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ObjectId: 202443189349310019 - Submission: 2024-11-13
TIN: 75-0800628
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
23
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTH SYSTEM OF TEXAS
Employer identification number
75-0800628
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
Yes
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
Yes
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
Yes
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
Yes
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023
Page 2
Schedule J (Form 990) 2023
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
Christopher J Durovich
President CEO CHST
(i)
(ii)
1,830,168
-------------
0
2,193,000
-------------
0
68,861
-------------
0
22,500
-------------
0
50,265
-------------
0
4,164,794
-------------
0
0
-------------
0
2
Brent E Christopher
Former Officer
(i)
(ii)
660,248
-------------
0
366,330
-------------
0
230,907
-------------
0
226,230
-------------
0
24,952
-------------
0
1,508,667
-------------
0
200,160
-------------
0
3
Kimberly Besse
President Chief People Officer
(i)
(ii)
738,025
-------------
0
543,750
-------------
0
184,747
-------------
0
246,269
-------------
0
50,497
-------------
0
1,763,288
-------------
0
151,108
-------------
0
4
Matthew M Davis
President Dallas Market
(i)
(ii)
616,712
-------------
0
315,000
-------------
0
137,184
-------------
0
206,377
-------------
0
25,351
-------------
0
1,300,624
-------------
0
132,823
-------------
0
5
Robert S Fries
Chief Financial Officer and Treasurer
(i)
(ii)
678,996
-------------
0
509,625
-------------
0
58,432
-------------
0
229,662
-------------
0
50,497
-------------
0
1,527,211
-------------
0
25,021
-------------
0
6
Peter C Perialas Jr
Director & President and COO (Term. 2/1/23)
(i)
(ii)
135,138
-------------
0
693,845
-------------
0
2,533,988
-------------
0
70,698
-------------
0
21,709
-------------
0
3,455,378
-------------
0
878,664
-------------
0
7
Dane Peterson
Chief Operating Officer (Effective 8/28/23)
(i)
(ii)
336,684
-------------
0
100,000
-------------
0
2,099
-------------
0
106,615
-------------
0
22,144
-------------
0
567,543
-------------
0
0
-------------
0
8
Vanessa U Walls
President Northern Market
(i)
(ii)
585,131
-------------
0
315,000
-------------
0
124,633
-------------
0
209,077
-------------
0
45,140
-------------
0
1,278,981
-------------
0
90,038
-------------
0
9
Amy Yeager
EVP Chief Legal Officer
(i)
(ii)
522,093
-------------
0
428,513
-------------
0
241,702
-------------
0
188,859
-------------
0
55,112
-------------
0
1,436,279
-------------
0
209,214
-------------
0
10
Linda Dunlap
Former Key Employee
(i)
(ii)
12,481
-------------
0
113,575
-------------
0
701,462
-------------
0
2,496
-------------
0
0
-------------
0
830,014
-------------
0
214,398
-------------
0
11
Mark Ziemianski
Former Key Employee
(i)
(ii)
12,481
-------------
0
113,575
-------------
0
676,951
-------------
0
2,496
-------------
0
0
-------------
0
805,502
-------------
0
189,985
-------------
0
12
Chris Akeroyd
SVP and CIO
(i)
(ii)
359,758
-------------
0
181,125
-------------
0
57,933
-------------
0
93,382
-------------
0
42,742
-------------
0
734,940
-------------
0
56,144
-------------
0
13
JENNIFER Barrera
SVP Strategic Implementation
(i)
(ii)
410,480
-------------
0
310,000
-------------
0
1,527
-------------
0
81,449
-------------
0
37,007
-------------
0
840,464
-------------
0
0
-------------
0
14
Kathleen Benner
SVP Assoc General Counsel
(i)
(ii)
335,241
-------------
0
205,525
-------------
0
63,358
-------------
0
62,320
-------------
0
42,089
-------------
0
708,534
-------------
0
34,448
-------------
0
15
Thomas Burt
Exec Advisor Workforce Mgmt and Total Rewards
(i)
(ii)
383,922
-------------
0
440,000
-------------
0
175,139
-------------
0
142,500
-------------
0
36,368
-------------
0
1,177,929
-------------
0
167,367
-------------
0
16
Joe Cavender
Executive Advisor NPC
(i)
(ii)
310,905
-------------
0
276,015
-------------
0
102,693
-------------
0
92,782
-------------
0
49,782
-------------
0
832,176
-------------
0
69,860
-------------
0
17
Dai H Chung MD
President and Chief Medical Officer
(i)
(ii)
212,233
-------------
742,815
81,818
-------------
286,363
173
-------------
606
18,211
-------------
63,740
4,491
-------------
15,717
316,926
-------------
1,109,241
0
-------------
0
18
Angela Cupp
SVP Finance
(i)
(ii)
347,118
-------------
0
233,750
-------------
0
37,860
-------------
0
76,644
-------------
0
32,540
-------------
0
727,913
-------------
0
30,520
-------------
0
19
William Elvey
Executive Advisor Flagship Project
(i)
(ii)
34,809
-------------
0
460,000
-------------
0
653,768
-------------
0
21,665
-------------
0
1,344
-------------
0
1,171,586
-------------
0
13,846
-------------
0
20
Queen Greene
SVP HR Operations
(i)
(ii)
303,507
-------------
0
251,161
-------------
0
138,487
-------------
0
67,010
-------------
0
18,358
-------------
0
778,524
-------------
0
78,923
-------------
0
21
Doris E Hunt
EVP Corporate Svcs and Chief Compliance Officer
(i)
(ii)
515,758
-------------
0
278,250
-------------
0
158,199
-------------
0
186,964
-------------
0
34,564
-------------
0
1,173,735
-------------
0
128,857
-------------
0
22
Ira Kirkley
SVP HR Talent and Workforce Planning
(i)
(ii)
282,246
-------------
0
250,673
-------------
0
96,985
-------------
0
68,035
-------------
0
48,472
-------------
0
746,411
-------------
0
71,523
-------------
0
23
Jodi Landon
Executive Advisor NPC
(i)
(ii)
353,560
-------------
0
292,938
-------------
0
91,674
-------------
0
99,230
-------------
0
38,727
-------------
0
876,129
-------------
0
64,074
-------------
0
24
Ken Lee
SVP Chief Investment Officer
(i)
(ii)
486,127
-------------
0
342,000
-------------
0
109,125
-------------
0
88,287
-------------
0
43,556
-------------
0
1,069,095
-------------
0
103,313
-------------
0
25
Matthew Moore
SVP Government Relations and Chief of Staff
(i)
(ii)
395,782
-------------
0
249,500
-------------
0
111,102
-------------
0
102,914
-------------
0
25,360
-------------
0
884,658
-------------
0
109,422
-------------
0
26
Laran O'Neill
SVP Chief Advancement Officer
(i)
(ii)
322,778
-------------
0
283,806
-------------
0
71,168
-------------
0
77,416
-------------
0
44,065
-------------
0
799,233
-------------
0
37,909
-------------
0
27
Benigno Salinas
EVP Dallas Market Operations
(i)
(ii)
395,728
-------------
0
210,000
-------------
0
60,795
-------------
0
67,665
-------------
0
15,982
-------------
0
750,171
-------------
0
36,529
-------------
0
28
Coleman Skinner
SVP Revenue Cycle
(i)
(ii)
389,959
-------------
0
204,750
-------------
0
75,121
-------------
0
100,080
-------------
0
41,793
-------------
0
811,703
-------------
0
70,190
-------------
0
29
Jean Storey
SVP Cardiac and Maternal Fetal and Neonatal Svcs
(i)
(ii)
341,560
-------------
0
181,125
-------------
0
54,730
-------------
0
75,894
-------------
0
42,673
-------------
0
695,982
-------------
0
49,456
-------------
0
30
Lindsey Tyra
EVP Chief Strategy Officer
(i)
(ii)
528,275
-------------
0
420,375
-------------
0
37,138
-------------
0
182,105
-------------
0
43,527
-------------
0
1,211,419
-------------
0
32,863
-------------
0
31
Tammy Webb
EVP Chief Nurse Executive
(i)
(ii)
486,821
-------------
0
349,375
-------------
0
74,581
-------------
0
167,781
-------------
0
26,399
-------------
0
1,104,957
-------------
0
69,353
-------------
0
32
Brenda Clayton
Former Highest Paid Employee
(i)
(ii)
11,712
-------------
0
108,150
-------------
0
465,465
-------------
0
0
-------------
0
172
-------------
0
585,500
-------------
0
1,783
-------------
0
33
Philip Bernard
Chief Medical Information Officer
(i)
(ii)
396,512
-------------
0
50,000
-------------
0
100,952
-------------
0
73,431
-------------
0
8,502
-------------
0
629,397
-------------
0
0
-------------
0
34
Cassandra Dike
EVP CNO Dallas Market
(i)
(ii)
433,930
-------------
0
83,011
-------------
0
23,092
-------------
0
136,449
-------------
0
12,776
-------------
0
689,259
-------------
0
0
-------------
0
35
Holland Hassmann
Executive Advisor NPC
(i)
(ii)
310,972
-------------
0
197,197
-------------
0
69,459
-------------
0
86,075
-------------
0
18,838
-------------
0
682,541
-------------
0
63,512
-------------
0
36
Christopher Menzies
VP Clinical Informatics
(i)
(ii)
414,121
-------------
0
195,810
-------------
0
79,807
-------------
0
105,393
-------------
0
12,438
-------------
0
807,569
-------------
0
76,848
-------------
0
37
James Rhodes
SVP JPE Strategic Development
(i)
(ii)
327,210
-------------
0
170,363
-------------
0
32,934
-------------
0
69,900
-------------
0
36,920
-------------
0
637,327
-------------
0
31,759
-------------
0
Schedule J (Form 990) 2023
Page 3
Schedule J (Form 990) 2023
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
Schedule J, Part I, Line 1a Discretionary spending account
THE TBA (TAXABLE BENEFIT ALLOWANCE) WAS DESIGNED TO PROVIDE EXECUTIVES WITH REIMBURSEMENT FOR TRAVEL RELATED EXPENSES BETWEEN CHST AND ITS AFFILIATES' LOCATIONS AND TO ACQUIRE SUPPLEMENTAL BENEFITS. THERE IS CURRENTLY ONLY ONE OFFICER WHO RECEIVES PAYMENTS FROM THE TBA.
Schedule J, Part I, Line 4a Severance or change-of-control payment
Peter Perialas - $1,654,200 William Elvey - $600,000 Mark Ziemianski - $486,750 Linda Dunlap - $486,750 Brenda Clayton - $463,500
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
EXECUTIVE DEFINED CONTRIBUTION RETIREMENT PLAN (EDCRP): EMPLOYEES WHO RECEIVED TAXABLE INCOME FROM THE EDCRP INCLUDE: Peter Perialas - $878,664 Kimberly Besse - $151,108 Robert Fries - $25,021 Matthew Davis - $132,823 Vanessa Walls - $90,038 Amy Yeager - $209,214 William Elvey - $13,846 Thomas Burt - $167,367 Lindsey Tyra - $32,863 Doris Hunt - $128,857 Ken Lee - $103,313 Tammy Webb - $69,353 Matthew Moore - $109,422 Jodi Landon - $64,074 Queen Greene - $78,923 Joe Cavender - $69,860 Laran O'Neill - $37,909 Coleman Skinner - $70,190 Benigno Salinas - $36,529 Ira Kirkley - $71,523 Angela Cupp - $30,520 Kathleen Benner - $34,448 Chris Akeroyd - $56,144 Holland Hassmann - $63,512 Jean Storey - $49,456 Christopher Menzies - $76,848 James Rhodes - $31,759 Mark Ziemianski - $189,985 Linda Dunlap - $214,398 Brenda Clayton - $1,783 Brent Christopher - $200,160 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: Peter Perialas - $50,898 Kimberly Besse - $223,769 Robert Fries - $216,462 Matthew Davis - $186,577 Vanessa Walls - $186,577 Amy Yeager - $169,059 Thomas Burt - $120,000 Lindsey Tyra - $162,305 Doris Hunt - $165,621 Ken Lee - $75,087 Tammy Webb - $147,981 Matthew Moore - $80,414 Jodi Landon - $76,730 JENNIFER Barrera - $62,631 Queen Greene - $48,346 Joe Cavender - $70,282 Laran O'Neill - $54,916 Coleman Skinner - $80,280 Benigno Salinas - $45,165 Ira Kirkley - $48,346 Angela Cupp - $54,144 Kathleen Benner - $44,249 Chris Akeroyd - $73,385 Holland Hassmann - $63,575 Jean Storey - $53,394 Christopher Menzies - $82,893 Philip Bernard - $60,231 Cassandra Dike - $128,139 James Rhodes - $50,100 Dane Peterson - $101,538 Mark Ziemianski - $2,496 Linda Dunlap - $2,496 Brent Christopher - $206,430
Schedule J, Part I, Line 7 Non-fixed payments
SEE SCHEDULE O, LINE 15 FOR NON-FIXED PAYMENTS
Schedule J (Form 990) 2023
Additional Data
Software ID:
23017437
Software Version:
2023v5.1