STRATEGY STUDIO / PUBLIC DATA EXPLORER

COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-13
IRS object ID
202512259349302911
Schema version
2023v6.0
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)
Return2025-08-13T15:31:15+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

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Address Line11201 Walnut Street Suite 1700AddressLine1Txt
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Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

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EIN752051646EIN

Business Name BusinessName

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Business Name Line1Cook Children's Medical CenterBusinessNameLine1Txt
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Business Name ControlCOOKBusinessNameControlTxt
Phone6828854000PhoneNum

US Address USAddress

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Address Line1801 Seventh AvenueAddressLine1Txt
CityFort WorthCityNm
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Signature2025-08-13SignatureDt
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IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

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Preparer PersonMichael EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2025-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$2,223,282,313GrossReceiptsAmt
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 Independent13VotingMembersIndependentCnt
Total Employee6009TotalEmployeeCnt
Total Volunteers723TotalVolunteersCnt
Total Gross UBI$6,608TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,149NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,969,342PYContributionsGrantsAmt
CY Contributions Grants$22,942,471CYContributionsGrantsAmt
PY Program Service Revenue$1,908,686,275PYProgramServiceRevenueAmt
CY Program Service Revenue$2,195,940,423CYProgramServiceRevenueAmt
PY Investment Income$1,679,271PYInvestmentIncomeAmt
CY Investment Income$2,770,914CYInvestmentIncomeAmt
PY Other Revenue$2,375,500PYOtherRevenueAmt
CY Other Revenue$222,910CYOtherRevenueAmt
PY Total Revenue$1,922,710,388PYTotalRevenueAmt
CY Total Revenue$2,221,876,718CYTotalRevenueAmt
PY Grants And Similar Paid$93,437,071PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100,455,428CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$542,314,966PYSalariesCompEmpBnftPaidAmt
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PY Other Expenses$886,145,356PYOtherExpensesAmt
CY Other Expenses$988,635,221CYOtherExpensesAmt
PY Total Expenses$1,521,897,393PYTotalExpensesAmt
CY Total Expenses$1,663,759,026CYTotalExpensesAmt
PY Revenues Less Expenses$400,812,995PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$558,117,692CYRevenuesLessExpensesAmt
Total Assets BOY$1,909,959,519TotalAssetsBOYAmt
Total Assets EOY$2,486,656,392TotalAssetsEOYAmt
Total Liabilities BOY$794,885,185TotalLiabilitiesBOYAmt
Total Liabilities EOY$814,134,605TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,115,074,334NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,672,521,787NetAssetsOrFundBalancesEOYAmt
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$1,300,721,417ExpenseAmt
Grant$100,455,428GrantAmt
Revenue$2,195,933,815RevenueAmt
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 2021. Nationally recognized services such as the Level IV Neonatal Intensive Care Unit (NICU), 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 from across Texas, the United States and internationally. From complicated surgeries and Level II trauma care to physical therapy and behavioral health services, CCMC - Fort Worth offers a variety of services and amenities to meet the unique needs of every patient and family. CCMC-- Fort Worth set a new census record in January 2024 with 101 babies in the NICU, a milestone that reflects the growth in demand for the hospital's services. Raising Awareness With the help of the Center for Community Health, led by Cook Children's, the System works to inform and educate the public on timely topics. In FY24, Cook Children's continued to build on a communications campaign for safe baby sleep. The effort began a year earlier when the Fort Worth medical center saw an alarming spike in sudden unexplained infant deaths (SUIDs). Through a series of articles on checkupnewsroom.org, Cook Children's raised awareness about the safest sleep environment for babies. Additional articles in FY24 highlighted the risks of weighted sleep sacks and blankets in the crib. Other messages for injury prevention in FY24 included the importance of car seats, reminders of summer pool safety, and awareness of bathtub safety. An article during Poison Prevention Week reported the growing number of young children treated in the Emergency Department (ED) for accidental marijuana ingestion. The Aim for Safety program at Cook Children's spreads awareness about proper storage of firearms, focusing on education to prevent accidental shootings in the home. In conjunction with leaders of the program, the city of Fort Worth and several other cities in North Texas declared August 2024 as Gun Safety Awareness Month. Surging cases of flu and respiratory illnesses strained the ED, pediatric offices and urgent care center several times in FY24. Cook Children's responded on social media and other outlets by asking for the community's help to limit the spread. Through articles, charts and videos, the communications team promoted tips to help families manage mild illness at home - and to recognize the more severe symptoms that warrant a trip to urgent care or the ED. Telehealth remains a critical resource for the hospital, especially during times of intense viral spread. Fiscal year 2024 virtual health visits totaled 82,365 across all of Cook Children's Health Care System, an increase of 42% from the previous year. Mental Well-Being The Raising Joy Podcast, an outgrowth of Cook Children's suicide prevention JOY Campaign, aired its 85th episode in June 2024. Topics in FY24 covered everything from coping with pet loss and holiday grief to prevention of teen drug and alcohol abuse. And during National Suicide Prevention Month in September 2024, Cook Children's targeted the stigma of taking prescription medication for anxiety, depression and other disorders. Experts from Cook Children's addressed the reasons that parents might hesitate to start their teens on psychiatric medication. The article included a graphic of mental health resources in English and Spanish. Collaborative Care CCMC - Fort Worth 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, Division of Behavioral Health and the Child Study Center under one roof to provide accessible, well-coordinated and comprehensive care for children with disorders affecting the nervous system. The Justin Institute displays an impressive collection of neuro art aimed at engaging the minds, senses and curiosity of visitors while creating a soothing ambiance. It's located in the recently expanded Dodson Specialty Clinics building, which also includes a retail pharmacy and sibling support center. November 2023 marked the 10-year anniversary of the NICU Early Support and Care Transition (NEST) Developmental Follow-Up Center. The NEST Clinic provides early intervention for babies born prematurely or those at risk for long-term challenges with hearing, seeing, talking, feeding, motor skills and intellectual development. Through age 5, the clinic connects patients with comprehensive assessments and care. Leading-Edge Research Cook Children's announced in May 2024 that four patients with a difficult-to-control form of epilepsy participated in trials for a medicine to improve seizure control and slow the progression of their disease. Cook Children's epileptologist M. Scott Perry, M.D. was the lead investigator for the SWALLOWTAIL trial, which studied the safety and tolerability of the drug. Participants treated with the RNA-based medicine experienced fewer convulsive seizures and showed improvement in other conditions. And for the first time in its history, CCMC - Fort Worth received a $2.3 million research project grant from the National Institute of Neurological Disorders and Stroke of the National Institutes of Health (NIH). The grant was awarded for a study led by Christos Papadelis, Ph.D., director of the Neurosciences Research Cener, to identify the origin point of seizures in children with drug-resistant epilepsy. The R01 grant is the most prestigious and competitive award given by the NIH. Thanks to another research study underway, patients with sickle cell disease (SCD) have hope for a life-changing genetic therapy. The first patient at Cook Children's received the treatment in January 2024 when he received an infusion of his own edited stem cells. Those edited stem cells began producing healthier blood, stopping the patient's episodes of pain and frequent hospitalization. CCMC - Fort Worth was the only pediatric site in Texas selected for this trial. High Expectations U.S. News & World Report in October 2024 ranked seven Cook Children's specialties among the top 50 in the nation for pediatrics. Ranked specialties were Behavioral Health, Neurology and Neurosurgery, Diabetes and Endocrinology, Orthopedics, Pulmonology and Lung Surgery, Cardiology and Heart Surgery, and Cancer. Also in 2024, the Pediatric Intensive Care Unit was presented with the Silver Beacon Award for Excellence by the American Association of Critical-Care Nurses. Cook Children's continually pursues quality and safety. That commitment to excellence was reflected in the 87% lihood to recommend" score for patient experience in FY24. Eligible employees were awarded a CareShare bonus for exceeding the goal. Our then director of the Heart Center at the medical center was named to the 2024 Dallas/Fort Worth Great 100 Nurses list. Honorees are nominated by their nursing peers for their example as leaders, role models and compassionate caregivers.Desc
Total Program Service Expenses$1,300,721,417TotalProgramServiceExpensesAmt
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Operate HospitalYes (true)OperateHospitalInd
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Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
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Partial LiquidationfalsePartialLiquidationInd
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Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
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Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document146IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6009EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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Form990 T FiledYes (true)Form990TFiledInd
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Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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
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Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
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Local ChaptersfalseLocalChaptersInd
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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
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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 AvenueAddressLine1Txt
CityFort WorthCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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 Chairman2.02.0Yes (X)Yes (X)$0$0$0
Anne M Carvalho
Trustee - Vice Chairman END 5/31/242.04.0Yes (X)Yes (X)$0$0$0
John P Boswell
Trustee - Chairman2.03.0Yes (X)Yes (X)$0$0$0
Ryan B Dickerson
Trustee - Sec/Treasurer2.03.0Yes (X)Yes (X)$0$0$0
Bonnie Petsche
Trustee1.01.0Yes (X)$0$0$0
Edwin S Ryan
Trustee1.01.0Yes (X)$0$0$0
Frank A Anderson
Trustee END 5/31/241.01.0Yes (X)$0$0$0
Judge Jeffrey L Cureton
Trustee1.03.0Yes (X)$0$0$0
Laura Miller
Trustee1.01.0Yes (X)$0$0$0
Leah M King
Trustee1.02.0Yes (X)$0$0$0
Michael A LaGatta
Trustee1.01.0Yes (X)$0$0$0
Na'im R Moses
Trustee START 6/1/241.01.0Yes (X)$0$0$0
Peggy L Cassidy
Trustee1.02.0Yes (X)$0$0$0
Robert J Batton
Trustee END 5/31/241.02.0Yes (X)$0$0$0
Thomas Breckinridge Ray
Trustee1.02.0Yes (X)$0$0$0
Wally Jones
Trustee1.02.0Yes (X)$0$0$0
Cory R Rhoades
Chief Financial Officer1.044.0Yes (X)$0$866,208$136,241
James C Cunningham MD
EVP, CMO1.041.0Yes (X)$0$1,222,776$105,747
Jonathan Nedrelow MD
Associate Chief Medical Officer1.041.0Yes (X)$0$636,879$101,172
Joseph M Gallagher
Sr. VP, Chief Legal Officer1.042.0Yes (X)$0$883,970$138,911
Mary Cara Martz
Secretary1.040.0Yes (X)$0$183,907$21,095
Nancy C Cychol
President/Chief Hospital Services40.02.0Yes (X)$781,360$420,732$107,119
Rick W Merrill
CEO10.032.0Yes (X)$688,861$2,066,582$550,074
Spencer D Seals
VP Construction & Real Estate1.040.0Yes (X)$0$403,495$84,754
Stanley E Davis
Sr. VP, Chief Operating Officer40.01.0Yes (X)$929,105$0$145,429
Stephen W Kimmel
EVP, SYS FINANCE14.028.0Yes (X)$438,365$779,315$175,382
Theresa Z Meadows
Sr. VP, Chief Information Officer1.040.0Yes (X)$0$847,642$86,011
Aldrena Head
Assistant VP40.00$216,081$0$38,458Yes (X)
Cheryl Petersen
VP Nursing, CNO40.00$506,442$0$104,368Yes (X)
Deborah Boudreaux
AVP Nursing40.00$362,907$0$59,245Yes (X)
Elia Valencia-Stokes
VP Finance40.00$439,412$0$83,552Yes (X)
Jack Sosebee
Vice president40.02.0$518,020$0$90,963Yes (X)
Natalie Wilkins
VP, Operations40.00$418,938$0$64,453Yes (X)
Nicholas Markham
AVP Facilities/Campus Svcs40.00$281,210$0$54,417Yes (X)
Orlando Chapa
AVP, Nursing40.00$363,753$0$65,233Yes (X)
Ozioma Olowu
Chief Pharmacy Officer40.00$289,131$0$38,473Yes (X)
Tammy Thomlison
AVP Revenue40.00$290,252$0$20,253Yes (X)
Eric Nimely
Respiratory Therapist40.00$242,240$0$35,923Yes (X)
Jessica Sibr
Pharmacist40.00$243,768$0$34,081Yes (X)
Tammy Elizondo
Program Coordinator40.00$236,975$0$25,813Yes (X)
Tommie Moss
Pharmacist40.00$236,811$0$42,558Yes (X)
Toni Smith
Night/Weekend Administrator40.00$222,518$0$28,224Yes (X)
Kevin Greene
VP, Prosper Medical Center0.040.0$0$299,394$62,629Yes (X)
Matthew Carroll MD
FORMER VP, Assoc Chief Quality Officer1.041.0$0$502,751$89,690Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,706,149TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,113,651TotReportableCompRltdOrgAmt
Total Other Compensation$2,590,268TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K986IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
LINBECK GROUP LLC
1263 W ROSEDALE STE 202FORT WORTHTX76104CONSTRUCTION$36,383,777
FISK ELECTRIC CO
1617 W CROSBY RD 120CARROLLTONTX75006CONSTRUCTION$4,151,259
Bottom Line Systems LLC
541 BUTTERMILK PIKECRESCENT SPRINGSKY41017PROFESSIONAL SERVICES$2,642,074Ste 401
DYNAMIC SYSTEMS INC
2315 EAST LOOP 820 NORTHFORT WORTHTX76118CONSTRUCTION$2,180,046
HKS INC
PO BOX 731121DALLASTX75373PROFESSIONAL SERVICES$1,485,246
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K113CntrctRcvdGreaterThan100KCnt
Related Organizations$22,276,084RelatedOrganizationsAmt
Government Grants$666,387GovernmentGrantsAmt
Total Contributions$22,942,471TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$1,868,356,937$1,868,356,937
OTHER OPERATING REVENUE621110$304,081,228$304,081,228
JOINT VENTURE REVENUE621110$23,495,650$23,495,650
LAB REFERRALS621500$6,608$6,608

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,195,940,423TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,397,841TotalRevenueColumnAmt
Exclusion$2,397,841ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,521,560RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,298,650RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$222,910RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,910TotalRevenueColumnAmt
Exclusion$222,910ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$480,018OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$106,945OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$373,073OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$373,073TotalRevenueColumnAmt
Exclusion$373,073ExclusionAmt

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$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
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Related Or Exempt Func Income$2,195,933,815RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,608UnrelatedBusinessRevenueAmt
Exclusion$2,993,824ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$99,753,309TotalAmt
Program Services$99,753,309ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$702,119TotalAmt
Program Services$702,119ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,655,173TotalAmt
Program Services$1,724,752ProgramServicesAmt
Management And General$5,930,421ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$91,032TotalAmt
Program Services$91,032ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$409,073,930TotalAmt
Program Services$391,746,300ProgramServicesAmt
Management And General$17,327,630ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,052,385TotalAmt
Program Services$18,920,652ProgramServicesAmt
Management And General$1,131,733ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$107,293,082TotalAmt
Program Services$102,318,437ProgramServicesAmt
Management And General$4,974,645ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,502,775TotalAmt
Program Services$29,101,552ProgramServicesAmt
Management And General$1,401,223ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$295,469,547TotalAmt
Management And General$295,469,547ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$117,855TotalAmt
Management And General$117,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,075TotalAmt
Management And General$54,075ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,469,662TotalAmt
Program Services$41,832,386ProgramServicesAmt
Management And General$8,637,276ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$88,546TotalAmt
Program Services$87,692ProgramServicesAmt
Management And General$854ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,154,678TotalAmt
Program Services$13,418,600ProgramServicesAmt
Management And General$736,078ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,283,389TotalAmt
Program Services$7,647,746ProgramServicesAmt
Management And General$2,635,643ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$955,768TotalAmt
Program Services$887,917ProgramServicesAmt
Management And General$67,851ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$879,058TotalAmt
Program Services$852,009ProgramServicesAmt
Management And General$27,049ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$182,739TotalAmt
Program Services$175,513ProgramServicesAmt
Management And General$7,226ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,799,502TotalAmt
Program Services$1,799,502ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$58,502,642TotalAmt
Program Services$44,636,992ProgramServicesAmt
Management And General$13,865,650ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,716,595TotalAmt
Program Services$3,716,595ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LPPF SUPPLEMENTAL PAYMENTS$221,331,965$221,331,965
MEDICAL SUPPLIES$216,838,704$216,838,704
PHYSICIAN REMUNERATION$63,085,988$63,085,988
REPAIRS AND MAINTENANCE$16,888,353$7,567,469$9,320,884

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$33,816,155TotalAmt
Program Services$32,484,186ProgramServicesAmt
Management And General$1,331,969ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,663,759,026TotalAmt
Program Services$1,300,721,417ProgramServicesAmt
Management And General$363,037,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,176BOYAmt
EOY$16,486EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$766,934,702BOYAmt
EOY$1,216,988,006EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$271,351,844BOYAmt
EOY$320,616,591EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,302,817BOYAmt
EOY$4,806,246EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,571,471BOYAmt
EOY$20,825,319EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$408,900BOYAmt
EOY$574,843EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,442,038,926LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$764,533,855LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$683,558,771BOYAmt
EOY$677,505,071EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,284,947BOYAmt
EOY$9,500,076EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,269,992BOYAmt
EOY$4,517,494EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$149,258,899BOYAmt
EOY$231,306,260EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,909,959,519BOYAmt
EOY$2,486,656,392EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$112,948,758BOYAmt
EOY$130,863,370EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$138,105BOYAmt
EOY$164,344EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$469,477,399BOYAmt
EOY$457,651,530EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$212,320,923BOYAmt
EOY$225,455,361EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$794,885,185BOYAmt
EOY$814,134,605EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,115,074,334BOYAmt
EOY$1,672,521,787EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,115,074,334BOYAmt
EOY$1,672,521,787EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,909,959,519BOYAmt
EOY$2,486,656,392EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$558,117,692ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$670,239OtherChangesInNetAssetsAmt
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)
Affiliated Group Total$218,773AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Affiliated Group Total$218,773AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,663,759,026FilingOrganizationsTotalAmt
Affiliated Group Total$3,757,301,601AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,663,759,026FilingOrganizationsTotalAmt
Affiliated Group Total$3,757,520,374AffiliatedGroupTotalAmt

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 Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$203,050CurrentYearMinus2Amt
Current Year Minus1$225,096CurrentYearMinus1Amt
Current Year$218,773CurrentYearAmt
Total$646,919TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

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$19,750DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$0DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$318,278DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$150,274,073BeginningYearBalanceAmt
Contributions$573,248ContributionsAmt
Investment Earnings Or Losses$17,653,678InvestmentEarningsOrLossesAmt
Other Expenditures$961,797OtherExpendituresAmt
End Year Balance$167,539,202EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$147,891,893BeginningYearBalanceAmt
Contributions$556,006ContributionsAmt
Investment Earnings Or Losses$3,075,768InvestmentEarningsOrLossesAmt
Other Expenditures$1,249,594OtherExpendituresAmt
End Year Balance$150,274,073EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$144,754,164BeginningYearBalanceAmt
Contributions$769,694ContributionsAmt
Investment Earnings Or Losses$4,015,935InvestmentEarningsOrLossesAmt
Other Expenditures$1,647,900OtherExpendituresAmt
End Year Balance$147,891,893EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,066,541BeginningYearBalanceAmt
Contributions$503,149ContributionsAmt
Investment Earnings Or Losses$35,817,291InvestmentEarningsOrLossesAmt
Other Expenditures$2,632,817OtherExpendituresAmt
End Year Balance$144,754,164EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$116,417,669BeginningYearBalanceAmt
Contributions$1,190,088ContributionsAmt
Investment Earnings Or Losses$4,361,068InvestmentEarningsOrLossesAmt
Other Expenditures$10,902,284OtherExpendituresAmt
End Year Balance$111,066,541EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.4033BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.5217PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.075TermEndowmentBalanceEOYPct
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$1,064,553,331OtherCostOrOtherBasisAmt
Depreciation$515,724,871DepreciationAmt
Book Value$548,828,460BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,710,222OtherCostOrOtherBasisAmt
Depreciation$4,532,313DepreciationAmt
Book Value$177,909BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$287,390,278OtherCostOrOtherBasisAmt
Depreciation$234,407,941DepreciationAmt
Book Value$52,982,337BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,206,021OtherCostOrOtherBasisAmt
Depreciation$9,868,730DepreciationAmt
Book Value$59,337,291BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$677,505,071TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED TO USE$1,170,885
OTHER RECEIVABLES$3,895,976
SUPPLEMENTAL ASSETS$201,672,310
RIGHTS OF USE ASSETS$7,960,443
INTERCOMPANY RECEIVABLES$16,606,646
FieldValueIRS element (for citing)
Total Book Value Other Assets$231,306,260TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$171,862,122
ESTIMATED DUE TO THIRD PARTIES$46,481,809
RIGHT OF USE LIABILITY$7,111,430
FieldValueIRS element (for citing)
Total Liability$225,455,361TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,205,926,907TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$3,167,527OtherRevenueAmt
Revenue Not Reported-$3,167,527RevenueNotReportedAmt
Revenue Subtotal$2,209,094,434RevenueSubtotalAmt
Other Revenues Not Included$12,782,284OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$12,782,284RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,221,876,718TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,662,187,315TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$925,577OtherExpensesIncludedAmt
Expenses Not Reported$925,577ExpensesNotReportedAmt
Expenses Subtotal$1,661,261,738ExpensesSubtotalAmt
Other Expenses Not Included$2,497,288OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,497,288ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,663,759,026TotalExpensesPerForm990Amt

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. THE INTENDED USE OF THE HIGHEST AMOUNTS OF ENDOWMENTS IS CHARITY CARE, OPERATIONAL NEEDS OF THE CHILD LIFE DEPARTMENT, OPERATIONS OF THE HOSPITAL, TO SUPPORT THE FACILITY DOG PROGRAM, SUPPORT THE OPERATIONAL NEEDS OF THE PASTORAL CARE DEPARTMENT AND NURSING RESEARCH.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990INTEREST RATE SWAP AGREEMENT - -670239 CCIC RETRO PREMIUM - -2497288
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsGAIN ON DISPOSAL OF ASSET - 373073 ADDITIONAL CONTRIBUTIONS FROM FOUNDATION - 13707861 DIRECT RENT EXPENSE - -1298650
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990DIRECT RENT EXPENSE - 1298650 GAIN ON DISPOSAL OF ASSET - -373073
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsCCIC RETRO PREMIUM - 2497288

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$21,535,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,899,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,635,969NetCommunityBenefitExpnsAmt
Total Expense0.0118TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$988,081,993TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$982,944,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,137,378NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
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$1,009,617,210TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$984,843,863DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,773,347NetCommunityBenefitExpnsAmt
Total Expense0.0149TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,524,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,498,234NetCommunityBenefitExpnsAmt
Total Expense0.0051TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
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$99,827,596TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,827,596NetCommunityBenefitExpnsAmt
Total Expense0.0600TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

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Total Expense0.0003TotalExpensePct

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Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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Total Expense0.0003TotalExpensePct
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Bad Debt Expense$83,377,660BadDebtExpenseAmt
Reimbursed By Medicare$5,701,240ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,840,649CostOfCareReimbursedByMedcrAmt
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Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
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Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
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CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
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Implementation Strategy Adpt21ImplementationStrategyAdptYr
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Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.cookchildrens.org/patients-families/billing-insurance/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.cookchildrens.org/patients-families/billing-insurance/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.cookchildrens.org/patients-families/billing-insurance/financial-assistance/FAPSummaryOnWebsiteURLTxt
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
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Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
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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 WAS COMPLETED AND APPROVED BY THE BOARD OF TRUSTEES IN APRIL 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 Childrens Medical Center. 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 (18 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 2024 CHNA WAS COMPLETED AND APPROVED BY THE BOARD OF TRUSTEES IN APRIL 2025.
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 2024.
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 18 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: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- COOK CHILDREN'S MEDICAL CENTER: Line 16b URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COOK CHILDREN'S MEDICAL CENTER: Line 16c URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/;
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 2024, ALL INFORMATION PROVIDED IS IN RESPONSE TO OUR 2024 CHNA. FURTHERMORE, THE STATISTICS DESCRIBED WITHIN THIS SECTION REFLECT THOSE REPORTED IN OUR 2024 CHNA. THE 2024 CHNA WAS COMPLETED AND APPROVED BY THE BOARD OF TRUSTEES IN APRIL 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%. THE FWSA TOTAL POPULATION OF 3,495,123 INCLUDES 877,448 CHILDREN FROM BIRTH TO AGE 17, WHILE THE PSA TOTAL POPULATION OF 2,131,031 INCLUDES 522,823 CHILDREN FROM BIRTH TO AGE 17. OVERALL, THIS EIGHT-COUNTY REGION IS HOME TO A DIVERSE POPULATION OF 4,711,284 PEOPLE, AND 1,181,591 (25%) ARE CHILDREN 17 YEARS AND YOUNGER. OF THOSE 1,181,591 CHILDREN AGES 0-17, THERE ARE 271,621 CHILDREN LIVING IN COLLIN COUNTY; 218,680 IN DENTON COUNTY; 32,522 IN GRAYSON COUNTY; 12,922 IN HOOD COUNTY; 46,951 IN JOHNSON COUNTY; 37,266 IN PARKER COUNTY; 544,440 IN TARRANT COUNTY; AND 17,189 IN WISE COUNTY. THE ANNUAL MEDIAN INCOME FOR FAMILIES WITH CHILDREN UNDER AGE 18 RANGE BETWEEN $73,993 IN GRAYSON COUNTY TO $140,862 IN COLLIN COUNTY. OF THE 1,181,591 CHILDREN UNDER AGE 18 LIVING IN THE REGION, NEARLY 140,000 (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 24% IN TARRANT COUNTY. OF THE 1,181,591 CHILDREN UNDER AGE 18 LIVING IN THE REGION, BETWEEN 8%-24% LIVE IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE, OR FOOD STAMPS/SNAP BENEFITS. 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 NORTH HARRIS COUNTY BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 59.6, RURAL STATUS IS NON-RURAL. . 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 CENTRAL SERVICE AREA AS ITS SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 55.3, RURAL STATUS IS NON-RURAL. . TARRANT COUNTY: KNOWN AS FORT WORTH- NORTH AS ITS SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 58, RURAL STATUS IS NON-RURAL. . TARRANT COUNTY: KNOWN AS DIAMOND HILL SERVICE AREA AS ITS SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 57.5, RURAL STATUS AREA IS NON-RURAL. . TARRANT COUNTY: KNOWN AS NUECES SERVICE AREA AS ITS SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 60.4, RURAL STATUS IS NON-RURAL. MEDICALLY UNDERSERVED POPULATION (3) . GRAYSON COUNTY: KNOWN AS LOW INCOME- GRAYSON COUNTY BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 61, RURAL STATUS IS PARTIALLY RURAL. . GRAYSON COUNTY: KNOWN AS GRAYSON (MULTIPLE CENSUS TRACTS) BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 61.5, RURAL STATUS IS NON-APPLICABLE. .TARRANT COUNTY: KNOWN AS LOW INCOME- EAST SIDE BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 59.8, RURAL STATUS IS NON-RURAL.
Schedule H, Part VI, Line 5 Promotion of community healthIN FY2024, 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 FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDE: - ORAL HEALTH - ASTHMA - MENTAL HEALTH - HEALTHY LIFESTYLES - CAREGIVER AND FAMILY SUPPORT - INJURY PREVENTION - EQUITY ACCESS TO CARE (OVERALL HEALTH & WELL-BEING) IN FY2024 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 5,000 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDREN'S HEALTH. OUT OF OUR MANY HEALTH OUTREACH EVENTS, OVER 200 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 SOME SELECTED HIGHLIGHTS OF OUR WORK IN FY2024 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - A TOTAL OF 2,828 DENTAL TREATMENT PROCEDURES WERE PROVIDED TO CHILDREN WITH SEVERE DENTAL DECAY AT A VALUE OF $457,211. - A TOTAL OF 389 CHILDREN WERE SERVED BY THE HEALTHY HOMES PROGRAM. ENROLLMENT RATES OF CHILDREN RECEIVING OUTREACH HAVE INCREASED OVER TIME, FROM 25% ENROLLED IN FY2019 TO 46% ENROLLED IN FY2024. -ASTHMA 411 PARTNERS DISTRIBUTED 2,169 PREVENTION TOOLS AND 9,445 EDUCATIONAL RESOURCES TO FAMILIES. - OVER 600 PEOPLE ATTENDED 3 WELLNESS WORKSHOP SESSIONS OBTAINING 1,585 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. - HOSTED 24 COALITION MEETINGS, ACTION TEAM/SUBCOMMITTEE GROUPS, AND COMMUNITY STAKEHOLDER MEETINGS SUPPORTING COMMUNITY COLLABORATION. SIXTY-FOUR VOLUNTEERS INVESTED 360 HOURS OF THEIR TIME TO IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN. - HOSTED 10 ACTION TEAM MEETINGS, PARTICIPATED IN 38 COMMUNITY STAKEHOLDER MEETINGS, AND ENGAGED 22 VOLUNTEERS TO INVEST 153 HOURS TO SUPPORT HEALTHY LIFESTYLES PROGRAMMING. - THE HEALTHY LIFESTYLES ACTION TEAM DISTRIBUTED 18,017 EDUCATION AND PREVENTION MATERIALS VALUED AT $27,637. - OVER 9,500 CHILDREN AND ADULTS WERE EDUCATED ON DROWNING PREVENTION BY CAMPAIGN PARTNERS USING WATER SAFETY TOOLKITS. ADDITIONALLY, 5,539 CHILDREN RECEIVED SWIM LESSONS THROUGH THE WATER SAFETY CLUB, 50% OF THESE CHILDREN EDUCATED WERE IN THE AGE GROUP MOST AT RISK FOR DROWNING (AGES 1-4). - THE ACES TEAM AND REGIONAL COALITIONS FOCUSED ON PARENTING SUPPORT DISTRIBUTED 4,574 PREVENTION TOOLS AND 4,567 EDUCATIONAL RESOURCES TO PARTNERS, CHILDREN, AND FAMILIES. - IN TOTAL, 313 INJURY PREVENTION PARTNERS (DUPLICATED) PROVIDED 1,437 VOLUNTEER HOURS IN THE COMMUNITY ON BEHALF OF OUR INJURY PREVENTION PROGRAMS. - IN TOTAL FOR EQUITABLE ACCESS TO CARE TOPICS IN FY24, DISTRIBUTED 254,591 PREVENTION TOOLS VALUED AT $887,319 AND 276,540 EDUCATIONAL RESOURCES VALUED AT $111,673.
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)$99,658,309SUBSIDIZE OPERATIONS
Junior League of Fort Worth
255 BAILEY AVEFort WorthTX76107756022377501(c)(3)$35,000SPONSORSHIP
March of Dimes
PO BX 18819ATLANTAGA31126131846366501(c)(3)$17,500SPONSORSHIP
Ronald McDonald House
1001 8TH AVEFort WorthTX76104751754490501(c)(3)$10,000SPONSORSHIP
Juvenile Diabetes Research Foundation
8140 Walnut Hill LaneDALLASTX75231231907729501(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
Medication2439$327,381
Funeral Services159$146,725
Transportation1762$37,544
Lodging385$79,267
Gift Cards506$22,757
Baby Supplies445$33,471
Meals779$16,527
Medical Equipment4$741
Utilities11$5,112
Miscellaneous352$4,594
Holiday Benevolence Gift Cards89$28,000

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 (28 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
James C Cunningham MD
EVP, CMO$0$716,709$0$343,100$0$162,967$0$84,051$0$21,696$0$1,328,523$0$0
Nancy C Cychol
President/Chief Hospital Services$458,980$247,143$218,427$117,614$103,953$55,975$53,840$28,991$15,787$8,501$850,987$458,224$0$0
Stanley E Davis
Sr. VP, Chief Operating Officer$577,823$0$252,630$0$98,652$0$120,497$0$24,932$0$1,074,534$0$66,624$0
Joseph M Gallagher
Sr. VP, Chief Legal Officer$0$550,082$0$240,616$0$93,272$0$114,616$0$24,295$0$1,022,881$0$70,553
Stephen W Kimmel
EVP, SYS FINANCE$260,695$463,458$125,547$223,194$52,123$92,663$55,649$98,932$7,488$13,313$501,502$891,560$38,482$68,415
Mary Cara Martz
Secretary$0$142,535$0$35,260$0$6,112$0$8,934$0$12,161$0$205,002$0$0
Theresa Z Meadows
Sr. VP, Chief Information Officer$0$521,469$0$231,930$0$94,243$0$62,334$0$23,677$0$933,653$0$0
Rick W Merrill
CEO$366,013$1,098,036$219,150$657,450$103,698$311,096$131,099$393,298$6,419$19,258$826,379$2,479,138$0$0
Jonathan Nedrelow MD
Associate Chief Medical Officer$0$462,464$0$156,766$0$17,649$0$83,316$0$17,856$0$738,051$0$0
Cory R Rhoades
Chief Financial Officer$0$534,312$0$232,745$0$99,151$0$112,564$0$23,677$0$1,002,449$0$77,403
Spencer D Seals
VP Construction & Real Estate$0$298,612$0$102,463$0$2,420$0$61,751$0$23,003$0$488,249$0$0
Kevin Greene
VP, Prosper Medical Center$0$221,525$0$76,339$0$1,530$0$40,032$0$22,597$0$362,023$0$0
Deborah Boudreaux
AVP Nursing$244,019$0$77,618$0$41,270$0$41,690$0$17,555$0$422,152$0$0$0
Orlando Chapa
AVP, Nursing$249,944$0$73,181$0$40,628$0$52,332$0$12,901$0$428,986$0$0$0
Aldrena Head
Assistant VP$164,254$0$41,438$0$10,389$0$14,115$0$24,343$0$254,539$0$0$0
Nicholas Markham
AVP Facilities/Campus Svcs$211,760$0$60,023$0$9,427$0$38,337$0$16,080$0$335,627$0$0$0
Ozioma Olowu
Chief Pharmacy Officer$215,625$0$54,944$0$18,562$0$14,282$0$24,191$0$327,604$0$0$0
Cheryl Petersen
VP Nursing, CNO$339,737$0$150,248$0$16,457$0$79,436$0$24,932$0$610,810$0$0$0
Jack Sosebee
Vice president$348,978$0$155,047$0$13,995$0$79,929$0$11,034$0$608,983$0$0$0
Tammy Thomlison
AVP Revenue$237,035$0$44,964$0$8,253$0$14,219$0$6,034$0$310,505$0$0$0
Elia Valencia-Stokes
VP Finance$318,662$0$112,276$0$8,474$0$57,278$0$26,274$0$522,964$0$0$0
Natalie Wilkins
VP, Operations$311,580$0$105,448$0$1,910$0$54,282$0$10,171$0$483,391$0$0$0
Matthew Carroll MD
FORMER VP, Assoc Chief Quality Officer$0$366,330$0$129,118$0$7,303$0$67,251$0$22,439$0$592,441$0$0
Tammy Elizondo
Program Coordinator$231,122$0$3,000$0$2,853$0$18,099$0$7,714$0$262,788$0$0$0
Tommie Moss
Pharmacist$218,385$0$15,201$0$3,225$0$18,338$0$24,220$0$279,369$0$0$0
Eric Nimely
Respiratory Therapist$231,458$0$7,700$0$3,082$0$17,593$0$18,330$0$278,163$0$0$0
Jessica Sibr
Pharmacist$237,813$0$2,625$0$3,330$0$17,982$0$16,099$0$277,849$0$0$0
Toni Smith
Night/Weekend Administrator$193,057$0$18,741$0$10,720$0$16,654$0$11,570$0$250,742$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, NICHOLAS MARKHAM, 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 - $366,672 DEFERRED, $0 W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $133,956 DEFERRED, $106,897 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $90,572 DEFERRED, $70,553 W-2 CORY R RHOADES - PAID BY SYSTEM - $87,814 DEFERRED, $77,403 W-2 SPENCER D SEALS - PAID BY SYSTEM - $37,001 DEFERRED, $0 W-2 STANLEY DAVIS - PAID BY CCMC - $95,747 DEFERRED, $66,624 W-2 JACK SOSEBEE - PAID BY CCMC - $55,179 DEFERRED, $0 W-2 Cheryl Petersen - Paid by CCMC - $54,686 Deferred, $0 W-2 Elia Valencia-Stokes - Paid by CCMC - $40,076 Deferred, $0 W-2 Natalie Wilkins - Paid by System - $37,639 Deferred, $0 W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $70,116 DEFERRED, $0 W-2 Nicholas Markham - Paid by CCMC - $21,204 Deferred, $0 W-2 KEVIN GREENE - PAID BY PROSPER - $27,714 DEFERRED, $0 W-2 Orlando Chapa - Paid by CCMC - $27,582 Deferred, $0 W-2 Deborah Boudreaux - Paid by CCMC - $27,285 Deferred, $0 W-2
Schedule J, Part II Allocation of CEO & CFO SalariesSALARIES 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$28,820,000$89,600,000$176,767,688$1,755,350$176,023,0312016falsefalseYes (true)Yes (true)
C$17,685,000$242,464,102$2,221,088$198,738,5782023Yes (true)falseYes (true)Yes (true)$90,712,257
D$2,225,000$165,369,955$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)falsefalse0.00490.0049falsefalseYes (true)
Bfalsefalsefalsefalse0.0falsefalseYes (true)
CfalseYes (true)falsefalse0.00190.0019falsefalseYes (true)
DfalseYes (true)falsefalse0.00210.0021falsefalseYes (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 02/14/2014
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$91,032TransactionAmt
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 - -670239;

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 (11 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CPS Pediatrics LLC
340 Seven Springs WaySte 600BrentwoodTN37027470871718ASCTXNARelated$54,484$113,868falsefalse0.5311
COOK CHILDREN'S SURGERY CENTER
340 Seven Springs WaySte 600BrentwoodTN37027205227064ASCTXNARelated$12,261,536$3,537,192falsefalse0.5152
CENTER FOR PEDIATRIC SURGERY
340 Seven Springs WaySte 600BrentwoodTN37027470871715ASCTXNARelated$11,518,159$13,481,504falsefalse0.5311
Sandia Crest LP
201 Washington StreetBostonMA02108871831241InvestmentsMANAN/A
SCP OPPORTUNITY FUND
981647424InvestmentsNAN/A56A Boat QuaySN049845SN
SAGAMORE HEALTHCARE I LP
100 PAINTERS MILL ROADSUITE 700OWINGS MILLSMD21117262821679InvestmentsMDNAN/A
Oberweis International Select Fund LLC
3333 Warrenville RoadSte 500LisleIL60532842094004InvestmentsILNAN/A
HT STORK LP
120 STATE ROUTE 28UNIT 9Crystal BayNV89402881770748InvestmentsNVNAN/A
CC TRUEACCORD SPV II LLC
520 E COOPER AVE 2ND FLSTE C-7AspenCO81611822997101InvestmentsCONAN/A
STEPSTONE VC HEALTHCARE I LP
100 PAINTERS MILL ROADSUITE 700OWINGS MILLSMD21117262423493InvestmentsMDNAN/A
GOFF FOCUSED ENERGY STRATEGIES LP
500 COMMERCE STSUITE 700FORT WORTHTX76102822764240INVESTMENTSTXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
SPLIT INTEREST TRUSTS (2)
SPLIT INTEREST TRUSTTXNATrustYes (true)
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 (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Cook Children's Physician Network
A$1,541,643FMV
Cook Children's Physician Network
R$265,420FMV
Cook Children's Physician Network
O$159,288,654FMV
Cook Children's Physician Network
B$99,658,309FMV
Cook Children's Physician Network
Q$538,028FMV
Cook Children's Home Health
R$1,799,502FMV
Cook Children's Home Health
P$308,684FMV
Cook Children's Health Plan
S$254,394,982FMV
Cook Children's Health Plan
Q$63,244FMV
COOK CHILDREN'S HEALTH PLAN
P$230,361FMV
Child Study Center
O$87,782FMV
Cook Children's Surgery Center (NE)
J$1,521,560FMV
Cook Children's Health Enterprises
N$6,804,402FMV
Cook Children's MC Prosper
O$2,163,572FMV
Cook Children's Health Care System
A$753,607FMV
Cook Children's Health Care System
S$257,448FMV
Cook Children's Health Care System
O$1,402,457FMV
Cook Children's Health Care System
P$475,171FMV
Cook Children's Health Care System
Q$254,212,120FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
S$961,380FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
P$411,397,171FMV
COOK CHILDREN'S SURGERY CENTER
S$10,768,643FMV
CENTER FOR PEDIATRIC SURGERY LTD
S$11,353,649FMV
CPS PEDIATRICS LLC
S$53,741FMV

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$1,663,759,026$1,663,759,026$1,000,000$250,000$0$0$0
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240$0$0$0$878,325,485$878,325,485$1,000,000$250,000$0$0$0
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVEFORT WORTHTX76104752705881Yes (X)$0$218,773$218,773$385,562,866$385,781,639$1,000,000$250,000$0$0$0
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366Yes (X)$0$0$0$539,056,459$539,056,459$1,000,000$250,000$0$0$0
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752051649$0$0$0$65,381,749$65,381,749$1,000,000$250,000$0$0$0
ROSEDALE OFFICE BUILDING
801 SEVENTH AVEFORT WORTHTX76104460866421$0$0$0$2,355,915$2,355,915$267,796$66,949$0$0$0
CHILD STUDY CENTER
801 SEVENTH AVEFORT WORTHTX76104751099536$0$0$0$8,400,981$8,400,981$570,049$142,512$0$0$0
COOK CHILDREN'S HEALTH ENTERPRISES
801 SEVENTH AVEFORT WORTHTX76104842625990$0$0$0$8,202,202$8,202,202$560,110$140,028$0$0$0
COOK CHILDREN'S MEDICAL CENTER - PROSPER
801 SEVENTH AVEFORT WORTHTX76104852354189$0$0$0$129,431,422$129,431,422$1,000,000$250,000$0$0$0
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983Yes (X)$0$0$0$76,825,496$76,825,496$1,000,000$250,000$0$0$0