2020-08-12T14:06:59-05:00 2019-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-10-01 752051646 Cook Children's Medical Center % CORY RHOADES COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 CORY RHOADES SVP, Finance 2020-08-17 true Kevin Ensminger P01310558 9727028262 167.68.126.162 76915820202255000011 2020-08-12 P 21E6481FF4EC5D606F81E380A49442717B3AD96E EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-23 17:36:50Z NANCY CYCHOL 801 SEVENTH AVENUE FORT WORTH TX 76104 1195154419 false X WWW.COOKCHILDRENS.ORG X 1985 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. 13 12 5187 990 14830 10672 14838415 12053920 1074156886 1180339581 338304 166062 1588551 1387895 1090922156 1193947458 63945605 65050938 0 0 363030732 380095875 0 0 0 486324744 536028942 913301081 981175755 177621075 212771703 1200788157 1426284240 436324447 450333040 764463710 975951200 X KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. false false 703804326 65050938 1181579232 COOK CHILDREN'S MEDICAL CENTER THE MEDICAL CENTER IS THE CORNERSTON OF COOK CHILDREN'S HEALTH CARE SYSTEM. IT'S THE HOME OF TOP MEDICALMINDS, ADVANCED TECHNOLOGIES AND TREATMENTS AND LEADING-EDGE CLINICAL RESEARCH, ALL DESIGNED TO MEET THE HEALTH CARE NEEDS OF CHILDREN. COOK CHILDREN'S 444-BED MEDICAL CENTER, LIKE MANY URBAN, PEDIATRIC CENTERS, HAS EXPERIENCED A GREAT DEAL OF GROWTH OVER THE PAST SEVERAL YEARS. THIS HAS PLACED INCREASE PRESSURE ON KEY DIAGNOSTIC DEPARTMENTS. IN RESPONSE TO THE CURRENT PRESSURE ON KEY DEPARTMENTS, COOK CHILDREN'S MEDICAL CENTER ENGAGED THEIR INTEGRATED PROJECT DELIVERY TEAM TO CONCEPTUALIZE, DESIGN AND CONSTRUCT FACILITY SOLUTIONS FOR A SOUTH TOWER, SOUTH UTILITY PLANT AND URGENT CARE CENTER. THE SOUTH TOWER IS AN APPROXIMATELY 318,000 BUILDING GROSS SQUARE FEET, EIGHT LEVEL BUILDING THAT INCLUDES TWO BASEMENT LEVELS, SIX LEVELS ABOVE GRADE, PLUS A ROOFTOP PENTHOUSE. THE BASEMENT PROVIDES A CLINICAL LABORATORY AND STERILE PROCESSING DEVELOPMENT (SPD). THE LABORATORY PROCESSES OVER 1.3 MILLION TESTS FOR BOTH CLINICAL TESTING AND RESEARCH PROTOCOLS. THE EXPANDED SPACE HAS ALLOWED FOR AN EXPANSION OF SPECIALITY SERVICES, GAINED EFFICIENCIES AND TECHNOLOGY ADVANCES. THE LABORATORY WAS THE FIRST PEDIATRIC INSTITUTION IN THE U.S. TO INSTALL AUTOMATED MICROBIOLOGY. TWO DEDICATED ELEVATORS CONNECT THESPD TO THE SURGERY DEPARTMENT FOR TRANSPORTING CLEAN AND SOILED MATERIALS. LEVEL ONE COOK CHILDREN'S EMERGENCY DEPARTMENT CURRENTLYSEES MORE THAN 120,000 PATIENTS EACH YEAR. THE RENOVATED AND EXPANDED NENETTA BURTON CARTER EMERGENCY DEPARTMENT, WHICH OPENED ON AUGUST 2016, HAS MORE, AND LARGER, EXAM ROOMS AND A SUPERIOR LAYOUT AND DESIGN TO BETTER ACCOMMODATE THE EXISTING - AND FUTURE -VOLUME OF PATIENTS. LEVEL ONE IS THE HOME OF THE EXPANDED EMERGENCY DEPARTMENT (ED) AND EXTENSION OF MAIN STREET, THE PRIMARYPUBLIC CIRCULATION SYSTEM THAT CONNECTS ALL BUILDINGS AND IS POPULATED WITH NUMEROUS FAMILY AMENITIES. THE ED HOUSES 5 RESUSCITATION ROOMS, 10 INTAKES ROOMS, 70 GENERAL EXAM ROOMS, TWO GENERAL X-RAY ROOMS AND 1 NEW CT ROOM. THE SOUTH MAIN TOWER INCLUDES A GRAB 'N' GO FOR FAMILIES AND STAFF AND A LOUNGE WITHVIEWS AND ACCESS TO A SOUTH GARDEN. LEVEL TWO THE SECOND LEVEL OF THE SOUTH TOWER IS DEDICATED TO SURGICAL SERVICES. ALL OF THE OPERATING ROOMS ARE LOCATED IN THIS AREA WHOSE FLOOR-TO-FLOOR HEIGHT INCREASED TO 18 FEET TO ACCOMMODATE MODERN BUILDING SYSTEMS AND TECHNOLOGY. THE OR SUITE IS DESIGNED AROUND A STERILE CORE AND INCLUDES 17 OPERATING ROOMS (7 GENERAL, 1 TRAUMA, 2 NEURO, 2 ORTHO, 1 IMRI, 1 CYSTO AND SHELL SPACE FOR THREE FUTURE OPERATING ROOMS). LEVEL THREE THIS SPACE IS DEDICATED TO A HEART CENTER, WITH TWO CARDIOVASCULAR OPERATING ROOMS, TWO CARDIAC CATH LABS, 14 BED CVICU AND 1,000 SQUARE FEET ENCLOSED CORRIDOR CONNECTING TO A 15-BED STEP-DOWN UNIT IN THE MAIN HOSPITAL. THE FAMILY WAITING ROOMS HAS VIEWS AND ACCESS TO ONE OF TWO ROOFTOP GARDEN TERRACES. LEVEL FOUR AND FIVE LEVEL FOUR HAS AN ECHOCARDIOGRAM SUITE, BUT MAINLY IS DEDICATED TO MECHANICAL SPACE. LEVEL FIVE IS SHELLED FOR FUTURE USE/GROWTH. LEVEL SIX LEVEL SIX IS THE HOME TO OUR BEHAVIORAL HEALTH CENTER, FEATURING AN INPATIENT UNIT WITH 15 BEDS. THE REES-JONES BEHAVIORAL HEALTH CENTER AT COOK 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 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 AVAILABLE TO HELP MAKE THEIR TIME AT COOK CHILDREN'S COMFORTABLE. Bomar Library - Located in the child life zone, the library offers: - BOOKS FOR ALL AGES - BOOKS AVAILABLE FOR ALL IN-PATIENTS AND THEIR SIBLINGS for check-out - A COMFORTABLE PLACE FOR FAMILIES TO READ, RELAX, PLAY BOARD GAMES AND PUT TOGETHER PUZZLES - R.E.A.D. DOGS - THERAPY DOGS VISIT THE CHILD LIFE ZONE AND BOMAR LIBRARY FOR A FUN READING EXPERIENCE. 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 - ENJOY SORBET in your choice of great flavors, including three no-added-sugar flavors. - OVER 40 YUMMY TOPPINGS - Plus, 23 VARIETIES OF CANDY INCLUDING SUGAR-FREE, NO-ADDED SUGAR, GLUTEN-FREE AND PROBIOTIC OPTIONS. 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. 703804326 true true false false false false false false false true true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false true false false false false false false true true true false false true 199 0 5187 true true true false false false false false false false false false false false X 13 12 false true false false true true true true true false false true true true true true true true true true true X CORY RHOADES 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 X Frank Anderson Trustee 1.0 0.0 X 0 0 0 John Batton Secretary/Treasurer 2.0 0.0 X X 0 0 0 John P Boswell Trustee-Chairman 2.0 2.0 X X 0 0 0 Anne Carvalho Trustee 1.0 1.0 X 0 0 0 Jeff Connor Trustee - Chairman 2.0 2.0 X X 0 0 0 Dana C Kelly Trustee 1.0 0.0 X 0 0 0 Leah King Trustee 1.0 0.0 X 0 0 0 Joseph LaMarca Jr Trustee 1.0 0.0 X 0 0 0 Billie R Pugh Jr MD Trustee 1.0 2.0 X 0 0 0 John M Richardson MD Trustee Emeritus 1.0 1.0 X X 0 0 0 Ryan Senter Trustee 1.0 0.0 X 0 0 0 James E Webb Trustee 1.0 0.0 X 0 0 0 Andrew S Wayne Trustee-Vice Chairman 2.0 0.0 X X 0 0 0 Rick W Merrill CEO 11.0 29.0 X 496574 1276903 234192 Nancy C Cychol President/Chief Hospital Servi 40.0 0.0 X 890996 0 37431 Stephen W Kimmel CFO 16.0 24.0 X 352369 528555 94313 Cara Martz Secretary 1.0 39.0 X 0 141294 22922 Stanley E Davis Sr. Vice President, COO 40.0 0.0 X 463143 0 44405 Spencer D Seals Vice President Construction & 1.0 39.0 X 0 172845 37774 Cheryl Peterson AVP Nursing, CNO 40.0 0.0 X 374016 0 47114 Jack Sosebee Vice President 40.0 0.0 X 323045 0 38248 Diana L Shannon RNFA, CV SVC Coordinator 40.0 0.0 X 220797 0 24093 Deborah C Boudreaux AVP Nursing 40.0 0.0 X 212272 0 37970 Orlando R Chapa AVP Nursing 40.0 0.0 X 245494 0 29969 Tammy Thomlison AVP Revenue 40.0 0.0 X 255959 0 13637 Elia Valencia-Stokes AVP Finance 40.0 0.0 X 251079 0 37413 4085744 2119597 699481 319 false true false LINBECK GROUP LLC 201 MAIN ST STE 1801 FORT WORTH TX 76102 CONSTR CONTRACTOR 21961691 Metro Aviation PO Box 7008 SHREVEPORT LA 71137 Aircraft Maintenance 3875273 MEDTRONIC PO BOX 848086 DALLAS TX 75284 MED SUPPLY SERVICES 3244387 Guidehouse Inc 150 N Riverside Plz Ste 2100 CHICAGO IL 60606 Consulting Services 2144980 HKS Inc PO Box 731121 DALLAS TX 75373 Professional Service 1703925 65 12048369 5551 12053920 Patient Services 621110 1061221579 1061221579 Other Operating Revenue 621110 108065520 108065520 Joint Venture Revenue 621110 11037652 11037652 LAB REFERRALS 621500 14620 14620 PHARMACY SERVICES 621500 210 210 1180339581 242197 242197 0 0 1249570 1101326 148244 0 148244 148244 29500 105635 -76135 -76135 -76135 0 0 0 0 0 0 0 0 0 CCIC Retro Premium 621110 1239651 1239651 1239651 1193947458 1181564402 14830 314306 64793490 64793490 257448 257448 0 0 3338667 3338667 70111 70111 281622460 248110608 33511852 13473726 12140909 1332817 61384079 55063980 6320099 20206832 18164114 2042718 162499011 2038308 160460703 240042 240042 0 0 0 0 28495742 22157513 6338229 66643 51524 15119 11748555 3510342 8238213 0 0 31459457 7326322 24133135 1486841 1258948 227893 0 569953 426830 143123 15936706 15905564 31142 0 57145462 40687325 16458137 1911903 1911903 Physical Remuneration 32847481 32320294 527187 Medical Supplies 97296104 97296104 BAD DEBT EXPENSE 62837916 62837916 EQUIPMENT AND REPAIRS 9789317 5324635 4464682 21697809 12150138 9547671 981175755 703804326 277371429 0 16434 16607 298096828 532777239 0 0 169026069 146128634 0 0 0 0 24219660 30559237 10794394 10825408 113997 710640 1170094731 512705525 660819491 657389206 7468828 7976148 0 0 0 0 7424990 7424990 22807466 32476131 1200788157 1426284240 69988088 78358680 0 0 49957 171751 363718331 366450710 0 0 0 0 0 0 0 0 2568071 5351899 436324447 450333040 X 764463710 975951200 0 0 0 0 764463710 975951200 1200788157 1426284240 X 212771703 -1284213 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 111568298 545683 5290113 986425 116417669 95010517 9396884 8367517 1206620 111568298 76556166 11777744 7575568 898961 95010517 71855341 190488 4883138 372801 76556166 62022698 12820675 -2241266 746766 71855341 0.38580 0.57320 0.04100 false true true 14740320 14740320 849162211 317556232 531605979 4397803 4245740 152063 249386641 185476023 63910618 52407756 5427530 46980226 657389206 0 EST. PAYABLE (THIRD PARTY) 5371260 DUE TO/FROM AFFILIATES -19361 5351899 1150310610 -40661690 -40661690 1190972300 2975158 2975158 1193947458 935635360 17297521 17297521 918337839 62837916 62837916 981175755 SCHEDULE D, PART V, Line 4 INTENDED 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 XI, Line 2D Reconciliation of audited revenue to form 990 revenue: Bad Debt expense: (62,837,916) Joint Venture Revenue not on 990: 24,965,127 Interest Rate SWAP Adjustment: (2,682,913) Women's Board Loss: (105,988) --------------- (40,661,690) Schedule D, Part XI, Line 4b RECONCILIATION OF AUDITED revenue to form 990 revenue: Loss on Disposal of Asset: (76,135) Contributions from Foundation: 4,152,619 Direct Rent Expenses: (1,101,326) ------------ 2,975,158 Schedule D, Part XII, Line 2D Reconciliation of audited expenses to form 990 expenses: direct rent expenses: 1,101,326 Loss on Disposal of Asset: 76,135 Women's Board Loss: 105,988 Joint Venture Expenses not on 990: 16,014,072 ------------------ 17,297,521 Schedule D, Part Xii, Line 4b Reconciliation of audited expenses to form 990 expenses: Bad Debt Expense 62,837,916 Schedule D, Part X, Line 2 ASC 740 Footnote: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE Financial statements. true true X true X 400. true X 500. true false true true 12060809 12060809 0.01310 475142097 394166935 80975162 0.08820 487202906 394166935 93035971 0.10130 5128165 98210 5029955 0.00550 325519 217794 107725 0.00010 411867 426138 65039227 65039227 0.07080 70904778 742142 70176907 0.07640 558107684 394909077 163212878 0.17770 20000 20000 10306 10306 173690 173690 0.00020 203996 203996 0.00020 true 62837916 6975726 8217405 -1241679 X true true COOK CHILDREN'S SURG SURGERY CENTER 0.60714 0.2857 1 1 Cook Children's Medical Center 801 Seventh Ave Fort Worth TX 76104 www.cookchildrens.org 000332 X Cook Children's Medical Center 1 false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X centerforchildrenshealth.org X true 18 true see part v, section c false true X 400. 500. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 input from representatives of the community: The initial Cook Childrens Community-Wide Childrens Health Assessment and Planning Survey (CCHAPS) was conducted in 2009 and every three years thereafter (2012, 2015, and 2018). Our methodology varies slightly among assessment years but always includes gathering data from multiple sources representing our community. Methodology includes a survey of parents of children ages 0-14, a community leader survey, and focus groups. We also gather feedback from community coalition members through facilitated discussions at regular meetings and at six child health summits that we host to present the data to our various communities. In addition, Cook Childrens collects data from publicly available sources to supplement perceptions of childrens health obtained through the parent and community leader surveys, focus groups and/or community meetings. The 2018 household survey was administered through an outside vendor (ETC Institute) to a statistically representative sample of parents with children ages 0-14 living in our primary service region (Denton, Hood, Johnson, Parker, Tarrant, and Wise counties). The large sample size (8,249 completed surveys) provides statistically representative results applicable to all six counties individually and collectively with a low margin of error (+/- 5%). The survey is administered through mail and telephone and ETC monitors responses to ensure that representation is similar to general population demographics in terms of total population in each geographic area, race/ethnicity, income, and education level. In order to assess the health of children living in families that are traditionally underrepresented in mail and telephone surveys, a research team from the Evaluation and Outcomes Division of My Health My Resources of Tarrant County (MHMRTC) conducted intercept surveys with parents living with a child or children one of several Tarrant County homeless shelters (209 completed surveys). ETC Institute also conducted a survey with community leaders to obtain their feedback about the status of childrens health. Surveys were mailed to 1,156 community leaders representing city and county governments, public agencies, not-for-profit organizations, independent school districts, faith based/clergy, elected officials, and health care professionals. We received 301 responses (26% response rate). A complete list of who received the opportunity to participate in the leader survey is available upon request. Based on the 2009 initial assessment results, Cook Childrens Board of Trustees prioritized childrens health issues identified by parents and community leaders and findings from subsequent CCHAPS processes in 2012, 2015, and 2018 confirmed the importance of these issues for continuing focused intervention: - Child Abuse & Neglect - Dental Health - Wellness - Access to Health Care - Asthma - Mental Health - General Health: Childhood Obesity - General Health: Parenting Support - Injury Prevention - Child Passenger Safety - Drowning Prevention - Poison Prevention - Gun Safety Cook Childrens continues to use the 2018 CCHAPS findings to assess parent and community leader perceptions of childrens health needs and to inform our community health outreach and community engagement efforts. Schedule H, Part V, Section B, Line 6B Other Organizations other than Hospital Facilities: External vendors used to conduct the CCHAPS surveys included ETC Institute, Inc. and My Health My Resources of Tarrant County. No other organizations were involved other than these contracted surveyor entities and no other organizations are able to use this assessment to fulfill CHNA requirements. Schedule H, Part V, Section B, Line 11 How we are addressing significant needs: Cook Childrens created the Center for Childrens Health in 2011 to provide an infrastructure for using childrens health assessment data to guide community programs and stakeholder collaborations that prevent illness, disease and injuries for children. The center oversees a regular community health needs assessment, community research and community health outreach. All three categories of Center activities are focused on increasing access to preventive services for underserved populations. The Center for Childrens Health develops strategies for addressing targeted childrens health priorities through research and an infrastructure that supports effective delivery of community and family services. Our services are data driven, evidence-informed and provided using high standards of community practice and service delivery. Recognizing that Cook Childrens cannot solve complex childrens health needs alone, we lead coalitions in every county within our primary service region to involve community partners in identifying health needs, and developing and implementing sustainable solutions. Collaborations are structured according to principles that research indicates are effective characteristics for successful community collaborations, including a commitment to using strategic plans to guide implementation of strategies, diverse representation within each community, and facilitating decisions guided by members according to formal coalition bylaws and meeting guidelines. Collaborations led by the Center for Children's Health include: - ACES Task Force - Children's Oral Health Coalition - Drowning Prevention Campaign - Healthy Children Coalition of Parker County - Hood County for Healthy Children - Johnson County Alliance for Healthy Kids - Safe Baby Sleep Council - Safe Kids North Texas - Save a Smile - Wise Coalition for Healthy Children - Wellness Alliance for Total Children's Health of Denton County CCHAPS 2018 findings support Cook Childrens continued focus on family outreach programs that address the childrens health issues identified in our initial CCHAPS process in 2009. The family services addressing priority childrens health needs are provided using evidence-based/informed practices, including strict adherence to regulatory requirements, implementing proven program designs, obtaining appropriate staff certifications or licensures, providing adequate supervision, practicing accurate and confidential record-keeping, and conducting ongoing formal evaluation. Recognizing the need to improve access to care for vulnerable populations, the Center for Childrens Health focuses all programming listed in the following sections to families identified as high-risk either due to low income or high prevalence of health risk factors. Community Strategy: Prevent child abuse and neglect The Center for Prevention of Child Abuse and Neglect is housed within Cook Childrens Center for Childrens Health to lead initiatives targeting child abuse prevention. These include a county-wide Adverse Childhood Experiences (ACEs) Task Force working to develop and implement multiple strategies for reducing the impact of ACEs on childrens health; ACEs child abuse reporting and caregiver support trainings and presentations provided by staff; an evidence-informed training for medical professionals and first responders to recognize the signs of child abuse and know how to respond appropriately; and a website support product for survivors of abuse. The center also works with a larger Cook Childrens Health Care System team to expand a predictive mapping project to better focus on resource allocation. Community Strategy: Improve child oral health The Center for Childrens Health leads the Childrens Oral Health Coalition (COHC), a county-wide collaborative effort to address dental care needs for underserved children. COHC focuses on providing education and oral hygiene kits to families in priority zip codes and hosts Train the Trainer events -- 4-hour workshops for community professionals that teach them how to train parents they regularly serve on proper oral health care for infants and children ages 0-4 years old. COHC works to improve community collaboration around oral health care by bringing together those organizations in Tarrant County conducting limited oral exams in the school setting to reduce overlap, discuss common obstacles and promote best practices. COHC also supports collaboration with community partners to work with pregnant women and young children to improve overall health. And the coalitions Legislative Advocacy committee monitors state and national legislative issues, especially those supporting expanded access to dental care for low-income children. The Center is also home to Save a Smile, an innovative and award-winning program that partners with schools to provide preventive and restorative treatment to children with serious dental disease. Approximately 7,000+ children in targeted Title I schools are screened and assigned an oral health status to determine which children need treatment provided by volunteer dentists. Community health workers work under the supervision of a licensed social worker provide social services that facilitate treatment completion for those children with serious dental disease. Save a Smile also provides oral health classroom education to children to promote good oral health. Community Strategy: Improve control of childhood asthma The Center for Childrens Health implements a Healthy Homes program designed to mitigate asthma triggers in the home for families of children seen in the Cook Childrens Medical Center ER for asthma three or more times in a 12-month period. Healthy Homes uses trained community health staff to assess homes for asthma triggers and offers remediation of those triggers to reduce asthma episodes requiring ER visits. Cook Childrens is also a key partner in community efforts to address asthma, including the Asthma 411 Consortium. Through the Asthma 411 Consortium, Cook Childrens provides support to equip school nurses with appropriate tools and knowledge of rescue meds to quickly respond to a child in respiratory distress. Community Strategy: Increase access to mental health services Cook Childrens is a founding partner of the Mental Health Connection (MHC) and continues to support this group financially and through staff participation. MHC is a partnership of health and social service organizations that works to improve mental health services in Tarrant County through collaboration. In addition, the Center for Childrens Health leads the Wellness Alliance for Total Childrens Health of Denton County, a coalition working to increase awareness of and access to mental health services through maintaining a resource website (watchdenton.org), facilitating educational events for professionals, hosting an annual childrens art expression initiative, and strengthening collaboration between mental health service providers. Community Strategy: Increase access to wellness activities for children Coalitions led by the Center for Childrens Health in Johnson and Parker Counties work with schools and community organizations to implement a school-based wellness education program centered on evidence-based approaches (5-2-1-0 Lets Go! and Coordinated Approach to Child Health, or CATCH). The program includes four education sessions during the school year to teach 3rd-4th grade children to eat five servings of fruits/vegetables per day, spend no more than two hours of recreation screen time per day, engage in physical activity for at least one hour per day and drink less sugary beverages and more water. Children are also taught about "Go" foods (good to eat almost anytime), "Slow" foods (can be eaten a few times per week) and "Whoa" foods (may be eaten up to a few times per month). Volunteer facilitators lead the sessions and in some sites facilitate school-based gardens. Cook Childrens also promotes physical activity through offering GoNoodle to all school districts within our service region. GoNoodle provides teachers access to online videos to promote physical activity in the classroom. Community Strategy: Increase support network for parents and families through community partnerships Coalitions led by the Center for Childrens Health in Hood and Wise Counties work to promote healthy parenting practices by offering Parent Cafs using a curriculum based on Nurturing Parenting and other evidence-informed parenting programs. The goal of the Parent Caf is to engage parents in building a support network which is one of the protective factors needed to promote healthy outcomes for their children. Volunteers are trained by licensed professionals on how to successfully facilitate parent discussions. The coalitions developed comprehensive toolkits for Parent Caf facilitators that include key messages for 14 parenting lessons, discussion questions, handouts, sign-in sheets and evaluation forms. Co Schedule H, Part V, Section B, lines 7a & 10a CHNA & Implementation Strategy availability: The CHNA and implementation strategy are available upon request and at the following address: www.cookchildrens.org/about/community-outreach/Pages/Community-Health-Need s-Assessment.aspx Schedule H, Part V, Section B, lines 16a, 16b & 16c Financial Assistance Documents: The financial assistance policy, application and plain language summary are available at the following address: https://www.cookchildrens.org/patients/billing-insurance/Pages/financial-a ssistance.aspx Schedule H, Part V, Section B, line 3 board approval of chna: The deadline for presenting and obtaining board approval of the Community Health Needs Assessment for tax year 2018 was September 30, 2019, and all work had been completed on the assessment prior to that date to make it ready for approval. Due to an administrative oversight in finalizing the agenda for the September 30, 2019 Board meeting, consideration and approval of the Community Health Needs Assessment for tax year 2018 was inadvertently postponed to the next Board meeting. The Community Health Needs Assessment was posted for public comment on November 5, 2019 and subsequently approved at the next scheduled Board meeting, December 3, 2019. The Implementation Strategies for the tax year 2018 CHNA were also approved at that meeting in a separate motion. Because the Community Health Needs Assessment was approved prior to the deadline for implementation (i.e., prior to February 15, 2020), and the Implementation Strategies were timely approved, this minor and inadvertent error in timing had no impact on the community we serve. In addition, governance staff who manage the Board agenda have been educated as to the appropriate timeline for approval of future Community Health Needs Assessments and the hospital is reviewing its policies and procedures for other advisable improvements. 2 CENTER FOR PEDIATRIC SURGERY 4200 W University Drive Ste 110 Prosper TX 75078 AMBULATORY SURGERY CENTER COOK CHILDREN'S NORTHEAST ASC 6313 PRECINCT LINE RD HURST TX 76054 AMBULATORY SURGERY CENTER SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: WE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE. SCHEDULE H, PART III, SECTION A, LINE 3 Bad debt as a community benefit: BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. SCHEDULE H, PART III, SECTION A, LINE 4 bad debt footnote: FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGE 10 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM. SCHEDULE H, PART III, SECTION B, LINE 8 Medicare Shortfall & Cost Reported: THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9B Collection Practices: THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. Schedule H, Part VI, Line 2 NEEDS ASSESSMENT ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALITIES, THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) AS REPORTED IN PART V, SECTION B IS THE ONLY COMMUNITY-WIDE CHILDREN'S HEALTH NEEDS ASSESSMENT CONDUCTED BY OUR HEALTH SYSTEM. Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE at www.cookchildrens.org. the charity application is posted in both english and spanish versions. Schedule H, Part VI, Line 4 COMMUNITY INFORMATION COOK CHILDREN'S HEALTH CARE SYSTEM SERVES A SIX-COUNTY PRIMARY SERVICE AREA IN NORTH TEXAS THAT INCLUDES TARRANT, DENTON, JOHNSON, PARKER, WISE AND HOOD COUNTIES. THE REGION IS HOME TO A DIVERSE POPULATION OF 3,382,569 PEOPLE AND 720,697 (21%) ARE CHILDREN UNDER 14 YEARS OF AGE. THE ANNUAL MEDIAN INCOME FOR FAMILIES WITH CHILDREN UNDER THE AGE OF 18 RANGES BETWEEN $63,072 IN WISE COUNTY TO $99,763 IN DENTON COUNTY. OF THE 834,108 CHILDREN UNDER THE AGE OF 18 LIVING IN THE REGION 151,931 (16%) LIVE IN HOUSEHOLDS WITH INCOME BELOW POVERTY LEVEL; AND BETWEEN 28.9%-52.5% OF THOSE LIVING IN POVERTY RESIDE IN FEMALE HOUSEHOLDER, NO HUSBAND PRESENT HOUSEHOLDS. OF THE 834,108 CHILDREN UNDER AGE 18 LIVING IN THE REGION, BETWEEN 13%-38% LIVE IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE, OR FOOD STAMPS/SNAP BENEFITS. Schedule H, Part VI, Line 5 PROMOTION 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 6 AFFILIATED HEALTH CARE SYSTEM: COOK CHILDREN'S ALSO OPERATES SEVEN NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER AND INNER CITY TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENT SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND 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 7 Texas Schedule H, Part I, Line 7, Column (F) Bad Debt Expense of $62,837,916 was included on form 990, Part IX, Line 25, Column (A), but was subtracted from total expense for the calculation of "percent of total expense" in this column. Schedule H, Part II, Lines 1-10 COMMUNITY BUILDING PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY ("WATCH"). WATCH OF DENTON COUNTY IS A COLLABORATION OF BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO ARE INVESTED IN THE TOTAL WELLNESS OF DENTON COUNTY'S CHILDREN. WATCH CURRENTLY WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES. Schedule H, Part I, Line 7 IN FY19, THE CENTER FOR CHILDREN'S HEALTH LED 705 HEALTH OUTREACH EVENTS SERVING OVER 20,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM CCHAPS, WHICH ENCOMPASSES: - CHILD ABUSE & NEGLECT - DENTAL HEALTH - WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY THROUGH OUR COALITIONS AND COLLABORATIONS WE ENGAGE COMMUNITY PARTNERS AND VOLUNTEERS TO HELP US REACH CHILDREN AND FAMILIES IN NEED THROUGH OUTREACH ACTIVITIES THAT SUPPORT SUSTAINABLE SOLUTIONS WITHIN THE COMMUNITY. IN FY19 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 6,500 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDRENS HEALTH, TOTALING A VALUE OF $218,000. OUT OF OUR 705 HEALTH OUTREACH EVENTS, OVER 400 OF THOSE WERE COALITION, WORKGROUP, AND STAKEHOLDER MEETINGS THAT WE LED THROUGH OUR COLLABORATIONS BELOW: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - DROWNING PREVENTION CAMPAIGN - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - SAFE BABY SLEEP COUNCIL - SAFE KIDS North Texas - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY SELECTED HIGHLIGHTS OF OUR WORK IN FY19 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - 2,335 DENTAL PROCEDURES VALUED AT $337,131 PROVIDED TO CHILDREN WITH DENTAL DISEASE. - CAR SEAT INSTALLATION EDUCATION RESULTING IN 1,025 CHILDREN RIDING SAFER IN CARS, AND NEW CAR SEATS FOR 650 OF THOSE CHILDREN. - 52,000 children and adults were educated on drowning prevention by the Lifeguard Your Child Campaign partners across eight counties. - 1,162 CHILDREN EDUCATED ON PROPER NUTRITION AND HEALTHY LIFESTYLES INFORMATION. - OVER 30 COMMUNITY MEMBERS TRAINED TO TEACH FAMILIES PROPER CARE FOR THEIR CHILDRENS TEETH. Schedule H, Part I, Line 3C COOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. true COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVENUE FORT WORTH TX 76104 752485366 501(C)(3) 64689990 SUBSIDIZE OPERATIONS JUNIOR LEAGUE OF FORT WORTH 255 BAILEY AVE FORT WORTH TX 76107 756022377 501(C)(3) 60000 SPONSOR MARCH OF DIMES 555 HEMPHILL ST FORT WORTH TX 76104 131846366 501(C)(3) 15000 SPONSOR Ronald Mcdonald House 1001 8th ave Fort Worth TX 76104 751754490 501(c)(3) 10000 Sponsor 4 Medication 3417 119003 Transportation 1742 53287 LODGING 338 47902 Gift Cards 203 9511 UTILITIES 15 5104 MEALS 560 8147 MEDICAL EQUIPMENT 9 2197 BABY SUPPLIES 250 12297 SCHEDULE I, PART I, LINE 2 PROCEDURES 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. X false true X X X X X false true false false false false false false false Rick W Merrill CEO 283071 727896 137266 352970 76237 196037 59693 153495 5882 15122 562149 1445520 Nancy C Cychol President/Chief Hospital Servi 494909 0 228551 0 167536 0 20625 0 16806 0 928427 0 Stephen W Kimmel CFO 175626 263441 116818 175227 59925 89887 32481 48721 5245 7866 390095 585142 63144 Cara Martz Secretary 0 95694 0 24526 0 21074 0 7553 0 15369 0 164216 0 0 Stanley E Davis Sr. Vice President, COO 255818 0 112920 0 94405 0 16960 0 27445 0 507548 0 0 0 Spencer D Seals Vice President Construction & 0 126845 0 26187 0 19813 0 11173 0 26601 0 210619 Diana L Shannon RNFA, CV SVC Coordinator 203030 0 9000 0 8767 0 4500 0 19593 0 244890 0 Deborah C Boudreaux AVP Nursing 146244 0 32165 0 33863 0 8351 0 29619 0 250242 0 0 Orlando R Chapa AVP Nursing 150271 39482 0 55741 0 17595 0 12374 0 275463 0 Cheryl Peterson AVP Nursing, CNO 238753 84121 0 51142 0 18743 0 28371 0 421130 0 Jack Sosebee Vice President 227081 69760 0 26204 0 20625 0 17623 0 361293 0 Tammy Thomlison AVP Revenue 196879 43261 0 15819 0 10009 0 3628 0 269596 0 Elia Valencia-Stokes AVP Finance 192914 44344 0 13821 0 7836 0 29577 0 288492 0 SCHEDULE J, PART I, LINE 1A Tax Gross-up payments: Diana Shannon had $220 of gross-up payments in her taxable compensation. SCHEDULE J, PART I, LINE 1B GENERAL 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, LINE 3 METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR: cOMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, lINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- -------- -------- RICK W. MERRILL 126,903 196,000 CCHS STEPHEN KIMMEL 63,144 70,202 CCHS NANCY C. CYCHOL 68,731 NONE CCMC Stanley Davis none 36,991 CCMC Schedule J, Part II ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYCISIAN NETWORK CHILD STUDY CENTER A TARRANT COUNTY CULTURAL EDUCATION FACILITIES 043833551 87638QJC4 2013-08-01 71222592 Refunding portion of 2010 Bond false false false B Tarrant County Cultural Education Facilities 043833551 87638QKX6 2014-02-28 176767688 Construction and Equipment Cost false false false C Tarrant County Health Facilities Development 751181060 875906NY1 2010-02-24 231948097 Development, Constr, Equipment false false false A 0 0 71222592 0 0 70145003 1077553 0 0 0 0 0 2013 true false true true B 12650000 0 177571254 0 0 0 1755350 0 0 176023031 0 0 2016 false false true true C 107605000 0 232805916 0 0 0 2686446 0 0 230119470 0 0 2011 false false true true A false false false false 0.00080 0.00080 true false false true B false false false false 0.00000 0.00000 true false false true C false true false false 0.00210 0.00210 true false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true true true Bank of America 21.25 false false false 0 false true A true B true C true Part IV, Column A, Line 2C No Rebate Due The final rebate computation was performed as of 2/4/2014 Part IV, Column B, Line 2C No rebate due The rebate computation was performed as of 3/22/2017. Part IV, Column C, Line 2C No rebate due the final rebate computation was performed as of 2/4/2014. Part III, line 7, Columns A, B, & C 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 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 B & C, Line 3 Total Proceeds include investment earnings. Katharine Carvalho Daughter of Board Member 70111 COMPENSATION false FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT AUTHORITY: A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES. FORM 990, PART VI, SECTION A, LINE 6 SOLE 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 7A MEMBER 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 7B MEMBER 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 11B REVIEW 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 12C WRITTEN CONFLICT OF INTEREST POLICY: EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW 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 AND 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 19 PROCESS 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 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: Fund Balance Transfers Between Affiliates: 1,398,700 Change in FV of SWAP: (2,682,913) ------------- (1,284,213) COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 PHYSICIAN SVC TX 501(C)(3) 3 CCHCS true WI COOK FOUNDATION 801 SEVENTH AVE FORT WORTH TX 76104 752056149 FUNDRAISING TX 501(C)(3) 7 NA false COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FT WORTH TX 76104 752896983 HEALTHCARE TX 501(C)(3) 10 CCHCS true COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 HLTH CARE SUP TX 501(C)(3) 12C CCHF false COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 10 CCHCS true ROSEDALE OFFICE BUILDING INC 1500 W ROSEDALE FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHF false CHILD STUDY CENTER 1300 W LANCASTER FORT WORTH TX 76102 751099536 HLTHCARE SRVC TX 501(C)(3) 7 CCMC true COOK CHILDREN'S HEALTH ENTERPRISES 801 SEVENTH AVE FORT WORTH TX 76104 842625990 SUPPORTING OR TX 501(C)(3) 12B CCHF false COOK CHILDREN'S SURGERY CENTER LLC 11221 ROE AVE LEAWOOD KS 66211 205227064 ASC TX NA RELATED 3171853 1110638 false false 0.58959 CENTER FOR PEDIATRIC SURGERY LTD 11221 ROE AVE LEAWOOD KS 66211 470871715 ASC TX NA RELATED 6735098 11722584 false false 0.53477 CPS PEDIATRICS LLC 11221 ROE AVE LEAWOOD KS 66211 470871718 ASC TX NA RELATED 30769 92459 false false 0.53733 COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION true true true true false true true false false true true true false true false true true true true true cook children's physician network b 64689990 fmv Cook Children's Physician Network A 1359986 FMV Cook Children's Surgery Center J 1249570 FMV COOK CHILDREN'S HEALTH PLAN S 114436676 FMV COOK CHILDREN'S HOME HEALTH R 2038307 FMV Cook Children's Physician Network O 30595418 FMV Cook Children's Home Health P 170415 FMV Cook Children's Physician Network Q 532766 FMV Cook Children's Health Plan Q 80607 FMV Cook Children's Physician Network R 337715 FMV