STRATEGY STUDIO / PUBLIC DATA EXPLORER

COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202412279349300236
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-14T09:27:34+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY STE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752051646EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cook Children's Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOOKBusinessNameControlTxt
Phone6828854000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Seventh AvenueAddressLine1Txt
CityFort WorthCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNancy CycholPersonNm
Person TitlePresidentPersonTitleTxt
Phone6828854000PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone9727028262PhoneNum
Preparation2023-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Nancy CycholBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Seventh AvenueAddressLine1Txt
CityFort WorthCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,925,082,684GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cookchildrens.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5826TotalEmployeeCnt
Total Volunteers646TotalVolunteersCnt
Total Gross UBI$2,306TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,108,404PYContributionsGrantsAmt
CY Contributions Grants$9,969,342CYContributionsGrantsAmt
PY Program Service Revenue$1,754,264,051PYProgramServiceRevenueAmt
CY Program Service Revenue$1,908,686,275CYProgramServiceRevenueAmt
PY Investment Income$108,029PYInvestmentIncomeAmt
CY Investment Income$1,679,271CYInvestmentIncomeAmt
PY Other Revenue$592,351PYOtherRevenueAmt
CY Other Revenue$2,375,500CYOtherRevenueAmt
PY Total Revenue$1,772,072,835PYTotalRevenueAmt
CY Total Revenue$1,922,710,388CYTotalRevenueAmt
PY Grants And Similar Paid$83,326,957PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$93,437,071CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$490,600,737PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$542,314,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$776,859,354PYOtherExpensesAmt
CY Other Expenses$886,145,356CYOtherExpensesAmt
PY Total Expenses$1,350,787,048PYTotalExpensesAmt
CY Total Expenses$1,521,897,393CYTotalExpensesAmt
PY Revenues Less Expenses$421,285,787PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$400,812,995CYRevenuesLessExpensesAmt
Total Assets BOY$1,720,011,003TotalAssetsBOYAmt
Total Assets EOY$1,909,959,519TotalAssetsEOYAmt
Total Liabilities BOY$656,624,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$794,885,185TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,063,386,545NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,115,074,334NetAssetsOrFundBalancesEOYAmt
MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,076,675,986ExpenseAmt
Grant$93,437,071GrantAmt
Revenue$1,908,842,080RevenueAmt
DescCook Children's Medical Center (CCMC) - Fort Worth is the cornerstone of Cook Children's Health Care System. This 462-bed facility is home to top medical minds, advanced technologies, family-centered treatments and leading-edge clinical research, all designed to fulfill the System's Promise to improve the health and well-being of every child in our care and our communities. It is one of only 10 freestanding children's hospitals in the world to achieve Magnet designation with three consecutive re-designations from the American Nursing Credentialing Center, most recently in February 2021. Nationally recognized services such as the Level IV Neonatal Intensive Care Unit, the Jane and John Justin Institute for Mind Health, and the hematology and oncology center are leading the way in providing the highest level of care to families who travel to the medical center from all across Texas, the United States and internationally. From complicated surgeries and Level II trauma care to physical therapy and behavioral health services, CCMC offers a variety of services and amenities to meet the unique needs of every patient and family. By seeing the world through the eyes of children and their families from all backgrounds, we're able to shape health care suited to them: connected by kindness, imagination and respect and with an extra dose of magical wonder. Making History In January 2023, a team of 25 medical professionals, including six surgeons, made headlines around the world after the successful surgical separation of conjoined twins for the first time in Cook Children's 105-year history. Preparations to care for the twins in the hospital's NICU and for the subsequent separation surgery began months before their birth. The unique medical needs of the twins required imagination, a laser-focus on safety and skill, and collaboration among multiple specialties. Thanks to the efforts of this team, the 11-hour surgical separation was a success and, today, the twin sisters are enjoying their lives together, but separate. Raising Awareness In FY23, Cook Children's Medical Center - Fort Worth took action to address an alarming rise in sudden unexplained infant deaths (SUIDs) with a months-long safe sleep campaign. Between January 2022 and April 2023, CCMC saw 30 infant deaths linked to unsafe sleep situations, more than the number of fatal gunshot wounds and drownings combined and the highest peak since 2008. Demographic data showed the group with the highest unsafe sleep deaths were Black boys from 2 months to 6 months old. In April 2023, Cook Children's launched a safe sleep awareness campaign with a series of articles in its online newsroom, checkupnewsroom.org, covering everything from baby sleep training advice, to safe sleep practices and precautions, to talking with grandparents and babysitters about practicing safe sleep with your baby. When the number of admissions and visits for RSV, flu and viral illnesses strained the medical center, pediatric offices and urgent care centers in the fall and winter months, Cook Children's provided weekly community updates. It also asked for the community's help in limiting the spread of illness, taking children to the appropriate provider based on their condition, and encouraged patience during long wait times in busy ERs and urgent care centers. Telehealth remains a critical resource for the hospital, especially during times of intense viral spread. In the early days of COVID-19, Cook Children's took steps to increase its bandwidth to support the explosive growth in virtual health visits. Fiscal year 2023 virtual health visits totaled 56,312 across all of Cook Children's Health Care System. Raising Joy The Raising Joy Podcast, a product of Cook Children's suicide prevention JOY Campaign, premiered in March 2022, and aired its 50th episode in June 2023. Topics in FY23 covered everything from protecting children from abuse to the rise of child suicides to body image to parents sharing their personal experience losing a child to opioid abuse. In October 2022, the podcast hosted its first live broadcast in front of a live audience. The event focused on the mystifying rise in child suicides and featured author and renowned speaker Andrew Solomon, Ph.D. The podcast is hosted by Cook Children's senior vice president and chief communication, inclusion, diversity and equity officer, and Cook Children's medical director of psychiatry outpatient services and partial hospitalization program. From January through July 2023, 405 patients ages 8 and older who came to Cook Children's ED for medical conditions were positive for being at risk for suicide, and 19 were suicidal at the time. That's when Team HOPE enters the picture. Team HOPE is led by an ED nurse and chaplain, and includes patient care technicians, paramedics, nurses, security officers, chaplains and child life specialists specially trained to identify and communicate with children struggling with mental health. Oftentimes, Team HOPE's intervention leads to life-saving mental health care and resource connections for children and their families. New and Improved After years in the making, Cook Children's Medical Center opened the Jane and John Justin Institute for Mind Health in October 2023. The Justin Institute brings together Cook Children's Jane and John Justin Neurosciences Center, Cook Children's Division of Behavioral Health and the Child Study Center under one collaborative roof to provide easily accessible, well-coordinated and comprehensive care for children with disorders affecting the nervous system. The Justin Institute is located in the Dodson Specialty Clinics building, which reopened in 2023 after undergoing an extensive renovation and expansion. In addition to the Justin Institute, the expansion made way for the opening of the Panda Cares Center of Hope Sibling Support Center where siblings of medically complex patients can play, create and connect with other children while their brother or sister attends their specialty appointments. The Panda Cares Center of Hope Sibling Support Center at Cook Children's is made possible through the support of Panda Cares, the philanthropic arm of the Asian dining concept Panda Express, and its partnership with Children's Miracle Network (CMN), of which Cook Children's is a member. Cook Children's neuroscience division is making a name for itself in the world of medical research, too. In 2023, the Neuroscience Research Center, led by Christos Papadelis, Ph.D., made medical news with not one, but two, papers published in the esteemed neurology journal Brain. Through research conducted by Dr. Papadelis and his team, the papers shed new light on the pathophysiological mechanism of the generation and propagation of epilepsy activity in the context of this disorder as a network disease. A new Command Center opened at Cook Children's - Fort Worth in 2023 serves as a safety hub to monitor and respond to emergencies. The new space provides a centralized location for leaders across Cook Children's Health Care System to coordinate their response to an emergency, such as a natural disaster that affects campus operations or an event that brings a flood of patients to the Emergency Department. It is equipped with technology that allows teams to gather and share information quickly. Exceeding Expectations Cook Children's Medical Center continually pursues quality, safety and communication. For FY23, eligible employees were awarded a Care Share bonus for reaching the lihood to recommend" patient experience goal of 86%. Each year brings a new batch of awards and recognitions for the hospital, its services and its providers. In 2023, U.S. News and World Report ranked six Cook Children's specialties among the top 50 in the nation. They include Pediatric Neurology and Neurosurgery, Pediatric Diabetes and Endocrinology, Pediatric Orthopedics, Pediatric Pulmonology and Lung Surgery, Pediatric Cardiology and Heart Surgery and Pediatric Cancer.Desc
Total Program Service Expenses$1,076,675,986TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document194IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5826EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldTXStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cory RhoadesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6828854000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Seventh AveAddressLine1Txt
CityFort WorthCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrew S Wayne
TRUSTEE - VICE CHAIRMAN END 05/232.02.0Yes (X)Yes (X)$0$0$0
Anne M Carvalho
TRUSTEE - VICE CHAIRMAN2.04.0Yes (X)Yes (X)$0$0$0
John P Boswell
TRUSTEE - CHAIRMAN2.03.0Yes (X)Yes (X)$0$0$0
Leah M King
TRUSTEE - SEC/TREASURER END 05/232.02.0Yes (X)Yes (X)$0$0$0
Ryan B Dickerson
TRUSTEE - SECRETARY/TREASURER2.03.0Yes (X)Yes (X)$0$0$0
Billie R Pugh Jr MD
TRUSTEE END 05/231.02.0Yes (X)$0$0$0
Bonnie Petsche
TRUSTEE1.01.0Yes (X)$0$0$0
Edwin S Ryan
TRUSTEE Start 06/231.01.0Yes (X)$0$0$0
Frank A Anderson
TRUSTEE1.01.0Yes (X)$0$0$0
Judge Jeffrey L Cureton
TRUSTEE1.03.0Yes (X)$0$0$0
Laura Miller
TRUSTEE1.01.0Yes (X)$0$0$0
Michael A LaGatta
TRUSTEE1.01.0Yes (X)$0$0$0
Peggy L Cassidy
TRUSTEE Start: 06/231.00Yes (X)$0$0$0
Robert J Batton
TRUSTEE1.02.0Yes (X)$0$0$0
Thomas Breckinridge Ray
TRUSTEE Start 06/231.02.0Yes (X)$0$0$0
Wally Jones
TRUSTEE1.02.0Yes (X)$0$0$0
Cory R Rhoades
CFO1.040.0Yes (X)$0$774,430$138,551
James C Cunningham MD
EVP, CMO1.040.0Yes (X)$0$1,109,667$46,454
Joseph M Gallagher
SR. VP, CHIEF LEGAL OFFICER1.040.0Yes (X)$0$831,546$145,319
Mary Cara Martz
SECRETARY1.040.0Yes (X)$0$176,919$24,465
Nancy C Cychol
EVP, HOSPITAL SERVICES40.02.0Yes (X)$1,093,361$0$44,537
Rick W Merrill
CHIEF EXECUTIVE OFFICER10.032.0Yes (X)$910,992$2,592,825$182,676
Spencer D Seals
VP CONSTRUCTION & REAL ESTATE1.040.0Yes (X)$0$383,947$90,528
Stanley E Davis
PRESIDENT, CCMC40.01.0Yes (X)$691,841$0$130,199
Stephen W Kimmel
EVP, SYS FINANCE16.026.0Yes (X)$428,860$670,780$170,569
Theresa Z Meadows
SR. VP, CHIEF INFO OFFICER1.040.0Yes (X)$0$750,448$55,486
Cheryl Petersen
VP NURSING, CNO40.00$438,834$0$100,153Yes (X)
Deborah Boudreaux
AVP NURSING40.00$298,782$0$39,561Yes (X)
Elia Valencia-Stokes
VP FINANCE40.00$398,079$0$59,554Yes (X)
Jack Sosebee
VICE PRESIDENT40.02.0$391,116$0$68,883Yes (X)
Nicholas Markham
AVP FACILITIES/CAMPUS SVCS40.00$220,110$0$37,713Yes (X)
Orlando Chapa
AVP NURSING40.00$310,364$0$39,226Yes (X)
Tammy Thomlison
AVP REVENUE40.00$290,105$0$13,632Yes (X)
Dianne Jones
respiratory therapist40.00$318,676$0$42,877Yes (X)
Gary Munford
DAY/WKND ADMINISTRATOR40.00$333,872$0$39,841Yes (X)
Kelsey Macon
RN, Staff40.00$374,712$0$15,616Yes (X)
Nancy Jones
RN, Staff40.00$363,227$0$23,318Yes (X)
Tamara Sims
RN, STAFF40.00$298,188$0$36,438Yes (X)
Kevin Greene
VP, Prosper Medical Center0.040.0$0$270,134$54,019Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,161,119TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,560,696TotReportableCompRltdOrgAmt
Total Other Compensation$1,599,615TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1031IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Linbeck Group LLC
1263 W Rosedale Ste 202Fort WorthTX76104Construction$62,222,338
Dynamic Systems Inc
2315 East Loop 820 NorthFort WorthTX76118Construction$16,613,869
Fisk Electric Co
1617 W Crosby Rd 120CarrolltonTX75006Construction$7,923,277
Cura Revenue Cycle Management
2202 N West Shore Blvd Ste 200TampaFL33607Collection Services$2,993,693
HKS Inc
PO Box 731121DallasTX75373Professional Services$2,197,129
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K93CntrctRcvdGreaterThan100KCnt
Related Organizations$7,428,487RelatedOrganizationsAmt
Government Grants$2,540,855GovernmentGrantsAmt
Total Contributions$9,969,342TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services621110$1,677,243,418$1,677,243,418
Other Operating Revenue621110$208,301,503$208,301,503
Joint Venture Revenue621110$23,139,048$23,139,048
Lab Referrals621500$2,306$2,306

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,908,686,275TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,162,836TotalRevenueColumnAmt
Exclusion$1,162,836ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,393,950RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,408,685RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$14,735RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,735TotalRevenueColumnAmt
Exclusion-$14,735ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,480,046OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$963,611OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$516,435OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$516,435TotalRevenueColumnAmt
Exclusion$516,435ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CCIC Retro Premium900099$158,111$158,111
Gain on Defeasance900099$2,232,124$2,232,124

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,390,235OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,922,710,388TotalRevenueColumnAmt
Related Or Exempt Func Income$1,908,842,080RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,306UnrelatedBusinessRevenueAmt
Exclusion$3,896,660ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$92,915,894TotalAmt
Program Services$92,915,894ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$521,177TotalAmt
Program Services$521,177ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,173,160TotalAmt
Program Services$1,583,557ProgramServicesAmt
Management And General$4,589,603ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$84,233TotalAmt
Program Services$84,233ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$399,284,592TotalAmt
Program Services$386,776,928ProgramServicesAmt
Management And General$12,507,664ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,369,999TotalAmt
Program Services$13,582,779ProgramServicesAmt
Management And General$787,220ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$100,600,833TotalAmt
Program Services$98,378,725ProgramServicesAmt
Management And General$2,222,108ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,802,149TotalAmt
Program Services$20,976,735ProgramServicesAmt
Management And General$825,414ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$255,048,828TotalAmt
Management And General$255,048,828ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,997TotalAmt
Program Services$360ProgramServicesAmt
Management And General$74,637ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$41,060,586TotalAmt
Program Services$35,098,767ProgramServicesAmt
Management And General$5,961,819ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,033TotalAmt
Program Services$75,033ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,343,564TotalAmt
Program Services$6,830,710ProgramServicesAmt
Management And General$512,854ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,737,688TotalAmt
Program Services$9,261,123ProgramServicesAmt
Management And General$1,476,565ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$737,243TotalAmt
Program Services$677,778ProgramServicesAmt
Management And General$59,465ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$514,575TotalAmt
Program Services$478,785ProgramServicesAmt
Management And General$35,790ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,707,630TotalAmt
Program Services$10,707,630ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,645,680TotalAmt
Program Services$2,645,680ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,674,001TotalAmt
Program Services$43,121,212ProgramServicesAmt
Management And General$12,552,789ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,340,459TotalAmt
Program Services$3,745,253ProgramServicesAmt
Management And General$595,206ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$198,793,001$198,793,001
LPPF Supplemental Payments$140,646,134$140,646,134
Bad Debt Expense$64,468,138$64,468,138
Physician Remuneration$51,777,828$51,777,828

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$41,499,971TotalAmt
Program Services$34,174,660ProgramServicesAmt
Management And General$7,325,311ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,521,897,393TotalAmt
Program Services$1,076,675,986ProgramServicesAmt
Management And General$445,221,407ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,501BOYAmt
EOY$17,176EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$634,351,404BOYAmt
EOY$766,934,702EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$257,360,190BOYAmt
EOY$271,351,844EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,144,706BOYAmt
EOY$7,302,817EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,091,349BOYAmt
EOY$15,571,471EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,129BOYAmt
EOY$408,900EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,392,722,112LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$709,163,341LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$667,389,099BOYAmt
EOY$683,558,771EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,924,814BOYAmt
EOY$10,284,947EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,939,992BOYAmt
EOY$5,269,992EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$124,528,819BOYAmt
EOY$149,258,899EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,720,011,003BOYAmt
EOY$1,909,959,519EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$110,185,596BOYAmt
EOY$112,948,758EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$116,392BOYAmt
EOY$138,105EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$481,113,684BOYAmt
EOY$469,477,399EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,208,786BOYAmt
EOY$212,320,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$656,624,458BOYAmt
EOY$794,885,185EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,063,386,545BOYAmt
EOY$1,115,074,334EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,063,386,545BOYAmt
EOY$1,115,074,334EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,720,011,003BOYAmt
EOY$1,909,959,519EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$400,812,995ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$349,125,206OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$225,096AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$225,096AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,521,897,393FilingOrganizationsTotalAmt
Affiliated Group Total$3,467,004,548AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,521,897,393FilingOrganizationsTotalAmt
Affiliated Group Total$3,467,229,644AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$3,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$4,500,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$203,050CurrentYearMinus1Amt
Current Year$225,096CurrentYearAmt
Total$428,146TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$750,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,125,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held1DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$1,000DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$0DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$268,906DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$148,158,562BeginningYearBalanceAmt
Contributions$556,006ContributionsAmt
Investment Earnings Or Losses$3,075,768InvestmentEarningsOrLossesAmt
Other Expenditures$1,249,594OtherExpendituresAmt
End Year Balance$150,540,742EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$145,006,389BeginningYearBalanceAmt
Contributions$777,244ContributionsAmt
Investment Earnings Or Losses$4,022,829InvestmentEarningsOrLossesAmt
Other Expenditures$1,647,900OtherExpendituresAmt
End Year Balance$148,158,562EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,257,225BeginningYearBalanceAmt
Contributions$503,149ContributionsAmt
Investment Earnings Or Losses$35,878,832InvestmentEarningsOrLossesAmt
Other Expenditures$2,632,817OtherExpendituresAmt
End Year Balance$145,006,389EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$116,417,669BeginningYearBalanceAmt
Contributions$1,190,873ContributionsAmt
Investment Earnings Or Losses$4,368,488InvestmentEarningsOrLossesAmt
Other Expenditures$10,719,805OtherExpendituresAmt
End Year Balance$111,257,225EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,568,298BeginningYearBalanceAmt
Contributions$545,683ContributionsAmt
Investment Earnings Or Losses$5,290,113InvestmentEarningsOrLossesAmt
Other Expenditures$986,425OtherExpendituresAmt
End Year Balance$116,417,669EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.4032BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.5322PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0646TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,179,074OtherCostOrOtherBasisAmt
Book Value$16,179,074BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,062,281,472OtherCostOrOtherBasisAmt
Depreciation$473,083,576DepreciationAmt
Book Value$589,197,896BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,710,222OtherCostOrOtherBasisAmt
Depreciation$4,501,071DepreciationAmt
Book Value$209,151BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$267,381,765OtherCostOrOtherBasisAmt
Depreciation$222,718,838DepreciationAmt
Book Value$44,662,927BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,169,579OtherCostOrOtherBasisAmt
Depreciation$8,859,856DepreciationAmt
Book Value$33,309,723BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$683,558,771TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Assets Limited to Use$1,022,202
Other Receivables$4,051,363
Supplemental Assets$117,958,748
Rights of Use Assets$9,856,764
Intercompany Receivables$16,369,822
FieldValueIRS element (for citing)
Total Book Value Other Assets$149,258,899TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Intercompany Payables$153,200,512
Estimated Due to Third Parties$50,765,484
Right of Use Liability$8,354,927
FieldValueIRS element (for citing)
Total Liability$212,320,923TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,859,339,037TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$63,593,344OtherRevenueAmt
Revenue Not Reported-$63,593,344RevenueNotReportedAmt
Revenue Subtotal$1,922,932,381RevenueSubtotalAmt
Other Revenues Not Included-$221,993OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$221,993RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,922,710,388TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,458,321,505TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$892,250OtherExpensesIncludedAmt
Expenses Not Reported$892,250ExpensesNotReportedAmt
Expenses Subtotal$1,457,429,255ExpensesSubtotalAmt
Other Expenses Not Included$64,468,138OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$64,468,138ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,521,897,393TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 ASC 740 FootnoteMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment fundsCOOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE PLUS INFLATION OVER A ROLLING SEVEN-YEAR PERIOD, AS WELL AS SHOW FAVORABLE PERFORMANCE CHARACTERISTICS RELATIVE TO OTHER MARKET INDICES WEIGHTED FOR ASSET ALLOCATIONS AS WELL AS SIMILARLY MANAGED FUNDS. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON PUBLIC AND PRIVATE EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) IN WHERE W.I. COOK FOUNDATION, INC. MAY MAKE AVAILABLE EACH YEAR OF UP TO 5% Of THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH THE EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Bad Debt Expense - -64468138 Interest Rate SWAP Adjustment - 874794
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsAdditional Gain on disposal of asset - 516435 Additional Contributions from Foundation - 670257 Direct Rent Expense - -1408685
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Direct Rent Expenses - 1408685 Additional Gain on disposal of asset - -516435
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsBad Debt Expense - 64468138

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,639,741TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,320,438DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,319,303NetCommunityBenefitExpnsAmt
Total Expense0.0078TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$883,847,312TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$752,999,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$130,847,837NetCommunityBenefitExpnsAmt
Total Expense0.0898TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$897,487,053TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$755,319,913DirectOffsettingRevenueAmt
Net Community Benefit Expns$142,167,140NetCommunityBenefitExpnsAmt
Total Expense0.0975TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,706,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,682,203NetCommunityBenefitExpnsAmt
Total Expense0.0053TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$233,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$141,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$91,740NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,149,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,149,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,896,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,896,038NetCommunityBenefitExpnsAmt
Total Expense0.0637TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$101,986,124TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,316,143DirectOffsettingRevenueAmt
Net Community Benefit Expns$100,669,981NetCommunityBenefitExpnsAmt
Total Expense0.0691TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$999,473,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$756,636,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$242,837,121NetCommunityBenefitExpnsAmt
Total Expense0.1666TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,000NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,060TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,060NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$488,126TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$488,126NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$558,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$558,186NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$64,468,138BadDebtExpenseAmt
Reimbursed By Medicare$6,290,379ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,487,291CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,196,912MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
COOK CHILDRENS PEDIATRIC SURGERY
SURGERY CENTER0.54120.00.0458
COOK CHILDRENS SURGERY CENTER
SURGERY CENTER0.51490.00.29
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.COOKCHILDRENS.ORGWebsiteAddressTxt
State License000332StateLicenseNum
Childrens HospitalYes (X)ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/PAGES/COMMUNITY-HEALTH-NEED S-ASSESSMENT.ASPXOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.CENTERFORCHILDRENSHEALTH.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/PAGES/COMMUNITY-HEALTH-NEED S-ASSESSMENT.ASPXStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPXFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - COOK CHILDRENS MEDICAL CENTER. The initial Cook Children's Community-Wide Children's Health Assessment and Planning Survey (CCHAPS) was conducted in 2009 and every three years thereafter (2012, 2015, 2018 and 2021). Our methodology varies slightly among assessment years but always includes gathering data from multiple sources representing our community. Overall, our Community Health Needs Assessment (CHNA) methodology includes a survey of parents of children ages 0-17, a community leader survey, and focus groups outlined in the table below. We also gather feedback from community coalition members through facilitated discussions at regular meetings and at eight child health summits that we host to present the data to our various communities. In addition, Cook Children's collects data from publicly available sources to supplement perceptions of children's health obtained through the parent and community leader surveys, focus groups and/or community meetings. The 2021 CHNA parent survey was administered through an outside vendor (ETC Institute) to a statistically representative sample of parents with children ages 0-17 living in our primary service region (Collin, Denton, Grayson, Hood, Johnson, Parker, Tarrant, and Wise counties). The large sample size (5,715 completed surveys) provides statistically representative results applicable to all eight counties individually and collectively with a low margin of error (+/- 1.3%; 95% CI). The survey is administered through mail, telephone, and internet communications and ETC monitors responses to ensure that representation is similar to general population demographics in terms of total population in each geographic area, race/ethnicity, marital status, income, and education level. In order to assess the health of children living in families that are traditionally underrepresented in mail and telephone surveys, a research team from the Evaluation and Outcomes Division of My Health My Resources of Tarrant County (MHMRTC) administered the parent survey to an intentional sample of caregivers within families experiencing homelessness in shelters or within families with at least one undocumented member at several Tarrant County homeless shelters (229 completed surveys). A team from University of North Texas Health Science Center at Fort Worth's School of Public Health conducted six virtual focus groups and one interview with parents (total of 22 parents/caregivers) across the eight-county service area. Community partners and program staff within the Center for Children's Health helped advertise and refer participants via email. These focus groups provided an opportunity for parents and caregivers to share additional information beyond questions within in the parent survey. Priority topics within these focus groups included asthma, oral health, mental health, healthy lifestyles, injury prevention, parenting support, COVID-19 and equitable access to care. The Center for Transforming Lives conducted a survey of families with children from birth to age 17 who were living within motels or extended-stay properties throughout Tarrant County from February to October 2021. Seventy families completed the anonymous surveys on-site at the motel locations. ETC Institute also conducted a survey with community leaders to obtain their feedback about the status of children's health. Surveys were mailed to 1,881 community leaders representing city and county governments, public agencies, not-for-profit organizations, independent school districts, faith based/clergy, and health care professionals. We received 306 responses (16% response rate). A complete list of who received the opportunity to participate in the leader survey is available upon request. Virtual interviews with 20 community leaders across the eight-county service area were also conducted. Leaders were recruited based on their expertise and diverse roles within the community. Interviewees discussed pressing issues or concerns in the community, providing additional context for the community leader and parent survey findings. Priority topics discussed during the interviews included the impact of COVID-19, mental health, ACEs, housing and food security, healthy lifestyles, injury prevention, and equitable access to health care. Based on the 2009 initial assessment results, Cook Children's Board of Trustees prioritized children's health issues identified by parents and community leaders and findings from subsequent CHNA processes in 2012, 2015, 2018, and 2021 confirmed the importance of these issues for continuing focused intervention: - Equitable access to health care - Oral Health - Mental Health - Healthy Lifestyles (obesity prevention) - Parenting and Family Support (abuse and neglect prevention) - Injury Prevention - Asthma Cook Children's continues to use the 2021 CHNA findings to assess parent and community leader perceptions of children's health needs and to inform our community health outreach and community engagement efforts. The 2024 CHNA is currently in development and will be completed and posted by September 30, 2025.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - COOK CHILDRENS MEDICAL CENTER. This 2021 Community Health Needs Assessment report is intended to serve as a joint assessment for the main Cook Children's Medical Center in Fort Worth and the new Cook Children's Medical Center in Prosper, opening in the fall of 2022. The Fort Worth Medical Center's primary service area encompasses Denton, Hood, Johnson, Parker, Tarrant and Wise counties. The Prosper Medical Center serves the primary counties of Collin, Denton and Grayson. Our 2021 assessment intentionally collected data in Collin and Grayson counties to represent those communities in the Prosper service area. Denton County falls within both the Fort Worth and Prosper service areas.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - COOK CHILDRENS MEDICAL CENTER. External vendors used to conduct the parent and community leader surveys included The Center for Transforming Lives, ETC Institute, Inc., My Health My Resources of Tarrant County, and University of North Texas Health Science Center. No other organizations were involved other than these contracted surveyor entities and no other organizations are able to use this assessment to fulfill CHNA requirements.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - COOK CHILDRENS MEDICAL CENTER. Cook Children's created the Center for Children's Health in 2011 to provide an infrastructure for using children's health assessment data to guide community programs and stakeholder collaborations that prevent illness, disease and injuries for children. The center oversees a regular community health needs assessment, community research and community health outreach. All three categories of Center activities are focused on increasing access to preventive services for underserved populations. The Center for Children's Health develops strategies for addressing targeted children's health priorities through research and an infrastructure that supports effective delivery of community and family services. Our services are data driven, evidence-informed and provided using high standards of community practice and service delivery. Recognizing that Cook Children's cannot solve complex children's health needs alone, we lead coalitions and support partnerships in every county within our primary service region to involve community partners in identifying health needs, and developing and implementing sustainable solutions. Collaborations are structured according to principles that research indicates are effective characteristics for successful community collaborations, including a commitment to using strategic plans to guide implementation of strategies, diverse representation within each community, and facilitating decisions guided by members according to formal coalition bylaws and meeting guidelines. Collaborations led by the Center for Children's Health include: - ACEs Task Force - Children's Oral Health Coalition - Lifeguard Your Child (Drowning Prevention Campaign) - Healthy Children Coalition of Parker County - Hood County for Healthy Children - Johnson County Alliance for Healthy Kids - Safe Baby Sleep Council - Safe Kids North Texas-Fort Worth - SaVe a Smile - Wise Coalition for Healthy Children - Wellness Alliance for Total Children's Health of Denton County 2021 CHNA parent and community leader survey findings support Cook Children's continued focus on family outreach programs that address the children's health issues identified in our initial parent survey process in 2009. The family services addressing priority children's health needs are provided using evidence-based/informed practices, including strict adherence to regulatory requirements, implementing proven program designs, obtaining appropriate staff certifications or licensures, providing adequate supervision, practicing accurate and confidential record-keeping, and conducting ongoing formal evaluation. Recognizing the need to improve access to care for vulnerable populations, the Center for Children's Health focuses all programming listed in the following sections to families identified as high-risk either due to low income or high prevalence of health risk factors. Equitable Access to Health Care Goal: Improve overall health for children and increase equitable access to quality health care - Ensure that C4CH programs and community involvement exemplify Cook Children's Promise. Community Strategies - Monitor and identify priority children's health issues in Cook Children's 6-county FWSA/3-county PSA to guide equitable service delivery program designs > Held 6 local and 2 regional CHNA Summits to share findings from the 2021 CHNA. > Rolling data collection is in progress for the 2024 CHNA by administering the parent survey among a purposeful sample of caregivers and families across the 8-county region. - Draw on the power of community partnerships to increase the reach for equitable health care information and services to disproportionally impacted populations (C4CH Coalitions) > The Homeless Initiative addresses unmet health and psycho-social needs of children living in three shelters in Tarrant County by providing a medical home and a case management model to coordinate health and social services. > Cook Children's is regularly represented at community initiatives throughout our region addressing various child health issues. > The Center for Children's Health distributed 332,529 educational resources and 181,567 prevention tools through community events and community partners in FY22. - Lead community coalitions with multi-sector, geographically diverse membership. > The Center for Children's Health led over 800 community events and engaged over 600 community partners to promote the health and safety of children. - Maintain focus of C4CH service delivery programs designs on the principles of community collaboration, evidence-based information and practices, and reducing health disparities and inequities. - The Center for Children's Health contributes funding to the Immunization Collaboration of Tarrant County to provide easy access to immunizations for children from low-income families in Tarrant County. The collaboration hosts a multi-week event during August and September, with the help of nearly 100 volunteers to immunize approximately 6,000+ children each year. - The Center for Children's Health provides regular communication about health information to families and community partners through Checkup Magazine, YouTube videos, and presentations. - The Center maximizes the power of Cook Children's integrated health system by developing close partnerships with Neighborhood Clinics, Cook Children's Health Plan, and other departments offering case management services to distribute health and wellness messages and prevention tools. - The Center for Children's Health and Cook Children's Health Plan expanded their partnership with the addition of a C4CH/CCHP Liaison. This liaison has held multiple stakeholder meetings, educated children and families on prevention efforts to help keep their children healthy and safe, and assisted with resource distributions. In FY22, CCHP staff distributed 19,714 C4CH resources to members and potential members and provided 168 hours of support at C4CH meetings and events. - Community Health Workers (CHWs) are an integral piece to the success of several C4CH programs including Build-a-Bridge, Save-A-Smile, and Healthy Homes by connecting families to needed resources and support services to increase access to care. In FY22, CHWs provided 5,660 social services to families to help them meet basic needs and address social determinants of health and were responsible for 477 community referrals provided to families connecting them to basic needs and health services. CHWs, along with other C4CH staff, served 21,616 children, families, and partners. Additional information related to increasing access to care is also addressed throughout each of the remaining six focus areas discussed below. Oral Health Goal: Improve child oral health - Respond to the urgent needs of children at increased risk of poor oral health Community Strategies - Lead and sustain the Save a Smile Advisory Committee; and the Children's Oral Health Coalition (COHC) to plan and implement oral health collaborative interventions. The coalition's Legislative Advocacy committee monitors state and national legislative issues, especially those supporting expanded access to dental care for low-income children. - Develop and distribute evidence-informed oral health resources to educate families, medical/dental providers and other community partners. - Continue Save a Smile programming to conduct limited oral health evaluations for low-income children; identify those with acute dental problems in targeted schools; and provide comprehensive social and dental treatment services. - Provide evidence-based training to caregivers and children; pregnant women; school nurses; medical/dental providers; and other community partners. - Facilitate and track community-level oral health screening outcomes. - Reduce barriers to oral health care for pregnant teens and women. - Explore potential partnership with Renaissance Dental Clinic to expand patient family education opportunities. - Support community awareness campaigns and events to encourage good oral health Continued on next disclosure
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - COOK CHILDREN'S MEDICAL CENTER CONTINUED. Continued from prior disclosure Mental Health Goal: Increase access to services for child mental health and well-being - Respond to the increasing critical need for mental health services to serve children Community Strategies - Lead and sustain the Wellness Alliance for Total Children's Health (WATCH) to plan and implement mental health collaborative interventions, targeting high-risk populations. - Sustain a strong community network of quality mental health services to support mental health services and treatment (Mental Health Connection). - Provide professional development opportunities for mental health providers who will share skills, knowledge, and tools with colleagues and caregivers within their reach (Wellness Workshops). - Develop and implement evidence-informed education and interventions for caregivers, children and adolescents to expand the reach of mental health messaging and strengthen connections to health care and community resources (Children's Feelings are a Work of Art, WatchDenton.org). - Support community campaigns and events to reduce stigma and promote awareness about mental health and well-being (Okay to SayT, Mental Health Awareness Month, JOY Campaign). Healthy Lifestyles (obesity prevention) Goal: Improve access to nutritious food and physical activity for children - Respond to the general health and wellness needs of families Community Strategies - Lead and sustain Johnson County Alliance for Healthy Kids (JCAHK), Healthy Children Coalition for Parker County (HCCPC), and classroom-based intervention to plan and implement programming that increases access to community resources and supports healthy parents and family resiliency. - Develop and distribute evidence-informed education and interventions for children to promote healthy lifestyles, nutritious food consumption, and physical activity (5210+ Every Day Coaching Sessions and in-school educational platform) - Provide healthy lifestyles training to providers and community members who will share skills, knowledge and tools with caregivers within their reach (5210+ Every Day Facilitator Training). - Support community awareness campaigns and events to encourage healthy lifestyles (National Gardening Week, Child Health Summits, and others). - Cook Children's promotes physical activity through offering a digital-based platform to all school districts within our service region. This platform, offered free to schools and families, provides children in school and at home an opportunity to cultivate good health now and lifelong healthy habits through daily physical activity. Parenting and Family Support (abuse neglect and prevention) Goal: Increase family resiliency through parenting and family support - Respond to the urgent needs of families raising children through challenging times or serious adversities (often referred to as ACEs) Community Strategies - Lead and sustain Adverse Childhood Experiences (ACEs) Task Force to plan and implement collaborative interventions to prevent or reduce trauma and protect well-being for children. Lead and sustain Hood County for Healthy Children and Wise Coalition for Healthy Children to plan and implement programming that increases access to community resources and supports healthy parents and family resiliency. - Develop and distribute ACEs/evidence-informed education and interventions for parents, caregivers and ACEs survivors (Build a Bridge and Caregiver Alliance; Parent Cafes; and Survivors Like Us). - Provide ACEs/evidence-informed education to providers and community members who will share skills, knowledge and tools with caregivers within their reach (Parent Cafe Facilitator Training, Early Detection of Child Abuse and Neglect). - Support community awareness campaigns and events to reduce child abuse and neglect (April National Child Abuse Awareness Month, Child Health Summits, and others). Injury Prevention Goal: Increase safety practices to reduce unintentional injuries to children - Respond to the urgent needs of families with unsafe sleep environments, where drownings are more likely to occur, who do not have properly installed car seats, recently prescribed medication, risk for accidental ingestion/overdose, or are more likely to have gun-related injury in the home Community Strategies - Lead and sustain Safe Kids North Texas- Fort Worth coalition and Safe Baby Sleep Council to plan and implement collaborative interventions - Provide evidence-informed education and interventions for parents and caregivers that encourage safer habits (planned vs unplanned water safety, child passenger safety in the car and on the road, medication storage, gun storage, and safe sleep) - Provide training to providers and community members who will share skills, knowledge, and safety tools with caregivers within their reach (Train the Trainer events, car seat technician training events, and Safe Baby Sleep Symposium) - Develop and distribute evidence-informed resources to promote safe practices for water safety, child passenger safety, poison prevention, gun safety, and safe infant sleep - Support community awareness campaigns and events to encourage safe practices for water safety, child passenger safety, poison prevention, gun safety, and safe infant sleep. Asthma Goal: Improve control of childhood asthma - Respond to the urgent needs of children with increased risk of uncontrolled asthma Community Strategies - Healthy Homes: > Coach families to identify asthma triggers in the home > Purchase and distribute practical asthma trigger remediation items and services to maintain a clean home environment. > Equip families with educational materials and practical tools for adapting prevention-oriented practices. > Follow up with families to support progress. > Connect families with community resources to address immediate needs (health care, food, etc.) > Support community campaigns and events to increase awareness about uncontrolled asthma - Asthma 411: Support prevention oriented care in school settings > Equip school nurses with training and medication needed to quickly respond to a child in respiratory distress > Enhance school asthma services - Engage community partners to plan and implement asthma management education in alignment with Healthy Homes strategies. - Provide evidence-based training to providers and community partners who will share skills, knowledge, and asthma prevention tools with caregivers within their reach. - Distribute evidence-informed prevention tools and educational resources among the community to increase awareness and knowledge of asthma control. - Support community awareness campaigns and events to increase awareness about uncontrolled asthma
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CENTER FOR PEDIATRIC SURGERY
4200 W UNIVERSITY DRIVE STE 110PROSPERTX75075AMBULATORY SURGERY CENTER
COOK CHILDREN'S SURGERY CENTER
6313 PRECINCT LINE RDHURSTTX76054AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Other Methods to determine eligibility for free or discounted careCOOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
Schedule H, Part I, Line 6a Community Benefit ReportCOOK CHILDREN'S CONDUCTS A CHNA AND PREPARES A SUMMARY REPORT EVERY THREE YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN 2021, AND THE WRITTEN CHNA REPORT WAS POSTED IN 2022. THE 2021 CHNA REPORT IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE: (HTTPS://WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/). THE NEXT CHNA (2024) IS CURRENTLY IN DEVELOPMENT AND WILL BE POSTED BY SEPTEMBER 30, 2025.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation64468138
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceLINE 7A IS CALCULATED USING WORKSHEET 1 AND THE COST TO CHARGE RATIO. LINE 7B MEDICAID SHORTFALL IS CALCULATED USING WORKSHEET 3 AND THE COST TO CHARGE RATIO. LINES 7E - I ARE CALCULATED USING THE HOSPITAL'S INTERNAL ACTIVITY REPORTS.
Schedule H, Part II Community Building ActivitiesCOMMUNITY BUILDING ACTIVITIES: PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY ("WATCH"). WATCH OF DENTON COUNTY IS A COLLABORATION OF BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO ARE INVESTED IN THE TOTAL WELLNESS OF DENTON COUNTY'S CHILDREN. WATCH CURRENTLY WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES. OVER 1,000 HOURS WERE CONTRIBUTED TO MULTIPLE COALITIONS, COMMITTEES, AND COUNCILS FOR FYE 2023.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountWE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyBAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFootnote disclosure regarding the treatment of bad debts is located on page 20 of the most recent audited financial statements attached to this form.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe Medicare shortfall should be considered community benefit since it is representative of the non-covered cost of patient care that hospitals are using to justify the need for their tax exempt status. Presenting the Medicare shortfall in the community benefit section allows regulators and the public to see the unfunded costs of services that hospitals provide to community members. This presentation would help the community better understand that in the absence of a tax exempt status (which in effect is granted to them by the public), the hospitals would have to look to the community to fund the shortfall or risk losing valued hospital services. The ratio of cost to charges used in the calculation of costs for Medicare was taken from the Medicare cost report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceTHE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
Schedule H, Part V, Section B, Line 16a FAP website- COOK CHILDREN'S MEDICAL CENTER: Line 16a URL: HTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16b FAP Application website- COOK CHILDREN'S MEDICAL CENTER: Line 16b URL: HTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COOK CHILDREN'S MEDICAL CENTER: Line 16c URL: HTTPS://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-A SSISTANCE.ASPX;
Schedule H, Part VI, Line 2 Needs assessmentAlthough various departments within Cook Children's periodically conduct patient needs assessments for specific medical specialties, the parent survey for our Community Health Needs Assessment, also known as the Community-wide Children's Health Assessment & Planning Survey (CCHAPS) as reported in Part V, Section B-is the only community-wide children's health needs assessment conducted by our health system.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.
Schedule H, Part VI, Line 4 Community informationCook Children's eight-county service region is based in North Central Texas and comprises Collin, Denton, Grayson, Hood, Johnson, Parker, Tarrant, and Wise Counties. Cook Children's evaluates the statistics describing our community and representing our population served with every Community Health Needs Assessment (CHNA). For Fiscal Year 2022, all information provided is in response to our 2021 CHNA. Furthermore, the statistics described within this section reflect those reported in our 2021 CHNA. Please note: Our 2024 CHNA is currently in development and will be approved and posted by September 30, 2025. The U.S. Census Bureau classifies these counties as follows: Collin County-mostly urban, 5% rural; Denton County-mostly urban, 7% rural; Grayson County-rural 43%; Hood County-mostly urban, 33% rural; Johnson County-mostly urban, 38% rural; Parker County-rural 56%; Tarrant County-mostly urban, 1% rural and Wise County-mostly rural 72% (1). The FWSA total population of 3,309,223 includes 972,470 children from birth to age 17, while the PSA total population of 1,938,813 includes 512,680 children from birth to age 17. Overall, this eight-county region is home to a diverse population of 4,414,214 people, and 1,269,810 (28%) are children 17 years and younger (2). Of those 1,269,810 children ages 0-17, there are 265,400 children living in Collin County; 215,340 in Denton County; 31,940 in Grayson County; 12,230 in Hood County; 145,140 in Johnson County; 36,070 in Parker County; 547,340 in Tarrant County; and 16,350 in Wise County (2). The annual median income for families with children under age 18 range between $63,311 in Grayson County to $117,935 in Collin County (2). Of the 1,269,810 children under age 18 living in the region, nearly 150,000 (12%) live in households with income below the poverty level, and children in households that receive Supplemental Security Income (SSI), cash public assistance or food stamps/SNAP benefits ranges from 8% in Collin County to 27% in Grayson County. Of the 1,269,810 children under age 18 living in the region, between 8%-27% live in households that receive Supplemental Security Income (SSI), cash public assistance, or Food Stamps/SNAP benefits (2). The information below reflects race and ethnicity by county within our region. 2021 U.S. Census Estimates of Race and Ethnicity (Children under 18 years) (2) . Asian: Collin 16.2%; Denton 9.6%; Grayson 1.7%; Hood 0.7%; Johnson 5.2%; Parker 0.7%; Tarrant 5.6%; Wise 0.6% . Black/African American: Collin 10.3%; Denton 9.9%; Grayson 6%; Hood 0.8%; Johnson 4.7%; Parker 1.0%; Tarrant 16.8%; Wise 1.3% . Other Race/Two or More Races: Collin 0.5%; Denton 0.5%; Grayson 0.5%; Hood 1.0%; Johnson 0.2%; Parker 0.5%; Tarrant 0.8%; Wise 0.6% . White: Collin 55.0%; Denton 57.6%; Grayson 74.6%; Hood 84.2%; Johnson 79.3%; Parker 82.6%; Tarrant 45.2%; Wise 76.8% . Hispanic or Latino (Any Race): Collin 15.5%; Denton 19.6%; Grayson 14.2%; Hood 12.4%; Johnson 7.9%; Parker 13.0%; Tarrant 29.5%; Wise 19.3% The Cook Children's eight-county service region contains three medically underserved areas and two medically underserved populations as defined by the Health Resources & Services Administration. These areas are: Medically Underserved Areas (3) . Denton County: Known as Poverty Population by Service Area Name, Medical Underservice Score is 0 (Governor's Exception), Rural Status is Non-Rural . Tarrant County: Known as Diamond Hill Service Area by Service Area Name, Medical Underservice Score is 57.5, Rural Status is Non-Rural . Tarrant County: Known as Fort Worth-North by Service Area Name, Medical Underservice Score is 58, Rural Status is Non-Rural Medically Underserved Population (3) . Grayson County: Known as Low Income-Grayson County by Service Area Name, Medical Underserved Score is 61, Rural Status is Partially Rural . Tarrant County: Known as Low Inc-East Side by Service Area Name, Medical Underserve Score is 59.8, Rural Status is Non-Rural
Schedule H, Part VI, Line 5 Promotion of community healthIN FY2023, THE CENTER FOR CHILDREN'S HEALTH LED VARIOUS HEALTH OUTREACH EVENTS SERVING OVER 35,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM OUR FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN 2009, WHICH INCLUDE: - EQUITABLE ACCESS TO HEALTH CARE - ORAL HEALTH - MENTAL HEALTH - HEALTHY LIFESTYLES (OBESITY PREVENTION) - PARENTING AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) - INJURY PREVENTION - ASTHMA IN FY2023 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 3,800 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDREN'S HEALTH. OUT OF OUR MANY HEALTH OUTREACH EVENTS, OVER 300 WERE COALITION, WORKGROUP, AND STAKEHOLDER MEETINGS, TRAININGS, AND WORKSHOPS THAT WE LED THROUGH OUR COLLABORATIONS BELOW: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - LIFEGUARD YOUR CHILD (DROWNING PREVENTION CAMPAIGN) - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS - SAFE BABY SLEEP COUNCIL - SAFE KIDS NORTH TEXAS - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY SELECTED HIGHLIGHTS OF OUR WORK IN FY2023 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - OVER 2,500 CHILDREN, PARENTS, AND FAMILIES RECEIVED 98 HOURS OF ORAL HEALTH EDUCATION. - IDENTIFIED 497 CHILDREN NEEDING IMMEDIATE DENTAL CARE. 86 VOLUNTEER DENTISTS TREATED CHILDREN IN NEED WITH OVER 2,383 DENTAL PROCEDURES, VALUING $363,495. - FAMILIES RECEIVED CAR SEAT TRAINING FROM A CERTIFIED TECHNICIAN. VOLUNTEER AND STAFF TECHNICIANS CHECKED A TOTAL OF 431 CAR SEATS FOR 289 PARENTS. - 532 PEOPLE ATTENDED 4 WELLNESS WORKSHOP SESSIONS OBTAINING 603 HOURS OF CONTINUING EDUCATION CREDITS. WELLNESS WORKSHOPS PROVIDE PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR MENTAL HEALTH PROVIDERS TO SHARE SKILLS, KNOWLEDGE, AND RESOURCES WITH COLLEAGUES AND THE FAMILIES THAT THEY SERVE. RECORDINGS OF THE WORKSHOPS ARE AVAILABLE ONLINE TO EXTEND OUR REACH. - COORDINATED AND ENGAGED OVER 500 VOLUNTEERS AND COLLABORATION MEMBERS. - 532 PEOPLE ATTENDED 4 WELLNESS WORKSHOP SESSIONS OBTAINING 603 HOURS OF CONTINUING EDUCATION CREDITS. WELLNESS WORKSHOPS PROVIDE PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR MENTAL HEALTH PROVIDERS TO SHARE SKILLS, KNOWLEDGE, AND RESOURCES WITH COLLEAGUES AND THE FAMILIES THAT THEY SERVE. RECORDINGS OF THE WORKSHOPS ARE AVAILABLE ONLINE TO EXTEND OUR REACH. - DISTRIBUTED 152,616 PREVENTION TOOLS VALUED AT $560,856 AND 281,257 EDUCATIONAL RESOURCES VALUED AT $82,368. - PROVIDED 7,992 SOCIAL SERVICES AND REFERRALS TO FAMILIES FOR BASIC NEEDS AND INCLUSIVE SUPPORT.
Schedule H, Part VI, Line 6 Affiliated health care systemCook Children's also operates seven neighborhood clinics providing primary care to underserved populations around the city's perimeter and inner city to help assure care is provided in the most appropriate setting. Both preventive and therapeutic dental health care are provided to underserved populations. Mental and behavioral health is provided in both inpatient and outpatient settings subsidized by Cook Children's. Cook Children's Health Plan is a contracted intermediary for Medicaid managed care and Chip, providing an open provider panel for all eligible children in the six-county primary service area. Cook Children's Home Health offers pediatric-specific home care to assure care is provided in the most appropriate and lowest cost setting.
Schedule H, Part VI, Line 7 State filing of community benefit reportTX

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Cook Children's Physician Network
801 Seventh AveFort WorthTX76104752485366501(c)(3)$92,789,588subsidize operations
Junior Leage of Fort Worth
255 Bailey AveFort WorthTX76107756022377501(c)(3)$35,000sponsorship
March of Dimes
PO Box 18819AtlantaGA31126131846366501(c)(3)$10,000sponsorship
Ronald McDonald House
1001 8th AveFort WorthTX76104751754490501(c)(3)$10,000sponsorship
Juvenile Diabetes Research Foundation
8140 Walnut Hill Lane Ste 810DallasTX75231231907729501(c)(3)$7,500sponsorship
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (11 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Medication1878$231,710
Funeral Services156$139,761
Transportation1485$16,356
Lodging339$40,315
Gift Cards500$20,266
Baby Supplies342$15,608
Meals700$9,226
Medical Equipment3$124
Utilities13$9,352
Miscellaneous5$1,459
Holiday Benevolence Gift Cards106$37,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE AND HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nancy C Cychol
EVP, HOSPITAL SERVICES$648,487$0$290,507$0$154,367$0$22,875$0$21,662$0$1,137,898$0$0$0
Stephen W Kimmel
EVP, SYS FINANCE$259,251$405,494$116,877$182,808$52,732$82,478$54,485$85,220$12,037$18,827$495,382$774,827$38,884$60,818
Mary Cara Martz
SECRETARY$0$136,752$0$33,892$0$6,275$0$8,274$0$16,191$0$201,384$0$0
Rick W Merrill
CHIEF EXECUTIVE OFFICER$350,380$997,237$204,062$580,791$356,550$1,014,797$37,726$107,373$9,770$27,807$958,488$2,728,005$254,800$725,200
Cory R Rhoades
CFO$0$497,003$0$203,540$0$73,887$0$103,167$0$35,384$0$912,981$0$53,883
James C Cunningham MD
EVP, CMO$0$657,833$0$294,570$0$157,264$0$22,875$0$23,579$0$1,156,121$0$0
Joseph M Gallagher
SR. VP, CHIEF LEGAL OFFICER$0$528,880$0$219,616$0$83,050$0$107,742$0$37,577$0$976,865$0$60,971
Theresa Z Meadows
SR. VP, CHIEF INFO OFFICER$0$466,675$0$192,288$0$91,485$0$22,875$0$32,611$0$805,934$0$0
Spencer D Seals
VP CONSTRUCTION & REAL ESTATE$0$288,072$0$93,520$0$2,355$0$58,122$0$32,406$0$474,475$0$0
Stanley E Davis
PRESIDENT, CCMC$437,486$0$170,441$0$83,914$0$91,738$0$38,461$0$822,040$0$62,559$0
Kevin Greene
VP, Prosper Medical Center$0$188,127$0$45,058$0$36,949$0$19,505$0$34,514$0$324,153$0$0
Jack Sosebee
VICE PRESIDENT$290,183$0$97,773$0$3,160$0$57,942$0$10,941$0$459,999$0$0$0
Deborah Boudreaux
AVP NURSING$228,046$0$61,487$0$9,249$0$8,214$0$31,347$0$338,343$0$0$0
Orlando Chapa
AVP NURSING$236,132$0$57,827$0$16,405$0$22,395$0$16,831$0$349,590$0$0$0
Nicholas Markham
AVP FACILITIES/CAMPUS SVCS$168,344$0$41,307$0$10,459$0$15,594$0$22,119$0$257,823$0$0$0
Cheryl Petersen
VP NURSING, CNO$325,010$0$108,079$0$5,745$0$63,203$0$36,950$0$538,987$0$0$0
Tammy Thomlison
AVP REVENUE$228,939$0$52,617$0$8,549$0$10,304$0$3,328$0$303,737$0$0$0
Elia Valencia-Stokes
VP FINANCE$271,688$0$64,272$0$62,119$0$21,986$0$37,568$0$457,633$0$0$0
Dianne Jones
respiratory therapist$280,541$0$34,560$0$3,575$0$21,705$0$21,172$0$361,553$0$0$0
Nancy Jones
RN, Staff$325,415$0$32,084$0$5,728$0$12,200$0$11,118$0$386,545$0$0$0
Kelsey Macon
RN, Staff$334,746$0$37,490$0$2,476$0$4,212$0$11,404$0$390,328$0$0$0
Gary Munford
DAY/WKND ADMINISTRATOR$294,819$0$29,900$0$9,153$0$15,537$0$24,304$0$373,713$0$0$0
Tamara Sims
RN, STAFF$257,200$0$34,831$0$6,157$0$22,557$0$13,881$0$334,626$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsGROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: DEBORAH BOURDEAUX, ORLANDO CHAPA, NANCY CYCHOL, STANLEY DAVIS, DIANNE JONES, NANCY JONES, KELSEY MACON, NICHOLAS MARKHAM, GARY MUNFORD, TAMARA SIMS, JACK SOSEBEE, ELIA VALENCIA-STOKES
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesTHERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCOOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planRick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Joseph Gallagher - Paid by System - $85,850 Deferred, $60,970 W-2 Cory R Rhoades - Paid by System - $80,292 Deferred, $53,883 W-2 Spencer D Seals - Paid by System - $35,247 Deferred, $0 W-2 Stanley E Davis - Paid by CCMC - $70,334 Deferred, $62,559 W-2 JACK SOSEBEE - PAID BY CCMC - $35,066 DEFERRED, $0 W-2 Cheryl Peterson - Paid by CCMC - $40,327 Deferred, $0 W-2 Elia Valencia-Stokes - Paid by CCMC - $12,438 Deferred, $0 W-2
Schedule J, Part II ALLOCATION OF CEO AND CFO SALARIES:SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
A751181060875906NY12010-02-24$231,948,097DEVELOPMENT, CONST, EQUIPMENTYes (true)falsefalse
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
B04383355187638QKX62014-02-02$176,767,688CONSTRUCTION & EQUIPMENT COSTSYes (true)falsefalse
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
C04383355187638QQQ52020-02-25$241,629,204REFUNDING AND CONSTRUCTION AND EQUIPMENTfalsefalsefalse
Tarrant County Cultural Education Facilities
D0438335510000000002023-09-05$163,310,000Refunding 2013 & 2014 Bondsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtOther Spent ProceedsOtherSpentProceedsAmt
A$199,770,000$0$231,948,097$2,686,446$230,119,4702011falsefalseYes (true)Yes (true)
B$25,255,000$89,600,000$176,767,688$1,755,350$176,023,0312016falsefalseYes (true)Yes (true)
C$12,445,000$241,629,204$2,221,088$149,530,7572023Yes (true)falseYes (true)Yes (true)$90,712,257
D$163,310,000$710,0632023Yes (true)falseYes (true)Yes (true)$162,599,938$2,059,954

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)falsefalse0.00490.0049Yes (true)falseYes (true)
Bfalsefalsefalsefalse0.0Yes (true)falseYes (true)
CfalseYes (true)falsefalse0.00190.0019Yes (true)falseYes (true)
DfalseYes (true)falsefalse0.00210.0021Yes (true)falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BANK OF AMERICA
AfalsefalsefalseYes (true)Yes (true)Yes (true)0.2falsefalsefalsefalseYes (true)
(no name)
BfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
(no name)
CfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
(no name)
DfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part III, Line 7 COLUMNS A, B, & CFOR THE PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS A, B & C. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS A, B & C IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS."
Schedule K, Part II COLUMNS A - DTOTAL EXPENDITURES INCLUDE AMOUNTS SPENT AFTER INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: TARRANT COUNTY CULTURAL EDUCATION FACILITIES The calculation for computing no rebate due was performed on 02/04/2014
Schedule K, Part IV, Line 2c COLUMN BIssuer name: TARRANT COUNTY CULTURAL EDUCATION FACILITIES The calculation for computing no rebate due was performed on 03/22/2017
Schedule K, Part IV, Line 2c COLUMN CIssuer name: TARRANT COUNTY CULTURAL EDUCATION FACILITIES The calculation for computing no rebate due was performed on 06/14/2021

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Katharine CarvalhoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDaughter of Board MemberRelationshipDescriptionTxt
Transaction$84,233TransactionAmt
TransactionCompensationTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsVARIOUS TRUSTEES & OFFICERS EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesA MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF THE JOINT VENTURES.
Form 990, Part VI, Line 6 Classes of members or stockholdersCOOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policyEVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialCOOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENT IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. , WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCOOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE TEXAS SECRETARY OF STATE. THE CONFLICT-OF-INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in Fair Value of SWAP - 874794; Net Fund Balance Transfers Between Affiliates - -350000000;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Cook Children's Health Care System
801 Seventh AveFort WorthTX76104752705881Health Care SupportTX501(c)(3)Type III-FICCHFYes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 Seventh AveFort WorthTX76104752485366Physician ServicesTX501(c)(3)3CCHCSYes (true)
WI COOK FOUNDATION dba Cook Children's Health Foundation
801 Seventh AveFort WorthTX76104752051649FundraisingTX501(c)(3)7NAfalse
ROSEDALE OFFICE BUILDING
1500 W ROSEDALEFort WorthTX76104460866421TITLE HOLDINGTX501(c)(2)CCHFYes (true)
COOK CHILDREN'S HOME HEALTH
801 Seventh AveFort WorthTX76104752896983HealthcareTX501(c)(3)10CCHCSYes (true)
COOK CHILDREN'S HEALTH PLAN
801 Seventh AveFort WorthTX76104760585240InsuranceTX501(c)(3)10CCHCSYes (true)
CHILD STUDY CENTER
1300 West LancasterFort WorthTX76102751099536Healthcare ServicesTX501(c)(3)7CCMCYes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 Seventh AveFort WorthTX76104842625990Healthcare ServicesTX501(c)(3)Type IICCHCSYes (true)
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 Seventh AveFort WorthTX76104852354189HospitalTX501(c)(3)3CCHCSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CPS Pediatrics LLC
340 Seven Springs WaySte 600BrentwoodTN37207470871718ASCTXNARelated$38,675$109,590false$0false0.5414
COOK CHILDREN'S SURGERY CENTER
340 Seven Springs WaySte 600BrentwoodTN37027205227064ASCTXNARelated$8,726,000$2,248,896false$0false0.5152
CENTER FOR PEDIATRIC SURGERY
340 Seven Springs WaySte 600BrentwoodTN37027470871715ASCTXNARelated$7,377,255$13,418,403false$0false0.5388

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Cook Children's Health Services
801 Seventh AveFort WorthTX76104454024843HealthcareTXCCHCSC CorporationYes (true)
Cook Children's Indemnity Company
980424041Self InsuranceCCHCSC CorporationYes (true)878 West Bay RoadPO Box 1159Grand CaymanGrand CaymanCJKY1110CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Cook Children's Physician Network
A$1,732,636FMV
Cook Children's Physician Network
R$88,920FMV
Cook Children's Physician Network
O$48,259,858FMV
Cook Children's Physician Network
B$92,789,588FMV
Cook Children's Physician Network
Q$597,312FMV
Cook Children's Home Health
R$2,882,359FMV
Cook Children's Home Health
P$300,672FMV
Cook Children's Health Plan
S$265,435,249FMV
Cook Children's Health Plan
Q$60,572FMV
Child Study Center
O$161,456FMV
Cook Children's Surgery Center (NE)
J$1,393,950FMV
Cook Children's Health Enterprises
N$6,253,851FMV
Cook Children's MC Prosper
O$1,968,864FMV
Cook Children's Health Care System
A$1,000,678FMV
Cook Children's Health Care System
S$262,885FMV
Cook Children's Health Care System
O$1,116,840FMV
Cook Children's Health Care System
P$526,407FMV
Cook Children's Health Care System
S$940,272FMV
Cook Children's Health Care System
Q$325,887,088FMV
Cook Children's Surgery Center
S$8,444,626FMV
Center for Pediatric Surgery LTD
S$8,161,872FMV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
Cook Children's Medical Center
801 Seventh AvenueFort WorthTX76104752051646Yes (X)$0$0$0$1,521,897,393$1,521,897,393$1,000,000$250,000$0$0$0
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240$0$0$0$887,440,356$887,440,356$1,000,000$250,000$0$0$0
COOK CHILDREN'S HEALTH CARE SYSTEM
802 SEVENTH AVEFORT WORTHTX76104752705881Yes (X)$0$225,096$225,096$333,532,587$333,757,683$1,000,000$250,000$0$0$0
COOK CHILDREN'S PHYSICIAN NETWORK
803 SEVENTH AVEFORT WORTHTX76104752485366Yes (X)$0$0$0$492,341,048$492,341,048$1,000,000$250,000$0$0$0
WI COOK FOUNDATION
805 SEVENTH AVEFORT WORTHTX76104752051649$0$0$0$44,775,655$44,775,655$1,000,000$250,000$0$0$0
COOK CHILDREN'S HOME HEALTH
806 SEVENTH AVEFORT WORTHTX76104752896983Yes (X)$0$0$0$73,515,122$73,515,122$1,000,000$250,000$0$0$0
ROSEDALE OFFICE BUILDING
807 SEVENTH AVEFORT WORTHTX76104460866421$0$0$0$2,286,663$2,286,663$264,333$66,083$0$0$0
CHILD STUDY CENTER
808 SEVENTH AVEFORT WORTHTX76104751099536$0$0$0$10,861,711$10,861,711$693,086$173,271$0$0$0
COOK CHILDREN'S HEALTH ENTERPRISES
809 SEVENTH AVEFORT WORTHTX76104842625990Yes (X)$0$0$0$7,377,384$7,377,384$518,869$129,717$0$0$0
COOK CHILDREN'S MEDICAL CENTER PROSPER
810 SEVENTH AVEFORT WORTHTX76104852354189$0$0$0$92,976,629$92,976,629$1,000,000$250,000$0$0$0