efile Public Visual Render
ObjectId: 202223199349309457 - Submission: 2022-11-15
TIN: 47-4837308
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
OCH Holdings
Employer identification number
47-4837308
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Children's Health Clinical Operations
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-0800628
Hospital
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(2)
CHILDREN'S MEDICAL CENTER FOUNDATION
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-2062015
FOUNDATION
TX
501(c)(3)
7
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(3)
PHYSICIANS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-2854505
PHYSICIANS
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(4)
DALLAS PHYS MED SVCS FOR CHILDREN INC
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
81-0584868
PHYSICIANS
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(5)
COMPLEX CARE MED SVC CORP
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
46-1893597
MEDICAL SERVICES
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(6)
CHILDREN'S MEDICAL CENTER HEALTH PLAN
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
46-2737696
HMO
TX
501(c)(3)
10
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(7)
CHILDREN'S MED CTR RESEARCH INST AT UTSWMC
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
45-3462044
RESEARCH INSTITUTE
TX
501(c)(3)
Type I
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(8)
PEDIATRIC PARTNERS
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
46-1917702
CLINICALLY INTEGRATED NETWORK
TX
501(c)(3)
Type I
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(9)
ANESTHESIOLOGISTS FOR CHILDREN
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-2917570
PHYSICIANS
TX
501(c)(3)
10
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(10)
PHYSICIANS QUALITY ALLIANCE OF NORTH TEXAS
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
46-4049491
PHYSICIANS
TX
501(c)(3)
Type I
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(11)
SOUTHWESTERN MEDICAL DISTRICT
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
20-4101612
MEDICAL DISTRICT
TX
501(c)(3)
Type I
NA
No
(12)
WOMEN'S AUXILIARY TO THE CHILDREN'S MEDICAL CENTER
2777 N STEMMONS FWY 700
DALLAS
,
TX
75207
75-2485538
WOMEN'S AUXILIARY
TX
501(c)(3)
10
CHILDREN'S MEDICAL CENTER FOUNDATION
No
(13)
CHILDREN'S HEALTH SYSTEM OF TEXAS
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-2062019
MANAGEMENT COMPANY
TX
501(c)(3)
Type II
NA
No
(14)
Bradford Memorial Hospital for Babies
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-6067819
Hospital
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(15)
The Children's Hospital of Texas
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-6081004
Hospital
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
(16)
Richmond Freeman Memorial Clinic
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
23-7079698
Hospital
TX
501(c)(3)
3
CHILDREN'S HEALTH SYSTEM OF TEXAS
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ALTERNATIVE CARE SYSTEMS
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
75-2244475
OTHER MEDICAL SERVICES
TX
NA
C Corporation
No
(2)
NTPSS INC
1935 MEDICAL DISTRICT DRIVE
DALLAS
,
TX
75235
47-1036641
PHYSICIAN SOLUTIONS
TX
NA
C Corporation
No
(3)
Texas Bluebonnet Insurance Company
1935 Medical District Drive
Dallas
,
TX
75235
47-5032893
Insurance Company
TX
NA
C Corporation
No
(4)
Texas Trinity River Assurance Company
98-1318151
Self-insurance
CJ
NA
C Corporation
No
(5)
Children's Health
1935 Medical District Drive
Dallas
,
TX
75235
83-3809987
Other Medical Services
TX
NA
C Corporation
No
(6)
CHFH Inc
1935 Medical District Drive
Dallas
,
TX
75235
83-1336111
Other Medical Services
TX
NA
C Corporation
No
(7)
Children's Health Care Network
1935 Medical District Drive
Dallas
,
TX
75235
83-4560427
Other Medical Services
TX
NA
C Corporation
No
Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R (Form 990) 2021
Additional Data
Software ID:
21014044
Software Version:
2021v4.2