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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
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) . . . 		    7,076   7,076 0.02 %
b Medicaid (from Worksheet 3, column a) . . . . .     20,836,303 10,029,698 10,806,605 31.18 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     517,253 285,196 232,057 0.67 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 21,360,632 10,314,894 11,045,738 31.87 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     374,232 7,175 367,057 1.06 %
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 0 374,232 7,175 367,057 1.06 %
k Total. Add lines 7d and 7j . 0 0 21,734,864 10,322,069 11,412,795 32.93 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 Healthcare 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
0
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
0
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
16,514
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
68,558
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-52,044
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) 2020
Schedule H (Form 990) 2020
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
100383 		X   X              
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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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   No
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 19
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 19
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/keeping-families-healthy/dfw-childrens-health-assessment
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) 2020
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Schedule H (Form 990) 2020
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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) 2020
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Schedule H (Form 990) 2020
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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) 2020
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Schedule H (Form 990) 2020
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) 2020
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Schedule H (Form 990) 2020
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, 20a, 20b, 20c, 20d, 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 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 , 1 Facility , 1 - OCH Holdings dba Our Children's House. 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: Texoma Council of Governments, McKinney ISD, United Way of Metropolitan Dallas, TexProtects, Assistance Center of Collin County, Citysquare, Frisco Family Services, YMCA Of Metropolitan Dallas, Collin County District Attorney's Office, Dallas Housing Authority, Children At Risk, Dallas ISD, The Concilio, City of Dallas, Plano ISD, Rees-Jones Center For Foster Care Excellence, Dallas Children's Advocacy Center, Dallas-Fort Worth Hospital Council, Genesis Women's Shelter, Lifepath Systems, The Commit Partnership, Dallas County Health & Human Services, Dallas Area Habitat For Humanity, Social Venture Partners Dallas, Catholic Charities of Dallas, City of Plano, Childcare Group, North Texas Food Bank, Momentous Institute, and American Heart Association - Dallas.
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 2019 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 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 2020, the Children's Health Community Outreach Team directly served almost 3,800 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 200 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), the 2020 census 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 provides referrals to additional community resources and services. SAFETY: 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. The trainings promote education about the effects of trauma and encourage effective, safe trauma-informed services and treatments. 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 five behavioral health clinicians who are certified in the youth mental health first aid curriculum and provide the forty-seven hours in 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. During 2020, the children's health behavioral health team has conducted 2 mental health first aid trainings for youth. 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 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. 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, Our Children's House adheres to and is under 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, w-2 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 , 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 at all times on its web site.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
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
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
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 VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT 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-families/billing-and-insurance/financial-assistance-and-support
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 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED) 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 2020, the Children's Health Community Outreach Team directly served almost 3,800 unique children and families by assisting with CHIP and Medicaid enrollment and referrals to health and wellness resources in the community. Children's Health Website: Our hospital web site, www.childrens.com, empowers parents with information about childhood illnesses, prevention, treatment and services available throughout the system. More than 1,300 common pediatric topics are addressed on the web site. Also available are interactive guides promoting healthy living.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization Children's Health also known as Children's Health System of Texas
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 bad debt expense. Children's Health has agreements with third-party payors that generally provide for payments at amounts different from its established charges. For uninsured patients who do not qualify for charity care, Children's Health recognizes revenue based on established charges subject to certain discounts and implicit price concessions. Children's Health determines the transaction price based on standard charges for services provided, reduced by explicit price concessions provided to third-party payors. Discounts are provided to uninsured patients in accordance with policy and implicit price concessions provided to uninsured patients. Explicit price concessions are based on contractual agreements, discount policies and historical experience. Implicit price concessions represent differences between amounts billed and the estimated consideration children's health expects to receive from patients which are determined based on historical collection experience and other factors.
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 The source used to determine the amount reported as Medicare allowable costs on Part III, line 6 was 2020 gross charges for Medicare multiplied by the cost to charge ratio from worksheet 2. Per IRS revenue ruling 69-545, treating patients with Medicare coverage is an indication that the hospital is working to promote community health while understanding that such costs of treatment may exceed government reimbursement.
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 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 - 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. 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. A copy of the plain language summary of the financial assistance policy is provided to patients on discharge. 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 1340 Empire Central 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 (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, 2020, 69 percent of inpatient discharges and 77 percent of outpatient visits originated in the six counties referred to as North Texas in the 2019-2020 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.
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 Health Clinical Operations (Children's Health), an organization described in IRC Section 501(c)3. The mission of 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 to 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. 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: Children's Health is using telemedicine to provide more children access to behavioral health care and address youth mental health issues. 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. 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. 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. Increase Education and Training Opportunities for Teachers in Mental Health: 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 five behavioral health clinicians who are certified in the youth mental health first aid curriculum and provide the forty-seven hours training primarily to schoolteachers and school administrative staff. 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 program, get up and go weight management program, and injury prevention program. 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. 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. 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, our 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 250 schools across nearly 30 school districts to deliver school-based telehealth services to students. 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. TeleBehavioral 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. As of the end of the 2020-2021 school year, the program is in 208 elementary, middle and high school campuses across nine North Texas counties. Children's Health Community Forums: Children's Health serves as a community convener by offering free quarterly forums. All forums are open to the community and offer a thought-provoking speaker touching on a Beyond ABC report pillar with the opportunity to grow, network, and collaborate with other members of the community. These forums facilitate the sharing of information and foster a stronger fabric of communication and collaboration among organizations.
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 is one of the largest and most prestigious pediatric health care providers in the country and the leading pediatric health care system in North Texas. The Children's Health System includes our flagship hospital, Children's Medical Center Dallas, as well as Children's Medical Center Plano, Our Children's House Inpatient Rehabilitation Hospital, Multiple Specialty Centers, Rehabilitation Facilities, Physician Services and The Children's Medical Center Research Institute at Ut Southwestern. Children's Health provides a full spectrum of health care services - from daily wellness and primary care to specialty visits and critical care. children's health is affiliated with UT Southwestern as the official pediatric teaching hospital for the medical school. This provides North Texas families access to a world-renowned medical faculty and transformative biomedical research. Children's Health has been consistently named one of the nation's top pediatric providers by U.S. News & World Report.
Schedule H, Part VI, Line 7 State filing of community benefit report TX
Schedule H (Form 990) 2020
Additional Data


Software ID: 20011424
Software Version: 2020v4.0