STRATEGY STUDIO / PUBLIC DATA EXPLORER

COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-12
IRS object ID
201902249349300020
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-12T21:12:33-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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Address Line12700 Post Oak Blvd Ste 1500AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752051646EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CORY RHOADESInCareOfNm
Business Name ControlCOOKBusinessNameControlTxt
Phone6828854000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
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Business Officer BusinessOfficerGrp

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PersonCORY RHOADESPersonNm
Person TitleSENIOR VP-FINANCEPersonTitleTxt
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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Preparer PersonAmanda MayaPreparerPersonNm
PTINP01067777PTIN
Phone7134994600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id76915820192245000014FederalOriginalSubmissionId
Federal Original Submission Id2019-08-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9CE27632F8A31BDEDC66663DBA4FDD4224869B4EAtSubmissionCreationDeviceId
At Submission Filing Device Id40A118951004ACB7D6FC4F8785F06E4FCB5438C7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

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Principal OfficerNANCY CYCHOLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,092,606,052GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COOKCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee5179TotalEmployeeCnt
Total Volunteers1015TotalVolunteersCnt
Total Gross UBI$6,754TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$448,531NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,637,345PYContributionsGrantsAmt
CY Contributions Grants$14,838,415CYContributionsGrantsAmt
PY Program Service Revenue$1,000,649,270PYProgramServiceRevenueAmt
CY Program Service Revenue$1,074,156,886CYProgramServiceRevenueAmt
PY Investment Income$398,647PYInvestmentIncomeAmt
CY Investment Income$338,304CYInvestmentIncomeAmt
PY Other Revenue-$626,364PYOtherRevenueAmt
CY Other Revenue$1,588,551CYOtherRevenueAmt
PY Total Revenue$1,019,058,898PYTotalRevenueAmt
CY Total Revenue$1,090,922,156CYTotalRevenueAmt
PY Grants And Similar Paid$78,384,438PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$63,945,605CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$352,354,031PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$363,030,732CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$428,461,315PYOtherExpensesAmt
CY Other Expenses$486,324,744CYOtherExpensesAmt
PY Total Expenses$859,199,784PYTotalExpensesAmt
CY Total Expenses$913,301,081CYTotalExpensesAmt
PY Revenues Less Expenses$159,859,114PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$177,621,075CYRevenuesLessExpensesAmt
Total Assets BOY$1,153,835,594TotalAssetsBOYAmt
Total Assets EOY$1,200,788,157TotalAssetsEOYAmt
Total Liabilities BOY$509,289,156TotalLiabilitiesBOYAmt
Total Liabilities EOY$436,324,447TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$644,546,438NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$764,463,710NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$664,777,214ExpenseAmt
Grant$63,945,605GrantAmt
Revenue$1,075,058,633RevenueAmt
DescCOOK CHILDRENS MEDICAL CENTER THE MEDICAL CENTER IS THE CORNERSTONE OF COOK CHILDRENS HEALTH CARE SYSTEM. ITS THE HOME OF TOP MEDICAL MINDS, ADVANCED TECHNOLOGIES AND TREATMENTS AND LEADING-EDGE CLINICAL RESEARCH, ALL DESIGNED TO MEET THE HEALTH CARE NEEDS OF CHILDREN. COOK CHILDRENS 443-BED MEDICAL CENTER, LIKE MANY URBAN, PEDIATRIC CENTERS, HAS EXPERIENCED A GREAT DEAL OF GROWTH OVER THE PAST SEVERAL YEARS. THIS HAS PLACED INCREASE PRESSURE ON KEY DIAGNOSTIC DEPARTMENTS. IN RESPONSE TO THE CURRENT PRESSURE ON KEY DEPARTMENTS, COOK CHILDRENS MEDICAL CENTER ENGAGED THEIR INTEGRATED PROJECT DELIVERY TEAM TO CONCEPTUALIZE, DESIGN AND CONSTRUCT FACILITY SOLUTIONS FOR A NEW SOUTH TOWER, SOUTH UTILITY PLANT AND URGENT CARE CENTER. THE SOUTH TOWER IS AN APPROXIMATELY 318,000 BUILDING GROSS SQUARE FEET, EIGHT LEVEL BUILDING THAT INCLUDES TWO BASEMENT LEVELS, SIX LEVELS ABOVE GRADE, PLUS A ROOFTOP PENTHOUSE. THE BASEMENT PROVIDES A NEW CLINICAL LABORATORY AND STERILE PROCESSING DEVELOPMENT (SPD). THE LABORATORY PROCESSES OVER 1.3 MILLION TESTS FOR BOTH CLINICAL TESTING AND RESEARCH PROTOCOLS. THE EXPANDED SPACE HAS ALLOWED FOR AN EXPANSION OF SPECIALITY SERVICES, GAINED EFFICIENCIES AND TECHNOLOGY ADVANCES. THE LABORATORY WAS THE FIRST PEDIATRIC INSTITUTION IN THE U.S. TO INSTALL AUTOMATED MICROBIOLOGY. TWO DEDICATED ELEVATORS CONNECT THE SPD TO THE SURGERY DEPARTMENT FOR TRANSPORTING CLEAN AND SOILED MATERIALS. LEVEL ONE COOK CHILDRENS EMERGENCY DEPARTMENT CURRENTLY SEES MORE THAN 120,000 PATIENTS EACH YEAR. THE NEWLY RENOVATED AND EXPANDED NENETTA BURTON CARTER EMERGENCY DEPARTMENT, WHICH OPENED ON AUGUST 2016, HAS MORE, AND LARGER, EXAM ROOMS AND A SUPERIOR LAYOUT AND DESIGN TO BETTER ACCOMMODATE THE EXISTING AND FUTURE VOLUME OF PATIENTS. LEVEL ONE IS THE HOME OF THE NEW, EXPANDED EMERGENCY DEPARTMENT (ED) AND EXTENSION OF MAIN STREET, THE PRIMARY PUBLIC CIRCULATION SYSTEM THAT CONNECTS ALL BUILDINGS AND IS POPULATED WITH NUMEROUS FAMILY AMENITIES. THE ED HOUSES 5 RESUSCITATION ROOMS, 10 INTAKES ROOMS, 70 GENERAL EXAM ROOMS, TWO GENERAL X-RAY ROOMS AND 1 NEW CT ROOM. THE SOUTH MAIN TOWER INCLUDES A NEW GRAB 'N' GO FOR FAMILIES AND STAFF AND A LOUNGE WITH VIEWS AND ACCESS TO A NEW SOUTH GARDEN. LEVEL TWO THE SECOND LEVEL OF THE SOUTH TOWER IS DEDICATED TO SURGICAL SERVICES. ALL OF THE OPERATING ROOMS ARE LOCATED IN THIS AREA WHOSE FLOOR-TO-FLOOR HEIGHT INCREASED TO 18 FEET TO ACCOMMODATE MODERN BUILDING SYSTEMS AND TECHNOLOGY. THE NEW OR SUITE IS DESIGNED AROUND A STERILE CORE AND INCLUDES 17 OPERATING ROOMS (7 GENERAL, 1 TRAUMA, 2 NEURO, 2 ORTHO, 1 IMRI, 1 CYSTO AND SHELL SPACE FOR THREE FUTURE OPERATING ROOMS). LEVEL THREE THIS SPACE IS DEDICATED TO A NEW HEART CENTER, WITH TWO CARDIOVASCULAR OPERATING ROOMS, TWO CARDIAC CATH LABS, 14 BED CVICU AND 1,000 SQUARE FEET ENCLOSED CORRIDOR CONNECTING TO A 15-BED STEP-DOWN UNIT IN THE MAIN HOSPITAL. THE FAMILY WAITING ROOMS HAS VIEWS AND ACCESS TO ONE OF TWO NEW ROOFTOP GARDEN TERRACES. LEVEL FOUR AND FIVE LEVEL FOUR HAS AN ECHOCARDIOGRAM SUITE, BUT MAINLY IS DEDICATED TO MECHANICAL SPACE. LEVEL FIVE IS SHELLED FOR FUTURE USE/GROWTH. LEVEL SIX LEVEL SIX IS THE HOME TO OUR BEHAVIORAL HEALTH CENTER, FEATURING AN INPATIENT UNIT WITH 15 BEDS. THE REES-JONES BEHAVIORAL HEALTH CENTER AT COOK CHILDRENS CARES FOR CHILDREN EXPERIENCING BEHAVIORAL, NEURODEVELOPMENTAL AND EMOTIONAL CHALLENGES, SUCH AS DEPRESSION, ANXIETY, ATTENTION DEFICIT DISORDERS (ADD/ADHD) AND AUTISM SPECTRUM DISORDERS. OVER THE PAST SEVERAL YEARS, COOK CHILDRENS HAS EXPERIENCED EXPONENTIAL GROWTH IN THE DEMAND FOR BEHAVIORAL HEALTH SERVICES. THE NEW CENTER ALLOWS US TO BETTER SERVE THIS DELICATE PATIENT POPULATION BY UNITING AND EXPANDING OUR INPATIENT PSYCHIATRIC UNIT AND PARTIAL HOSPITALIZATION PROGRAM. RECREATION AND RETAIL SERVICES FOR SOME FAMILIES, COOK CHILDRENS IS THEIR SECOND HOME. WHETHER THEY ARE HERE FOR A VISIT OR A LENGTHY STAY, THE MEDICAL CENTER PROVIDES RESOURCES AVAILABLE TO HELP MAKE THEIR TIME AT COOK CHILDRENS MORE COMFORTABLE. BOMAR LIBRARY LOCATED IN THE CHILD LIFE ZONE, THE LIBRARY OFFERS: - BOOKS FOR ALL AGES - BOOKS AVAILABLE TO ALL IN-PATIENTS AND THEIR SIBLINGS FOR CHECK-OUT - A COMFORTABLE PLACE FOR FAMILIES TO READ, RELAX, PLAY BOARD GAMES AND PUT TOGETHER PUZZLES - R.E.A.D. DOGS THERAPY DOGS VISIT THE CHILD LIFE ZONE AND BOMAR LIBRARY FOR A FUN READING EXPERIENCE THERES ALWAYS A LIBRARIAN, CHILD LIFE SPECIALIST OR VOLUNTEER AVAILABLE TO ASSIST WITH PATIENTS AND FAMILIES WITH THE BOOKS, GAMES AND PUZZLES, AS WELL AS TO PROVIDE SCHEDULES FOR ANY LIBRARY EVENTS. BUILD-A-BEAR WORKSHOP COOK CHILDRENS STORE OFFERS A SELECTION OF FURRY FRIENDS, CLOTHING AND ACCESSORIES WITH A MEDICAL THEME, INCLUDING: - "GET BETTER SETS" WITH CRUTCHES, SLINGS, BANDAGES AND CASTS - WHEELCHAIRS - LAB COATS - DOCTOR SCRUBS - MEDICAL OUTFITS - SPECIALLY DESIGNED PEAKS THE DRAGON COOK CHILDRENS MASCOT - TEDDY BEAR TRANSPORT BEAR-SIZED T-SHIRTS CAMELOT COURT COOK CHILDRENS CAFETERIA IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER. CAMELOT COURT OFFERS A CHICK-FIL-A, INTERNATIONAL CUISINE, PIZZA, HOME-STYLE COOKING, A SALAD BAR, GRILL AND DELI. CAMELOT COURT IS A BLUE ZONES APPROVED RESTAURANT WITH EASY-TO-IDENTIFY NUTRITIONAL OPTIONS AND HEALTHY LIFESTYLE CHOICES MADE MORE ACCESSIBLE TO PATIENTS AND EMPLOYEES. THE BLUE ZONES PROJECT THE BLUE ZONES PROJECT OF FORT WORTH HAS CERTIFIED COOK CHILDRENS AS A VALIDATED BLUE ZONES WORKSITE. AS A BLUE ZONES WORKSITE, COOK CHILDRENS IS RECOGNIZED AS A WORKPLACE THAT EMPHASIZES HEALTHY EMPLOYEES AND PROVIDES A COMMUNITY IN WHICH PATIENTS AND EMPLOYEES CAN EASILY MAKE MORE HEALTH-ORIENTED LIFESTYLE CHOICES. - BLUE HANDLES ON THE SALAD BAR AND FOOD STATION, INDICATING HEALTHIER ITEMS - JUICES AND WATER AT EYE LEVEL - BLUE STICKERS, INDICATING HEALTHIER OPTIONS, ON CURRENT MENU BOARDS - ORGANIC MIXED BERRIES AND ORGANIC SPRING MIX ADDED TO SALAD BAR - SALT SHAKERS TAKEN OFF THE TABLE CHILD LIFE ZONE THE CLZ IS A STATE-OF-THE ART ENVIRONMENT THAT ALLOWS KIDS AND TEENS TO GET AWAY FROM THE HOSPITAL SETTING AND JUST BE A KID. GAMES, ART, MUSIC, CREATIVITY AND IMAGINATION ARE GREAT THERAPY AND DELIVER A DOSE OF FUN TO HELP KIDS FEEL BETTER. CLZ IS A TREATMENT-FREE AREA AND IS THE HOME TO A RECORDING AND BROADCAST STUDIO, LIBRARY AND PLAY AREA WITH VIDEO GAMES AND A POOL TABLE. MIRROR MIRROR HAIR AND NAIL SALON AFTER A LONG STAY, PATIENTS OR FAMILIES MAY FEEL THE NEED FOR A LITTLE PAMPERING. SALON SERVICES INCLUDE: - HAIRCUTS FOR CHILDREN, WOMEN AND MEN - STYLE - COLOR - HAIR TREATMENTS - EYEBROW WAXING - MANICURES - CHILDRENS MANICURES - PEDICURES - CHILDRENS PEDICURES PLAY AREA AND GARDENS PLAY AREAS AND GARDENS AT COOK CHILDRENS PROVIDE A WELCOME BREAK: - A PLAYROOM IS AVAILABLE ON EVERY FLOOR OF THE MEDICAL CENTER, EXCEPT FOR THE PEDIATRIC INTENSIVE CARE UNIT AND NEONATAL INTENSIVE CARE UNIT. - AN INDOOR PLAYGROUND IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER BEHIND CAMELOT COURT. - AN OUTDOOR PLAYGROUND IS LOCATED OUTSIDE OF THE MAIN MEDICAL CENTER ENTRANCE ON THE FRONT GROUNDS. - OUTSIDE THE DODSON SPECIALTY CLINIC, ACROSS FROM THE OUTDOOR PLAY AREA, THERES A SPECIAL PLACE FOR QUIET MEDITATION OR RELAXATION WHEN PATIENTS AND FAMILIES NEED A BREAK. THE GARDEN FEATURES TOPIARIES, FLOWERS AND SEATING AREAS. - DILLARD FAMILY GARDEN GIVES FAMILIES A QUIET AND TRANQUIL PLACE TO VISIT OUTDOORS OR SIMPLY RELAX, JUST STEPS FROM THE MEDICAL CENTER. STARBUCKS COFFEE STARBUCKS GIVES FAMILIES TIME TO TAKE A BREAK AND ENJOY A COFFEE, LATTE, ESPRESSO, FRAPPUCCINO, HOT AND ICED TEAS, CHOCOLATE BEVERAGES, BOTTLED DRINKS, PASTRIES AND MUCH MORE. ZOOTY FRUITY YOGURT SHOP FAMILIES CAN ENJOY A REFRESHING FROZEN TREAT RIGHT IN THE MEDICAL CENTER. ZOOTY FRUITY OFFERS: - 18 FROZEN YOGURT FLAVORS INCLUDING SEASONAL FLAVORS (MOST ARE GLUTEN-FREE) - DELICIOUS SMOOTHIES MADE WITH FRESH FRUITS AND EVEN VEGGIES. - ENJOY SORBET IN YOUR CHOICE OF GREAT FLAVORS, INCLUDING THREE NO-ADDED-SUGAR FLAVORS. - OVER 40 YUMMY TOPPINGS - PLUS, 23 VARIETIES OF CANDY INCLUDING SUGAR-FREE, NO-ADDED SUGAR, GLUTEN-FREE AND PROBIOTIC OPTIONS. NICU COOK CHILDRENS NATIONALLY RECOGNIZED LEVEL IV NICU, DESIGNATED BY THE STATE OF TEXAS, PROVIDES THE HIGHEST LEVEL OF CARE AVAILABLE FOR OUR TINIEST PATIENTS. LEVEL IV NICUS MAINTAIN A FULL RANGE OF ON-SITE PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALISTS AND PEDIATRIC ANESTHESIOLOGISTS. COOK CHILDRENS IS ONE OF ONLY A HANDFUL OF NICUS NATIONWIDE TO PROVIDE SINGLE PATIENT ROOMS THAT ALLOWS PARENTS TO SPEND THE NIGHT WITH THEIR CHILDREN. THE INDIVIDUAL ROOMS ENABLE STAFF TO PROVIDE THE HIGHLY SPECIALIZED INTENSIVE CARE SERVICES AND ATTENTION THAT MEDICALLY FRAGILE BABIES NEED. THE TWO-LEVEL, ALL-SINGLE ROOM ENVIRONMENT IS STAFFED WITH A TEAM OF NEONATOLOGISTS AND SPECIALISTS WHO COMBINE EXPERTISE WITH THE LATEST TECHNOLOGY TO PROVIDE THE HIGHEST LEVEL OF NEONATAL CARE AVAILABLE. STUDIES SHOW THAT PREMATURE AND CRITICALLY ILL INFANTS CARED FOR IN A SINGLE ROOM SETTING HAVE BETTER OUTCOMES.Desc
Total Program Service Expenses$664,777,214TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
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Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
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Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document201IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5179EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCORY RHOADESPersonNm
Phone6828854000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN P BOSWELL
TRUSTEE-CHAIRMAN2.02.0Yes (X)Yes (X)$0$0$0
ANDREW S WAYNE
TRUSTEE1.00.0Yes (X)$0$0$0
FRANK ANDERSON
TRUSTEE1.00.0Yes (X)$0$0$0
JOHN BATTON
TRUSTEE1.00.0Yes (X)$0$0$0
ANNE CARVALHO
TRUSTEE1.01.0Yes (X)$0$0$0
JEFFREY H CONNER
TRUSTEE-SECRETARY/TREASURER2.02.0Yes (X)Yes (X)$0$0$0
DANA C KELLY
TRUSTEE1.00.0Yes (X)$0$0$0
LEAH KING
TRUSTEE1.00.0Yes (X)$0$0$0
W M MACK LAWHON
TRUSTEE (THRU 5/31/18)1.01.0Yes (X)$0$0$0
BONNIE PETSCHE
TRUSTEE (THRU 5/31/18)1.04.0Yes (X)$0$0$0
BILLIE R PUGH JR MD
TRUSTEE1.02.0Yes (X)$0$0$0
RYAN SENTER
TRUSTEE1.00.0Yes (X)$0$0$0
GARY G WALSH
TRUSTEE1.00.0Yes (X)$0$0$0
JOSEPH LAMARCA JR
TRUSTEE1.00.0Yes (X)$0$0$0
JOHN M RICHARDSON MD
TRUSTEE-EMERITUS1.01.0Yes (X)$0$0$0
JAMES E WEBB
TRUSTEE1.01.0Yes (X)$0$0$0
RICK W MERRILL
CHIEF EXECUTIVE OFFICER11.029.0Yes (X)$677,937$1,743,266$216,152
CHERYL PETERSEN
VP NURSING/CNO40.00.0Yes (X)$327,346$0$30,107
NANCY C CYCHOL
PRESIDENT/CHIEF HOSPITAL SVCS40.00.0Yes (X)$878,574$0$37,608
STANLEY E DAVIS
CHIEF OPERATING OFFICER40.00.0Yes (X)$376,298$0$46,883
STEPHEN W KIMMEL
CFO16.024.0Yes (X)$339,016$508,522$104,515
JACK SOSEBEE
VICE PRESIDENT40.00.0Yes (X)$273,176$0$36,734
CARA MARTZ
SECRETARY1.039.0Yes (X)$0$140,312$22,833
SPENCER SEALS
VP CONSTRUCTION & REAL ESTATE1.039.0Yes (X)$0$126,854$33,683
ROSANNE THURMAN
DIRECTOR, PHARMACY40.00.0$195,217$0$17,297Yes (X)
ORLANDO CHAPA
AVP NURSING40.00.0$231,871$0$26,616Yes (X)
BRADLEY HORN
PHARMACIST II40.00.0$189,385$0$22,989Yes (X)
DIANA SHANNON
RNFA, CV SVC COORDINATOR40.00.0$218,203$0$23,457Yes (X)
TAMMY THOMLISON
AVP, REVENUE CYCLE40.00.0$232,276$0$10,050Yes (X)
GEORGE B MONTAGUE
VP REAL ESTATE0.040.0$0$250,713$25,648Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,939,299TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,769,667TotReportableCompRltdOrgAmt
Total Other Compensation$654,572TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LINBECK GROUP LLC
201 MAIN ST STE 1801FORT WORTHTX76102CONSTR CONTRACTOR$41,206,425
DEERFIELD IMAGING
5101 SHADY OAK RDMINNETONKAMN55343IMAGING SERVICES$2,106,336
MEDTRONIC
PO BOX 848086DALLASTX75284MED SUPPLY SERVICES$2,918,150
METRO AVIATION
PO BOX 7008SHREVEPORTLA71137AIRCRAFT MAINTENANCE$3,723,116
CALLISONRTKL ASSOCIATES INC
PO BOX 402336ATLANTAGA30384CONSTR CONTRACTOR$2,131,449
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K84CntrctRcvdGreaterThan100KCnt
Related Organizations$13,927,244RelatedOrganizationsAmt
Government Grants$619,565GovernmentGrantsAmt
All Other Contributions$291,606AllOtherContributionsAmt
Total Contributions$14,838,415TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$961,472,724$961,472,724
OTHER OPERATING REVENUE621110$101,672,995$101,672,995
JOINT VENTURE REVENUE621110$11,004,413$11,004,413
LAB REFERRALS621110$6,013$6,013
PHARMACY SERVICES621110$741$741
FieldValueIRS element (for citing)
Total Program Service Revenue$1,074,156,886TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,197TotalRevenueColumnAmt
Exclusion$242,197ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,370,700RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,683,896RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$686,804RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$686,804TotalRevenueColumnAmt
Exclusion$686,804ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$96,107OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$96,107OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,107TotalRevenueColumnAmt
Exclusion$96,107ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CCIC RETRO PREMIUM621110$1,193,437$1,193,437
LOSS ON DEFEASANCE900099-$291,690-$291,690
FieldValueIRS element (for citing)
Other Revenue Total$901,747OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,090,922,156TotalRevenueColumnAmt
Related Or Exempt Func Income$1,075,051,879RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,754UnrelatedBusinessRevenueAmt
Exclusion$1,025,108ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$63,676,398TotalAmt
Program Services$63,676,398ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$269,207TotalAmt
Program Services$269,207ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,047,636TotalAmt
Management And General$3,047,636ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$269,134,261TotalAmt
Program Services$238,227,433ProgramServicesAmt
Management And General$30,906,828ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$90,848,835TotalAmt
Program Services$81,770,478ProgramServicesAmt
Management And General$9,078,357ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$149,102,132TotalAmt
Program Services$2,721,104ProgramServicesAmt
Management And General$146,381,028ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$53,662TotalAmt
Management And General$53,662ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,057,138TotalAmt
Program Services$20,241,809ProgramServicesAmt
Management And General$6,815,329ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$235,913TotalAmt
Program Services$232,047ProgramServicesAmt
Management And General$3,866ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,400,331TotalAmt
Program Services$3,508,129ProgramServicesAmt
Management And General$4,892,202ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,493,441TotalAmt
Program Services$6,903,808ProgramServicesAmt
Management And General$13,589,633ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,276,885TotalAmt
Program Services$1,113,047ProgramServicesAmt
Management And General$163,838ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$572,706TotalAmt
Program Services$311,460ProgramServicesAmt
Management And General$261,246ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,791,586TotalAmt
Program Services$17,749,564ProgramServicesAmt
Management And General$42,022ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$56,527,370TotalAmt
Program Services$40,070,639ProgramServicesAmt
Management And General$16,456,731ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,831,125TotalAmt
Program Services$1,831,125ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$93,996,778$93,996,778
BAD DEBT EXPENSE$48,723,265$48,723,265
PHYSICIAN REMUNERATION$30,408,199$29,886,853$521,346
MINOR/COMPUTER EQUIPMENT$7,191,940$1,021,491$6,170,449

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,662,273TotalAmt
Program Services$12,522,579ProgramServicesAmt
Management And General$10,139,694ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$913,301,081TotalAmt
Program Services$664,777,214ProgramServicesAmt
Management And General$248,523,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,659BOYAmt
EOY$16,434EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$287,694,680BOYAmt
EOY$298,096,828EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$117,828,348BOYAmt
EOY$169,026,069EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$24,219,660BOYAmt
EOY$24,219,660EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,333,439BOYAmt
EOY$10,794,394EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$119,818BOYAmt
EOY$113,997EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,116,235,069LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$455,415,578LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$683,672,504BOYAmt
EOY$660,819,491EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,661,639BOYAmt
EOY$7,468,828EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,424,990BOYAmt
EOY$7,424,990EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,864,857BOYAmt
EOY$22,807,466EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,153,835,594BOYAmt
EOY$1,200,788,157EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,837,767BOYAmt
EOY$69,988,088EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$41,297BOYAmt
EOY$49,957EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$435,667,475BOYAmt
EOY$363,718,331EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,742,617BOYAmt
EOY$2,568,071EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$509,289,156BOYAmt
EOY$436,324,447EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$644,546,438BOYAmt
EOY$764,463,710EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$644,546,438BOYAmt
EOY$764,463,710EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,153,835,594BOYAmt
EOY$1,200,788,157EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$177,621,075ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$57,703,803OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$95,010,517BeginningYearBalanceAmt
Contributions$9,396,884ContributionsAmt
Investment Earnings Or Losses$8,367,517InvestmentEarningsOrLossesAmt
Other Expenditures$1,206,620OtherExpendituresAmt
End Year Balance$111,568,298EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$76,556,166BeginningYearBalanceAmt
Contributions$11,777,744ContributionsAmt
Investment Earnings Or Losses$7,575,568InvestmentEarningsOrLossesAmt
Other Expenditures$898,961OtherExpendituresAmt
End Year Balance$95,010,517EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,855,341BeginningYearBalanceAmt
Contributions$190,488ContributionsAmt
Investment Earnings Or Losses$4,883,138InvestmentEarningsOrLossesAmt
Other Expenditures$372,801OtherExpendituresAmt
End Year Balance$76,556,166EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,022,698BeginningYearBalanceAmt
Contributions$12,820,675ContributionsAmt
Investment Earnings Or Losses-$2,241,266InvestmentEarningsOrLossesAmt
Other Expenditures$746,766OtherExpendituresAmt
End Year Balance$71,855,341EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$56,839,390BeginningYearBalanceAmt
Contributions$336,613ContributionsAmt
Investment Earnings Or Losses$5,450,280InvestmentEarningsOrLossesAmt
Other Expenditures$603,585OtherExpendituresAmt
End Year Balance$62,022,698EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.38520BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.58050PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03430TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,480,320OtherCostOrOtherBasisAmt
Book Value$13,480,320BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$837,596,376OtherCostOrOtherBasisAmt
Depreciation$279,081,657DepreciationAmt
Book Value$558,514,719BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,338,601OtherCostOrOtherBasisAmt
Depreciation$4,113,347DepreciationAmt
Book Value$225,254BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$244,326,597OtherCostOrOtherBasisAmt
Depreciation$167,019,200DepreciationAmt
Book Value$77,307,397BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,493,175OtherCostOrOtherBasisAmt
Depreciation$5,201,374DepreciationAmt
Book Value$11,291,801BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$660,819,491TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
EST. PAYABLE (THIRD PARTY)$2,915,767
DUE TO/FROM AFFILIATES-$347,696
FieldValueIRS element (for citing)
Total Liability$2,568,071TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,073,884,696TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$13,568,256OtherRevenueAmt
Revenue Not Reported-$13,568,256RevenueNotReportedAmt
Revenue Subtotal$1,087,452,952RevenueSubtotalAmt
Other Revenues Not Included$3,469,204OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,469,204RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,090,922,156TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$889,971,198TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$25,393,382OtherExpensesIncludedAmt
Expenses Not Reported$25,393,382ExpensesNotReportedAmt
Expenses Subtotal$864,577,816ExpensesSubtotalAmt
Other Expenses Not Included$48,723,265OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$48,723,265ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$913,301,081TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2DRECONCILIATION OF AUDITED REVENUE TO FORM 990 REVENUE: JOINT VENTURE REVENUE NOT INCLUDED ON 990 $ 33,578,536 INTEREST RATE SWAP ADJUSTMENT $ 2,296,198 BAD DEBT DEDUCTION FROM REVENUE ($ 48,723,265) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 623,618) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 96,107) ------------- TOTAL ($ 13,568,256)
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF AUDITED REVENUE TO FORM 990 REVENUE: CONTRIBUTION FROM HS RECORDED TO NET ASSETS $ 70,000 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 5,083,100 RENT EXPENSE ($ 1,683,896) ------------- TOTAL $ 3,469,204
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $ 33,578,536 MINORITY INTEREST ($ 9,149,325) RENT EXPENSE $ 1,683,896 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 96,107) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 623,618) --------------- TOTAL $ 25,393,382
SCHEDULE D, PART V, QUESTION 4INTENDED USE OF ENDOWMENT FUNDS: COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACED A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: BAD DEBT DEDUCTION FROM REVENUE $ 48,723,265

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,414,290TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,414,290NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$455,491,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$355,201,882DirectOffsettingRevenueAmt
Net Community Benefit Expns$100,290,009NetCommunityBenefitExpnsAmt
Total Expense0.11600TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$462,906,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$355,201,882DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,704,299NetCommunityBenefitExpnsAmt
Total Expense0.12460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,238,394TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,234,729NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$903,487TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$554,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$349,282NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$362,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$354,314DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,003NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,920,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$912,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,008,797NetCommunityBenefitExpnsAmt
Total Expense0.07520TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,425,179TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,824,368DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,600,811NetCommunityBenefitExpnsAmt
Total Expense0.07930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$533,331,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$357,026,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$176,305,110NetCommunityBenefitExpnsAmt
Total Expense0.20390TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,000NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,978TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,978NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,481TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$112,481NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,459NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$48,723,265BadDebtExpenseAmt
Reimbursed By Medicare$6,951,962ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,718,656CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,766,694MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S NORTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesFREESTANDING SURGICAL HOSPITAPrimaryActivitiesTxt
Org Profit Or Ownership0.5896OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.3237PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumChildrens HospitalChildrensHospitalInd
COOK CHILDREN'S MEDICAL CENTER
1801 SEVENTH AVENUEFORT WORTHTX76104WWW.COOKCHILDRENS.ORG000332Yes (X)
COOK CHILDREN'S NORTHEAST HOSPITAL
26316 PRECINCT LINE RDHURSTTX76054WWW.COOKCHILDRENS.ORG008502Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
COOK CHILDREN'S MEDICAL CENTER
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)WWW.CENTERFORCHILDRENSHEALTH.ORGYes (X)Yes (true)15Yes (true)SEE PART V SECTION CfalseYes (true)Yes (X)400.500.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
COOK CHILDREN'S NORTHEAST HOSPITAL
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)WWW.CENTERFORCHILDRENSHEALTH.ORGYes (X)Yes (true)15Yes (true)SEE PART V SECTION CfalseYes (true)Yes (X)400.500.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5 - COOK CHILDREN'S MEDICAL CENTERTHE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, AND 2018). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. METHODOLOGY INCLUDES A SURVEY OF PARENTS OF CHILDREN AGES 0-14, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS. WE ALSO GATHER FEEDBACK FROM COMMUNITY COALITION MEMBERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT SIX CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE PARENT AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2018 HOUSEHOLD SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF PARENTS WITH CHILDREN AGES 0-14 LIVING IN OUR PRIMARY SERVICE REGION (DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (8,249 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL SIX COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 5%). THE SURVEY IS ADMINISTERED THROUGH MAIL AND TELEPHONE 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, 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) CONDUCTED INTERCEPT SURVEYS WITH PARENTS LIVING WITH A CHILD OR CHILDREN ONE OF SEVERAL TARRANT COUNTY HOMELESS SHELTERS (209 COMPLETED SURVEYS). ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,156 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 301 RESPONSES (26% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CCHAPS PROCESSES IN 2012 AND 2015 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY COOK CHILDREN'S CONTINUES TO USE THE 2018 CCHAPS FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS.
PART V, SECTION B, LINE 6A - COOK CHILDREN'S MEDICAL CENTEROTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL
PART V, SECTION B, LINE 6B - COOK CHILDREN'S MEDICAL CENTEROTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: EXTERNAL VENDORS USED TO CONDUCT THE CCHAPS SURVEYS INCLUDED ETC INSTITUTE, INC. AND MY HEALTH MY RESOURCES OF TARRANT COUNTY. 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.
PART V, SECTION B, LINE 11 - COOK CHILDREN'S MEDICAL CENTERHOW WE ARE ADDRESSING SIGNIFICANT NEEDS: 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 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 - 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 TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY CCHAPS 2018 FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL CCHAPS 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. COMMUNITY STRATEGY: REDUCE THE IMPACT OF CHILD ABUSE AND NEGLECT THE CENTER FOR PREVENTION OF CHILD ABUSE AND NEGLECT IS HOUSED WITHIN COOK CHILDREN'S CENTER FOR CHILDREN'S HEALTH TO LEAD INITIATIVES TARGETING CHILD ABUSE PREVENTION. THESE INCLUDE A COUNTY-WIDE ADVERSE CHILDHOOD EXPERIENCES (ACES) TASK FORCE WORKING TO DEVELOP AND IMPLEMENT MULTIPLE STRATEGIES FOR REDUCING THE IMPACT OF ACES ON CHILDREN'S HEALTH; AN EVIDENCE-INFORMED TRAINING FOR MEDICAL PROFESSIONALS AND FIRST RESPONDERS TO RECOGNIZE THE SIGNS OF CHILD ABUSE AND KNOW HOW TO RESPOND APPROPRIATELY; A SAFE BABY SLEEP COUNCIL TO PROMOTE CONSISTENT SAFETY MESSAGING FOR NEW PARENTS; AND A WEBSITE SUPPORT PRODUCT FOR SURVIVORS OF ABUSE. THE CENTER ALSO WORKS WITH A LARGER COOK CHILDREN'S HEALTH CARE SYSTEM TEAM TO EXPAND THE PREDICTIVE MAPPING PROJECT TO BETTER FOCUS ON RESOURCE ALLOCATION. COMMUNITY STRATEGY: INCREASE ACCESS TO DENTAL HEALTH SERVICES THE CENTER FOR CHILDREN'S HEALTH LEADS THE CHILDREN'S ORAL HEALTH COALITION (COHC), A COUNTY-WIDE COLLABORATIVE EFFORT TO ADDRESS DENTAL CARE NEEDS FOR UNDERSERVED CHILDREN. COHC FOCUSES ON PROVIDING EDUCATION AND ORAL HYGIENE KITS TO FAMILIES IN PRIORITY ZIP CODES AND HOSTS TRAIN THE TRAINER EVENTS -- 4-HOUR WORKSHOPS FOR COMMUNITY PROFESSIONALS THAT TEACH THEM HOW TO TRAIN PARENTS THEY REGULARLY SERVE ON PROPER ORAL HEALTH CARE FOR INFANTS AND CHILDREN AGES 0-4 YEARS OLD. COHC WORKS TO IMPROVE COMMUNITY COLLABORATION AROUND ORAL HEALTH CARE BY BRINGING TOGETHER THOSE ORGANIZATIONS IN TARRANT COUNTY CONDUCTING LIMITED ORAL EXAMS IN THE SCHOOL SETTING TO REDUCE OVERLAP, DISCUSS COMMON OBSTACLES AND PROMOTE BEST PRACTICES. AND THE COALITION'S LEGISLATIVE ADVOCACY COMMITTEE MONITORS STATE AND NATIONAL LEGISLATIVE ISSUES, ESPECIALLY THOSE SUPPORTING EXPANDED ACCESS TO DENTAL CARE FOR LOW-INCOME CHILDREN. THE CENTER IS ALSO HOME TO SAVE A SMILE, AN INNOVATIVE AND AWARD-WINNING PROGRAM THAT PARTNERS WITH SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN WITH SERIOUS DENTAL DISEASE. APPROXIMATELY 7,000+ CHILDREN IN TARGETED TITLE I SCHOOLS ARE SCREENED AND ASSIGNED A DENTAL HEALTH STATUS TO DETERMINE WHICH CHILDREN NEED TREATMENT PROVIDED BY VOLUNTEER DENTISTS. COMMUNITY HEALTH WORKERS WORK UNDER THE SUPERVISION OF A LICENSED SOCIAL WORKER PROVIDE SOCIAL SERVICES THAT FACILITATE TREATMENT COMPLETION FOR THOSE CHILDREN WITH SERIOUS DENTAL DISEASE. COMMUNITY STRATEGY: INCREASE ACCESS TO ASTHMA HEALTH CARE SERVICES COOK CHILDREN'S OFFICE OF PROFESSIONAL DEVELOPMENT OFFERS EDUCATIONAL RESOURCES TO HELP PARENTS, TEACHERS AND SCHOOL NURSES BETTER UNDERSTAND ASTHMA. ASTHMA-SPECIFIC COMMUNITY COURSES AND LIBRARY RESOURCES ARE OFFERED FOR BOTH PROFESSIONALS AND PARENTS THROUGH OUR PRIMARY WEBSITE (WWW.COOKCHILDRENS.ORG) AND ACCESS TO INFORMATIONAL VIDEOS IS AVAILABLE ON THE CENTER FOR CHILDREN'S HEALTH WEBSITE (WWW.CENTERFORCHILDRENSHEALTH.ORG). IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH IS PILOTING A HEALTHY HOMES PROGRAM DESIGNED TO MITIGATE ASTHMA TRIGGERS IN THE HOME FOR FAMILIES OF CHILDREN SEEN IN THE COOK CHILDREN'S MEDICAL CENTER ER FOR ASTHMA THREE OR MORE TIMES IN A 12-MONTH PERIOD. HEALTHY HOMES USES TRAINED COMMUNITY HEALTH STAFF TO ASSESS HOMES FOR ASTHMA TRIGGERS AND OFFERS REMEDIATION OF THOSE TRIGGERS TO REDUCE ASTHMA EPISODES REQUIRING ER VISITS. COOK CHILDREN'S IS ALSO A KEY PARTNER IN COMMUNITY EFFORTS TO ADDRESS ASTHMA, INCLUDING THE ASTHMA 411 CONSORTIUM. COMMUNITY STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES COOK CHILDREN'S IS A FOUNDING PARTNER OF THE MENTAL HEALTH CONNECTION (MHC) AND CONTINUES TO SUPPORT THIS GROUP FINANCIALLY AND THROUGH STAFF PARTICIPATION. MHC IS A PARTNERSHIP OF HEALTH AND SOCIAL SERVICE ORGANIZATIONS THAT WORKS TO IMPROVE MENTAL HEALTH SERVICES IN TARRANT COUNTY THROUGH COLLABORATION. IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH LEADS THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, A COALITION WORKING TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH MAINTAINING A RESOURCE WEBSITE (WATCHDENTON.ORG), FACILITATING EDUCATIONAL EVENTS FOR PROFESSIONALS, HOSTING AN ANNUAL CHILDREN'S ART EXPRESSION INITIATIVE, AND STRENGTHENING COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. COMMUNITY STRATEGY: INCREASE ACCESS TO RESOURCES FOR IMPROVING GENERAL HEALTH FOR CHILDREN COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT A SCHOOL-BASED WELLNESS EDUCATION PROGRAM CENTERED ON EVIDENCE-BASED APPROACHES (5-2-1-0 LET'S GO! AND COORDINATED APPROACH TO CHILD HEALTH, OR CATCH). THE PROGRAM INCLUDES FOUR EDUCATION SESSIONS DURING THE SCHOOL YEAR TO TEACH 3RD-4TH GRADE CHILDREN TO EAT FIVE SERVINGS OF FRUITS/VEGETABLES PER DAY, SPEND NO MORE THAN TWO HOURS OF RECREATION SCREEN TIME PER DAY, ENGAGE IN PHYSICAL ACTIVITY FOR AT LEAST ONE HOUR PER DAY AND DRINK LESS SUGARY BEVERAGES AND MORE WATER. CHILDREN ARE ALSO TAUGHT ABOUT "GO" FOODS (GOOD TO EAT ALMOST ANYTIME), "SLOW" FOODS (CAN BE EATEN A FEW TIMES PER WEEK) AND "WHOA" FOODS (MAY BE EATEN UP TO A FEW TIMES PER MONTH). VOLUNTEER FACILITATORS LEAD THE SESSIONS AND IN SOME SITES FACILITATE SCHOOL-BASED GARDENS. COOK CHILDREN'S ALSO PROMOTES PHYSICAL ACTIVITY THROUGH OFFERING GONOODLE TO ALL SCHOOL DISTRICTS WITHIN OUR SERVICE REGION. GONOODLE PROVIDES TEACHERS WITH VIDEOS TO PROMOTE PHYSICAL ACTIVITY IN THE CLASSROOM. COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN HOOD AND WISE COUNTIES WORK TO PROMOTE HEALTHY PARENTING PRACTICES BY OFFERING PARENT CAFS USING A CURRICULUM BASED ON NURTURING PARENTING (TRADE-MARKED) AND OTHER EVIDENCE-INFORMED PARENTING PROGRAMS. THE GOAL OF THE PARENT CAF IS TO ENGAGE PARENTS IN BUILDING THE PROTECTIVE FACTORS NEEDED TO PROMOTE HEALTHY OUTCOMES FOR THEIR CHILDREN AND PROVIDE A SUPPORT NETWORK FOR THE PARENTS. VOLUNTEERS ARE TRAINED BY LICENSED PROFESSIONALS ON HOW TO SUCCESSFULLY FACILITATE PARENT DISCUSSIONS. THE COALITIONS DEVELOPED COMPREHENSIVE TOOLKITS FOR PARENT CAF FACILITATORS THAT INCLUDE KEY MESSAGES FOR 14 PARENTING LESSONS, DISCUSSION QUESTIONS, HANDOUTS, SIGN-IN SHEETS AND EVALUAT
PART V, SECTION B, LINE 5 - COOK CHILDREN'S NORTHEAST HOSPITALTHE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, AND 2018). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. METHODOLOGY INCLUDES A SURVEY OF PARENTS OF CHILDREN AGES 0-14, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS. WE ALSO GATHER FEEDBACK FROM COMMUNITY COALITION MEMBERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT SIX CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE PARENT AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2018 HOUSEHOLD SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF PARENTS WITH CHILDREN AGES 0-14 LIVING IN OUR PRIMARY SERVICE REGION (DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (8,249 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL SIX COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 5%). THE SURVEY IS ADMINISTERED THROUGH MAIL AND TELEPHONE 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, 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) CONDUCTED INTERCEPT SURVEYS WITH PARENTS LIVING WITH A CHILD OR CHILDREN ONE OF SEVERAL TARRANT COUNTY HOMELESS SHELTERS (209 COMPLETED SURVEYS). ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,156 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 301 RESPONSES (26% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CCHAPS PROCESSES IN 2012 AND 2015 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY COOK CHILDREN'S CONTINUES TO USE THE 2018 CCHAPS FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS.
PART V, SECTION B, LINE 6A - COOK CHILDREN'S NORTHEAST HOSPITALOTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL
PART V, SECTION B, LINE 6B - COOK CHILDREN'S NORTHEAST HOSPITALEXTERNAL VENDORS USED TO CONDUCT THE CCHAPS SURVEYS INCLUDED ETC INSTITUTE, INC. AND MY HEALTH MY RESOURCES OF TARRANT COUNTY. 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.
PART V, SECTION B, LINE 11 - COOK CHILDREN'S NORTHEAST HOSPITALHOW WE ARE ADDRESSING SIGNIFICANT NEEDS: 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 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 - 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 TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY CCHAPS 2018 FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL CCHAPS 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. COMMUNITY STRATEGY: REDUCE THE IMPACT OF CHILD ABUSE AND NEGLECT THE CENTER FOR PREVENTION OF CHILD ABUSE AND NEGLECT IS HOUSED WITHIN COOK CHILDREN'S CENTER FOR CHILDREN'S HEALTH TO LEAD INITIATIVES TARGETING CHILD ABUSE PREVENTION. THESE INCLUDE A COUNTY-WIDE ADVERSE CHILDHOOD EXPERIENCES (ACES) TASK FORCE WORKING TO DEVELOP AND IMPLEMENT MULTIPLE STRATEGIES FOR REDUCING THE IMPACT OF ACES ON CHILDREN'S HEALTH; AN EVIDENCE-INFORMED TRAINING FOR MEDICAL PROFESSIONALS AND FIRST RESPONDERS TO RECOGNIZE THE SIGNS OF CHILD ABUSE AND KNOW HOW TO RESPOND APPROPRIATELY; A SAFE BABY SLEEP COUNCIL TO PROMOTE CONSISTENT SAFETY MESSAGING FOR NEW PARENTS; AND A WEBSITE SUPPORT PRODUCT FOR SURVIVORS OF ABUSE. THE CENTER ALSO WORKS WITH A LARGER COOK CHILDREN'S HEALTH CARE SYSTEM TEAM TO EXPAND THE PREDICTIVE MAPPING PROJECT TO BETTER FOCUS ON RESOURCE ALLOCATION. COMMUNITY STRATEGY: INCREASE ACCESS TO DENTAL HEALTH SERVICES THE CENTER FOR CHILDREN'S HEALTH LEADS THE CHILDREN'S ORAL HEALTH COALITION (COHC), A COUNTY-WIDE COLLABORATIVE EFFORT TO ADDRESS DENTAL CARE NEEDS FOR UNDERSERVED CHILDREN. COHC FOCUSES ON PROVIDING EDUCATION AND ORAL HYGIENE KITS TO FAMILIES IN PRIORITY ZIP CODES AND HOSTS TRAIN THE TRAINER EVENTS -- 4-HOUR WORKSHOPS FOR COMMUNITY PROFESSIONALS THAT TEACH THEM HOW TO TRAIN PARENTS THEY REGULARLY SERVE ON PROPER ORAL HEALTH CARE FOR INFANTS AND CHILDREN AGES 0-4 YEARS OLD. COHC WORKS TO IMPROVE COMMUNITY COLLABORATION AROUND ORAL HEALTH CARE BY BRINGING TOGETHER THOSE ORGANIZATIONS IN TARRANT COUNTY CONDUCTING LIMITED ORAL EXAMS IN THE SCHOOL SETTING TO REDUCE OVERLAP, DISCUSS COMMON OBSTACLES AND PROMOTE BEST PRACTICES. AND THE COALITION'S LEGISLATIVE ADVOCACY COMMITTEE MONITORS STATE AND NATIONAL LEGISLATIVE ISSUES, ESPECIALLY THOSE SUPPORTING EXPANDED ACCESS TO DENTAL CARE FOR LOW-INCOME CHILDREN. THE CENTER IS ALSO HOME TO SAVE A SMILE, AN INNOVATIVE AND AWARD-WINNING PROGRAM THAT PARTNERS WITH SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN WITH SERIOUS DENTAL DISEASE. APPROXIMATELY 7,000+ CHILDREN IN TARGETED TITLE I SCHOOLS ARE SCREENED AND ASSIGNED A DENTAL HEALTH STATUS TO DETERMINE WHICH CHILDREN NEED TREATMENT PROVIDED BY VOLUNTEER DENTISTS. COMMUNITY HEALTH WORKERS WORK UNDER THE SUPERVISION OF A LICENSED SOCIAL WORKER PROVIDE SOCIAL SERVICES THAT FACILITATE TREATMENT COMPLETION FOR THOSE CHILDREN WITH SERIOUS DENTAL DISEASE. COMMUNITY STRATEGY: INCREASE ACCESS TO ASTHMA HEALTH CARE SERVICES COOK CHILDREN'S OFFICE OF PROFESSIONAL DEVELOPMENT OFFERS EDUCATIONAL RESOURCES TO HELP PARENTS, TEACHERS AND SCHOOL NURSES BETTER UNDERSTAND ASTHMA. ASTHMA-SPECIFIC COMMUNITY COURSES AND LIBRARY RESOURCES ARE OFFERED FOR BOTH PROFESSIONALS AND PARENTS THROUGH OUR PRIMARY WEBSITE (WWW.COOKCHILDRENS.ORG) AND ACCESS TO INFORMATIONAL VIDEOS IS AVAILABLE ON THE CENTER FOR CHILDREN'S HEALTH WEBSITE (WWW.CENTERFORCHILDRENSHEALTH.ORG). IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH IS PILOTING A HEALTHY HOMES PROGRAM DESIGNED TO MITIGATE ASTHMA TRIGGERS IN THE HOME FOR FAMILIES OF CHILDREN SEEN IN THE COOK CHILDREN'S MEDICAL CENTER ER FOR ASTHMA THREE OR MORE TIMES IN A 12-MONTH PERIOD. HEALTHY HOMES USES TRAINED COMMUNITY HEALTH STAFF TO ASSESS HOMES FOR ASTHMA TRIGGERS AND OFFERS REMEDIATION OF THOSE TRIGGERS TO REDUCE ASTHMA EPISODES REQUIRING ER VISITS. COOK CHILDREN'S IS ALSO A KEY PARTNER IN COMMUNITY EFFORTS TO ADDRESS ASTHMA, INCLUDING THE ASTHMA 411 CONSORTIUM. COMMUNITY STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES COOK CHILDREN'S IS A FOUNDING PARTNER OF THE MENTAL HEALTH CONNECTION (MHC) AND CONTINUES TO SUPPORT THIS GROUP FINANCIALLY AND THROUGH STAFF PARTICIPATION. MHC IS A PARTNERSHIP OF HEALTH AND SOCIAL SERVICE ORGANIZATIONS THAT WORKS TO IMPROVE MENTAL HEALTH SERVICES IN TARRANT COUNTY THROUGH COLLABORATION. IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH LEADS THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, A COALITION WORKING TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH MAINTAINING A RESOURCE WEBSITE (WATCHDENTON.ORG), FACILITATING EDUCATIONAL EVENTS FOR PROFESSIONALS, HOSTING AN ANNUAL CHILDREN'S ART EXPRESSION INITIATIVE, AND STRENGTHENING COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. COMMUNITY STRATEGY: INCREASE ACCESS TO RESOURCES FOR IMPROVING GENERAL HEALTH FOR CHILDREN COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT A SCHOOL-BASED WELLNESS EDUCATION PROGRAM CENTERED ON EVIDENCE-BASED APPROACHES (5-2-1-0 LET'S GO! AND COORDINATED APPROACH TO CHILD HEALTH, OR CATCH). THE PROGRAM INCLUDES FOUR EDUCATION SESSIONS DURING THE SCHOOL YEAR TO TEACH 3RD-4TH GRADE CHILDREN TO EAT FIVE SERVINGS OF FRUITS/VEGETABLES PER DAY, SPEND NO MORE THAN TWO HOURS OF RECREATION SCREEN TIME PER DAY, ENGAGE IN PHYSICAL ACTIVITY FOR AT LEAST ONE HOUR PER DAY AND DRINK LESS SUGARY BEVERAGES AND MORE WATER. CHILDREN ARE ALSO TAUGHT ABOUT "GO" FOODS (GOOD TO EAT ALMOST ANYTIME), "SLOW" FOODS (CAN BE EATEN A FEW TIMES PER WEEK) AND "WHOA" FOODS (MAY BE EATEN UP TO A FEW TIMES PER MONTH). VOLUNTEER FACILITATORS LEAD THE SESSIONS AND IN SOME SITES FACILITATE SCHOOL-BASED GARDENS. COOK CHILDREN'S ALSO PROMOTES PHYSICAL ACTIVITY THROUGH OFFERING GONOODLE TO ALL SCHOOL DISTRICTS WITHIN OUR SERVICE REGION. GONOODLE PROVIDES TEACHERS WITH VIDEOS TO PROMOTE PHYSICAL ACTIVITY IN THE CLASSROOM. COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN HOOD AND WISE COUNTIES WORK TO PROMOTE HEALTHY PARENTING PRACTICES BY OFFERING PARENT CAFS USING A CURRICULUM BASED ON NURTURING PARENTING (TRADE-MARKED) AND OTHER EVIDENCE-INFORMED PARENTING PROGRAMS. THE GOAL OF THE PARENT CAF IS TO ENGAGE PARENTS IN BUILDING THE PROTECTIVE FACTORS NEEDED TO PROMOTE HEALTHY OUTCOMES FOR THEIR CHILDREN AND PROVIDE A SUPPORT NETWORK FOR THE PARENTS. VOLUNTEERS ARE TRAINED BY LICENSED PROFESSIONALS ON HOW TO SUCCESSFULLY FACILITATE PARENT DISCUSSIONS. THE COALITIONS DEVELOPED COMPREHENSIVE TOOLKITS FOR PARENT CAF FACILITATORS THAT INCLUDE KEY MESSAGES FOR 14 PARENTING LESSONS, DISCUSSION QUESTIONS, HANDOUTS, SIGN-IN SHEETS AND EVALUAT
PART V, SECTION B, LINE 7ACOMMUNITY HEALTH NEEDS ASSESSMENT: THE ORGANIZATION'S CHNA IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/2015_CHNA_REPOR T_9-27-2016.PDF THE CHNA IS ALSO LOCATED AT THE FOLLOWING OTHER WEBSITE: WWW.CENTERFORCHILDRENSHEALTH.ORG
PART V, SECTION B, LINE 10AIMPLEMENTATION STRATEGY: THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/CHNA-IMPLEMENTA TION-STRATEGIES2015.PDF
PART V, SECTION B, LINES 16A, 16B AND 16CTHE FAP, FAP APPLICATION FORM AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-AS SISTANCE.ASPX
PART V, SECTION D, LINE 2COOK CHILDREN'S NORTHEAST HOSPITAL ELECTED TO CHANGE ITS LICENSE TO AN AMBULATORY SURGICAL CENTER (ASC). THIS CHANGE WAS EFFECTIVE MAY 1, 2018.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CENTER FOR PEDIATRIC SURGERY
7000 W PLANO PARKWAY STE 100PLANOTX75093AMBULATORY SURGERY CENTER
COOK CHILDREN'S NORTHEAST ASC
6313 PRECINCT LINE RDHURSTTX76054AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2WE 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, SECTION A, LINE 3BAD 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, SECTION A, LINE 4FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGE 10 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM.
SCHEDULE H, PART III, SECTION B, LINE 8THE 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, SECTION C, LINE 9BTHE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALITIES, 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 3PATIENT 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 4COMMUNITY INFORMATION COOK CHILDREN'S HEALTH CARE SYSTEM SERVES A SIX-COUNTY PRIMARY SERVICE AREA IN NORTH TEXAS THAT INCLUDES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. THE PRIMARY SERVICE AREA IS HOME TO 834,108 CHILDREN AGES BIRTH TO 18 YEARS, REPRESENTING 29% OF THE TOTAL POPULATION OF 2,849,818 PEOPLE. OF THESE CHILDREN LIVING IN THE PRIMARY SERVICE AREA, 135,706 (16%) LIVE IN HOUSEHOLDS WITH INCOME BELOW POVERTY LEVEL; MORE THAN HALF OF THESE CHILDREN LIVE IN FEMALE HOUSEHOLDER, NO HUSBAND PRESENT HOUSEHOLDS. OF THE TOTAL NUMBER OF CHILDREN, 186,220 (22%) LIVE IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE, OR FOOD STAMPS/SNAP BENEFITS; ABOUT HALF OF THESE CHILDREN ALSO LIVE IN FEMALE HOUSEHOLDER, NO HUSBAND PRESENT HOUSEHOLDS.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: COOK CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF, AND THE GOVERNING BODIES OF THE VARIOUS COMPANIES ARE MADE UP (UNLESS CONSTRAINED BY THE TEXAS MEDICAL PRACTICE ACT) OF VOLUNTARY COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE ORGANIZATION CARES FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE CHILDREN IN APPROPRIATE PROGRAMS TO IMPROVE THEIR ACCESS TO CARE.
SCHEDULE H, PART VI, LINE 6AFFILIATED 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 SCHIP, 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 7TEXAS
SCHEDULE H, PART I, LINE 7, COLUMN (F)BAD DEBT EXPENSE OF $48,723,265 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.
SCHEDULE H, PART I, LINE 6BALTHOUGH COOK CHILDREN'S CONDUCTS A CHNA AND PREPARES A SUMMARY REPORT EVERY THREE YEARS, THE TIMING OF THE DATA COLLECTION, ANALYSIS AND REPORT WRITING PROCESSES SOMETIMES SPAN OVER TWO TAX YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN 2018, AND THE WRITTEN CHNA REPORT IS STILL IN PROCESS AS OF THE DATE OF THIS REPORT IN 2019. THE PREVIOUS CHNA REPORT COMPLETED IN 2015 IS STILL AVAILABLE TO THE PUBLIC ON OUR WEBSITE (WWW.COOKCHILDRENS.ORG/ABOUT/), AND THE NEW 2018 CHNA REPORT WILL BE POSTED BY THE REQUIRED DEADLINE.
SCHEDULE H, PART II, LINES 1-10COMMUNITY BUILDING PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY ("WATCH"). WATCH OF DENTON COUNTY IS A COLLABORATION OF BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO ARE INVESTED IN THE TOTAL WELLNESS OF DENTON COUNTY'S CHILDREN. WATCH CURRENTLY WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES.
SCHEDULE H, PART I, LINE 7IN FYE THE CENTER FOR CHILDREN'S HEALTH LED 693 HEALTH OUTREACH EVENTS SERVING OVER 25,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM CCHAPS, WHICH ENCOMPASSES: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY THROUGH OUR COALITIONS AND COLLABORATIONS WE ENGAGE COMMUNITY PARTNERS AND VOLUNTEERS TO HELP US REACH CHILDREN AND FAMILIES IN NEED THROUGH OUTREACH ACTIVITIES THAT SUPPORT SUSTAINABLE SOLUTIONS WITHIN THE COMMUNITY. IN FY18 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 6,400 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDRENS HEALTH, TOTALING A VALUE OF $223,256. OUT OF OUR 693 HEALTH OUTREACH EVENTS, OVER 400 OF THOSE WERE COALITION, WORKGROUP, AND STAKEHOLDER MEETINGS THAT WE LED THROUGH OUR COLLABORATIONS BELOW: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - 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 TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY SELECTED HIGHLIGHTS OF OUR WORK IN FY18 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - 2,396 DENTAL PROCEDURES VALUED AT $316,683 PROVIDED TO CHILDREN WITH DENTAL DISEASE. - CAR SEAT INSTALLATION EDUCATION RESULTING IN 1,358 CHILDREN RIDING SAFER IN CARS, AND NEW CAR SEATS FOR 943 OF THOSE CHILDREN. - 2,036 CHILDREN EDUCATED ON PROPER NUTRITION AND HEALTHY LIFESTYLES INFORMATION. - OVER 60 COMMUNITY MEMBERS TRAINED TO TEACH FAMILIES PROPER CARE FOR THEIR CHILDRENS TEETH.
SCHEDULE H, PART I, LINE 3CCOOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUEFORT WORTHTX76104752485366501(C)(3)$61,079,106SUBSIDIZE OPERATIONS
EAST TEXAS MEDICAL CENTER
PO BOX 131000TYLERTX75713751803327501(C)(3)$1,250,000SPONSOR
HENDRICK MEDICAL CENTER
PO BOX 3117ABILENETX79604750827446501(C)(3)$1,300,000SPONSOR
WARM PLACE
809 LIPSCOMB STREETFORT WORTHTX76104752220859501(C)(3)$10,000SPONSOR
MARCH OF DIMES
555 HEMPHILL STFORT WORTHTX76104131846366501(C)(3)$15,000SPONSOR
RONALD MCDONALD HOUSE
1001 8TH AVEFORT WORTHTX76104751754490501(C)(3)$10,000SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (12 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Transportation1659$56,385
LODGING323$48,389
Gift Cards274$15,162
UTILITIES26$7,979
MEALS591$9,240
MEDICATION1728$119,163
BABY SUPPLIES50$3,365
FUNERAL3$2,345
MEDICAL EQUIPMENT6$2,321
LEGAL1$2,000
INSURANCE2$1,648
OTHER4$1,210

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE US: THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICK W MERRILL
CHIEF EXECUTIVE OFFICER$297,537$765,094$134,281$345,295$246,119$632,877$53,684$138,046$6,838$17,584$738,459$1,898,896$226,800$583,200
CHERYL PETERSEN
VP NURSING/CNO$227,194$0$78,164$0$21,988$0$17,579$0$12,528$0$357,453$0$0$0
ROSANNE THURMAN
DIRECTOR, PHARMACY$172,210$0$19,123$0$3,884$0$12,111$0$5,186$0$212,514$0$0$0
NANCY C CYCHOL
PRESIDENT/CHIEF HOSPITAL SVCS$574,059$0$233,782$0$70,733$0$20,250$0$17,358$0$916,182$0$0$0
STANLEY E DAVIS
CHIEF OPERATING OFFICER$255,118$0$89,014$0$32,166$0$18,861$0$28,022$0$423,181$0$0$0
STEPHEN W KIMMEL
CFO$208,121$312,183$112,413$168,618$18,482$27,721$31,855$47,782$9,952$14,926$380,823$571,230$0$0
GEORGE B MONTAGUE
VP REAL ESTATE$0$164,309$0$0$0$86,404$0$14,065$0$11,583$0$276,361$0$0
JACK SOSEBEE
VICE PRESIDENT$204,465$0$64,119$0$4,592$0$20,250$0$16,484$0$309,910$0$0$0
ORLANDO CHAPA
AVP NURSING$182,263$0$40,387$0$9,221$0$17,045$0$9,571$0$258,487$0$0$0
BRADLEY HORN
PHARMACIST II$185,013$0$500$0$3,872$0$12,409$0$10,580$0$212,374$0$0$0
CARA MARTZ
SECRETARY$0$100,505$0$34,068$0$5,739$0$7,222$0$15,611$0$163,145$0$0
SPENCER SEALS
VP CONSTRUCTION & REAL ESTATE$0$107,229$0$14,360$0$5,265$0$8,388$0$25,295$0$160,537$0$0
DIANA SHANNON
RNFA, CV SVC COORDINATOR$213,100$0$2,500$0$2,603$0$4,470$0$18,987$0$241,660$0$0$0
TAMMY THOMLISON
AVP, REVENUE CYCLE$194,702$0$34,041$0$3,533$0$8,842$0$1,208$0$242,326$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 4BPARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- -------- -------- RICK W. MERRILL 828,000 174,855 CCHS STEPHEN KIMMEL 18,000 68,837 CCHS NANCY C. CYCHOL 18,000 NONE CCMC STANLEY E. DAVIS 18,000 NONE CCMC CHERYL PETERSON 18,000 NONE CCMC
SCHEDULE J, PART IIALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO 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 PHYCISIAN NETWORK CHILD STUDY CENTER
SCHEDULE J, PART I, QUESTION 1ABRADLEY HORN $125 GROSS-UP CHARTER AIR TRAVEL PROVIDED TO DIANA SHANNON FOR BUSINESS TRAVEL TO PERFORM MEDICAL SERVICES.
SCHEDULE J, PART I, QUESTIONS 1A & 1BGENERAL GROSS UP PAYMENTS DISCLOSURE 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 SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS.
SCHEDULE J, PART I, QUESTION 3METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART I, LINE 4AGEORGE B. MONTAGUE RECEIVED $62,192 IN SEVERANCE PAYMENT DURING THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
A751881060875906MV82007-06-27$52,156,976REFUNDING BONDS 2000 & 2005Yes (true)falsefalse
BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP
B742218760078027HW22007-06-27$17,523,594REFUNDING BONDS ISSUED 7/19/2000Yes (true)falsefalse
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
C751881060875906NY12010-02-24$231,948,097DEVELOPMENT, CONSTR, EQUIPMENT COSfalsefalsefalse
TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINAN
D04383355187638QJC42013-08-01$71,222,592REFUNDING PORTION OF 2010 BOND SERfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$51,045,000$52,156,976$0$0$50,833,752$672,932$650,292$0$0$0$02007Yes (true)falseYes (true)Yes (true)
B$7,670,000$9,580,000$17,523,594$0$0$17,116,642$229,475$177,477$0$0$0$02007falseYes (true)Yes (true)Yes (true)
C$105,085,000$0$232,805,916$0$0$0$2,686,446$0$0$230,119,470$0$02011falsefalseYes (true)Yes (true)
D$0$0$71,222,592$0$0$70,145,003$1,077,553$0$0$0$0$02013Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndTotal Private Business UseTotalPrivateBusinessUsePct
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
CfalseYes (true)falsefalse0.00260Yes (true)falsefalseYes (true)0.00260
Dfalsefalsefalsefalse0.00080Yes (true)falsefalseYes (true)0.00080

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalse0falseYes (true)
BANK OF AMERICA NA
CfalseYes (true)Yes (true)Yes (true)false0falseYes (true)21.25Yes (true)false
0
DfalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, COLUMN A & B, LINE 2CNO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 6/27/2012.
PART IV, COLUMN D, LINE 2CNO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 2/4/2014.
PART III, LINE 7, COLUMNS C & DFOR THE PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS."
PART II, COLUMN C, LINE 3TOTAL PROCEEDS OF ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
PART IV, COLUMN C, LINE 2CNO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 2/4/2014.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043833551BondIssuerEIN
CUSIP87638QKX6CUSIPNum
Bond Issued2014-02-28BondIssuedDt
Issue Price$176,767,688IssuePriceAmt
PurposeCONSTRUCTION AND EQUIPMENT COSTSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$9,875,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$177,571,593TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$1,755,350IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$176,023,031CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COLUMN A, LINE 3 (2014 ISSUE)TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
PART IV, COLUMN A, LINE 2C (2014 ISSUE)NO REBATE DUE THE REBATE COMPUTATION WAS PERFORMED AS OF 3/22/2017.
PART III, COLUMN A, LINE 7 (2014 ISSUE)FOR THE PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUE DESCRIBED IN COLUMN A (2014 ISSUE). HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMN A (2014 ISSUE) IS LESS THAN 5%, SO THAT THE BOND ISSUE FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS."

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES.
FORM 990, PART VI, SECTION A, LINE 6SOLE MEMBER: COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMEMBER ELECTION ABILITIES: 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, SECTION A, LINE 7BMEMBER DECISION ABILITIES: 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, SECTION B, LINE 11BREVIEW PROCESS FOR FORM 990: 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 PRESENTED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO 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, SECTION B, LINE 12CWRITTEN 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. 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 HOT-LINE 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, SECTION B, LINE 15A & 15BREVIEW AND APPROVAL OF COMPENSATION: COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION, WHICH INCLUDES THE ORGANIZATION'S CEO AND 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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. 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, SECTION C, LINE 19PROCESS OF MAKING GOVERNING 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 SECRETARY OF STATE OF TEXAS. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE.
FORM 990 PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFERS BETWEEN AFFILIATES $ 60,000,000 INTEREST RATE SWAP ADJUSTMENT ($ 2,296,197) --------------- $ 57,703,803

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCSYes (true)
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752056149FUNDRAISINGTX501(C)(3)7NAfalse
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFT WORTHTX76104752896983HEALTHCARETX501(C)(3)10CCHCSYes (true)
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVEFORT WORTHTX76104752705881HLTH CARE SUPTX501(C)(3)12CCCHFfalse
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)10CCHCSYes (true)
ROSEDALE OFFICE BUILDING INC
1500 W ROSEDALEFORT WORTHTX76104460866421TITLE HOLDINGTX501(C)(2)N/ACCHFfalse
CHILD STUDY CENTER
1300 W LANCASTERFORT WORTHTX76102751099536HLTHCARE SRVCTX501(C)(3)7CCMCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
COOK CHILDREN'S NORTHEAST HOSPITAL
11221 ROE AVE SUITE 320LEAWOODKS66211205227064HOSPITALTXNARELATED$4,283,518$3,995,978false$0Yes (true)0.58959
CENTER FOR PEDIATRIC SURGERY
11221 ROE AVE SUITE 320LEAWOODKS66211470871715ASCTXNARELATED$6,778,540$12,746,895false$0false0.52099
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320LEAWOODKS66211470871718ASCTXNARELATED$34,348$98,770false$0Yes (true)0.52342

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 7TH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
EIN454024843EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHCSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
S$4,729,604FMV
CENTER FOR PEDIATRIC SURGERY LTD
S$7,710,610FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O$89,375,014FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A$1,468,725FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R$1,444,722FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q$400,604FMV
COOK CHILDREN'S HOME HEALTH
P$154,234FMV
COOK CHILDREN'S HOME HEALTH
R$2,721,103FMV
COOK CHILDREN'S HEALTH PLAN
S$104,231,430FMV
COOK CHILDREN'S HEALTH PLAN
Q$73,253FMV
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
J$2,370,700FMV