilitation (inpatient, day and outpatient programs) Feeding Disorders (inpatient, day and outpatient programs) Pediatric headache treatment Pulmonary Rehabilitation and Support Sleep studies Care coordination/case management Inpatient and outpatient medical management provided by: pediatric nurse practitioners, pediatric hospitalists, pediatric neurologists, pediatric physical medicine physicians and pediatric pulmonologists Neuropsychology/psychology Nursing care Occupational therapy Patient education and support Physical therapy Developmental screenings and equipment assessments Respiratory therapy Social services Speech/language therapy Spiritual support and counseling Imaging Laboratory Pharmacy The medical staff of OCH is open to physicians in the community who meet all requirements outlined in the Children's Health Medical/Dental Staff Bylaws.
Schedule H, Part VI, Line 6 Affiliated health care system OCH Holdings dba Our Children's House is a part of Children's Health System of Texas. Children's Health System of Texas is the leading pediatric health care system in North Texas, the seventh largest pediatric health care provider in the nation (according to Modern Healthcare 2014), and the second busiest in terms of admissions and pediatric Emergency Department visits. A private, not-for-profit organization, Children's Health is anchored by two full-service hospitals and encompasses a full range of pediatric health, wellness and acute care services for children from birth to age 18, including specialty care, primary care, home health, a pediatric research institute and community outreach services, among other forms of health care delivery.
Schedule H, Part VI, Line 7 State filing of community benefit report TX
Schedule H (Form 990) 2016
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