CHILDREN'S HEALTH SYSTEM OF TEXAS (EIN 750800628) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1947

Legal Domicile

Phone

2144567000

Tax Period

2023-01-01 to 2023-12-31

CHILDREN'S HEALTH SYSTEM OF TEXAS, founded in 1947, is a large national nonprofit in the Health Care sector that reported $2.4B in total revenue in fiscal year 2023. Revenue surged 22% from the prior year, signaling strong growth momentum. Expenses of $2.1B left a modest 14% surplus.

Mission

DEDICATED TO MAKING LIFE BETTER FOR CHILDREN.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $126,098,843

Program Service Revenue $2,281,721,778

Investment Income $18,183,809

Other Revenue $10,011,626

TOTAL REVENUE $2,436,016,056

Expense Breakdown

Grants Paid $37,036,007

Salaries & Benefits $1,052,113,485

Fundraising Expenses $0

Program Expenses $1,584,016,860

Other Expenses $1,009,181,822

TOTAL EXPENSES $2,098,331,314

Year-over-Year Comparison

	2023	2022	Change
Revenue	$2,436,016,056	$2,001,118,732	+0.2%
Expenses	$2,098,331,314	$1,685,432,184	+0.2%
Net Income	$337,684,742	$315,686,548	+0.1%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

10616

Volunteers

661

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$15,494,098

Total Directors

$4,164,794

Key Employees

$18,521,724

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
N/A	President CEO CHST	58.0	Officer Director	$4,092,029	$72,765	$4,164,794
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Chairman	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director (Effective 1/1/2023)	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director (Effective 1/1/2023)	1.0	Director	$0	$0	$0
N/A	Director	1.0	Director	$0	$0	$0
N/A	Director (Effective 9/28/2023)	1.0	Director	$0	$0	$0
N/A	EVP Chief Legal Officer	52.0	Officer	$1,192,308	$243,971	$1,436,279
N/A	Chief Operating Officer (Effective 8/28/23)	55.0	Officer	$438,783	$128,760	$567,543
N/A	President Chief People Officer	55.0	Officer	$1,466,522	$296,766	$1,763,288
N/A	President Dallas Market	54.0	Officer	$1,068,896	$231,728	$1,300,624
N/A	Director & President and COO (Term. 2/1/23)	53.0	Officer	$3,362,971	$92,407	$3,455,378
N/A	Chief Financial Officer and Treasurer	52.0	Officer	$1,247,053	$280,158	$1,527,211
N/A	President Northern Market	55.0	Officer	$1,024,764	$254,217	$1,278,981
N/A	SVP Finance	55.0	Key Emp	$618,729	$109,184	$727,913
N/A	EVP Dallas Market Operations	55.0	Key Emp	$666,523	$83,647	$750,170
N/A	SVP and CIO	55.0	Key Emp	$598,816	$136,124	$734,940
N/A	SVP Revenue Cycle	55.0	Key Emp	$669,830	$141,873	$811,703
N/A	President and Chief Medical Officer	52.0	Key Emp	$294,224	$102,159	$1,426,167
N/A	EVP Corporate Svcs and Chief Compliance Officer	53.0	Key Emp	$952,207	$221,528	$1,173,735
N/A	SVP HR Talent and Workforce Planning	55.0	Key Emp	$629,904	$116,507	$746,411
N/A	SVP Cardiac and Maternal Fetal and Neonatal Svcs	55.0	Key Emp	$577,415	$118,567	$695,982
N/A	SVP Strategic Implementation	55.0	Key Emp	$722,007	$118,457	$840,464
N/A	Executive Advisor NPC	55.0	Key Emp	$738,172	$137,957	$876,129
N/A	Executive Advisor NPC	55.0	Key Emp	$689,613	$142,564	$832,177
N/A	SVP Assoc General Counsel	55.0	Key Emp	$604,124	$104,410	$708,534
N/A	SVP Chief Investment Officer	55.0	Key Emp	$937,252	$131,842	$1,069,094
N/A	SVP Chief Advancement Officer	55.0	Key Emp	$677,752	$121,481	$799,233
N/A	EVP Chief Strategy Officer	54.0	Key Emp	$985,787	$225,631	$1,211,418
N/A	SVP Government Relations and Chief of Staff	50.0	Key Emp	$756,384	$128,274	$884,658
N/A	SVP HR Operations	55.0	Key Emp	$693,155	$85,368	$778,523
N/A	EVP Chief Nurse Executive	54.0	Key Emp	$910,778	$194,180	$1,104,958
N/A	Exec Advisor Workforce Mgmt and Total Rewards	55.0	Key Emp	$999,061	$178,868	$1,177,929
N/A	Executive Advisor Flagship Project	55.0	Key Emp	$1,148,577	$23,009	$1,171,586
N/A	EVP CNO Dallas Market	55.0	Highest	$540,034	$149,225	$689,259
N/A	VP Clinical Informatics	55.0	Highest	$689,738	$117,831	$807,569
N/A	Executive Advisor NPC	55.0	Highest	$577,628	$104,912	$682,540
N/A	SVP JPE Strategic Development	55.0	Highest	$530,507	$106,821	$637,328
N/A	Chief Medical Information Officer	55.0	Highest	$547,464	$81,933	$629,397
N/A	Former Highest Paid Employee	0.0		$585,328	$172	$585,500
N/A	Former Officer	0.0		$1,257,485	$251,182	$1,508,667
N/A	Former Key Employee	0.0		$827,518	$2,496	$830,014
N/A	Former Key Employee	0.0		$803,006	$2,496	$805,502

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$2,436,016,056	$2,098,331,314	$8,333,052,613	$337,684,742
2022	$2,001,118,732	$1,685,432,184	$7,326,907,535	$315,686,548
2021	$1,681,147,918	$1,383,629,656	$7,083,569,021	$297,518,262
2020	$1,469,156,130	$1,294,137,851	$6,393,536,023	$175,018,279
2019	$1,567,031,635	$1,312,379,977	$4,442,112,992	$254,651,658
2018	$1,413,422,843	$1,271,366,300	$3,942,855,812	$142,056,543

CHILDREN'S HEALTH SYSTEM OF TEXAS