Childrens Health System of Texas
Public records show a registered, tax-exempt organization in good standing.
What it says it does
With more than 1 million patient visits each year, Children's Health is North Texas' leading pediatric health system and among the largest in the nation. For more than a century, our mission has been clear: make life better for children. Founded in 1913 as the first free "baby camp" in the Southwest, (CONTINUED ON SCHEDULE O)
- Income
- $2.7 billion
- Spending
- $2.4 billion
- Spent on programs
- 78%
- Reserves
- 0.9 months of spending
- Largest source of income
- fees for its services, 97%
- Employees
- 11,157
- Volunteers
- 882
- Highest pay
- $4.3 million, president ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 65 out of 100. Higher than 52% of charities in its peer group (health care, over $100m).
Reserves
4 of 35Spendable reserves would cover 0.9 months of spending.
Debt
16 of 20It owes 25% of what it owns.
Living within its means
15 of 15Income exceeded spending by 8% of income.
Income trend
15 of 15Income rose 9% on the year before.
Spending floor
15 of 1578% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 2514 of 15 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $1.9 billion spent. Children's Health is committed to making life better for children as one of the largest and most prestigious pediatric health care systems in the nation and the leading pediatric provider in North Texas. A private, not-for-profit organization, Children's Health includes two full-service hospitals and an extensive network offering specialty, urgent, primary and virtual care to children in North Texas and beyond. Children's Medical Center Dallas: An academic medical center with 488 licensed beds, including the only pediatric Level I trauma center in North Texas. For seven consecutive years, U.S. News & World Report has ranked Children's Medical Center Dallas in all pediatric specialties, the only hospital in North Texas with this distinction. (CONTINUED ON SCHEDULE O) Children's Medical Center Plano: A 212-licensed-bed full-service hospital with a new patient tower, expanded Emergency Department, Level III trauma designation and two specialty centers, including the Children's Health Andrews Institute for Orthopedics & Sports Medicine. As the official pediatric teaching hospital for UT Southwestern Medical Center, Children's Health offers access to world-renowned faculty, transformative biomedical research and leading-edge treatments. In 2024, Children's Health and UT Southwestern broke ground on a new $5 billion Dallas campus, one of the largest pediatric hospitals in the nation, with more than 4.7 million square feet of construction, three new towers and 552 beds. Our mission, to make life better for children, extends beyond our walls, meeting families where they live, learn and play. With more than 50 pediatric specialty and subspecialty programs, more than 1,800 medical and dental staff and a culture of excellence, we deliver the highest quality, family-centered care. In 2024, Children's Health served 337,253 unique patients and recorded 1,037,034 patient visits. Recognitions and Awards: Children's Health is Magnet recognized for nursing excellence, the highest national honor for professional nursing practice, earned by less than 10 percent of U.S. hospitals. Only 3 percent of all U.S. hospitals have maintained Magnet through four consecutive appraisal cycles. We are consistently honored as an employer of choice, including the Gallup Exceptional Workplace Award, Great Place to Work Certification, Forbes Best Large Employers, Forbes America's Best-in-State Employers, USA Today Top Workplaces, Becker's "150 Top Places to Work in Healthcare" for 12 consecutive years, The Dallas Morning News Top Workplaces, Most Innovative Companies in 2024 and Best Place for Working Parents from 2022 through 2024.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since December 1949.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.