STRATEGY STUDIO / PUBLIC DATA EXPLORER

COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-14
IRS object ID
201842269349301039
Schema version
2016v3.1
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)
Return2018-08-14T15:05:03-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12700 Post Oak Blvd Ste 1500AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

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
ZIP76104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCORY RHOADESPersonNm
Person TitleSENIOR VP-FINANCEPersonTitleTxt
Signature2018-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmanda MayaPreparerPersonNm
PTINP01067777PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
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$1,020,865,442GrossReceiptsAmt
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 Employee4955TotalEmployeeCnt
Total Volunteers1019TotalVolunteersCnt
Total Gross UBI$12,988TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$9,867NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,795,542PYContributionsGrantsAmt
CY Contributions Grants$18,637,345CYContributionsGrantsAmt
PY Program Service Revenue$944,720,900PYProgramServiceRevenueAmt
CY Program Service Revenue$1,000,649,270CYProgramServiceRevenueAmt
PY Investment Income$607,034PYInvestmentIncomeAmt
CY Investment Income$398,647CYInvestmentIncomeAmt
PY Other Revenue$1,988,001PYOtherRevenueAmt
CY Other Revenue-$626,364CYOtherRevenueAmt
PY Total Revenue$957,111,477PYTotalRevenueAmt
CY Total Revenue$1,019,058,898CYTotalRevenueAmt
PY Grants And Similar Paid$64,956,501PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$78,384,438CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$326,571,650PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$352,354,031CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$368,463,234PYOtherExpensesAmt
CY Other Expenses$428,461,315CYOtherExpensesAmt
PY Total Expenses$759,991,385PYTotalExpensesAmt
CY Total Expenses$859,199,784CYTotalExpensesAmt
PY Revenues Less Expenses$197,120,092PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$159,859,114CYRevenuesLessExpensesAmt
Total Assets BOY$1,118,765,172TotalAssetsBOYAmt
Total Assets EOY$1,153,835,594TotalAssetsEOYAmt
Total Liabilities BOY$526,989,012TotalLiabilitiesBOYAmt
Total Liabilities EOY$509,289,156TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$591,776,160NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$644,546,438NetAssetsOrFundBalancesEOYAmt
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$628,131,905ExpenseAmt
Grant$78,384,438GrantAmt
Revenue$998,886,979RevenueAmt
DescCOOK CHILDREN'S MEDICAL CENTER (MEDICAL CENTER) IS THE CORNERSTONE OF COOK CHILDRENS HEALTH CARE SYSTEM. IT IS 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. IN RESPONSE TO THE CURRENT PRESSURE ON KEY DEPARTMENTS, THE 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 HAS EIGHT-LEVELS AND IS 314,000 SQUARE FEET. LEVEL ONE: COOK CHILDRENS EMERGENCY DEPARTMENT CURRENTLY SEES MORE THAN 120,000 PATIENTS A YEAR. THE NEWLY RENOVATED AND EXPANDED NENETTA BURTON CARTER EMERGENCY DEPARTMENT, WHICH OPENED IN 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 INTAKE ROOMS, 70 GENERAL EXAM ROOMS, TWO GENERAL X-RAY ROOMS AND 1 NEW CT ROOM. THE SOUTH MAIN TOWER INCLUDES A GRAB 'N' GO FOR FAMILIES AND STAFF AS WELL AS A LOUNGE WITH VIEWS AND ACCESS TO THE 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. THE FLOOR-TO-FLOOR HEIGHT WAS INCREASED TO 18 FEET TO ACCOMMODATE MODERN BUILDING SYSTEMS AND TECHNOLOGY. THE 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 THE HEART CENTER, WITH TWO CARDIOVASCULAR OPERATING ROOMS, TWO CARDIAC CATH LABS, A 14-BED CVICU AND A 1,000 SQUARE FEET ENCLOSED CORRIDOR CONNECTING TO A 15-BED STEP-DOWN UNIT IN THE MAIN HOSPITAL. THE FAMILY WAITING ROOM HAS VIEWS AND ACCESS TO ONE OF TWO ROOFTOP GARDEN TERRACES. LEVELS FOUR AND FIVE: LEVEL FOUR HAS AN ECHOCARDIOGRAM SUITE, BUT IS MAINLY 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 CHILDREN'S 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 CHILDREN'S 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 CHILDREN'S IS THEIR SECOND HOME. WHETHER THEY ARE HERE FOR A VISIT OR A LENGTHY STAY, THE MEDICAL CENTER PROVIDES RESOURCES TO HELP MAKE THEIR TIME AT COOK CHILDREN'S MORE COMFORTABLE. BOMAR LIBRARY - LOCATED IN THE CHILD LIFE ZONE, THE LIBRARY OFFERS: - BOOKS FOR ALL AGES. - BOOKS AVAILABLE FOR CHECK-OUT FOR ALL INPATIENTS AND THEIR SIBLINGS. - 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. THERE IS ALWAYS A LIBRARIAN, CHILD LIFE SPECIALIST OR VOLUNTEER AVAILABLE TO ASSIST WITH THE BOOKS, GAMES AND PUZZLES, AS WELL AS TO PROVIDE SCHEDULES FOR LIBRARY EVENTS. BUILD-A-BEAR WORKSHOP: COOK CHILDREN'S 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 - A SPECIALLY DESIGNED PEAK'S THE DRAGON - COOK CHILDREN'S MASCOT - TEDDY BEAR TRANSPORT BEAR-SIZED T-SHIRTS CAMELOT COURT: COOK CHILDREN'S CAFETERIA IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER. CAMELOT COURT OFFERS A CHICK-FIL-A, INTERNATIONAL CUISINE, PIZZA, HOMESTYLE COOKING, A SALAD BAR, GRILL AND DELI. CHILD LIFE ZONE: THE CLZ IS A STATE-OF-THE ART ENVIRONMENT THAT LETS KIDS AND TEENS GET AWAY FROM THE HOSPITAL SETTING AND JUST BE A KID. GAMES, ART, MUSIC, CREATIVITY AND IMAGINATION ARE GREAT THERAPY AND DELIVER A BIG 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 AND CHILDRENS MANICURES - PEDICURES AND CHILDRENS PEDICURES PLAY AREA AND GARDENS: PLAY AREAS AND GARDENS AT COOK CHILDREN'S 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, THERE IS A SPECIAL PLACE FOR QUIET MEDITATION OR RELAXATION WHEN YOU 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: THE 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 - SORBET, INCLUDING THREE NO-ADDED-SUGAR FLAVORS - OVER 40 YUMMY TOPPINGS - 23 VARIETIES OF CANDY INCLUDING SUGAR-FREE, NO-ADDED SUGAR, GLUTEN-FREE AND PROBIOTIC OPTIONS. TRANSPORT: COOK CHILDREN'S MEDICAL CENTER IS SUPPORTED BY ONE OF THE LARGEST NEONATAL/PEDIATRIC TRANSPORT PROGRAMS IN THE NATION, TEDDY BEAR TRANSPORT, WHICH BRINGS MORE THAN 4,000 CHILDREN TO THE MEDICAL CENTER ANNUALLY. SERVICES INCLUDE FIVE AMBULANCES, ONE HELICOPTER, ONE FIXED-WING AIRPLANE, AND ONE JET. COOK CHILDREN'S TEDDY BEAR TRANSPORT HAS A STAFF OF 76 CONSISTING OF CROSS-TRAINED NEONATAL/PEDIATRIC NURSES, RESPIRATORY THERAPISTS, PILOTS, MECHANICS, PARAMEDICS AND COMMUNICATION SPECIALISTS. THEY ARE PROUD TO HAVE MORE THAN 500 COMBINED YEARS OF TRANSPORT EXPERIENCE. THIS TEAM IS DEDICATED TO GETTING THE MOST MEDICALLY FRAGILE CHILDREN AND NEONATES TO OUR AWARD-WINNING MEDICAL CENTER QUICKLY AND SAFELY. OUR TRANSPORT VEHICLES INCLUDE A KING AIR B200 TWIN ENGINE CRITICAL CARE TRANSPORT AIRPLANE AND AN ENCORE + CESSNA CITATION 560 TWIN ENGINE JET, AN AMERICAN EUROCOPTER 145 HELICOPTER AND FIVE AMBULANCES. EACH MEANS OF TRANSPORT IS EQUIPPED TO CARRY CRITICAL CARE PATIENTS AND FEATURES NEONATAL/PEDIATRIC-ORIENTED TECHNOLOGY. THE TEAM ALSO HAS THE CAPABILITY TO TRANSPORT PATIENTS ON ECMO. THE TEAM BEGINS GIVING CARE TO PATIENTS IMMEDIATELY UPON ARRIVAL TO THEIR LOCATION, BRINGING COOK CHILDREN'S TO OUR REFERRING FACILITIES. NICU: COOK CHILDREN'S NATIONALLY RECOGNIZED LEVEL IV NICU, DESIGNATED BY THE STATE OF TEXAS, PROVIDES THE HIGHEST LEVEL OF CARE FOR OUR TINY PATIENTS. LEVEL IV NICUS MAINTAIN A FULL RANGE OF ON-SITE PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALISTS AND PEDIATRIC ANESTHESIOLOGISTS. COOK CHILDREN'S IS ONE OF ONLY A HANDFUL OF NICUS NATIONWIDE TO PROVIDE SINGLE PATIENT ROOMS. 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. THESE TINY PATIENTS ARE SHOWN TO GROW BETTER, GET MORE OXYGEN AND GO HOME QUICKER. COOK CHILDREN'S ALL-SINGLE ROOM NICU WAS THE LARGEST IN THE NATION AT THE TIME OF COMPLETION, AND ONE OF THE FEW ABLE TO ACCOMMODATE TWINS, TRIPLETS AND EVEN QUADS IN A SINGLE ROOM. TRAUMA: COOK CHILDREN'S IS A DESIGNATED LEVEL II TRAUMA CENTER STAFFED AND EQUIPPED TO PROVIDE COMPREHENSIVE RESUSCITATIODesc
Total Program Service Expenses$628,131,905TotalProgramServiceExpensesAmt
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
Report Investments Other SecfalseReportInvestmentsOtherSecInd
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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Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
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Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
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 Document215IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4955EmployeeCnt
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN P BOSWELL
TRUSTEE-CHAIRMAN2.02.0Yes (X)Yes (X)$0$0$0
ANDREW S WAYNE
TRUSTEE/VICE-CHAIRMAN2.00.0Yes (X)Yes (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 LAWHON
TRUSTEE1.01.0Yes (X)$0$0$0
BONNIE PETSCHE
TRUSTEE1.04.0Yes (X)$0$0$0
PETER L PHILPOTT
TRUSTEE1.03.0Yes (X)$0$0$0
BILLIE R PUGH JR MD
TRUSTEE1.01.0Yes (X)$0$0$0
RYAN SENTER
TRUSTEE1.00.0Yes (X)$0$0$0
GARY G WALSH
TRUSTEE1.00.0Yes (X)$0$0$0
RICK W MERRILL
CHIEF EXECUTIVE OFFICER12.028.0Yes (X)$475,433$1,109,349$207,971
CHERYL PETERSEN
VP-NURSING/CNO40.00.0Yes (X)$324,379$0$19,040
NANCY C CYCHOL
PRESIDENT40.00.0Yes (X)$852,313$0$41,634
STAN E DAVIS
V PRESIDENT-SUPPORT SVCS40.00.0Yes (X)$345,760$0$51,124
STEPHEN W KIMMEL
CFO20.020.0Yes (X)$375,247$390,562$111,103
GEORGE B MONTAGUE
V PRESIDENT-REAL ESTATE1.039.0Yes (X)$0$338,122$46,439
JACK SOSEBEE
VICE PRESIDENT40.00.0Yes (X)$237,198$0$36,699
CARA MARTZ
SECRETARY1.039.0Yes (X)$0$129,249$21,196
FEMILIA SKARIA
MANAGER, PHARMACY OPERATIONS40.00.0$190,634$0$21,292Yes (X)
ROSANNE THURMAN
DIRECTOR, PHARMACY40.00.0$191,203$0$27,912Yes (X)
ORLANDO CHAPA
AVP - NURSING40.00.0$224,358$0$27,600Yes (X)
BRADLEY HORN
PHARMACIST II40.00.0$185,676$0$30,965Yes (X)
TAMMIE SIBLEY
AVP - FINANCE40.00.0$235,067$0$40,656Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,637,268TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,967,282TotReportableCompRltdOrgAmt
Total Other Compensation$683,631TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K277IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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$73,486,041
DEERFIELD IMAGING
5101 SHADY OAK RDMINNETONKAMN55343IMAGING SERVICES$5,839,960
MEDTRONIC
PO BOX 848086DALLASTX75284MED SUPPLY SERVICES$4,401,006
METRO AVIATION
PO BOX 7008SHREVEPORTLA71137AIRCRAFT MAINTENANCE$2,753,955
CALLISONRTKL ASSOCIATES INC
PO BOX 402336ATLANTAGA30384CONSTR CONTRACTOR$3,303,227
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K91CntrctRcvdGreaterThan100KCnt
Related Organizations$17,705,076RelatedOrganizationsAmt
Government Grants$819,409GovernmentGrantsAmt
All Other Contributions$112,860AllOtherContributionsAmt
Total Contributions$18,637,345TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$910,346,688$910,346,688
OTHER OPERATING REVENUE621110$77,683,663$77,683,663
JOINT VENTURE REVENUE621110$12,605,592$12,605,592
PHARMACY SERVICES621110$13,327$13,327
FieldValueIRS element (for citing)
Total Program Service Revenue$1,000,649,270TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,197TotalRevenueColumnAmt
Unrelated Business Revenue-$339UnrelatedBusinessRevenueAmt
Exclusion$242,536ExclusionAmt

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$2,942,132RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,806,544RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,135,588RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,135,588TotalRevenueColumnAmt
Exclusion$1,135,588ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$156,450OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$156,450OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$156,450TotalRevenueColumnAmt
Exclusion$156,450ExclusionAmt
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

FieldValueIRS element (for citing)
DescCCIC RETRO PREMIUMDesc
Business621110BusinessCd
Total Revenue Column-$1,761,952TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,761,952RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$1,761,952OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,019,058,898TotalRevenueColumnAmt
Related Or Exempt Func Income$998,873,991RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$12,988UnrelatedBusinessRevenueAmt
Exclusion$1,534,574ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$78,055,418TotalAmt
Program Services$78,055,418ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$329,020TotalAmt
Program Services$329,020ProgramServicesAmt

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$3,218,806TotalAmt
Management And General$3,218,806ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$261,234,054TotalAmt
Program Services$234,167,092ProgramServicesAmt
Management And General$27,066,962ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$87,901,171TotalAmt
Program Services$79,390,549ProgramServicesAmt
Management And General$8,510,622ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$138,664,473TotalAmt
Program Services$3,088,123ProgramServicesAmt
Management And General$135,576,350ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$44,107TotalAmt
Management And General$44,107ManagementAndGeneralAmt

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$23,173,825TotalAmt
Program Services$17,559,682ProgramServicesAmt
Management And General$5,614,143ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,787TotalAmt
Program Services$47,230ProgramServicesAmt
Management And General$12,557ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,886,422TotalAmt
Program Services$3,868,050ProgramServicesAmt
Management And General$4,018,372ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,558,798TotalAmt
Program Services$6,644,500ProgramServicesAmt
Management And General$8,914,298ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,233,926TotalAmt
Program Services$1,103,513ProgramServicesAmt
Management And General$130,413ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$492,437TotalAmt
Program Services$404,304ProgramServicesAmt
Management And General$88,133ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,354,832TotalAmt
Program Services$18,302,439ProgramServicesAmt
Management And General$52,393ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,356,372TotalAmt
Program Services$36,188,190ProgramServicesAmt
Management And General$13,168,182ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,670,335TotalAmt
Program Services$1,670,335ProgramServicesAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$93,426,138$93,426,138
BAD DEBT EXPENSE$29,987,219$29,987,219
MINOR/COMPUTER EQUIPMENT$16,896,414$2,272,196$14,624,218
PHYSICIAN REMUNERATION$9,147,326$8,702,585$444,741

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,508,904TotalAmt
Program Services$12,925,322ProgramServicesAmt
Management And General$9,583,582ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$859,199,784TotalAmt
Program Services$628,131,905ProgramServicesAmt
Management And General$231,067,879ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,528BOYAmt
EOY$15,659EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$280,508,238BOYAmt
EOY$287,694,680EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$104,099,531BOYAmt
EOY$117,828,348EOYAmt

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$8,959,532BOYAmt
EOY$10,333,439EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$148,578BOYAmt
EOY$119,818EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,088,148,071LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$404,475,567LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$662,849,439BOYAmt
EOY$683,672,504EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,243,099BOYAmt
EOY$6,661,639EOYAmt

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$23,296,577BOYAmt
EOY$15,864,857EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,118,765,172BOYAmt
EOY$1,153,835,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,645,090BOYAmt
EOY$71,837,767EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$33,061BOYAmt
EOY$41,297EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$453,178,090BOYAmt
EOY$435,667,475EOYAmt

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$2,132,771BOYAmt
EOY$1,742,617EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$526,989,012BOYAmt
EOY$509,289,156EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$591,776,160BOYAmt
EOY$644,546,438EOYAmt

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$591,776,160BOYAmt
EOY$644,546,438EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,118,765,172BOYAmt
EOY$1,153,835,594EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$159,859,114ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$107,088,836OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$90,534,565BeginningYearBalanceAmt
Contributions$29,553ContributionsAmt
Investment Earnings Or Losses$9,201,059InvestmentEarningsOrLossesAmt
Other Expenditures$42,925,787OtherExpendituresAmt
End Year Balance$56,839,390EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.42000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.55000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03000TermEndowmentBalanceEOYPct
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$807,451,181OtherCostOrOtherBasisAmt
Depreciation$241,621,680DepreciationAmt
Book Value$565,829,501BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,286,430OtherCostOrOtherBasisAmt
Depreciation$4,016,767DepreciationAmt
Book Value$269,663BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$238,030,282OtherCostOrOtherBasisAmt
Depreciation$153,844,567DepreciationAmt
Book Value$84,185,715BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,899,858OtherCostOrOtherBasisAmt
Depreciation$4,992,553DepreciationAmt
Book Value$19,907,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$683,672,504TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
EST. PAYABLE (THIRD PARTY)$1,845,434
DUE TO/FROM AFFILIATES-$102,817
FieldValueIRS element (for citing)
Total Liability$1,742,617TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,024,458,521TotalRevEtcAuditedFinclStmtAmt
Other Revenue$15,623,019OtherRevenueAmt
Revenue Not Reported$15,623,019RevenueNotReportedAmt
Revenue Subtotal$1,008,835,502RevenueSubtotalAmt
Other Revenues Not Included$10,223,396OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$10,223,396RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,019,058,898TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$862,985,827TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,773,262OtherExpensesIncludedAmt
Expenses Not Reported$33,773,262ExpensesNotReportedAmt
Expenses Subtotal$829,212,565ExpensesSubtotalAmt
Other Expenses Not Included$29,987,219OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$29,987,219ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$859,199,784TotalExpensesPerForm990Amt

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 $42,849,483 INTEREST RATE SWAP ADJUSTMENT $ 2,911,164 BAD DEBT DEDUCTION FROM REVENUE ($29,987,219) NE LOSS ON SALE OF ASSET (IN AUDIT EXP) $ 6,041 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 156,450) ------------- TOTAL $15,623,019
SCHEDULE D, PART XI, LINE 4DRECONCILIATION OF AUDITED REVENUE TO FORM 990 REVENUE: CONTRIBUTION FROM HS RECORDED TO NET ASSETS $12,029,940 RENT EXPENSE ($ 1,806,544) ------------- TOTAL $10,223,396
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $42,849,482 MINORITY INTEREST ($10,732,355) RENT EXPENSE $ 1,806,544 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 156,450) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) $ 6,041 ------------- TOTAL $33,773,262
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 $29,987,219

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$5,926,245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,926,245NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$405,885,961TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$326,809,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,076,258NetCommunityBenefitExpnsAmt
Total Expense0.09500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$411,812,206TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$326,809,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$85,002,503NetCommunityBenefitExpnsAmt
Total Expense0.10200TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,462,549TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,462,549NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,674TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$107,761DirectOffsettingRevenueAmt
Net Community Benefit Expns$169,913NetCommunityBenefitExpnsAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$482,488TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$547,776DirectOffsettingRevenueAmt
Net Community Benefit Expns-$65,288NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,676,985TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72,676,985NetCommunityBenefitExpnsAmt
Total Expense0.08800TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,899,696TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$655,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,244,159NetCommunityBenefitExpnsAmt
Total Expense0.09100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$487,711,902TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$327,465,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$160,246,662NetCommunityBenefitExpnsAmt
Total Expense0.19300TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,288TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,288NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,234TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,234NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,522TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,522NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$32,788,969BadDebtExpenseAmt
Reimbursed By Medicare$5,209,292ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,108,280CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,898,988MedicareSurplusOrShortfallAmt

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 Ownership0.57OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.3464PhysiciansProfitOrOwnershipPct
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 CareFPGFamilyIncmLmtDscntCarePctExplained 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 ActivitiesCollectionActivitiesIndOther Actions TakenOtherActionsTakenIndNondis 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 (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 (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 (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 (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5 - COOK CHILDREN'S MEDICAL CENTERINPUT FROM THE COMMUNITY: DATA SOURCES THAT INFORMED THE WORK OF BUILDING COMMUNITY CAPACITY INCLUDED: COOK CHILDRENS COMMUNITY-WIDE CHILDRENS HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) CONDUCTED IN 2009 WHICH INCLUDED A HOUSEHOLD SURVEY OF THE STATUS OF CHILDRENS HEALTH AGES 0-14 (7,439 COMPLETED SURVEYS), A COMMUNITY LEADER SURVEY, SECONDARY DATA REVIEW, AND MULTIPLE FOCUS GROUPS. CCHAPS GEOGRAPHIC SCOPE INCLUDES COOK CHILDRENS PRIMARY SERVICE AREA: DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. IN 2012 AND 2015 CCHAPS DATA WERE UPDATED AND INCLUDED A PARENT SURVEY (8,394 COMPLETED SURVEYS IN 2012 AND 8,661 IN 2015) AND ONE-ON-ONE SURVEY INTERVIEWS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER. THE RESULTS OF THE SURVEYS ARE COMPARED EACH YEAR TO SEE HOW CHILDRENS HEALTH IN THE REGION CHANGES. FOCUS GROUPS WERE CONDUCTED IN 2012 WITH THE CHILDREN OF PARENTS WHO PARTICIPATE IN THE SURVEY TO PROVIDE FURTHER INFORMATION ABOUT SURVEY FINDINGS IN PARTNERSHIP WITH COOK CHILDRENS CHILD LIFE SPECIALISTS. A COMMUNITY LEADER SURVEY AND SPECIAL REPORTS ON PARENTING PRACTICES IN HOOD AND WISE COUNTIES BASED ON ADDITIONAL CCHAPS SURVEYS WERE CONDUCTED IN 2012 AND 2013. CCHAPS DATA THAT INFORMED COMMUNITY BUILDING EFFORTS IN FY 2017 INCLUDED INFORMATION ON MENTAL HEALTH, ORAL HEALTH, SAFETY RELATED TO ACCIDENTAL INJURY, HEALTH STATUS OF HOMELESS CHILDREN, CHILDHOOD OBESITY, ASTHMA, CHILD MALTREATMENT AND NEGLECT, AND IMMUNIZATIONS. INJURY PREVENTION DATA FROM SAFE KIDS WORLD WIDE; WEB-BASED INJURY STATISTICS QUERY AND REPORTING SYSTEM; COMMUNITY NEEDS INDEX WHICH IDENTIFIES THE HIGHEST HEALTHCARE NEED AREAS BASED ON GEOGRAPHIC AREAS IN TARRANT COUNTY; AND COOK CHILDRENS TRAUMA DATA AND MEDITECH DATA REPOSITORY. ORAL HEALTH DATA FROM THE CHILDRENS ORAL HEALTH COALITION SURVEYS (2014); SURVEY OF PARENTS WITH CHILDREN RECEIVING OUTPATIENT SURGICAL DENTAL CARE (2012 AT COOK CHILDRENS). HEALTH NEEDS OF CHILDREN IN EMERGENCY SHELTERS IDENTIFIED BY COMMUNITY LEADERS, SHELTER STAFF, DATA FROM COOK CHILDRENS PHYSICIAN NETWORK, COOK CHILDRENS CASE MANAGEMENT SERVICES, DESCRIPTIVE STUDIES FROM COOK CHILDRENS MEDITECH DATA REPOSITORY AND CCHAPS DATA. CHILD ABUSE DATA FROM CENTERS FOR DISEASE CONTROL AND PREVENTION (2010), TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES FY2016 ANNUAL REPORT AND DATA BOOK AND THE NATIONAL INSTITUTE OF MENTAL HEALTH (2009). THE CENTER FOR CHILDRENS HEALTH NOT ONLY CONDUCTS CCHAPS BUT ALSO ANALYZES THIS HEALTH INFORMATION. THE ASSESSMENT AND ANALYSIS ARE CRITICAL IN HELPING TO ACHIEVE COOK CHILDREN'S PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION. THE DATA IS DISSEMINATED IN MULTIPLE WAYS THROUGHOUT THE REGION. IN FY 2017 THROUGH THE EFFORTS OF THE CENTER FOR CHILDRENS HEALTH TEAM, 74 PRESENTATIONS WERE GIVEN AT THE LOCAL, REGIONAL, AND NATIONAL LEVELS REACHING 4,128 ATTENDEES WITH HEALTH STATUS INFORMATION. A CENTER FOR CHILDRENS HEALTH WEBSITE PROVIDES ONGOING COMMUNITY ACCESS TO THE DATA AND RESOURCES FOR TAKING ACTION ON THE DATA. IN THE 2017 CALENDAR YEAR 5,442 VISITORS MADE 7,028 VISITS TO THE SITE. VISITORS WERE FROM 62 COUNTRIES, 51 STATES OR TERRITORIES AND 192 TEXAS CITIES MOST FROM THE CCHAPS REGION.
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: NO ONE ELSE WAS INVOLVED IN THE CONDUCT OF THE SURVEY OTHER THAN THE CONTRACTED SURVEYOR ENTITIES, MEANING THEY AREN'T ABLE TO USE THIS CHNA TO FULFILL ANY CHNA REQUIREMENTS THEY MIGHT HAVE. OUR CONTRACTORS WERE: ETC, INC. AND MHMR TARRANT.
PART V, SECTION B, LINE 11 - COOK CHILDREN'S MEDICAL CENTERHOW WE ARE ADDRESSING SIGNIFICANT NEEDS: ASTHMA: IN AN EFFORT TO STEM THE TIDE OF ASTHMA ATTACKS WITHIN OUR SIX-COUNTY REGION, COOK CHILDRENS LAUNCHED THE HEALTHY HOMES PROGRAM PILOT IN JANUARY 2016. THE PURPOSE OF THE PROGRAM IS TO EVALUATE, RECOMMEND AND ESTABLISH UPON APPROVAL AN ASTHMA HOME HYGIENE ASSESSMENT AND DEFINED REMEDIATION PROGRAM. THE MAJORITY OF PROGRAM PARTICIPANTS ARE PREEMPTIVELY IDENTIFIED BY THEIR REPEATED USE OF THE CCMC EMERGENCY DEPARTMENT FOR ASTHMA CARE. ELIGIBLE PATIENTS MAY ALSO BE REFERRED BY OTHER COOK CHILDRENS ASTHMA INITIATIVES, COOK CHILDRENS HEALTH PLAN (CCHP), OR A PRIMARY CARE PHYSICIAN. TO BE ENROLLED IN THE HEALTHY HOMES PROGRAM PATIENTS MUST BE A BENEFICIARY OF ANY MEDICAID OR CHIP PROGRAM AND RESIDE IN THE SIX COUNTY PRIMARY SERVICE AREA FOR COOK CHILDRENS. THE HEALTHY HOMES PROGRAM IS FOCUSED ON ASTHMA INTERVENTIONS THAT ARE BOTH NON-DUPLICATIVE AND SUPPORTIVE OF OTHER COOK CHILDRENS ASTHMA INITIATIVES CURRENTLY IN PLACE, INCLUDING CCHP ASTHMA DISEASE MANAGEMENT, CCPN SHARED MEDICAL APPOINTMENTS, CCMC ASTHMA EDUCATORS, AND THE PULMONOLOGY DEPARTMENT. THE HEALTHY HOMES PROGRAM CONTINUED IN PILOT PHASE THROUGHOUT FY 2017. CHILDHOOD OBESITY PREVENTION: COOK CHILDRENS IS THE LEAD ORGANIZATION FOR JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS (JCAHK) AND THE HEALTHY CHILDREN COALITION FOR PARKER COUNTY (HCCPC). JCAHK AND HCCPC MEMBERS INCREASED COMMUNITY AWARENESS ABOUT HEALTHY LIFESTYLES IN FY 2017 BY DISTRIBUTING OBESITY PREVENTION TOOLS AND EDUCATIONAL RESOURCES. DENTAL HEALTH: COOK CHILDRENS PROVIDED FUNDING TO AND LED THE CHILDRENS ORAL HEALTH COALITION (COHC) WHICH FOCUSES ITS EFFORTS ON PROVIDING EDUCATION AND PREVENTION MATERIALS TO FAMILIES IN PRIORITY ZIP CODES AS DETERMINED BY THE LOCATION AND VOLUME OF COOK CHILDRENS OUTPATIENT ORAL HEALTH SURGERY PATIENTS. THE COALITION DISTRIBUTED BROCHURES AND COLLATERALS WITH LOCAL DENTAL RESOURCES AND ORAL HEALTH AWARENESS/EDUCATIONAL INFORMATION. ORAL HEALTH "CHAMPIONS" ARE CULTIVATED IN THE TARGET ZIP CODES TO DISPLAY AND DISTRIBUTE ORAL HEALTH MATERIALS THROUGHOUT THE YEAR. THE COALITIONS COMMUNITY AWARENESS COMMITTEE ORGANIZED FOUR EVENTS TO ASSEMBLE INFANT AND CHILDRENS ORAL HEALTH KITS CONTAINING AGE APPROPRIATE DENTAL SUPPLIES AND ORAL HEALTH INFORMATION. THE KITS WERE DISTRIBUTED TO LOW-INCOME CHILDREN PRIMARILY IN TARGETED ZIP CODES IN TARRANT COUNTY. ACCESS TO MENTAL HEALTH SERVICES: COOK CHILDRENS IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDRENS HEALTH OF DENTON COUNTY (WATCH). WATCH MEMBERS MOVED FORWARD IMPLEMENTING THEIR STRATEGIC PLAN OBJECTIVE TO BUILD COMMUNITY UNDERSTANDING OF CHILDRENS MENTAL HEALTH IN FY 2017, DISTRIBUTING 1,934 MENTAL HEALTH IMPROVEMENT TOOLS AND 11,788 EDUCATIONAL RESOURCES. WATCH MEMBERS CONTINUED THE PROCESS OF PROMOTING EXCELLENCE IN CHILDRENS MENTAL HEALTH SERVICES BY HOSTING FOUR WELLNESS WORKSHOPS FOCUSING ON ATTACHMENT, TRAUMA, LGBTQ ISSUES, AND CULTURAL COMPETENCY WITH 164 MENTAL HEALTH PROVIDERS ATTENDING. WATCH ALSO HOSTED 53 COALITION, WORK GROUP AND COMMUNITY STAKEHOLDER MEETINGS FACILITATING 70 VOLUNTEERS INVESTING 704 HOURS OF TIME TO IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN IN DENTON COUNTY. IN ADDITION, WATCH ENGAGED 21 SITE PARTNERS AND 40 ART WORK JUDGES AND IMPLEMENTED THE LOGISTICS OF A YOUTH ART CONTEST TO RAISE COMMUNITY AWARENESS AROUND CHILDRENS MENTAL HEALTH. THE YOUTH ART CONTEST RECEIVED 160 ENTRIES FROM SCHOOL-AGED CHILDREN IN DENTON COUNTY IN ITS SECOND YEAR. ALONG WITH THE ART CONTEST, WATCH CO-HOSTED A NEW ART GALLERY EVENT, ATTENDED BY MORE THAN 120 CHILDREN AND FAMILIES. MEMBERS OF WATCH ALSO MAINTAIN A WEBSITE AIMED AT INCREASING AWARENESS AND IMPROVING ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. THE WEBSITE (WATCHDENTON.ORG) PROVIDES HUNDREDS OF ARTICLES ABOUT MENTAL HEALTH ISSUES RELEVANT TO CHILDREN, TEENS, PARENTS/CAREGIVERS, AND PROVIDERS AS WELL AS A COMMUNITY CALENDAR OF LOCAL RESOURCES. MENTAL HEALTH: COOK CHILDRENS CONTINUES TO ACTIVELY SUPPORT THE IMPLEMENTATION OF THE FIVE-YEAR STRATEGIC PLAN OF THE MENTAL HEALTH CONNECTION (MHC). MORE THAN 100 MHC VOLUNTEERS WORKED ON SEVERAL COMMITTEES TO MEET THE GOALS OF THE STRATEGIC PLAN. EACH COMMITTEE AT THE END OF THE FISCAL YEAR SUBMITTED FINAL REPORTS. ALL COMMITTEES EXCEEDED THEIR EXPECTATIONS. THE MENTAL HEALTH CONNECTION CONTINUES TO PROVIDE MONTHLY MEETINGS OPEN TO ANY INTERESTED PARTIES. THE MEETINGS INCLUDE EDUCATIONAL, PROBLEM SOLVING, INFORMATION SHARING, AND NETWORKING OPPORTUNITIES WITH AN AVERAGE ATTENDANCE OF 75-80. A THIRD CONSECUTIVE SAMHSA GRANT, "PAVING THE WAY" COMPLETED ITS THIRD YEAR BY PROVIDING SERVICES TO YOUTH IN TRANSITION IN 7 COUNTIES. MHC CONCLUDED ITS 3-YEAR PILOT OF REACHING TEENS, A COMMUNITY-WIDE WORKFORCE DEVELOPMENT TOOL IN PARTNERSHIP WITH DR. KENNETH GINSBURG AND THE AMERICAN ACADEMY OF PEDIATRICS (AAP). A FINAL REPORT WAS PRESENTED TO THE COMMUNITY ON SEPTEMBER 11 WITH BOTH DR. GINSBURG AND REPRESENTATION OF THE AAP IN ATTENDANCE. MORE THAN 200 ATTENDED THE MEETING TO CELEBRATE THE COMMUNITYS SUCCESSES IN BUILDING RESILIENCE IN ADOLESCENTS. COOK CHILDRENS WAS ONE OF TEN AGENCIES WHO REPORTED POSITIVE IMPACT FROM THE WORK. THE FULL REPORT AND A TESTIMONIAL VIDEO CAN BE FOUND ON THE MHC WEB SITE WWW.MENTALHEALTHCONNECTION.ORG. ON JUNE 7, 2017, MHC HOSTED A FACILITATED, DAY LONG PLANNING MEETING TO DETERMINE NEXT STEPS FOR OUR WORK IN RESILIENCE, TRAUMA AND ADVERSE CHILD EXPERIENCES (ACES). THE MEETING RESULTED IN A 3-YEAR WORK PLAN TO CONTINUE OUR WORK IN CREATING A RESILIENT, TRAUMA-INFORMED COMMUNITY. MHC HAD BENEFIT OF TWO UTA MASTER LEVEL INTERNS TO HELP RESEARCH THE ADVANTAGES OF UTILIZING ACES IN OUR TRAUMA WORK. THEIR REPORT WAS VALUABLE IN DETERMINING NEXT STEPS FOR THE TRAUMA WORK. LEADERSHIP FORT WORTH SELECTED MHC AS ONE OF ITS CLASS PROJECTS AND WILL WORK WITH US DURING THE NEXT FISCAL YEAR TO DEVELOP A COMPREHENSIVE COMMUNICATIONS PLANS FOR EDUCATING THE COMMUNITY ABOUT RESILIENCE AND TRAUMA. IN SPRING 2017, MHC BEGAN PLANNING MEETINGS WITH TCUS KARYN PURVIS INSTITUTE OF CHILD DEVELOPMENT TO CONSIDER THE IMPLEMENTATION OF A COMMUNITY WIDE TRUST BASED RELATIONAL INTERVENTION (TBRI) PILOT. THE PILOT COMMENCED IN FALL 2017. MHC CONDUCTED A 32-HOUR TRAINING SESSION IN SPRING 2017 USING THE CALIFORNIA BRIEF MULTICULTURAL COMPETENCY SCALE FOR MORE THAN 60 INDIVIDUALS. TO DATE 711 PROFESSIONALS HAVE COMPLETED THE 32 HOURS OF CBMCS TRAINING CONDUCTED BY THE VOLUNTEER TRAINING TEAM. IN NOVEMBER 2016, MHC HOSTED A DAYLONG SEMINAR ON IMPLICIT BIAS WITH KIMBERLY PAPILLION FROM THE NATIONAL CENTER OF THE JUDICIARY. "TARRANT CARES" CONTINUES TO BE A SIGNIFICANT COMMUNITY RESOURCE WITH MORE THAN HALF MILLION PEOPLE USING THE SITE MONTHLY. MHC CONTINUES TO PROVIDE OVERSIGHT FOR THIS DATABASE. TRILOGY, THE DEVELOPER OF TARRANT CARES PROVIDED TRAINING FOR THE COMMUNITY IN OCTOBER 2016 AND AGAIN IN SPRING 2017. MHC CREATED A NETWORKING GROUP FOR THE INTAKE STAFF OF MHC AGENCIES FOR THE PURPOSE OF CREATING SYNERGY, BUILDING RELATIONSHIPS, PROVIDING A FORUM FOR PROBLEM SOLVING AND TRAINING. ABOUT 40 INDIVIDUALS ATTENDED QUARTERLY LUNCHEONS AND SPECIAL PROGRAMS. MHCS WORKFORCE COMMITTEE WORKED WITH UTAS SCHOOL OF SOCIAL WORK ON AN ICAP PROJECT TO DETERMINE WAYS TO IMPROVE THE EXPERIENCES OF INTERNS AND HOW TO RETAIN THEM IN THE LOCAL WORKFORCE. THE GRANTS COMMITTEE CONTINUES TO EXPLORE COLLABORATIVE FUNDING OPPORTUNITIES TO SUPPORT OUR COMMUNITYS GOALS FOR IMPROVING MENTAL HEALTH SERVICES. SAFETY: COOK CHILDRENS HAS BEEN THE LEAD ORGANIZATION FOR SAFE KIDS TARRANT COUNTY (SKTC) SINCE 1992. THE COALITION, MADE UP OF 76 ORGANIZATIONS PLUS INDIVIDUAL MEMBERS, WORKS TO REDUCE UNINTENTIONAL INJURIES. THE COALITIONS PRIMARY FOCUS AREAS ARE ON CHILD PASSENGER SAFETY, DROWNING PREVENTION, AND POISON PREVENTION ALL HIGH RISK AREAS IDENTIFIED THROUGH LOCAL DATA. SAFE KIDS "FITTING STATIONS" PROVIDED WEEKLY APPOINTMENTS FOR CHILD SAFETY CAR SEAT CHECKS WITH HANDS-ON INSTALLATION EDUCATION FOR PARENTS AND CAREGIVERS. A NEW BOOSTER SEAT PROGRAM PROVED TO BE A SUCCESSFUL SCHOOL-BASED MODEL, DESIGNED TO INCREASE THE NUMBER OF CHILDREN RIDING IN THE CORRECT STAGE AND SIZE VEHICLE RESTRAINT, PER BEST PRACTICE. COOK CHILDRENS WAS PART OF THE 2017 DROWNING PREVENTION CAMPAIGN. THE FOCUS OF THE CAMPAIGN WAS TO SPREAD AWARENESS ABOUT DROWNINGS AND DISTRIBUTE BOTH PREVENTION TOOLS AND RESOURCES THAT PROMOTE A SAFER ENVIRONMENT FOR CHILDREN, IN AND AROUND WATER. IN 2017, SKTC CONTINUED TO IMPLEMENT A TRAIN THE TRAINER POISON PREVENTION FOR COMMUNITY PROFESSIONALS WORKING DIRECTLY WITH PARENTS. ACCESS TO HEALTH CARE FOR CHILDREN IN HOMELESS SHELTERS: THE RENAISSANCE, MILLER STREET AND ARLINGTON NEIGHBORHOOD CLINICS OF COOK CHILDRENS PHYSICIAN NETWORK HAVE SERVED AS THE PRIMARY SITES FOR THE MEDICAL HOME FOR THESE CHILDREN. THE RENAISSANCE CLINIC, OPENED IN SEPTEMBER OF 2014, ALSO INCLUDES A DENTAL CLINIC WHICH ALLOWS CHILDREN TO RECEIVE INTEGRATED MEDICAL AND DENTAL CARE. THE NURSE AND SO
PART V, SECTION B, LINE 5 - COOK CHILDREN'S NORTHEAST HOSPITALINPUT FROM THE COMMUNITY: DATA SOURCES THAT INFORMED THE WORK OF BUILDING COMMUNITY CAPACITY INCLUDED: COOK CHILDRENS COMMUNITY-WIDE CHILDRENS HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) CONDUCTED IN 2009 WHICH INCLUDED A HOUSEHOLD SURVEY OF THE STATUS OF CHILDRENS HEALTH AGES 0-14 (7,439 COMPLETED SURVEYS), A COMMUNITY LEADER SURVEY, SECONDARY DATA REVIEW, AND MULTIPLE FOCUS GROUPS. CCHAPS GEOGRAPHIC SCOPE INCLUDES COOK CHILDRENS PRIMARY SERVICE AREA: DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. IN 2012 AND 2015 CCHAPS DATA WERE UPDATED AND INCLUDED A PARENT SURVEY (8,394 COMPLETED SURVEYS IN 2012 AND 8,661 IN 2015) AND ONE-ON-ONE SURVEY INTERVIEWS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER. THE RESULTS OF THE SURVEYS ARE COMPARED EACH YEAR TO SEE HOW CHILDRENS HEALTH IN THE REGION CHANGES. FOCUS GROUPS WERE CONDUCTED IN 2012 WITH THE CHILDREN OF PARENTS WHO PARTICIPATE IN THE SURVEY TO PROVIDE FURTHER INFORMATION ABOUT SURVEY FINDINGS IN PARTNERSHIP WITH COOK CHILDRENS CHILD LIFE SPECIALISTS. A COMMUNITY LEADER SURVEY AND SPECIAL REPORTS ON PARENTING PRACTICES IN HOOD AND WISE COUNTIES BASED ON ADDITIONAL CCHAPS SURVEYS WERE CONDUCTED IN 2012 AND 2013. CCHAPS DATA THAT INFORMED COMMUNITY BUILDING EFFORTS IN FY 2017 INCLUDED INFORMATION ON MENTAL HEALTH, ORAL HEALTH, SAFETY RELATED TO ACCIDENTAL INJURY, HEALTH STATUS OF HOMELESS CHILDREN, CHILDHOOD OBESITY, ASTHMA, CHILD MALTREATMENT AND NEGLECT, AND IMMUNIZATIONS. INJURY PREVENTION DATA FROM SAFE KIDS WORLD WIDE; WEB-BASED INJURY STATISTICS QUERY AND REPORTING SYSTEM; COMMUNITY NEEDS INDEX WHICH IDENTIFIES THE HIGHEST HEALTHCARE NEED AREAS BASED ON GEOGRAPHIC AREAS IN TARRANT COUNTY; AND COOK CHILDRENS TRAUMA DATA AND MEDITECH DATA REPOSITORY. ORAL HEALTH DATA FROM THE CHILDRENS ORAL HEALTH COALITION SURVEYS (2014); SURVEY OF PARENTS WITH CHILDREN RECEIVING OUTPATIENT SURGICAL DENTAL CARE (2012 AT COOK CHILDRENS). HEALTH NEEDS OF CHILDREN IN EMERGENCY SHELTERS IDENTIFIED BY COMMUNITY LEADERS, SHELTER STAFF, DATA FROM COOK CHILDRENS PHYSICIAN NETWORK, COOK CHILDRENS CASE MANAGEMENT SERVICES, DESCRIPTIVE STUDIES FROM COOK CHILDRENS MEDITECH DATA REPOSITORY AND CCHAPS DATA. CHILD ABUSE DATA FROM CENTERS FOR DISEASE CONTROL AND PREVENTION (2010), TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES FY2016 ANNUAL REPORT AND DATA BOOK AND THE NATIONAL INSTITUTE OF MENTAL HEALTH (2009). THE CENTER FOR CHILDRENS HEALTH NOT ONLY CONDUCTS CCHAPS BUT ALSO ANALYZES THIS HEALTH INFORMATION. THE ASSESSMENT AND ANALYSIS ARE CRITICAL IN HELPING TO ACHIEVE COOK CHILDREN'S PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION. THE DATA IS DISSEMINATED IN MULTIPLE WAYS THROUGHOUT THE REGION. IN FY 2017 THROUGH THE EFFORTS OF THE CENTER FOR CHILDRENS HEALTH TEAM, 74 PRESENTATIONS WERE GIVEN AT THE LOCAL, REGIONAL, AND NATIONAL LEVELS REACHING 4,128 ATTENDEES WITH HEALTH STATUS INFORMATION. A CENTER FOR CHILDRENS HEALTH WEBSITE PROVIDES ONGOING COMMUNITY ACCESS TO THE DATA AND RESOURCES FOR TAKING ACTION ON THE DATA. IN THE 2017 CALENDAR YEAR 5,442 VISITORS MADE 7,028 VISITS TO THE SITE. VISITORS WERE FROM 62 COUNTRIES, 51 STATES OR TERRITORIES AND 192 TEXAS CITIES MOST FROM THE CCHAPS REGION.
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 HOSPITALOTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NO ONE ELSE WAS INVOLVED IN THE CONDUCT OF THE SURVEY OTHER THAN THE CONTRACTED SURVEYOR ENTITIES, MEANING THEY AREN'T ABLE TO USE THIS CHNA TO FULFILL ANY CHNA REQUIREMENTS THEY MIGHT HAVE. OUR CONTRACTORS WERE: ETC, INC. AND MHMR TARRANT.
PART V, SECTION B, LINE 11 - COOK CHILDREN'S NORTHEAST HOSPITALHOW WE ARE ADDRESSING SIGNIFICANT NEEDS: ASTHMA: IN AN EFFORT TO STEM THE TIDE OF ASTHMA ATTACKS WITHIN OUR SIX-COUNTY REGION, COOK CHILDRENS LAUNCHED THE HEALTHY HOMES PROGRAM PILOT IN JANUARY 2016. THE PURPOSE OF THE PROGRAM IS TO EVALUATE, RECOMMEND AND ESTABLISH UPON APPROVAL AN ASTHMA HOME HYGIENE ASSESSMENT AND DEFINED REMEDIATION PROGRAM. THE MAJORITY OF PROGRAM PARTICIPANTS ARE PREEMPTIVELY IDENTIFIED BY THEIR REPEATED USE OF THE CCMC EMERGENCY DEPARTMENT FOR ASTHMA CARE. ELIGIBLE PATIENTS MAY ALSO BE REFERRED BY OTHER COOK CHILDRENS ASTHMA INITIATIVES, COOK CHILDRENS HEALTH PLAN (CCHP), OR A PRIMARY CARE PHYSICIAN. TO BE ENROLLED IN THE HEALTHY HOMES PROGRAM PATIENTS MUST BE A BENEFICIARY OF ANY MEDICAID OR CHIP PROGRAM AND RESIDE IN THE SIX COUNTY PRIMARY SERVICE AREA FOR COOK CHILDRENS. THE HEALTHY HOMES PROGRAM IS FOCUSED ON ASTHMA INTERVENTIONS THAT ARE BOTH NON-DUPLICATIVE AND SUPPORTIVE OF OTHER COOK CHILDRENS ASTHMA INITIATIVES CURRENTLY IN PLACE, INCLUDING CCHP ASTHMA DISEASE MANAGEMENT, CCPN SHARED MEDICAL APPOINTMENTS, CCMC ASTHMA EDUCATORS, AND THE PULMONOLOGY DEPARTMENT. THE HEALTHY HOMES PROGRAM CONTINUED IN PILOT PHASE THROUGHOUT FY 2017. CHILDHOOD OBESITY PREVENTION: COOK CHILDRENS IS THE LEAD ORGANIZATION FOR JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS (JCAHK) AND THE HEALTHY CHILDREN COALITION FOR PARKER COUNTY (HCCPC). JCAHK AND HCCPC MEMBERS INCREASED COMMUNITY AWARENESS ABOUT HEALTHY LIFESTYLES IN FY 2017 BY DISTRIBUTING OBESITY PREVENTION TOOLS AND EDUCATIONAL RESOURCES. DENTAL HEALTH: COOK CHILDRENS PROVIDED FUNDING TO AND LED THE CHILDRENS ORAL HEALTH COALITION (COHC) WHICH FOCUSES ITS EFFORTS ON PROVIDING EDUCATION AND PREVENTION MATERIALS TO FAMILIES IN PRIORITY ZIP CODES AS DETERMINED BY THE LOCATION AND VOLUME OF COOK CHILDRENS OUTPATIENT ORAL HEALTH SURGERY PATIENTS. THE COALITION DISTRIBUTED BROCHURES AND COLLATERALS WITH LOCAL DENTAL RESOURCES AND ORAL HEALTH AWARENESS/EDUCATIONAL INFORMATION. ORAL HEALTH "CHAMPIONS" ARE CULTIVATED IN THE TARGET ZIP CODES TO DISPLAY AND DISTRIBUTE ORAL HEALTH MATERIALS THROUGHOUT THE YEAR. THE COALITIONS COMMUNITY AWARENESS COMMITTEE ORGANIZED FOUR EVENTS TO ASSEMBLE INFANT AND CHILDRENS ORAL HEALTH KITS CONTAINING AGE APPROPRIATE DENTAL SUPPLIES AND ORAL HEALTH INFORMATION. THE KITS WERE DISTRIBUTED TO LOW-INCOME CHILDREN PRIMARILY IN TARGETED ZIP CODES IN TARRANT COUNTY. ACCESS TO MENTAL HEALTH SERVICES: COOK CHILDRENS IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDRENS HEALTH OF DENTON COUNTY (WATCH). WATCH MEMBERS MOVED FORWARD IMPLEMENTING THEIR STRATEGIC PLAN OBJECTIVE TO BUILD COMMUNITY UNDERSTANDING OF CHILDRENS MENTAL HEALTH IN FY 2017, DISTRIBUTING 1,934 MENTAL HEALTH IMPROVEMENT TOOLS AND 11,788 EDUCATIONAL RESOURCES. WATCH MEMBERS CONTINUED THE PROCESS OF PROMOTING EXCELLENCE IN CHILDRENS MENTAL HEALTH SERVICES BY HOSTING FOUR WELLNESS WORKSHOPS FOCUSING ON ATTACHMENT, TRAUMA, LGBTQ ISSUES, AND CULTURAL COMPETENCY WITH 164 MENTAL HEALTH PROVIDERS ATTENDING. WATCH ALSO HOSTED 53 COALITION, WORK GROUP AND COMMUNITY STAKEHOLDER MEETINGS FACILITATING 70 VOLUNTEERS INVESTING 704 HOURS OF TIME TO IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN IN DENTON COUNTY. IN ADDITION, WATCH ENGAGED 21 SITE PARTNERS AND 40 ART WORK JUDGES AND IMPLEMENTED THE LOGISTICS OF A YOUTH ART CONTEST TO RAISE COMMUNITY AWARENESS AROUND CHILDRENS MENTAL HEALTH. THE YOUTH ART CONTEST RECEIVED 160 ENTRIES FROM SCHOOL-AGED CHILDREN IN DENTON COUNTY IN ITS SECOND YEAR. ALONG WITH THE ART CONTEST, WATCH CO-HOSTED A NEW ART GALLERY EVENT, ATTENDED BY MORE THAN 120 CHILDREN AND FAMILIES. MEMBERS OF WATCH ALSO MAINTAIN A WEBSITE AIMED AT INCREASING AWARENESS AND IMPROVING ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. THE WEBSITE (WATCHDENTON.ORG) PROVIDES HUNDREDS OF ARTICLES ABOUT MENTAL HEALTH ISSUES RELEVANT TO CHILDREN, TEENS, PARENTS/CAREGIVERS, AND PROVIDERS AS WELL AS A COMMUNITY CALENDAR OF LOCAL RESOURCES. MENTAL HEALTH: COOK CHILDRENS CONTINUES TO ACTIVELY SUPPORT THE IMPLEMENTATION OF THE FIVE-YEAR STRATEGIC PLAN OF THE MENTAL HEALTH CONNECTION (MHC). MORE THAN 100 MHC VOLUNTEERS WORKED ON SEVERAL COMMITTEES TO MEET THE GOALS OF THE STRATEGIC PLAN. EACH COMMITTEE AT THE END OF THE FISCAL YEAR SUBMITTED FINAL REPORTS. ALL COMMITTEES EXCEEDED THEIR EXPECTATIONS. THE MENTAL HEALTH CONNECTION CONTINUES TO PROVIDE MONTHLY MEETINGS OPEN TO ANY INTERESTED PARTIES. THE MEETINGS INCLUDE EDUCATIONAL, PROBLEM SOLVING, INFORMATION SHARING, AND NETWORKING OPPORTUNITIES WITH AN AVERAGE ATTENDANCE OF 75-80. A THIRD CONSECUTIVE SAMHSA GRANT, "PAVING THE WAY" COMPLETED ITS THIRD YEAR BY PROVIDING SERVICES TO YOUTH IN TRANSITION IN 7 COUNTIES. MHC CONCLUDED ITS 3-YEAR PILOT OF REACHING TEENS, A COMMUNITY-WIDE WORKFORCE DEVELOPMENT TOOL IN PARTNERSHIP WITH DR. KENNETH GINSBURG AND THE AMERICAN ACADEMY OF PEDIATRICS (AAP). A FINAL REPORT WAS PRESENTED TO THE COMMUNITY ON SEPTEMBER 11 WITH BOTH DR. GINSBURG AND REPRESENTATION OF THE AAP IN ATTENDANCE. MORE THAN 200 ATTENDED THE MEETING TO CELEBRATE THE COMMUNITYS SUCCESSES IN BUILDING RESILIENCE IN ADOLESCENTS. COOK CHILDRENS WAS ONE OF TEN AGENCIES WHO REPORTED POSITIVE IMPACT FROM THE WORK. THE FULL REPORT AND A TESTIMONIAL VIDEO CAN BE FOUND ON THE MHC WEB SITE WWW.MENTALHEALTHCONNECTION.ORG. ON JUNE 7, 2017, MHC HOSTED A FACILITATED, DAY LONG PLANNING MEETING TO DETERMINE NEXT STEPS FOR OUR WORK IN RESILIENCE, TRAUMA AND ADVERSE CHILD EXPERIENCES (ACES). THE MEETING RESULTED IN A 3-YEAR WORK PLAN TO CONTINUE OUR WORK IN CREATING A RESILIENT, TRAUMA-INFORMED COMMUNITY. MHC HAD BENEFIT OF TWO UTA MASTER LEVEL INTERNS TO HELP RESEARCH THE ADVANTAGES OF UTILIZING ACES IN OUR TRAUMA WORK. THEIR REPORT WAS VALUABLE IN DETERMINING NEXT STEPS FOR THE TRAUMA WORK. LEADERSHIP FORT WORTH SELECTED MHC AS ONE OF ITS CLASS PROJECTS AND WILL WORK WITH US DURING THE NEXT FISCAL YEAR TO DEVELOP A COMPREHENSIVE COMMUNICATIONS PLANS FOR EDUCATING THE COMMUNITY ABOUT RESILIENCE AND TRAUMA. IN SPRING 2017, MHC BEGAN PLANNING MEETINGS WITH TCUS KARYN PURVIS INSTITUTE OF CHILD DEVELOPMENT TO CONSIDER THE IMPLEMENTATION OF A COMMUNITY WIDE TRUST BASED RELATIONAL INTERVENTION (TBRI) PILOT. THE PILOT COMMENCED IN FALL 2017. MHC CONDUCTED A 32-HOUR TRAINING SESSION IN SPRING 2017 USING THE CALIFORNIA BRIEF MULTICULTURAL COMPETENCY SCALE FOR MORE THAN 60 INDIVIDUALS. TO DATE 711 PROFESSIONALS HAVE COMPLETED THE 32 HOURS OF CBMCS TRAINING CONDUCTED BY THE VOLUNTEER TRAINING TEAM. IN NOVEMBER 2016, MHC HOSTED A DAYLONG SEMINAR ON IMPLICIT BIAS WITH KIMBERLY PAPILLION FROM THE NATIONAL CENTER OF THE JUDICIARY. "TARRANT CARES" CONTINUES TO BE A SIGNIFICANT COMMUNITY RESOURCE WITH MORE THAN HALF MILLION PEOPLE USING THE SITE MONTHLY. MHC CONTINUES TO PROVIDE OVERSIGHT FOR THIS DATABASE. TRILOGY, THE DEVELOPER OF TARRANT CARES PROVIDED TRAINING FOR THE COMMUNITY IN OCTOBER 2016 AND AGAIN IN SPRING 2017. MHC CREATED A NETWORKING GROUP FOR THE INTAKE STAFF OF MHC AGENCIES FOR THE PURPOSE OF CREATING SYNERGY, BUILDING RELATIONSHIPS, PROVIDING A FORUM FOR PROBLEM SOLVING AND TRAINING. ABOUT 40 INDIVIDUALS ATTENDED QUARTERLY LUNCHEONS AND SPECIAL PROGRAMS. MHCS WORKFORCE COMMITTEE WORKED WITH UTAS SCHOOL OF SOCIAL WORK ON AN ICAP PROJECT TO DETERMINE WAYS TO IMPROVE THE EXPERIENCES OF INTERNS AND HOW TO RETAIN THEM IN THE LOCAL WORKFORCE. THE GRANTS COMMITTEE CONTINUES TO EXPLORE COLLABORATIVE FUNDING OPPORTUNITIES TO SUPPORT OUR COMMUNITYS GOALS FOR IMPROVING MENTAL HEALTH SERVICES. SAFETY: COOK CHILDRENS HAS BEEN THE LEAD ORGANIZATION FOR SAFE KIDS TARRANT COUNTY (SKTC) SINCE 1992. THE COALITION, MADE UP OF 76 ORGANIZATIONS PLUS INDIVIDUAL MEMBERS, WORKS TO REDUCE UNINTENTIONAL INJURIES. THE COALITIONS PRIMARY FOCUS AREAS ARE ON CHILD PASSENGER SAFETY, DROWNING PREVENTION, AND POISON PREVENTION ALL HIGH RISK AREAS IDENTIFIED THROUGH LOCAL DATA. SAFE KIDS "FITTING STATIONS" PROVIDED WEEKLY APPOINTMENTS FOR CHILD SAFETY CAR SEAT CHECKS WITH HANDS-ON INSTALLATION EDUCATION FOR PARENTS AND CAREGIVERS. A NEW BOOSTER SEAT PROGRAM PROVED TO BE A SUCCESSFUL SCHOOL-BASED MODEL, DESIGNED TO INCREASE THE NUMBER OF CHILDREN RIDING IN THE CORRECT STAGE AND SIZE VEHICLE RESTRAINT, PER BEST PRACTICE. COOK CHILDRENS WAS PART OF THE 2017 DROWNING PREVENTION CAMPAIGN. THE FOCUS OF THE CAMPAIGN WAS TO SPREAD AWARENESS ABOUT DROWNINGS AND DISTRIBUTE BOTH PREVENTION TOOLS AND RESOURCES THAT PROMOTE A SAFER ENVIRONMENT FOR CHILDREN, IN AND AROUND WATER. IN 2017, SKTC CONTINUED TO IMPLEMENT A TRAIN THE TRAINER POISON PREVENTION FOR COMMUNITY PROFESSIONALS WORKING DIRECTLY WITH PARENTS. ACCESS TO HEALTH CARE FOR CHILDREN IN HOMELESS SHELTERS: THE RENAISSANCE, MILLER STREET AND ARLINGTON NEIGHBORHOOD CLINICS OF COOK CHILDRENS PHYSICIAN NETWORK HAVE SERVED AS THE PRIMARY SITES FOR THE MEDICAL HOME FOR THESE CHILDREN. THE RENAISSANCE CLINIC, OPENED IN SEPTEMBER OF 2014, ALSO INCLUDES A DENTAL CLINIC WHICH ALLOWS CHILDREN TO RECEIVE INTEGRATED MEDICAL AND DENTAL CARE. THE NURSE AND SO
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 B, LINE 20ECOOK CHILDREN'S MEDICAL CENTER & COOK CHILDREN'S NORTHEAST HOSPITAL NONE OF THE ACTIONS LISTED IN LINE 19 WERE PERFORMED.
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Supplemental Information Detail SupplementalInformationDetail (13 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 12 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: THERE ARE NO NEEDS ASSESSMENTS RELEVANT TO THE CHILD POPULATION IN OUR COMMUNITY THAT WOULD BE IN ADDITION TO THE ONE ALREADY REPORTED IN PART V, SECTION B.
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 (COOK CHILDREN'S) IS ONE OF THE COUNTRY'S LEADING VERTICALLY INTEGRATED PEDIATRIC HEALTHCARE ORGANIZATIONS. BASED IN FORT WORTH, TEXAS, COOK CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION WHICH INCLUDES THE MEDICAL CENTER (443 BEDS), PHYSICIAN NETWORK (387 PEDIATRIC SPECIALISTS), NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, HOME HEALTH, HEALTH PLAN (135,115 COVERED LIVES) AND THE HEALTH FOUNDATION. THE SYSTEM HAS A SIX-COUNTY PRIMARY SERVICE AREA THAT REPRESENTS 84% OF ITS TOTAL VOLUME COVERING 4,711 MILES. IT ALSO PROVIDES TERTIARY AND QUATERNARY PEDIATRIC MEDICAL CARE TO 122 COUNTIES IN WEST AND NORTH CENTRAL TEXAS, COVERING 257,086 MILES AND TO OUT-OF-STATE PATIENTS. THE SYSTEM HAS MORE THAN 1.5 MILLION PATIENT ENCOUNTERS PER YEAR ACROSS THE CONTINUUM OF PEDIATRIC CARE. 57.4% OF THE SYSTEM'S PATIENT CARE IS PROVIDED TO MEDICAID MANAGED CARE AND CHIP BENEFICIARIES. THE SIX-COUNTY PRIMARY SERVICE AREA CONSISTS OF DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES IN TEXAS. THIS AREA IS HOME TO 681,178 CHILDREN AGES BIRTH TO 14 YEARS WHO REPRESENT 22.0% OF THE TOTAL POPULATION AND WHOSE NUMBERS ARE EXPECTED TO GROW TO 692,159 BY 2020 OR A 5-YEAR GROWTH RATE OF 1.6%. THERE ARE 1,125,395 HOUSEHOLDS WITHIN THAT GEOGRAPHY WITH 18.7% HAVING INCOME AT OR BELOW THE FEDERAL POVERTY LEVEL; HOWEVER, THERE IS WIDE VARIATION AMONG COMMUNITIES WITHIN THESE GEOGRAPHIC BOUNDS. SIMILARLY, WIDE VARIATION ALSO EXISTS IN RACE AND ETHNICITY AMONG THE DIFFERENT COMMUNITIES. THE ENTIRE AREA'S POPULATION OF 3,101,334 PEOPLE CONSISTS OF 56.5% WHITE NON-HISPANIC, 24.4% HISPANIC, 11.7% BLACK NON-HISPANIC AND 5.0% ASIAN AND PACIFIC ISLANDERS.
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 II, LINES 1 - 10PROMOTION OF CHILDREN'S HEALTH IN SURROUNDING COMMUNITIES
SCHEDULE H, PART I, LINE 7, COLUMN (F)BAD DEBT EXPENSE OF $29,987,219 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUEFORT WORTHTX76104752485366501(C)(3)$72,390,418SUBSIDIZE OPERATIONS
EAST TEXAS MEDICAL CENTER
1000 SOUTH BECKHAM AVENUETYLERTX75701751803327501(C)(3)$3,300,000SPONSOR
HENDRICK MEDICAL CENTER
PO BOX 3117ABILENETX79604750827446501(C)(3)$2,200,000SPONSOR
AMERICAN HEART ASSOCIATION
2630 W FREEWAY 250FORT WORTHTX76102135613797501(C)(3)$35,000SPONSOR
JUNIOR LEAGUE OF FORT WORTH
255 BAILEY AVEFORT WORTHTX76107756022377501(C)(3)$30,000SPONSOR
WARM PLACE
809 LIPSCOMB STREETFORT WORTHTX76104752220859501(C)(3)$25,000SPONSOR
CAREITY FOUNDATION
PO BOX 126038FORT WORTHTX76126061704800501(C)(3)$10,000SPONSOR
ASSIST THE OFFICER FOUNDATION
1412 GRIFFIN ST EASTDALLASTX75215752823567501(C)(3)$10,000SPONSOR
JUVENILE DIABETES RESEARCH FND
930 WEST 1ST STREETFORT WORTHTX75102231907729501(C)(3)$10,000SPONSOR
MARCH OF DIMES
555 HEMPHILL STFORT WORTHTX76104131846366501(C)(3)$15,000SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Medication2267$202,524
Transportation1572$52,082
LODGING337$37,890
Gift Cards230$12,422
UTILITIES26$10,973
MEALS588$8,739
MEDICAL EQUIPMENT6$6,139
INSURANCE4$3,004
BABY SUPPLIES150$2,150
Funeral1$500
OTHER1$89

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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$253,722$592,021$156,315$364,737$65,396$152,591$53,569$124,994$8,823$20,585$537,825$1,254,928$0$0
CHERYL PETERSEN
VP-NURSING/CNO$239,725$0$81,404$0$3,250$0$10,601$0$8,439$0$343,419$0$0$0
FEMILIA SKARIA
MANAGER, PHARMACY OPERATIONS$148,889$0$0$0$41,745$0$11,258$0$10,034$0$211,926$0$0$0
ROSANNE THURMAN
DIRECTOR, PHARMACY$158,297$0$19,430$0$13,476$0$11,790$0$16,122$0$219,115$0$0$0
NANCY C CYCHOL
PRESIDENT$511,910$0$230,818$0$109,585$0$19,875$0$21,759$0$893,947$0$0$0
STAN E DAVIS
V PRESIDENT-SUPPORT SVCS$237,851$0$97,654$0$10,255$0$15,667$0$35,457$0$396,884$0$0$0
STEPHEN W KIMMEL
CFO$242,884$252,795$111,119$115,655$21,244$22,112$37,569$39,101$16,872$17,561$429,688$447,224$0$0
GEORGE B MONTAGUE
V PRESIDENT-REAL ESTATE$0$237,303$0$84,535$0$16,284$0$19,778$0$26,661$0$384,561$0$0
JACK SOSEBEE
VICE PRESIDENT$175,376$0$59,878$0$1,944$0$17,361$0$19,338$0$273,897$0$0$0
ORLANDO CHAPA
AVP - NURSING$176,980$0$44,304$0$3,074$0$16,353$0$11,247$0$251,958$0$0$0
BRADLEY HORN
PHARMACIST II$181,171$0$500$0$4,005$0$12,536$0$18,429$0$216,641$0$0$0
TAMMIE SIBLEY
AVP - FINANCE$186,787$0$47,621$0$659$0$15,245$0$25,411$0$275,723$0$0$0
CARA MARTZ
SECRETARY$0$101,437$0$25,956$0$1,856$0$7,106$0$14,090$0$150,445$0$0

Supplemental Information Detail SupplementalInformationDetail (5 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 134,409 162,000 CCHS STEPHEN KIMMEL 18,000 66,070 CCHS NANCY C. CYCHOL 64,271 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
SCHEDULE J, PART I, QUESTION 1ABRADLEY HORN $250 GROSS-UP CARA MARTZ ($112.50) GROSS-UP FEMILA SKARIA $125.00 GROSS-UP RICK W. MERRILL $10 GROSS-UP STEPHEN W. KIMMEL $5 GROSS-UP
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 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 & 2005falsefalsefalse
BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP
B742218760078027HW22007-06-27$17,523,594REFUNDING BONDS ISSUED 7/19/2000falsefalsefalse
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$0$52,156,976$0$0$50,833,752$672,932$650,292$0$0$0$02007Yes (true)falseYes (true)Yes (true)
B$6,315,000$0$17,523,594$0$0$17,116,642$229,475$177,477$0$0$0$02007falseYes (true)Yes (true)Yes (true)
C$99,985,000$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$70,145,033$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 ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)Yes (true)falsefalse0falseYes (true)
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$7,235,000RetiredAmt
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 Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
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 $110,000,000 INTEREST RATE SWAP ADJUSTMENT ($ 2,911,164) --------------- $107,088,836

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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)07NAfalse
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

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$5,759,953$4,211,976false$0Yes (true)0.56983
CENTER FOR PEDIATRIC SURGERY
11221 ROE AVE SUITE 320LEAWOODKS66211470871715ASCTXNARELATED$6,927,541$12,984,542false-$339false0.52099
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320LEAWOODKS66211470871718ASCTXNARELATED$36,162$99,859false$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$5,730,361FMV
CENTER FOR PEDIATRIC SURGERY LTD
S$7,131,907FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O$79,239,688FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A$1,422,158FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R$2,070,948FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q$393,427FMV
COOK CHILDREN'S HOME HEALTH
P$133,371FMV
COOK CHILDREN'S HOME HEALTH
R$3,088,123FMV
COOK CHILDREN'S HEALTH PLAN
S$97,353,403FMV
COOK CHILDREN'S HEALTH PLAN
Q$81,014FMV
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
J$2,942,132FMV