COOK CHILDRENS MEDICAL CENTER - PROSPER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS MEDICAL CENTER - PROSPER (EIN 85-2354189)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-14
- IRS object ID
- 202512269349300021
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-14T08:04:22+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N Broadway Suite 600 | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631022733 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 852354189 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cook Children's Medical Center - Prosper | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COOK | BusinessNameControlTxt |
| Phone | 6828854000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1Txt |
| City | Fort Worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Cychol | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2025-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kristen Hankins | PreparerPersonNm |
| PTIN | P01256574 | PTIN |
| Phone | 3142315544 | PhoneNum |
| Preparation | 2025-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Cychol | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1Txt |
| City | Fort Worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $104,690,685 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cookchildrens.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | KNOWING 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 Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 483 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $143,259 | PYContributionsGrantsAmt |
| CY Contributions Grants | $104,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,997,821 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,559,864 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $25,954 | CYOtherRevenueAmt |
| PY Total Revenue | $50,141,080 | PYTotalRevenueAmt |
| CY Total Revenue | $104,690,685 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,197,667 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,484,139 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,516,877 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,353,610 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,262,085 | PYOtherExpensesAmt |
| CY Other Expenses | $60,593,673 | CYOtherExpensesAmt |
| PY Total Expenses | $92,976,629 | PYTotalExpensesAmt |
| CY Total Expenses | $129,431,422 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$42,835,549 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$24,740,737 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $243,010,723 | TotalAssetsBOYAmt |
| Total Assets EOY | $288,609,811 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $299,420,261 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $369,760,086 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$56,409,538 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$81,150,275 | NetAssetsOrFundBalancesEOYAmt |
| Mission | KNOWING 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $101,803,539 | ExpenseAmt |
| Grant | $15,484,139 | GrantAmt |
| Revenue | $104,559,864 | RevenueAmt |
| Desc | Cook Children's presence in Prosper dates back to 2019 with the opening of an urgent care center and several primary care offices. The population in the northeast sector of the Metroplex was booming, and Cook Children's set out to bring world-class pediatric care closer to home for the families in that growing region. A medical office building and outpatient surgery center followed in 2020. The opening of Cook Children's Medical Center - Prosper in 2023 added an emergency department, surgical and procedural floor, infusion center, outpatient imaging center, retail pharmacy, inpatient unit and two floors of empty shell space. To make sure Cook Children's is positioned to meet greater needs in the region, the system purchased 12 more acres, increasing the footprint of the Prosper campus to 35 acres in FY24. Families enjoy access to a full complement of services in one centralized location. The Cook Children's Physician Network has approximately 60 pediatric subspecialists working at Cook Children's Pediatric Specialties - Prosper and at Cook Children's Medical Center - Prosper. Specialties at the Prosper location include gastroenterology, nephrology, urology, pulmonology, neurosciences, psychology, endocrinology, sports medicine, radiology, plastic surgery and wound care, ear, nose and throat (ENT), and the adolescent bariatric surgery program. It's the largest pediatric primary care network on the eastern side of the Metroplex. Milestones and Growth The medical center celebrated its first "birthday" on Jan. 9, 2024. Thousands of babies, children and teens from across the northern swath of North Texas and beyond were able to stay closer to home while receiving the same high-quality care that Cook Children's has long provided at our Fort Worth medical center. The Cook Children's systemwide culture platform - the values of respect, safety, generosity, collaboration, imagination and kindness - set the tone for the first year. Patients and families at Cook Children's Medical Center - Prosper loved the facility's unique features, one-of-a-kind design elements and beautiful aesthetics. Playful features just inside the front doors proved popular with visitors of all ages. The atrium includes a digital wall, a ceiling mural of flying cows and twinkling lights, and a color-coded path on the floor that guides visitors to their destination. The Emergency Department expanded to 21 beds in September 2024, and a third operating room also opened. Innovatively Empowering Families The design of the facility integrates technology to make the health care journey easier at every turn -- from the digital display in the atrium, to tools in the operating room for real-time remote viewing and physician collaboration. Each inpatient room includes a 65-inch television that syncs with personal devices for ordering food and for entertainment as well as medical consultations. Health technology advocates at the Peaks Tech Zone are on hand to assist with setting up medical devices and MyCookChildren's accounts. Families can download an app during their hospital stay that allows them to view and interact with much of the workflow involved in their child's care. Communication portals in each patient room are fully digitized and populated with information in real-time. As part of an integrated health care system, doctors in Prosper have the capability to video conference with their colleagues at Cook Children's Medical Center - Fort Worth. One example of that collaboration can be seen in a diagnostic service for seizure disorders. The test, called continuous electroencephalogram (EEG) monitoring, reads electrical activity in the brain. EEGs performed at Cook Children's - Prosper can be livestreamed to neurologists at the Epilepsy Monitoring Unit in Fort Worth for observation and reading. Responding to Needs In FY24, the pediatric intensive care unit (PICU) moved into a 26,021 square-foot space near the operating rooms and infusion center. The area was specifically built to care for the sickest patients and their families. The new PICU location originally was an empty shell when the medical center opened. The medical center's leadership had anticipated that the facilities and services would need to expand to meet the region's population growth. Having that empty space created the flexibility to tailor the utilization based on data trends. It was an intentional approach to completing the building in ways that most efficiently respond to the needs of the community. The 10-bed PICU offers state-of-the-art capabilities to treat life-threatening injuries and illnesses. Amenities for families include a lounge, laundry facilities, food storage, and showers in private bathrooms attached to every patient room. The vacancy created in the PICU's former location opened up space for 10 additional Medical-Surgical beds. Groundbreaking Science The Exercise Respiratory Center in Prosper was the site in August 2024 of what's believed to be the world's first continuous bronchoscopy during exercise (CBE) on a pediatric patient. The technique had been performed previously on adults -- but never before on pediatric patients. Pediatric pulmonologist John Robertson, M.D. and his team ran the test on a 13-year-old athlete who experienced chest pain and trouble breathing when playing soccer. The CBE showed that the patient needed speech therapy to help keep her larynx from closing while she exercised. Embraced by the Community Members of the Prosper-area community celebrated the medical center's first year by donating 1,821 new teddy bears. Their generosity restocked the supply of Prayer Bears given to comfort and encourage hospitalized patients. The teddy bears were collected at nearby Cook Children's primary care offices - an indication of our neighbors' support and loyalty. The local edition of a lifestyle publication in FY24 gave top recognition to Cook Children's Medical Center - Prosper in two categories: Best Hospital and Best Emergency Department. By voting for Cook Children's, readers of Living Magazine - Prosper & Celina voiced their trust in the world-class care they received under the Blue Peaks. Cook Children's was still a relative newcomer in the Prosper area, but the awards proved we were already ingrained and beloved. New Bariatric Program The Cook Children's Adolescent Bariatric Surgery Program welcomed its first patients in FY24 at Cook Children's Pediatric Specialties in Prosper. The program provides education and counseling to help treat obesity, a complex disease that affects an estimated 14.4 million children and teens in the United States. A pediatric surgeon, board-certified obesity medicine director, dietitian and other team members bring specialized knowledge and sensitivity to address the physical and mental harm caused by obesity. At the close of FY24, almost 100 teens had enrolled. Patients qualify based on their body mass index (BMI). The program aims to reduce their BMI by presenting healthy strategies for nutrition and behavior. It also helps manage associated conditions such as diabetes and high blood pressure. After six visits over six months, participants may choose to undergo laparoscopic gastric sleeve surgery. Patients return to the clinic for periodic checkups and resources following the weight loss procedure. | Desc |
| Total Program Service Expenses | $101,803,539 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 483 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cory Rhoades | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6828854000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1Txt |
| City | Fort Worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Andrew S Wayne | |||||||||
| Trustee - Vice Chairman | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Anne M Carvalho | |||||||||
| Trustee - Vice Chairman END 5/31/24 | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John P Boswell | |||||||||
| Trustee - Chairman | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ryan B Dickerson | |||||||||
| Trustee - Sec/Treasurer | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bonnie Petsche | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Edwin S Ryan | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Frank A Anderson | |||||||||
| Trustee END 5/31/24 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Judge Jeffrey L Cureton | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Laura Miller | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Leah M King | |||||||||
| Trustee start 06/01/24 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Michael A LaGatta | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Na'im R Moses | |||||||||
| Trustee START 6/1/24 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Peggy L Cassidy | |||||||||
| Trustee START 6/1/2024 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Batton | |||||||||
| Trustee END 5/31/24 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Breckinridge Ray | |||||||||
| Trustee | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Wally Jones | |||||||||
| Trustee | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Cory R Rhoades | |||||||||
| Chief Financial Officer | 1.0 | 40.0 | Yes (X) | $0 | $866,208 | $136,241 | |||
| James C Cunningham MD | |||||||||
| EVP, CMO | 1.0 | 41.0 | Yes (X) | $0 | $1,222,776 | $105,747 | |||
| Jonathan Nedrelow MD | |||||||||
| Associate Chief Medical Officer | 1.0 | 41.0 | Yes (X) | $0 | $636,879 | $101,172 | |||
| Joseph M Gallagher | |||||||||
| Sr. VP, Chief Legal Officer | 1.0 | 42.0 | Yes (X) | $0 | $883,970 | $138,911 | |||
| Mary Cara Martz | |||||||||
| Secretary | 1.0 | 40.0 | Yes (X) | $0 | $183,907 | $21,095 | |||
| Nancy C Cychol | |||||||||
| President/Chief Hospital Services | 1.0 | 41.0 | Yes (X) | $420,732 | $781,360 | $107,119 | |||
| Rick W Merrill | |||||||||
| CEO | 2.0 | 40.0 | Yes (X) | $137,772 | $2,617,671 | $550,074 | |||
| Spencer D Seals | |||||||||
| VP Construction & Real Estate | 1.0 | 40.0 | Yes (X) | $0 | $403,495 | $84,754 | |||
| Stanley E Davis | |||||||||
| Sr. VP, Chief Operating Officer | 1.0 | 40.0 | Yes (X) | $0 | $929,105 | $145,429 | |||
| Stephen W Kimmel | |||||||||
| EVP, System Finance | 2.0 | 40.0 | Yes (X) | $48,707 | $1,168,973 | $175,382 | |||
| Theresa Z Meadows | |||||||||
| Sr. VP, Chief Information Officer | 1.0 | 40.0 | Yes (X) | $0 | $847,642 | $86,011 | |||
| Kevin Greene | |||||||||
| VP, Prosper Medical Center | 40.0 | 0.0 | $299,394 | $0 | $62,629 | Yes (X) | |||
| Sheralyn Hartline | |||||||||
| AVP, Nursing & Patient Care | 40.0 | 0 | $250,334 | $0 | $44,009 | Yes (X) | |||
| Abigail Reed | |||||||||
| Manager, Pharmacy, Retail, CCMCP | 40.0 | 0 | $161,267 | $0 | $30,473 | Yes (X) | |||
| Clifford Ho | |||||||||
| Pharmacy Clinic Specialist | 40.0 | 0 | $190,918 | $0 | $22,767 | Yes (X) | |||
| Kristen Elzey | |||||||||
| Manager, Pharmacy Operations, CCMCP | 40.0 | 0 | $195,028 | $0 | $11,134 | Yes (X) | |||
| Stefanie Tanner | |||||||||
| Director, Nurse & Patient Care | 40.0 | 0 | $186,752 | $0 | $38,628 | Yes (X) | |||
| Tri Tran | |||||||||
| Pharmacist, CCMCP | 40.0 | 0 | $175,713 | $0 | $25,457 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,066,617 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,541,986 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,887,032 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 76 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LINBECK GROUP LLC | |||||
| 700 9TH AVE | FORT WORTH | TX | 76104 | CONSTRUCTION WORK | $12,341,084 |
| DYNAMIC SYSTEM INC | |||||
| 2315 EAST LOOP 820 NORTH | FORT WORTH | TX | 76118 | CONSTRUCTION SERVICES/ DODSON II | $950,960 |
| HKS Inc | |||||
| 350 N SAINT PAUL STREET STE 100 | DALLAS | TX | 752014240 | SERVICES - ARCHITECTURE/ DESIGN PROF | $653,284 |
| FISK ELECTRIC CO | |||||
| 1617 W CROSBY RD 120 | CARROLLTON | TX | 75006 | CONSTRUCTION SERVICES/ DODSON II | $601,863 |
| LANDSCAPE PARTNERS | |||||
| 3412 KELLI CT | FORT WORTH | TX | 76106 | LANDSCAPING SERVICES | $456,391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $104,867 | RelatedOrganizationsAmt |
| Total Contributions | $104,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $96,983,486 | $96,983,486 |
| MEDICAL OFFICE RENT - AFFILIATES | 531120 | $4,181,497 | $4,181,497 |
| OTHER OPERATING REVENUE | 621110 | $3,394,881 | $3,394,881 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,559,864 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,954 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,954 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,954 | TotalRevenueColumnAmt |
| Exclusion | $25,954 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,690,685 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,559,864 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,954 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,484,139 | TotalAmt |
| Program Services | $15,484,139 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,534 | TotalAmt |
| Management And General | $895,534 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,966,307 | TotalAmt |
| Program Services | $36,745,859 | ProgramServicesAmt |
| Management And General | $2,220,448 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,342,021 | TotalAmt |
| Program Services | $1,270,310 | ProgramServicesAmt |
| Management And General | $71,711 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,450,160 | TotalAmt |
| Program Services | $9,016,915 | ProgramServicesAmt |
| Management And General | $433,245 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,699,588 | TotalAmt |
| Program Services | $2,563,125 | ProgramServicesAmt |
| Management And General | $136,463 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,235,554 | TotalAmt |
| Management And General | $17,235,554 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,944 | TotalAmt |
| Management And General | $36,944 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,408,094 | TotalAmt |
| Program Services | $4,241,864 | ProgramServicesAmt |
| Management And General | $1,166,230 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,637 | TotalAmt |
| Program Services | $10,163 | ProgramServicesAmt |
| Management And General | $173,474 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,875 | TotalAmt |
| Program Services | $1,407,951 | ProgramServicesAmt |
| Management And General | $108,924 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,694 | TotalAmt |
| Program Services | $1,256,182 | ProgramServicesAmt |
| Management And General | $544,512 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,639 | TotalAmt |
| Program Services | $121,594 | ProgramServicesAmt |
| Management And General | $7,045 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,571 | TotalAmt |
| Program Services | $76,064 | ProgramServicesAmt |
| Management And General | $27,507 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,589 | TotalAmt |
| Program Services | $2,175 | ProgramServicesAmt |
| Management And General | $1,414 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,289,563 | TotalAmt |
| Program Services | $7,928,660 | ProgramServicesAmt |
| Management And General | $3,360,903 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,726 | TotalAmt |
| Program Services | $153,726 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHYSICIAN RENUMERATION | $7,400,896 | $7,400,896 | |
| MEDICAL/LAB SUPPLIES | $11,539,810 | $11,539,810 | |
| MINOR EQUIPMENT | $1,390,270 | $1,390,270 | |
| REPAIRS & MAINTENANCE | $988,179 | $491,366 | $496,813 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,413,632 | TotalAmt |
| Program Services | $702,470 | ProgramServicesAmt |
| Management And General | $711,162 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,431,422 | TotalAmt |
| Program Services | $101,803,539 | ProgramServicesAmt |
| Management And General | $27,627,883 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,771 | BOYAmt |
| EOY | $119,263 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,196,725 | BOYAmt |
| EOY | $14,233,553 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,616,040 | BOYAmt |
| EOY | $1,435,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $240,798,056 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,964,037 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,293,725 | BOYAmt |
| EOY | $212,834,019 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,894,462 | BOYAmt |
| EOY | $59,987,519 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,010,723 | BOYAmt |
| EOY | $288,609,811 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,791,009 | BOYAmt |
| EOY | $299,690,310 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $124,240 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,629,252 | BOYAmt |
| EOY | $69,945,536 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,420,261 | BOYAmt |
| EOY | $369,760,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$56,409,538 | BOYAmt |
| EOY | -$81,150,275 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$56,409,538 | BOYAmt |
| EOY | -$81,150,275 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,010,723 | BOYAmt |
| EOY | $288,609,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$24,740,737 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,403,514 | OtherCostOrOtherBasisAmt |
| Book Value | $10,403,514 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $175,249,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,258,957 | DepreciationAmt |
| Book Value | $158,990,228 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,257,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,517,461 | DepreciationAmt |
| Book Value | $3,739,891 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,165,082 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,187,619 | DepreciationAmt |
| Book Value | $18,977,463 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,722,923 | OtherCostOrOtherBasisAmt |
| Book Value | $20,722,923 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $212,834,019 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY RECEIVABLES | Desc |
| Book Value | $59,987,519 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $59,987,519 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $69,429,151 |
| DUE TO THIRD PARTY PAYOR | $516,385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $69,945,536 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $104,605,061 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $104,605,061 | RevenueSubtotalAmt |
| Other Revenues Not Included | $85,624 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $85,624 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $104,690,685 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $129,431,422 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $129,431,422 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $129,431,422 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 ASC 740 Footnote | MANAGEMENT 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 XI, Line 4(b) Other revenues in form 990 not in audited financial statements | NET ASSETS RELEASED FROM FOUNDATION FOR CAPITAL PURCHASES - 85624 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,473,866 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,473,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0114 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,334,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,926,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,408,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1577 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,808,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,926,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,882,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1691 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,255,974 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,255,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0097 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,484,051 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,484,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1196 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $16,740,025 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,740,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1293 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $49,548,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,926,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,622,207 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2984 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,812,466 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $899 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,776 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,877 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S MEDICAL CENTER - PROSPER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 seventh ave | AddressLine1Txt |
| City | fort worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cookchildrens.org | WebsiteAddressTxt |
| State License | 100572 | StateLicenseNum |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S MEDICAL CENTER - PROSPER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cookchildrens.org/about/community-outreach/community-health-needs-assessment/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.CENTERFORCHILDRENSHEALTH.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cookchildrens.org/about/community-outreach/community-health-needs-assessment/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 400.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Cook Children's Medical Center - Prosper. 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. COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CHNA PROCESSES CONDUCTED FOR THE RELATED ORGANIZATION COOK CHILDREN'S MEDICAL CENTER 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 , 1 | Facility , 1 - Cook Children's Medical Center - Prosper. 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, OPEN IN JANUARY 2023. 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 , 1 | Facility , 1 - Cook Children's Medical Center - Prosper. 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 , 1 | Facility , 1 - Cook Children's Medical Center - Prosper. 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 in next disclosure |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Cook Children's Medical Center - Prosper. 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 SAY, 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 PREVENTIONORIENTED 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Other Factors to determine eligibility for free or discounted care | COOK 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 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE | LINE 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 III, Line 2 Bad debt expense - methodology used to estimate amount | WE 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 Methodology | BAD 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 footnote | FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS BEGINS ON PAGE 17 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE 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 assistance | THE 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 - PROSPER: 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 - PROSPER: 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 - PROSPER: Line 16c URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | ALTHOUGH 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 assistance | ENGLISH 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 information | COOK 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). THE STATISTICS DESCRIBED WITHIN THIS SECTION REFLECT THOSE REPORTED IN OUR 2024 COMMUNITY BENEFIT REPORT. THE U.S. CENSUS BUREAU CLASSIFIES THESE COUNTIES AS FOLLOWS: COLLIN COUNTY-MOSTLY URBAN, 5% RURAL; DENTON COUNTY-MOSTLY URBAN, 7% RURAL; GRAYSON COUNTY-RURAL 43%; HOOD COUNTY MOSTLY URBAN, 33% RURAL; JOHNSON COUNTY-MOSTLY URBAN, 38% RURAL; PARKER COUNTY-RURAL 56%; TARRANT COUNTY-MOSTLY URBAN, 1% RURAL AND WISE COUNTY-MOSTLY RURAL 72%. (1). THE FORT WORTH SERVICE AREA TOTAL POPULATION OF 3,495,123 INCLUDES 877,448 CHILDREN FROM BIRTH TO AGE 17, WHILE THE PROSPER SERVICE AREA 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 . 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 POPULATIONS . 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 health | IN 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 5,400 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: - DISTRIBUTED 910 PREVENTION TOOLS AND 11,250 EDUCATIONAL TOOLS PROMOTING THE IMPORTANCE OF ORAL HEALTH AND HYGIENE. - DISTRIBUTED 412 PREVENTION TOOLS FOR TRIGGER REMEDIATION AND 250 EDUCATIONAL RESOURCES TO SCHOOL PARTNERS, ALONG WITH ASTHMA MEDICATIONS TO 2 SCHOOL DISTRICTS THROUGH ASTHMA 411. - NINETY-FIVE PERCENT OF ATTENDEES FELT THEIR CURRENT PRACTICE WAS VALIDATED OR REPORTED THEY WILL CHANGE THEIR PRACTICE AFTER ATTENDING THE ASTHMA 411 IN-SERVICE. - 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. - NINETY-FIVE PERCENT OF WELLNESS WORKSHOP ATTENDEES AGREED THE WORKSHOP HELPED THEM UNDERSTAND THE IMPORTANCE OF INTER-PROFESSIONAL COLLABORATION AMONGST THE CARE TEAM FOR IMPROVING SERVICES TO CHILDREN AND FAMILIES. - OVER 8,140 CHILDREN AND ADULTS WERE EDUCATED ON DROWNING PREVENTION BY CAMPAIGN PARTNERS USING WATER SAFETY TOOLKITS. ADDITIONALLY, 15,563 CHILDREN RECEIVED SWIM LESSONS THROUGH THE WATER SAFETY CLUB. - DISTRIBUTED 624 HEALTHY LIFESTYLES PREVENTION TOOLS AND 1,420 EDUCATIONAL RESOURCES TO COMMUNITY PARTNERS. - THE ACES TEAM AND REGIONAL COALITIONS FOCUSED ON PARENTING SUPPORT DISTRIBUTED OVER 3,500 PREVENTION TOOLS AND 4,938 EDUCATIONAL RESOURCES TO PARTNERS, CHILDREN, AND FAMILIES. - IN TOTAL FOR ALL INJURY PREVENTION TOPICS IN FY24, 9,638 PREVENTION TOOLS AND 34,557 EDUCATIONAL RESOURCES WERE DISTRIBUTED. - IN TOTAL FOR EQUITABLE ACCESS TO CARE (OVERALL HEALTH & WELL-BEING) TOPICS IN FY24, DISTRIBUTED 34,664 PREVENTION TOOLS VALUED AT $134,440 AND 54,203 EDUCATIONAL RESOURCES VALUED AT $21,260. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Cook 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 report | TX |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S PHYSICIAN NETWORK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 752485366 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $15,484,051 | CashGrantAmt |
| Purpose Of Grant | SUBSIDIZED SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE AND HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS. THE ORGANIZATION ONLY MADE A GRANT TO ITS RELATED ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 | $247,143 | $458,980 | $117,614 | $218,427 | $55,975 | $103,953 | $28,991 | $53,840 | $8,501 | $15,787 | $458,224 | $850,987 | $0 | $0 |
| Stanley E Davis | ||||||||||||||
| Sr. VP, Chief Operating Officer | $0 | $577,823 | $0 | $252,630 | $0 | $98,652 | $0 | $120,497 | $0 | $24,932 | $0 | $1,074,534 | $0 | $66,624 |
| 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, System Finance | $28,966 | $695,187 | $13,950 | $334,791 | $5,791 | $138,995 | $6,183 | $148,398 | $832 | $19,969 | $55,722 | $1,337,340 | $4,276 | $102,621 |
| 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 | $73,202 | $1,390,847 | $43,830 | $832,770 | $20,740 | $394,054 | $26,220 | $498,177 | $1,284 | $24,393 | $165,276 | $3,140,241 | $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 | $221,525 | $0 | $76,339 | $0 | $1,530 | $0 | $40,032 | $0 | $22,597 | $0 | $362,023 | $0 | $0 | $0 |
| Sheralyn Hartline | ||||||||||||||
| AVP, Nursing & Patient Care | $196,651 | $0 | $49,124 | $0 | $4,559 | $0 | $19,533 | $0 | $24,476 | $0 | $294,343 | $0 | $0 | $0 |
| Kristen Elzey | ||||||||||||||
| Manager, Pharmacy Operations, CCMCP | $188,206 | $0 | $3,000 | $0 | $3,822 | $0 | $7,798 | $0 | $3,336 | $0 | $206,162 | $0 | $0 | $0 |
| Clifford Ho | ||||||||||||||
| Pharmacy Clinic Specialist | $172,740 | $0 | $15,067 | $0 | $3,111 | $0 | $12,275 | $0 | $10,492 | $0 | $213,685 | $0 | $0 | $0 |
| Abigail Reed | ||||||||||||||
| Manager, Pharmacy, Retail, CCMCP | $155,269 | $0 | $3,000 | $0 | $2,998 | $0 | $6,915 | $0 | $23,558 | $0 | $191,740 | $0 | $0 | $0 |
| Stefanie Tanner | ||||||||||||||
| Director, Nurse & Patient Care | $144,735 | $0 | $32,506 | $0 | $9,511 | $0 | $14,493 | $0 | $24,135 | $0 | $225,380 | $0 | $0 | $0 |
| Tri Tran | ||||||||||||||
| Pharmacist, CCMCP | $169,331 | $0 | $2,775 | $0 | $3,607 | $0 | $5,357 | $0 | $20,100 | $0 | $201,170 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: KRISTEN ELZEY TRI TRAN ABIGAIL REED |
| Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses | THERE 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 EXTREMELY UNUSUAL 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 compensation | COOK 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 plan | RICK W MERRILL - PAID BY SYSTEM - $366,672 DEFERRED, $0 W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $133,956 DEFERRED, $106,897 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 CORY R RHOADES - PAID BY SYSTEM - $87,814 DEFERRED, $77,403 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $90,572 DEFERRED, $70,553 W-2 KEVIN GREENE - PAID BY PROSPER - $27,714 DEFERRED, $none W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $70,116 DEFERRED, $0 W-2 |
| Schedule J, Part II Allocation of CEO & CFO Salaries | SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | COOK 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 body | AS 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 stockholders | AS 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 body | THE 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 policy | EVERY 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 official | COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF COMPENSATION OF THE CEO. 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. , 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 employees | COOK 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 public | THE 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Cook Children's Health Care System | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 752705881 | Health Care Support | TX | 501(c)(3) | Type III-FI | CCHF | Yes (true) |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 752485366 | Physician SERVICES | TX | 501(c)(3) | 3 | CCHCS | Yes (true) |
| WI COOK FOUNDATION dba Cook Children's Health Foundation | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 752051649 | Fundraising | TX | 501(c)(3) | 7 | NA | false |
| COOK CHILDREN'S MEDICAL CENTER | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 752051646 | Hospital | TX | 501(c)(3) | 3 | CCHCS | Yes (true) |
| COOK CHILDREN'S HOME HEALTH | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 752896983 | Healthcare | TX | 501(c)(3) | 10 | CCHCS | Yes (true) |
| COOK CHILDREN'S HEALTH PLAN | ||||||||||
| 801 SEVENTH AVE | Fort Worth | TX | 76104 | 760585240 | Insurance | TX | 501(c)(3) | 10 | CCHCS | Yes (true) |
| CHILD STUDY CENTER | ||||||||||
| 1300 W LANCASTER | Fort Worth | TX | 76102 | 751099536 | Healthcare SERVICES | TX | 501(c)(3) | 7 | CCMC | Yes (true) |
| COOK CHILDREN'S HEALTH ENTERPRISES | ||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 842625990 | Healthcare SERVICES | TX | 501(c)(3) | Type II | CCHCS | Yes (true) |
| ROSEDALE OFFICE BUILDING | ||||||||||
| 1500 W ROSEDALE | Fort Worth | TX | 76104 | 460866421 | TITLE HOLDING | TX | 501(c)(2) | CCHF | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CPS Pediatrics LLC | |||||||||||||
| 340 Seven Springs Way | Ste 600 | Brentwood | TN | 37027 | 470871718 | ASC | TX | NA | N/A | ||||
| COOK CHILDREN'S SURGERY CENTER | |||||||||||||
| 340 Seven Springs Way | Ste 600 | Brentwood | TN | 37027 | 205227064 | ASC | TX | NA | N/A | ||||
| CENTER FOR PEDIATRIC SURGERY | |||||||||||||
| 340 Seven Springs Way | Ste 600 | Brentwood | TN | 37027 | 470871715 | ASC | TX | NA | N/A | ||||
| Sandia Crest LP | |||||||||||||
| 201 Washington Street | Boston | MA | 02108 | 871831241 | Investments | MA | NA | N/A | |||||
| SCP OPPORTUNITY FUND | |||||||||||||
| 981647424 | Investments | NA | N/A | 56A Boat Quay | SN | 049845 | SN | ||||||
| SAGAMORE HEALTHCARE I LP | |||||||||||||
| 100 PAINTERS MILL ROAD | SUITE 700 | OWINGS MILLS | MD | 21117 | 262821679 | Investments | MD | NA | N/A | ||||
| Oberweis International Select Fund LLC | |||||||||||||
| 3333 Warrenville Road | Ste 500 | Lisle | IL | 60532 | 842094004 | Investments | IL | NA | N/A | ||||
| HT STORK LP | |||||||||||||
| 120 STATE ROUTE 28 | UNIT 9 | Crystal Bay | NV | 89402 | 881770748 | Investments | NV | NA | N/A | ||||
| CC TRUEACCORD SPV II LLC | |||||||||||||
| 520 E COOPER AVE 2ND FL | STE C-7 | Aspen | CO | 81611 | 822997101 | Investments | CO | NA | N/A | ||||
| STEPSTONE VC HEALTHCARE I LP | |||||||||||||
| 100 PAINTERS MILL ROAD | SUITE 700 | OWINGS MILLS | MD | 21117 | 262423493 | Investments | MD | NA | N/A | ||||
| GOFF FOCUSED ENERGY STRATEGIES LP | |||||||||||||
| 500 COMMERCE ST | SUITE 700 | FORT WORTH | TX | 76102 | 822764240 | INVESTMENTS | TX | NA | N/A | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cook Children's Health Services | ||||||||||||||||
| 801 Seventh Ave | Fort Worth | TX | 76104 | 454024843 | Healthcare | TX | CCHCS | C Corporation | Yes (true) | |||||||
| Cook Children's Indemnity Company | ||||||||||||||||
| 980424041 | Self Insurance | CCHCS | C Corporation | Yes (true) | 878 West Bay Road | PO Box 1159 | Grand Cayman | Grand Cayman | CJ | KY1110 | CJ | |||||
| SPLIT INTEREST TRUSTS (2) | ||||||||||||||||
| SPLIT INTEREST TRUST | TX | NA | Trust | Yes (true) | ||||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| O | $22,268,047 | FMV |
| COOK CHILDREN'S HEALTH CARE SYSTEM | ||
| P | $29,546,119 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| O | $2,173,772 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| A | $2,331,433 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| B | $15,484,051 | FMV |