COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202632269349301118
Schema version: 2024v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T10:48:46+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 WALNUT STREET SUITE 1700	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752051646	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COOK	BusinessNameControlTxt
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NANCY CYCHOL	PersonNm
Person Title	NANCY CYCHOL	PersonTitleTxt
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL ENGLE	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2026-08-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NANCY CYCHOL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,269,822,319	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COOKCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5692	TotalEmployeeCnt
Total Volunteers	890	TotalVolunteersCnt
Total Gross UBI	$14,637	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,938	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,942,471	PYContributionsGrantsAmt
CY Contributions Grants	$12,247,041	CYContributionsGrantsAmt
PY Program Service Revenue	$2,195,940,423	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,252,070,978	CYProgramServiceRevenueAmt
PY Investment Income	$2,770,914	PYInvestmentIncomeAmt
CY Investment Income	$1,080,121	CYInvestmentIncomeAmt
PY Other Revenue	$222,910	PYOtherRevenueAmt
CY Other Revenue	$2,997,491	CYOtherRevenueAmt
PY Total Revenue	$2,221,876,718	PYTotalRevenueAmt
CY Total Revenue	$2,268,395,631	CYTotalRevenueAmt
PY Grants And Similar Paid	$100,455,428	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$110,683,116	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$574,668,377	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$609,975,340	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$988,635,221	PYOtherExpensesAmt
CY Other Expenses	$1,025,475,554	CYOtherExpensesAmt
PY Total Expenses	$1,663,759,026	PYTotalExpensesAmt
CY Total Expenses	$1,746,134,010	CYTotalExpensesAmt
PY Revenues Less Expenses	$558,117,692	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$522,261,621	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,486,656,392	TotalAssetsBOYAmt
Total Assets EOY	$3,427,865,062	TotalAssetsEOYAmt
Total Liabilities BOY	$814,134,605	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,224,546,562	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,672,521,787	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,203,318,500	NetAssetsOrFundBalancesEOYAmt
Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,352,770,479	ExpenseAmt
Grant	$110,683,116	GrantAmt
Revenue	$2,254,758,346	RevenueAmt
Desc	COOK CHILDREN'S MEDICAL CENTER (CCMC) - FORT WORTH REMAINS THE CORNERSTONE OF COOK CHILDREN'S HEALTH CARE SYSTEM. THIS 461-BED FACILITY BRINGS TOGETHER NATIONALLY RECOGNIZED CLINICIANS, ADVANCED TECHNOLOGY, FAMILY-CENTERED CARE AND LEADING-EDGE CLINICAL RESEARCH - ALL WITH THE SYSTEM'S PROMISE IN MIND. IT IS ONE OF ONLY 10 FREESTANDING CHILDREN'S HOSPITALS IN THE WORLD TO ACHIEVE MAGNET DESIGNATION WITH THREE CONSECUTIVE RE-DESIGNATIONS FROM THE AMERICAN NURSING CREDENTIALING CENTER. NATIONALLY RECOGNIZED SERVICES SUCH AS THE LEVEL IV NEONATAL INTENSIVE CARE UNIT (NICU), THE JANE AND JOHN JUSTIN INSTITUTE FOR MIND HEALTH, AND THE HEMATOLOGY AND ONCOLOGY CENTER LEAD THE WAY IN PROVIDING THE HIGHEST LEVEL OF CARE TO FAMILIES WHO TRAVEL FROM ACROSS TEXAS, THE UNITED STATES AND INTERNATIONALLY. (CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$1,352,770,479	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	182	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5692	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORY RHOADES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREW S WAYNE
TRUSTEE - VICE CHAIRMAN	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN P BOSWELL
TRUSTEE - CHAIRMAN/SECRETARY/TREASURER	2.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
RYAN B DICKERSON
TRUSTEE - CHAIRMAN/SECRETARY/TREASURER	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
BONNIE PETSCHE
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
EDWIN S WIN RYAN
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
JUDGE JEFFREY L CURETON
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
LAURA MILLER
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
LEAH M KING
TRUSTEE - END 5/31/25	1.0	2.0	Yes (X)		$0	$0	$0
MICHAEL A LAGATTA
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
NA'IM R MOSES
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
PEGGY L CASSIDY
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
TERRI VON LEHMDEN
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
THOMAS BRECKINRIDGE RAY
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
WALLY JONES
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
CORY R RHOADES
CHIEF FINANCIAL OFFICER	1.0	43.0		Yes (X)	$0	$973,129	$160,463
JAMES C CUNNINGHAM MD
EVP, CMO - END 1/3/25	1.0	41.0		Yes (X)	$0	$1,353,775	$912,444
JONATHAN NEDRELOW MD
EVP, CHIEF MEDICAL OFFICER	1.0	41.0		Yes (X)	$0	$739,840	$121,739
JOSEPH M GALLAGHER
SVP, CHIEF LEGAL OFFICER	1.0	42.0		Yes (X)	$0	$1,031,188	$161,529
MARY CARA MARTZ
SECRETARY	1.0	40.0		Yes (X)	$0	$193,688	$26,567
NANCY C CYCHOL
EVP, HOSPITAL SERVICES	26.0	15.0		Yes (X)	$855,341	$460,568	$369,282
RICK W MERRILL
CEO	10.0	32.0		Yes (X)	$792,573	$2,377,721	$427,841
SPENCER D SEALS
SVP CONSTRUCTION & REAL ESTATE	1.0	43.0		Yes (X)	$0	$473,682	$97,738
STANLEY E DAVIS
PRESIDENT	40.0	1.0		Yes (X)	$1,026,034	$0	$718,638
STEPHEN W KIMMEL
EVP, SYSTEM FINANCE	14.0	29.0		Yes (X)	$496,418	$882,522	$517,619
THERESA Z MEADOWS
SVP, CHIEF INFORMATION OFFICER - END 6/1/25	1.0	41.0		Yes (X)	$0	$949,722	$64,282
ALDRENA HEAD
AVP, HIM	40.0	0			$228,558	$0	$50,198	Yes (X)
CHERYL PETERSEN
SVP NURSING/ CHIEF NURSING CNO	40.0	0			$610,846	$0	$128,743	Yes (X)
DEBORAH BOUDREAUX
VP, NURSING & PATIENT SVC	40.0	0			$357,289	$0	$76,761	Yes (X)
ELIA VALENCIA-STOKES
VP, FINANCE	40.0	0			$459,499	$0	$101,646	Yes (X)
JACK SOSEBEE
SVP OPERATIONS	40.0	2.0			$628,404	$0	$107,739	Yes (X)
MEGAN CHAVEZ
VP, COOK CHILDREN'S EXPERIENCE	40.0	0.0			$497,439	$0	$83,275	Yes (X)
NATALIE WILKINS
VP, OPERATIONS	40.0	0			$486,264	$0	$71,369	Yes (X)
NICHOLAS MARKHAM
VP CAMPUS FAC, SUPP SERVICES	40.0	0.0			$327,931	$0	$70,363	Yes (X)
ORLANDO CHAPA
VP, NURSING & PATIENT SVC	40.0	0			$361,419	$0	$76,085	Yes (X)
OZIOMA OLOWU
AVP, PHARMACY	40.0	0			$348,680	$0	$66,499	Yes (X)
RAMONDA BUSBY
AVP, CASE MANAGEMENT SERVICES	40.0	0			$251,645	$0	$36,090	Yes (X)
TAMMY THOMLISON
AVP, REVENUE CYCLE	40.0	0			$322,540	$0	$36,755	Yes (X)
TIFFANY EPPERSON
AVP, NURSING	40.0	0			$215,059	$0	$41,349	Yes (X)
GINA HERNANDEZ
DIRECTOR, NURSING ADMIN	40.0	0			$231,899	$0	$29,369		Yes (X)
JESSACA SIBR
PHARMACIST	40.0	0			$246,422	$0	$42,029		Yes (X)
NATALIE CARPENTER
AVP, NURSING	40.0	0			$227,912	$0	$35,052		Yes (X)
ROBERT TUCKER
DIRECTOR, FINANCE	40.0	0			$228,087	$0	$39,238		Yes (X)
TOMMIE MOSS
PHARMACIST	40.0	0			$261,139	$0	$55,939		Yes (X)
KEVIN GREENE
VP, PROSPER MEDICAL CENTER	0.0	40.0			$0	$343,582	$81,639			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,461,398	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,779,417	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,808,280	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	929	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
LINBECK GROUP LLC
1263 W ROSEDALE STE 202	FORT WORTH	TX	76104	CONSTRUCTION	$24,260,845
DAVID M SCHWARZ ARCHITECTS INC
1707 L STREET NW	WASHINGTON	DC	20036	ARCHITECTURE DESIGN	$3,925,386	SUITE 400
HKS INC
PO BOX 731121	DALLAS	TX	75373	PROFESSIONAL SERVICES	$3,273,253
BOTTOM LINE SYSTEMS LLC
541 BUTTERMILK PIKE	CRESCENT SPRINGS	KY	41017	PROFESSIONAL SERVICES	$2,732,120	STE 401
DUNAWAY ASSOCIATES LLC
550 BAILEY AVE	FORT WORTH	TX	76107	CONSTRUCTION	$1,702,887	SUITE 400

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	109	CntrctRcvdGreaterThan100KCnt
Related Organizations	$12,099,488	RelatedOrganizationsAmt
Government Grants	$147,553	GovernmentGrantsAmt
Total Contributions	$12,247,041	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	622310	$2,088,394,363	$2,088,394,363
OTHER OPERATING REVENUE	622310	$140,452,082	$140,452,082
JOINT VENTURE REVENUE	622310	$23,209,896	$23,209,896
LAB REFERRALS	621511	$14,637		$14,637

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,252,070,978	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$949,450	TotalRevenueColumnAmt
Exclusion	$949,450	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,653,336	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,357,850	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$295,486	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$295,486	TotalRevenueColumnAmt
Exclusion	$295,486	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$199,509	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$68,838	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$130,671	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,671	TotalRevenueColumnAmt
Exclusion	$130,671	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON DEFEASANCE	Desc
Business	900099	BusinessCd
Total Revenue Column	$2,702,005	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,702,005	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,702,005	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,268,395,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,254,758,346	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,637	UnrelatedBusinessRevenueAmt
Exclusion	$1,375,607	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$110,112,991	TotalAmt
Program Services	$110,112,991	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$570,125	TotalAmt
Program Services	$570,125	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,278,336	TotalAmt
Program Services	$2,178,497	ProgramServicesAmt
Management And General	$9,099,839	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$429,794,299	TotalAmt
Program Services	$413,727,553	ProgramServicesAmt
Management And General	$16,066,746	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,290,766	TotalAmt
Program Services	$21,174,832	ProgramServicesAmt
Management And General	$1,115,934	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$114,404,472	TotalAmt
Program Services	$109,285,149	ProgramServicesAmt
Management And General	$5,119,323	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,207,467	TotalAmt
Program Services	$30,667,127	ProgramServicesAmt
Management And General	$1,540,340	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$322,906,855	TotalAmt
Management And General	$322,906,855	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$31,819	TotalAmt
Management And General	$31,819	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,319,672	TotalAmt
Program Services	$46,082,156	ProgramServicesAmt
Management And General	$8,237,516	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$123,294	TotalAmt
Program Services	$118,294	ProgramServicesAmt
Management And General	$5,000	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,123,308	TotalAmt
Program Services	$15,125,844	ProgramServicesAmt
Management And General	$997,464	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,567,320	TotalAmt
Program Services	$7,466,783	ProgramServicesAmt
Management And General	$3,100,537	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,140,957	TotalAmt
Program Services	$1,054,969	ProgramServicesAmt
Management And General	$85,988	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$660,114	TotalAmt
Program Services	$624,621	ProgramServicesAmt
Management And General	$35,493	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$47,187	TotalAmt
Program Services	$30,288	ProgramServicesAmt
Management And General	$16,899	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$1,956,235	TotalAmt
Program Services	$1,956,235	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$66,789,871	TotalAmt
Program Services	$50,909,771	ProgramServicesAmt
Management And General	$15,880,100	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,153,250	TotalAmt
Program Services	$6,153,250	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$230,692,780	$230,692,780
LPPF SUPPLEMENTAL PAYMENTS	$172,890,192	$172,890,192
PHYSICIAN REMUNERATION	$73,283,842	$73,283,842
MINOR/COMPUTER EQUIPMENT	$23,265,609	$23,265,609

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,523,249	TotalAmt
Program Services	$35,399,571	ProgramServicesAmt
Management And General	$9,123,678	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,746,134,010	TotalAmt
Program Services	$1,352,770,479	ProgramServicesAmt
Management And General	$393,363,531	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,486	BOYAmt
EOY	$16,421	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,216,988,006	BOYAmt
EOY	$1,844,701,567	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$320,616,591	BOYAmt
EOY	$314,577,802	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,806,246	BOYAmt
EOY	$3,508,282	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,825,319	BOYAmt
EOY	$19,215,711	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$574,843	BOYAmt
EOY	$574,463	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,555,802,062	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$830,392,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$677,505,071	BOYAmt
EOY	$725,409,248	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,500,076	BOYAmt
EOY	$9,267,686	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,517,494	BOYAmt
EOY	$3,762,495	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$231,306,260	BOYAmt
EOY	$506,831,387	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,486,656,392	BOYAmt
EOY	$3,427,865,062	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$130,863,370	BOYAmt
EOY	$139,337,676	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$164,344	BOYAmt
EOY	$181,161	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$457,651,530	BOYAmt
EOY	$793,448,624	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$225,455,361	BOYAmt
EOY	$291,579,101	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$814,134,605	BOYAmt
EOY	$1,224,546,562	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,672,521,787	BOYAmt
EOY	$2,203,318,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,672,521,787	BOYAmt
EOY	$2,203,318,500	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,486,656,392	BOYAmt
EOY	$3,427,865,062	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$522,261,621	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,087,978	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$447,114	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$427,090	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$427,090	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,746,134,010	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,967,971,363	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,746,134,010	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,968,398,453	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$203,050	CurrentYearMinus3Amt
Current Year Minus2	$225,096	CurrentYearMinus2Amt
Current Year Minus1	$218,773	CurrentYearMinus1Amt
Current Year	$427,090	CurrentYearAmt
Total	$1,074,009	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri	$2,300	DonorAdvisedFundsContriAmt
Donor Advised Funds Grants	$0	DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY	$355,586	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$167,539,202	BeginningYearBalanceAmt
Contributions	$395,391	ContributionsAmt
Investment Earnings Or Losses	$17,608,406	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,512,874	OtherExpendituresAmt
End Year Balance	$179,030,125	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3856	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5308	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0836	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,179,074	OtherCostOrOtherBasisAmt
Book Value	$16,179,074	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,093,292,495	OtherCostOrOtherBasisAmt
Depreciation	$562,316,937	DepreciationAmt
Book Value	$530,975,558	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,710,222	OtherCostOrOtherBasisAmt
Depreciation	$4,563,555	DepreciationAmt
Book Value	$146,667	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$322,367,882	OtherCostOrOtherBasisAmt
Depreciation	$247,551,503	DepreciationAmt
Book Value	$74,816,379	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$119,252,389	OtherCostOrOtherBasisAmt
Depreciation	$15,960,819	DepreciationAmt
Book Value	$103,291,570	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$725,409,248	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED TO USE	$359,675,982
OTHER RECEIVABLES	$4,388,123
SUPPLEMENTAL ASSETS	$116,511,540
RIGHTS OF USE ASSETS	$15,929,973
INTERCOMPANY RECEIVABLES	$10,325,769

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$506,831,387	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
INTERCOMPANY PAYABLES	$174,515,907
ESTIMATED DUE TO THIRD PARTIES	$102,122,402
RIGHT OF USE LIABILITY	$14,940,792

Field	Value	IRS element (for citing)
Total Liability	$291,579,101	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$2,273,034,567	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$8,087,978	NetUnrealizedGainsInvstAmt
Other Revenue	$1,804,955	OtherRevenueAmt
Revenue Not Reported	$9,892,933	RevenueNotReportedAmt
Revenue Subtotal	$2,263,141,634	RevenueSubtotalAmt
Other Revenues Not Included	$5,253,997	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,253,997	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,268,395,631	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,746,063,225	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,357,850	OtherExpensesIncludedAmt
Expenses Not Reported	$1,357,850	ExpensesNotReportedAmt
Expenses Subtotal	$1,744,705,375	ExpensesSubtotalAmt
Other Expenses Not Included	$1,428,635	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,428,635	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,746,134,010	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART V, LINE 4 INTENDED USES 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 PLUS INFLATION OVER A ROLLING SEVEN-YEAR PERIOD, AS WELL AS SHOW FAVORABLE PERFORMANCE CHARACTERISTICS RELATIVE TO OTHER MARKET INDICES WEIGHTED FOR ASSET ALLOCATIONS AS WELL AS SIMILARLY MANAGED FUNDS. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON PUBLIC AND PRIVATE EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) IN WHERE W.I. COOK FOUNDATION, INC. MAY MAKE AVAILABLE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH THE EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. THE INTENDED USE OF THE HIGHEST AMOUNTS OF ENDOWMENTS IS CHARITY CARE, OPERATIONAL NEEDS OF THE CHILD LIFE DEPARTMENT, OPERATIONS OF THE HOSPITAL, TO SUPPORT THE FACILITY DOG PROGRAM, SUPPORT THE OPERATIONAL NEEDS OF THE PASTORAL CARE DEPARTMENT AND NURSING RESEARCH.
SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990	INTEREST RATE SWAP ADJUSTMENT - 447105 RENT EXPENSE - 1357850
SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	ADDITIONAL CONTRIBUTIONS FROM FOUNDATION - 3677809 CCIC RETRO PREMIUM - 1297964 GOVERNMENT GRANTS - 147553 GAIN ON DISPOSAL OF ASSETS - 130671
SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990	RENT EXPENSE - 1357850
SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	GAIN ON DISPOSAL OF ASSETS - 130671 CCIC RETRO PREMIUM - 1297964

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,333,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,051,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,281,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$987,380,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$837,429,758	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$149,950,817	NetCommunityBenefitExpnsAmt
Total Expense	0.08588	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,006,713,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$839,481,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$167,232,653	NetCommunityBenefitExpnsAmt
Total Expense	0.09577	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,715,902	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,569	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,683,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00612	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,989,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,989,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00801	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,542,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,443,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,099,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00521	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,258,496	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,258,496	NetCommunityBenefitExpnsAmt
Total Expense	0.06314	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$147,506,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,476,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$144,030,436	NetCommunityBenefitExpnsAmt
Total Expense	0.08249	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,154,220,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$842,957,617	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$311,263,089	NetCommunityBenefitExpnsAmt
Total Expense	0.17826	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$497,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$497,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00029	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$556,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$556,313	NetCommunityBenefitExpnsAmt
Total Expense	0.00032	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$131,618,519	BadDebtExpenseAmt
Reimbursed By Medicare	$6,427,373	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,067,380	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$359,993	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
COOK CHILDRENS SURGERY CENTER
SURGERY CENTER	0.51	0.0	0.3003
CENTER FOR PEDIATRIC SURGERY LTD
SURGERY CENTER	0.5203	0.0	0.1429
CPS PEDIATRICS LLC
PEDIATRIC CARE	0.5255	0.0	0.1429

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.COOKCHILDRENS.ORG	WebsiteAddressTxt
State License	000332	StateLicenseNum
Childrens Hospital	Yes (X)	ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Other Website URL	WWW.CENTERFORCHILDRENSHEALTH.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. THE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, 2018 2021, AND 2024). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. OVERALL, OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) METHODOLOGY INCLUDES A SURVEY OF CAREGIVERS OF CHILDREN AGES 0-17, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS OUTLINED IN THE TABLE BELOW. WE ALSO GATHER FEEDBACK FROM COMMUNITY PARTNERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE CAREGIVER AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2024 CHNA PARENT/CAREGIVER SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF CAREGIVERS WITH CHILDREN AGES 0-17 LIVING IN OUR PRIMARY SERVICE AREA (COLLIN, DENTON, GRAYSON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (6,877 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL EIGHT COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 1.2%; 95% CI). THE SURVEY IS ADMINISTERED THROUGH MAIL, TELEPHONE, AND INTERNET COMMUNICATIONS AND ETC MONITORS RESPONSES TO ENSURE THAT REPRESENTATION IS SIMILAR TO GENERAL POPULATION DEMOGRAPHICS IN TERMS OF TOTAL POPULATION IN EACH GEOGRAPHIC AREA, RACE/ETHNICITY, MARITAL STATUS, INCOME, AND EDUCATION LEVEL. IN ORDER TO ASSESS THE HEALTH OF CHILDREN LIVING IN FAMILIES THAT ARE TRADITIONALLY UNDERREPRESENTED IN MAIL AND TELEPHONE SURVEYS, A RESEARCH TEAM FROM THE EVALUATION AND OUTCOMES DIVISION OF MY HEALTH MY RESOURCES OF TARRANT COUNTY (MHMRTC) ADMINISTERED THE PARENT/CAREGIVER SURVEY TO AN INTENTIONAL SAMPLE OF CAREGIVERS WITH FAMILIES EXPERIENCING HOMELESSNESS IN SHELTERS OR FAMILIES WITH AT LEAST ONE UNDOCUMENTED MEMBER AT SEVERAL TARRANT COUNTY HOMELESS SHELTERS (227 COMPLETED SURVEYS). COMMUNITY HEALTH WORKERS (CHWS) FROM THE CENTER CONDUCTED 27 INTERVIEWS WITH ENGLISH AND SPANISH-SPEAKING CAREGIVERS, TOTALING APPROXIMATELY 540 MINUTES SPENT WITH FAMILIES. CHWS WHO HAD ALREADY BUILT TRUST WITH THE FAMILY/CAREGIVER LED THE INTERVIEWS. THIS PROVIDED AN OPPORTUNITY FOR CAREGIVERS TO SHARE ADDITIONAL INFORMATION BEYOND QUESTIONS ON THE PARENT/CAREGIVER SURVEY. A COOK CHILDREN'S PHYSICIAN SUPPORTED INTERVIEWS WITH 4 CAREGIVERS OF CHILDREN SEEKING HEALTH CARE IN THE SERVICE AREA AND WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AND SPANISH, TOTALING APPROXIMATELY 140 MINUTES SPENT WITH FAMILIES. THESE INTERVIEWS OFFERED AN IMPORTANT OPPORTUNITY FOR CAREGIVERS TO SHARE THEIR EXPERIENCES NAVIGATING THE NORTH TEXAS HEALTH CARE SYSTEM, IDENTIFY OBSTACLES TO QUALITY CARE, AND PROVIDE INFORMATION ON WAYS TO ENHANCE FAMILY-CENTERED CARE, PARTICULARLY FOR IMMIGRANT FAMILIES. ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,002 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 239 RESPONSES (24% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. VIRTUAL INTERVIEWS WITH 12 COMMUNITY LEADERS ACROSS THE EIGHT-COUNTY SERVICE AREA WERE ALSO CONDUCTED. LEADERS WERE RECRUITED BASED ON THEIR EXPERTISE AND DIVERSE ROLES WITHIN THE COMMUNITY. INTERVIEWEES DISCUSSED PRESSING ISSUES OR CONCERNS IN THE COMMUNITY, PROVIDING ADDITIONAL CONTEXT FOR THE COMMUNITY LEADER AND PARENT/CAREGIVER SURVEY FINDINGS. PRIORITY TOPICS DISCUSSED INCLUDED MENTAL HEALTH, ACES, HOUSING AND FOOD SECURITY, HEALTHY LIFESTYLES, INJURY PREVENTION, AND ACCESS TO HEALTH CARE FOR ALL CHILDREN. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES REPRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CHNA PROCESSES IN 2012, 2015, 2018, 2021, AND 2024 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: - EQUITABLE ACCESS TO HEALTH CARE - ORAL HEALTH - MENTAL HEALTH - HEALTHY LIFESTYLES (OBESITY PREVENTION) - CAREGIVER AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) - INJURY PREVENTION - ASTHMA COOK CHILDREN'S CONTINUES TO USE THE 2024 CHNA FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS. THE 2027 CHNA IS CURRENTLY IN DEVELOPMENT AND WILL BE COMPLETED AND POSTED BY SEPTEMBER 30, 2028.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. THIS 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS INTENDED TO SERVE AS A JOINT ASSESSMENT FOR THE MAIN COOK CHILDREN'S MEDICAL CENTER-FORT WORTH AND COOK CHILDREN'S MEDICAL CENTER-PROSPER, WHICH OPENED IN JANUARY 2023. THE FORT WORTH MEDICAL CENTER'S PRIMARY SERVICE AREA ENCOMPASSES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. THE PROSPER MEDICAL CENTER SERVES THE PRIMARY COUNTIES OF COLLIN, DENTON AND GRAYSON. OUR 2024 ASSESSMENT INTENTIONALLY COLLECTED DATA IN COLLIN AND GRAYSON COUNTIES TO REPRESENT THOSE COMMUNITIES IN THE PROSPER SERVICE AREA. DENTON COUNTY FALLS WITHIN BOTH THE FORT WORTH AND PROSPER SERVICE AREAS.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. EXTERNAL VENDORS USED TO CONDUCT THE PARENT AND COMMUNITY LEADER SURVEYS INCLUDED ETC INSTITUTE, INC., MY HEALTH MY RESOURCES OF TARRANT COUNTY, AND UNIVERSITY OF NORTH TEXAS HEALTH - FORT WORTH. NO OTHER ORGANIZATIONS WERE INVOLVED OTHER THAN THESE CONTRACTED SURVEYOR ENTITIES AND NO OTHER ORGANIZATIONS ARE ABLE TO USE THIS ASSESSMENT TO FULFILL CHNA REQUIREMENTS.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH (THE CENTER), FORMERLY THE CENTER FOR CHILDREN'S HEALTH, WAS CREATED IN 2011 TO PROVIDE AN INFRASTRUCTURE FOR CONDUCTING THE TRIENNIAL CHNA, LEAD COMMUNITY RESEARCH, AND GUIDE COMMUNITY PROGRAMS AND STAKEHOLDER COLLABORATIONS. THESE COMBINED ACTIVITIES FOCUS ON INCREASING ACCESS TO PREVENTIVE SERVICES FOR UNDER-RESOURCED POPULATIONS. THE CENTER DEVELOPS STRATEGIES FOR ADDRESSING TARGETED CHILDREN'S HEALTH PRIORITIES THROUGH RESEARCH AND AN INFRASTRUCTURE THAT SUPPORTS EFFECTIVE DELIVERY OF COMMUNITY AND FAMILY SERVICES. OUR SERVICES ARE DATA DRIVEN, EVIDENCE-INFORMED AND PROVIDED USING HIGH STANDARDS OF COMMUNITY PRACTICE AND SERVICE DELIVERY. RECOGNIZING THAT COOK CHILDREN'S CANNOT SOLVE COMPLEX CHILDREN'S HEALTH NEEDS ALONE, WE LEAD COLLABORATIONS AND SUPPORT PARTNERSHIPS IN EVERY COUNTY WITHIN OUR EIGHT-COUNTY 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 COLLABORATIVE BYLAWS AND MEETING GUIDELINES. COLLABORATIONS LED BY THE CENTER INCLUDE: - CAREGIVER AND FAMILY SUPPORT ACTION TEAM - CHILDREN'S ORAL HEALTH COLLABORATIVE - HEALTH ACCESS ACTION TEAM - HEALTHY LIFESTYLES ACTION TEAM - INJURY PREVENTION COLLABORATIVE - LIFEGUARD YOUR CHILD CAMPAIGN - THRIVING COMMUNITIES COLLABORATIVE - SCHOOL-BASED ORAL HEALTH ACTION TEAM - SAVE A SMILE - SAFE BABY SLEEP COUNCIL - MENTAL HEALTH & RESILIENCY ACTION TEAM 2024 CHNA PARENT AND COMMUNITY LEADER SURVEY FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL PARENT SURVEY PROCESS IN 2009. THE FAMILY SERVICES ADDRESSING PRIORITY CHILDREN'S HEALTH NEEDS ARE PROVIDED USING EVIDENCE-BASED/INFORMED PRACTICES, INCLUDING STRICT ADHERENCE TO REGULATORY REQUIREMENTS, IMPLEMENTING PROVEN PROGRAM DESIGNS AND FRAMEWORKS SUCH AS THE SPECTRUM OF PREVENTION, 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 UNDER-RESOURCED POPULATIONS, THE CENTER FOCUSES ALL PROGRAMMING LISTED IN THE FOLLOWING SECTIONS TO FAMILIES IDENTIFIED AS HIGH-RISK EITHER DUE TO LOW INCOME OR HIGH PREVALENCE OF HEALTH RISK FACTORS. EQUITABLE ACCESS TO HEALTH CARE GOAL: INCREASE ACCESS TO OVERALL HEALTH & WELL-BEING FOR ALL CHILDREN - ENSURE THAT C4CH PROGRAMS AND COMMUNITY INVOLVEMENT EXEMPLIFY COOK CHILDREN'S PROMISE. COMMUNITY STRATEGIES - MONITOR AND ADDRESS CHILDREN'S HEALTH ISSUES IN COOK CHILDREN'S 6-COUNTY FWSA TO GUIDE PROGRAM DESIGN AND PRIORITIZATION 1. HOSTED TWO REGIONAL CHILD HEALTH SUMMITS TO SHARE FINDINGS FROM THE 2024 CHNA. 2. COMPLETED ROLLING DATA COLLECTION FOR YEAR 1 OF THE 2027 CHNA BY ADMINISTERING THE PARENT/CAREGIVER SURVEY ANNUALLY AMONG A PURPOSEFUL SAMPLE OF CAREGIVERS AND FAMILIES ACROSS THE 8-COUNTY SERVICE AREA. - LEVERAGE COMMUNITY PARTNERSHIPS TO EXPAND HEALTHCARE SERVICES AND RESOURCES 1. THE HOMELESS INITIATIVE ADDRESSES UNMET HEALTH AND PSYCHO-SOCIAL NEEDS OF CHILDREN LIVING IN THREE SHELTERS IN TARRANT COUNTY BY PROVIDING A MEDICAL HOME AND A CASE MANAGEMENT MODEL TO COORDINATE HEALTH AND SOCIAL SERVICES. 2. COOK CHILDREN'S IS REGULARLY REPRESENTED AT COMMUNITY INITIATIVES THROUGHOUT THE 8-COUNTY SERVICE AREA ADDRESSING VARIOUS CHILD HEALTH ISSUES. 3. HOSTED 15 COLLABORATIVE MEETINGS WITH COMMUNITY PARTNERS AND ENGAGED OVER 860 COMMUNITY ORGANIZATIONS, SHARING KEY MESSAGING AND EDUCATIONAL RESOURCES. 4. PROVIDED 379,970 MINUTES OF DIRECT EDUCATION AND TRAINING TO OVER 40,000 CHILDREN, CAREGIVERS, AND COMMUNITY PARTNERS, ACHIEVING A 99% PARTICIPANT SATISFACTION RATE ON TRAIN THE TRAINERS. 5. THE CENTER DISTRIBUTED 177,097 PREVENTION TOOLS AND 308,529 EDUCATIONAL RESOURCES THROUGH COMMUNITY EVENTS AND COMMUNITY PARTNERS IN FY25. - ALIGN C4CH PROGRAMS WITH COOK CHILDREN'S PROMISE WHILE FOCUSING ON COLLABORATION, EVIDENCE-BASED PRACTICES, AND ADDRESSING HEALTH DISPARITIES. 1. THE CENTER PROVIDES REGULAR COMMUNICATION ABOUT HEALTH INFORMATION TO FAMILIES AND COMMUNITY PARTNERS THROUGH ONLINE EDUCATIONAL RESOURCES, CHECKUP MAGAZINE, YOUTUBE VIDEOS, EVENTS, AND PRESENTATIONS. IN FY25, C4CH REACHED OVER 3.3 MILLION UNIQUE COMMUNITY MEMBERS THROUGH TARGETED DIGITAL AWARENESS CAMPAIGNS ACROSS PRIORITY GEOGRAPHIES, REFLECTING 48,000 HOURS OF ENGAGEMENT. 2. THE CENTER MAXIMIZES THE POWER OF COOK CHILDREN'S INTEGRATED HEALTH SYSTEM BY DEVELOPING CLOSE PARTNERSHIPS WITH NEIGHBORHOOD HEALTH CENTERS, COOK CHILDREN'S HEALTH PLAN, AND OTHER DEPARTMENTS OFFERING CASE MANAGEMENT SERVICES TO DISTRIBUTE HEALTH AND WELLNESS MESSAGES AND PREVENTION TOOLS. 3. COMMUNITY HEALTH WORKERS (CHWS) ARE AN INTEGRAL PIECE TO THE SUCCESS OF SEVERAL C4CH PROGRAMS INCLUDING BUILD-A-BRIDGE, SAVE-A-SMILE, AND HEALTHY HOMES BY CONNECTING FAMILIES TO NEEDED RESOURCES AND SUPPORT SERVICES TO INCREASE ACCESS TO CARE. IN FY25, CHWS PROVIDED OVER 10,680 SOCIAL SERVICES TO FAMILIES TO HELP THEM MEET BASIC NEEDS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH AND WERE RESPONSIBLE FOR 2,290 COMMUNITY REFERRALS PROVIDED TO FAMILIES CONNECTING THEM TO BASIC NEEDS AND HEALTH SERVICES. CHWS, ALONG WITH OTHER C4CH STAFF, SERVED NEARLY 28,000 CHILDREN, FAMILIES, AND PARTNERS. - SERVE AS AN ACTIVE PARTNER ON COLLABORATIONS LED BY OTHER COMMUNITY ORGANIZATIONS TO ADVOCATE FOR AND IMPROVE THE SYSTEM OF CARE FOR CHILDREN WITH DISPARITIES. 1. SUPPORTED 389 PARTNER EVENTS AND MEETINGS INCLUDING PRESENTATIONS. ADDITIONAL INFORMATION RELATED TO INCREASING ACCESS TO CARE IS ALSO ADDRESSED THROUGHOUT EACH OF THE REMAINING SIX FOCUS AREAS DISCUSSED BELOW. 2. THE CENTER CONTRIBUTES FUNDING TO THE IMMUNIZATION COLLABORATION OF TARRANT COUNTY TO PROVIDE EASY ACCESS TO IMMUNIZATIONS FOR CHILDREN FROM LOW-INCOME FAMILIES IN TARRANT COUNTY. THE COLLABORATION HOSTS A MULTI-WEEK EVENT DURING AUGUST AND SEPTEMBER, WITH THE HELP OF NEARLY 100 VOLUNTEERS TO IMMUNIZE APPROXIMATELY 7,000+ CHILDREN EACH YEAR. ADDITIONAL INFORMATION RELATED TO INCREASING ACCESS TO CARE IS ALSO ADDRESSED THROUGHOUT EACH OF THE REMAINING SIX FOCUS AREAS DISCUSSED BELOW. ORAL HEALTH GOAL: IMPROVE CHILD ORAL HEALTH - RESPOND TO THE URGENT NEEDS OF CHILDREN AT INCREASED RISK OF POOR ORAL HEALTH COMMUNITY STRATEGIES - LEAD AND SUSTAIN ORAL HEALTH COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT ORAL HEALTH COLLABORATIVE INTERVENTIONS. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED ORAL HEALTH RESOURCES TO EDUCATE FAMILIES, MEDICAL/DENTAL PROVIDERS, AND OTHER COMMUNITY PARTNERS. - CONTINUE IMPLEMENTING SAVE A SMILE: A) CONDUCT LIMITED ORAL HEALTH EVALUATIONS FOR LOW-INCOME CHILDREN. B) IDENTIFY THOSE WITH ACUTE DENTAL PROBLEMS IN IDENTIFIED SCHOOLS. C) PROVIDE COMPREHENSIVE DENTAL TREATMENT AND COORDINATED CARE CONNECTING FAMILIES TO COMMUNITY RESOURCES MEETING IMMEDIATE SOCIAL SERVICE NEEDS. - BUILD ORGANIZATIONAL CAPACITY AND PROVIDE EVIDENCE-BASED TRAINING TO CAREGIVERS AND CHILDREN; PREGNANT WOMEN; SCHOOL NURSES; MEDICAL/DENTAL PROVIDERS; AND OTHER COMMUNITY PARTNERS. - FACILITATE AND TRACK COMMUNITY-LEVEL ORAL HEALTH SCREENING OUTCOMES. - REDUCE OBSTACLES TO ORAL HEALTH CARE FOR PREGNANT TEENS AND WOMEN AND COORDINATE WITH OTHER C4CH SERVICES/PROGRAMMING FOR BROADER 4TH TRIMESTER SUPPORT. - EXPLORE MEDICAL/DENTAL INTEGRATION OPPORTUNITIES WITHIN COOK CHILDREN'S AND BEYOND TO ENHANCE COORDINATED CARE SERVICES. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS, EVENTS, AND ADVOCACY EFFORTS TO ENCOURAGE GOOD ORAL HEALTH (E.G., NATIONAL CHILDREN'S DENTAL HEALTH MONTH). CONTINUED ON NEXT DISCLOSURE
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 2	FACILITY , 2 - COOK CHILDRENS MEDICAL CENTER. CONTINUED FROM PRIOR DISCLOSURE MENTAL HEALTH GOAL: IMPROVE CHILD MENTAL HEALTH, RESILIENCY, AND WELL-BEING - RESPOND TO THE URGENT AND GROWING NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN AND YOUTH BY SUPPORTING COMMUNITY PARTNERS WHO PROVIDE ESSENTIAL MENTAL HEALTH CARE COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT MENTAL HEALTH COLLABORATIVE INTERVENTIONS, TARGETING HIGH-RISK POPULATIONS. - SUPPORT ORGANIZATIONS IN CAPACITY BUILDING TO FORM IMPACTFUL AND SUSTAINABLE MENTAL HEALTH PRACTICES AND POLICIES (E.G., HEALTHY MINDS. RESILIENT COMMUNITIES., MENTAL HEALTH CONNECTION).* DEVELOP AND IMPLEMENT EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR CAREGIVERS, CHILDREN AND ADOLESCENTS TO EXPAND THE REACH OF MENTAL HEALTH MESSAGING AND STRENGTHEN CONNECTIONS TO HEALTH CARE AND COMMUNITY RESOURCES (E.G., CHILDREN'S FEELINGS ARE A WORK OF ART, ROADMAP FOR CHILDREN'S MENTAL HEALTH). - PROVIDE PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR MENTAL HEALTH PROVIDERS TO SHARE SKILLS, KNOWLEDGE, AND TOOLS WITH COLLEAGUES AND CAREGIVERS WITHIN THEIR REACH (E.G., WELLNESS WORKSHOPS, TRAUMA INFORMED CARE TRAINING, QPR TRAINING (SUICIDE PREVENTION), YOUTH MENTAL HEALTH FIRST AID TRAINING). - SUPPORT COMMUNITY CAMPAIGNS AND EVENTS TO REDUCE STIGMA AND PROMOTE AWARENESS ABOUT MENTAL HEALTH AND WELL-BEING (E.G., MENTAL HEALTH AWARENESS MONTH, SUICIDE PREVENTION AND AWARENESS MONTH). HEALTHY LIFESTYLES (OBESITY PREVENTION) GOAL: IMPROVE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY FOR CHILDREN - RESPOND TO THE GENERAL HEALTH AND WELLNESS NEEDS OF FAMILIES COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT FAMILY WELLNESS COLLABORATIVE INTERVENTIONS. -INCREASE ACCESS TO FOOD RESOURCES THROUGH COMMUNITY PARTNERSHIPS AND EDUCATION (E.G., NOURISHING COMMUNITIES EFFORTS, LVT NHC DEMONSTRATION KITCHEN) - EXPLORE AND PROVIDE TRAUMA-INFORMED CARE TRAINING AND PRACTICES REGARDING FOOD INSECURITY SCREENING AND FOOD RESOURCE CONNECTION. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR CHILDREN TO PROMOTE HEALTHY LIFESTYLES, NUTRITIOUS FOOD CONSUMPTION, AND PHYSICAL ACTIVITY (E.G., 5210+ EVERY DAY, GARDENING). - PROVIDE HEALTHY LIFESTYLES TRAINING TO PROVIDERS AND COMMUNITY MEMBERS TO EQUIP THEM WITH KNOWLEDGE AND TOOLS TO SUPPORT CAREGIVERS WITHIN THEIR REACH (E.G., 5210+ EVERY DAY FACILITATOR TRAINING, GARDEN WORKSHOPS). - SUPPORT CAPACITY-BUILDING EFFORTS FOR ORGANIZATIONS TO ESTABLISH SUSTAINABLE, IMPACTFUL PRACTICES AND POLICIES. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO ENCOURAGE HEALTHY LIFESTYLES (E.G., HEALTHY LIFESTYLES AWARENESS MONTH). CAREGIVER AND FAMILY SUPPORT (ABUSE NEGLECT AND PREVENTION) GOAL: IMPROVE FAMILY RESILIENCY THROUGH CAREGIVER AND FAMILY SUPPORT -RESPOND TO THE URGENT NEEDS OF FAMILIES RAISING CHILDREN FACING SERIOUS ADVERSITIES, INCLUDING ADVERSE CHILDHOOD EXPERIENCES (ACES), BY PROVIDING SUPPORT TO STRENGTHEN PARENTING SKILLS. COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT INTERVENTIONS THAT PROTECT CHILDREN'S WELL-BEING AND BUILD FAMILY RESILIENCE. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED EDUCATION, RESOURCES, AND INTERVENTIONS THAT PROVIDE NETWORKS OF SUPPORT FOR PARENTS AND CAREGIVERS (E.G., BUILD-A-BRIDGE, CAREGIVER ALLIANCE, DIAPER HUB, AND PARENT CAFES). - CONTINUE IMPLEMENTING BUILD-A-BRIDGE TO: A) CONNECT FAMILIES WITH COORDINATED CARE AND COMMUNITY RESOURCES TO ADDRESS IMMEDIATE SOCIAL NEEDS. B) PROMOTE HEALTHY CAREGIVER AND CHILD ATTACHMENT AND CONNECTION WITH A MEDICAL HOME. - BUILD ORGANIZATIONAL CAPACITY AND PROVIDE EVIDENCE-INFORMED EDUCATION TO PROVIDERS AND COMMUNITY MEMBERS (E.G., PARENT CAFE FACILITATOR TRAINING, SCHOOL COUNSELOR ROUNDTABLES, EARLY DETECTION OF CHILD ABUSE AND NEGLECT, ACES 101 AND PCE TRAININGS). - CONNECT FAMILIES TO MATERNAL AND INFANT HEALTH SERVICES, INCLUDING POSTPARTUM MENTAL HEALTH SUPPORT AND LOCAL RESOURCES ADDRESSING THE NON-MEDICAL DRIVERS OF HEALTH, AND COORDINATE WITH OTHER C4CH SERVICES/PROGRAMMING FOR BROADER 4TH TRIMESTER SUPPORT. (E.G., PARENT PASS, COORDINATION AMONG C4CH SERVICES, SUPPORT SERVICES FOR TEEN PARENTS, EDUCATIONAL VIDEOS). - COLLABORATE WITH MATERNAL/INFANT HEALTH COALITIONS TO EXPAND ACCESS TO CRITICAL RESOURCES FOR POSTPARTUM MOTHERS AND FAMILIES (E.G., HEAL, TARRANT CO. MATERNAL-INFANT HEALTH COALITION). - SUPPORT COMMUNITY CAMPAIGNS AND EVENTS TO INCREASE AWARENESS ABOUT THE IMPORTANCE OF CAREGIVER AND FAMILY SUPPORT (E.G., CHILD ABUSE PREVENTION MONTH). INJURY PREVENTION GOAL: INCREASE SAFETY PRACTICES TO REDUCE UNINTENTIONAL INJURIES TO CHILDREN -RESPOND TO THE URGENT NEEDS OF FAMILIES WITH UNSAFE SLEEP ENVIRONMENTS, WHERE DROWNINGS ARE MORE LIKELY TO OCCUR, WHO DO NOT HAVE PROPERLY INSTALLED CAR SEATS, RECENTLY PRESCRIBED MEDICATION, RISK FOR ACCIDENTAL INGESTION/OVERDOSE, OR ARE MORE LIKELY TO HAVE GUN-RELATED INJURY IN THE HOME. COMMUNITY STRATEGIES - LEAD AND SUSTAIN INJURY PREVENTION COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT COLLABORATIVE INTERVENTIONS - PROVIDE EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR PARENTS AND CAREGIVERS THAT ENCOURAGE SAFER HABITS (PLANNED VS UNPLANNED WATER SAFETY, CHILD PASSENGER SAFETY IN THE CAR AND ON THE ROAD, MEDICATION STORAGE, GUN STORAGE, AND SAFE SLEEP) - ENHANCE ORGANIZATIONAL CAPACITY BY EQUIPPING PROVIDERS AND COMMUNITY MEMBERS WITH THE KNOWLEDGE AND TOOLS TO ADVOCATE FOR SAFER HABITS WITH CAREGIVERS WITHIN THEIR REACH (TRAIN THE TRAINER EVENTS, CAR SEAT TECHNICIAN TRAINING EVENTS, AND SAFE BABY SLEEP SYMPOSIUM) - DEVELOP AND DISTRIBUTE EVIDENCE-BASED RESOURCES AND TOOLS TO PROMOTE SAFE PRACTICES FOR WATER SAFETY, CHILD PASSENGER SAFETY, POISON PREVENTION, GUN SAFETY, AND SAFE INFANT SLEEP - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO ENCOURAGE SAFE PRACTICES FOR WATER SAFETY, CHILD PASSENGER SAFETY, POISON PREVENTION, GUN SAFETY, AND SAFE INFANT SLEEP ASTHMA GOAL: IMPROVE CONTROL OF CHILDHOOD ASTHMA - RESPOND TO THE URGENT NEEDS OF CHILDREN WITH INCREASED RISK OF UNCONTROLLED ASTHMA COMMUNITY STRATEGIES - HEALTHY HOMES 1. COACH FAMILIES TO IDENTIFY AND ADDRESS POTENTIAL ASTHMA TRIGGERS IN THEIR HOME ENVIRONMENT 2. EQUIP FAMILIES AND PARTNERS WITH EDUCATIONAL MATERIALS AND PRACTICAL TOOLS TO MITIGATE ASTHMA TRIGGERS. 3. CONNECT FAMILIES WITH CLINICAL ASTHMA CARE MANAGEMENT SERVICES AND COMMUNITY RESOURCES TO MEET IMMEDIATE SOCIAL SERVICE NEEDS (HEALTH CARE, FOOD, ETC.). - ASTHMA 411: SUPPORT PREVENTION-ORIENTED CARE IN SCHOOL SETTINGS 1. EQUIP SCHOOL NURSES WITH TRAINING AND MEDICATION NEEDED TO REDUCE MISSED SCHOOL AND EMERGENCY DEPARTMENT VISITS. 2. PROVIDE PHARMACY SERVICES AND TECHNICAL ASSISTANCE TO BUILD SCHOOL DISTRICTS' CAPACITY TO PROVIDE PREVENTION-ORIENTED CARE 3. PROVIDE GUIDANCE ON STANDING DELEGATED ORDERS AND OTHER CLINICAL ASPECTS THROUGH THE ASTHMA 411 MEDICAL ADVISORY COMMITTEE - EXPLORE ADDITIONAL SUPPORT OF COOK CHILDREN'S CLINICAL ASTHMA EFFORTS FOR HIGH-RISK ASTHMA POPULATIONS. - LEAD AND SUSTAIN THE THRIVING COMMUNITIES COLLABORATIVE AND SUPPORT OTHER COLLECTIVE COMMUNITY EFFORTS TO PLAN AND IMPLEMENT PREVENTIVE ASTHMA INTERVENTIONS, PRIORITIZING HIGH-RISK POPULATIONS. - PROVIDE ASTHMA-RELATED TRAINING TO PROVIDERS AND COMMUNITY MEMBERS WHO WILL SHARE SKILLS, KNOWLEDGE, AND TOOLS WITH COLLEAGUES AND CAREGIVERS WITHIN THEIR REACH. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO INCREASE AWARENESS ABOUT UNCONTROLLED ASTHMA

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTER FOR PEDIATRIC SURGERY
4200 W UNIVERSITY DRIVE STE 110	PROSPER	TX	75075	AMBULATORY SURGERY CENTER
COOK CHILDREN'S SURGERY CENTER
6313 PRECINCT LINE RD	HURST	TX	76054	AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C OTHER METHODS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE	COOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT	COOK CHILDREN'S CONDUCTS A CHNA AND PREPARES A SUMMARY REPORT EVERY THREE YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN 2024, AND THE WRITTEN CHNA REPORT WAS POSTED IN 2025. THE 2024 CHNA REPORT IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE: (HTTPS://WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/). THE NEXT CHNA (2027) IS CURRENTLY IN DEVELOPMENT AND WILL BE POSTED BY SEPTEMBER 30, 2028.
SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST	COOK CHILDREN'S HEALTH CARE SYSTEM PROVIDES CRITICAL BENEFITS TO THE COMMUNITIES IT SERVES, MANY OF WHICH ARE FUNDED BY PARENT AND CHILD ORGANIZATIONS OF THE MEDICAL CENTERS. THE FOLLOWING CONTAINS A SUMMARY OF COMMUNITY BENEFITS THAT ARE NOT INCLUDED ON SCHEDULE H OF THE IRS FORM 990, BUT ARE AN IMPORTANT PART OF THE MISSION. COMMUNITY BENEFITS FUNDED BY NON-HOSPITAL COOK CHILDREN'S ORGANIZATIONS, FISCAL 2025: (9) NEIGHBORHOOD CLINICS - $11,394,081 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION (10) ENDOWED CHAIRS - $1,000,000 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION CHILD STUDY CENTER - $2,914,449 BEHAVIORAL HEALTH - $126,645 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION TOTAL COMMUNITY BENEFITS FUNDED BY NON-HOSPITAL COOK CHILDREN'S ORGANIZATIONS - $15,435,175 NEIGHBORHOOD CLINICS - FREE-STANDING PEDIATRIC PRACTICE BUILT IN A NEIGHBORHOOD IDENTIFIED AS HAVING INADEQUATE ACCESS TO PRIMARY CARE FOR CHILDREN. THE PRACTICE IS STAFFED WITH DOCTORS, OTHER CLINICAL AND SUPPORT STAFF TO HELP MAINTAIN HEALTH AND PROMOTE HEALING FOR CHILDREN THROUGH WELL-CHILD EXAMINATIONS, VACCINES, AND SICK VISITS. ENDOWED CHAIRS - COOK CHILDREN'S FUNDED RESEARCH PERFORMED BY COOK CHILDREN'S PHYSICIANS FOR THE COMMUNITY-WIDE ADVANCEMENT OF PEDIATRIC CARE. CHILD STUDY CENTER - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DIAGNOSIS, TREATMENT, AND EDUCATION TO THE UNDER-SERVED POPULATION OF CHILDREN WITH COMPLEX DEVELOPMENTAL AND BEHAVIORAL DISABILITIES. BEHAVIORAL HEALTH - BEHAVIORAL HEALTH IS A GROWING NEED IDENTIFIED IN COOK CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COOK CHILDREN'S HAS INVESTED IN PROVIDING THIS CARE FOR THE COMMUNITY, DESPITE LACK OF ADEQUATE REIMBURSEMENT FROM PAYORS. TOTAL COMMUNITY BENEFITS PROVIDED BY ALL COOK CHILDREN'S SUBSIDIARIES, FISCAL 2025: COOK CHILDREN'S MEDICAL CENTER - FORT WORTH - $311,263,089 (ALREADY INCLUDED IN COMMUNITY BENEFIT CALCULATION ON SCHEDULE H, PART I, LINE 7K) COOK CHILDREN'S MEDICAL CENTER - PROSPER - $49,752,846 (ALREADY INCLUDED IN COMMUNITY BENEFIT CALCULATION ON SCHEDULE H, PART I, LINE 7K) WI COOK FOUNDATION - $12,520,726 CHILD STUDY CENTER - $2,914,449 TOTAL COMMUNITY BENEFITS PROVIDED BY ALL COOK CHILDREN'S SUBSIDIARIES - $376,451,110
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	LINE 7A IS CALCULATED USING WORKSHEET 1 AND THE COST TO CHARGE RATIO. LINE 7B MEDICAID SHORTFALL IS CALCULATED USING WORKSHEET 3 AND THE COST TO CHARGE RATIO. LINES 7E - I ARE CALCULATED USING THE HOSPITAL'S INTERNAL ACTIVITY REPORTS.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	COMMUNITY BUILDING ACTIVITIES: PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES. OVER 1,090 HOURS WERE CONTRIBUTED TO MULTIPLE COALITIONS, COMMITTEES, AND COUNCILS FOR FYE 2025.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	WE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGE 16 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- COOK CHILDREN'S MEDICAL CENTER: LINE 16A URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- COOK CHILDREN'S MEDICAL CENTER: LINE 16B URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- COOK CHILDREN'S MEDICAL CENTER: LINE 16C URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALTIES, THE PARENT SURVEY FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT, ALSO KNOWN AS THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT & PLANNING SURVEY (CCHAPS) AS REPORTED IN PART V, SECTION B-IS THE ONLY COMMUNITY-WIDE CHILDREN'S HEALTH NEEDS ASSESSMENT CONDUCTED BY OUR HEALTH SYSTEM
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	COOK CHILDREN'S FORT WORTH SERVICE AREA (FWSA) IS BASED IN NORTH CENTRAL TEXAS AND COMPRISES DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES. COOK CHILDREN'S EVALUATES THE STATISTICS DESCRIBING OUR COMMUNITY AND REPRESENTING OUR POPULATION SERVED WITH EVERY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOR FISCAL YEAR 2025, ALL INFORMATION PROVIDED IS IN RESPONSE TO OUR 2024 CHNA. PLEASE NOTE: OUR 2027 CHNA IS CURRENTLY IN DEVELOPMENT AND WILL BE APPROVED AND POSTED BY SEPTEMBER 30, 2028. THE U.S. CENSUS BUREAU CLASSIFIES THESE COUNTIES AS FOLLOWS: DENTON COUNTY-URBAN, HOOD COUNTY-MOSTLY URBAN, 41% RURAL; JOHNSON COUNTY-NEARLY MIXED, 54% URBAN AND 46% RURAL; PARKER COUNTY- MOSTLY RURAL, 36% URBAN; TARRANT COUNTY-URBAN AND WISE COUNTY-RURAL.(2) OVERALL, THE EIGHT-COUNTY REGION IS HOME TO A DIVERSE POPULATION OF 5,626,154 PEOPLE, AND 1,181,591 (25%) ARE CHILDREN 17 YEARS AND YOUNGER.(1) THE FWSA TOTAL POPULATION OF 3,495,123 INCLUDES 877,448 CHILDREN FROM BIRTH TO 17. OF THOSE CHILDREN AGES 0-17, THERE ARE 218,680 IN DENTON COUNTY; 12,922 IN HOOD COUNTY; 46,951 IN JOHNSON COUNTY; 37,266 IN PARKER COUNTY; 544,440 IN TARRANT COUNTY; AND 17,189 IN WISE COUNTY. (1) THE ANNUAL MEDIAN INCOME FOR FAMILIES WITH CHILDREN UNDER AGE 18 RANGE BETWEEN $86,236 IN TARRANT COUNTY TO $130,127 IN DENTON COUNTY.(1) OF THE 877,448 CHILDREN UNDER AGE 18 LIVING IN THE FWSA, NEARLY 116,000 (13%) LIVE IN HOUSEHOLDS WITH INCOME BELOW THE POVERTY LEVEL, AND CHILDREN IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE OR FOOD STAMPS/SNAP BENEFITS RANGES FROM 11% IN DENTON COUNTY TO 24% IN TARRANT COUNTY. (1) THE INFORMATION BELOW REFLECTS RACE AND ETHNICITY BY COUNTY WITHIN OUR REGION. 2022 U.S. CENSUS ESTIMATES OF RACE AND ETHNICITY (CHILDREN UNDER 18 YEARS).(2) * ASIAN: DENTON 10.2%; HOOD 0.5%; JOHNSON 1.4%; PARKER 0.8%; TARRANT 5%; WISE 0.3% * BLACK/AFRICAN AMERICAN: DENTON 10%; HOOD 1%; JOHNSON 4.8%; PARKER 1.6%; TARRANT 18.8%; WISE 1.7% * OTHER RACE: DENTON 3.8%; HOOD 1.3%; JOHNSON 4.5%; PARKER 1.9%; TARRANT 10%; WISE 5.5% * TWO OR MORE RACES: DENTON 16.2%; HOOD 14.3%; JOHNSON 12.7%; PARKER 11.9%; TARRANT 17.1%; WISE 9.3% * WHITE: DENTON 59%; HOOD 82.7%; JOHNSON 76.4%; PARKER 83.1%; TARRANT 48.4%; WISE 82.5% * HISPANIC OR LATINO (ANY RACE): DENTON 25.6%; HOOD 22.1%; JOHNSON 31.4%; PARKER 19.1%; TARRANT 38.6%; WISE 29% THE COOK CHILDREN'S FWSA CONTAINS THREE MEDICALLY UNDERSERVED AREAS AND ONE MEDICALLY UNDERSERVED POPULATION AS DEFINED BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION. (3) THESE AREAS ARE: MEDICALLY UNDERSERVED AREAS (3) * DENTON COUNTY: KNOWN AS POVERTY POPULATION BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 0 (GOVERNOR'S EXCEPTION), RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE * TARRANT COUNTY: KNOWN AS CENTRAL SERVICE AREA BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 55.3, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE * TARRANT COUNTY: KNOWN AS FORT WORTH-NORTH BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 58, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE MEDICALLY UNDERSERVED POPULATION (3) * TARRANT COUNTY: KNOWN AS LOW INC-EAST SIDE BY SERVICE AREA NAME, MEDICAL UNDERSERVE SCORE IS 59.8, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE REFERENCES: (1) US CENSUS BUREAU. 2022 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. UNITED STATES CENSUS BUREAU. PUBLISHED DECEMBER 7, 2023. ACCESSED JANUARY 2026. HTTP://DATA.CENSUS.GOV (2) US CENSUS BUREAU. 2020 URBAN AREA TO 2020 COUNTY RELATIONSHIP FILE (2020_UA_COUNTY.XLSX). GEOGRAPHY DIVISION. DECEMBER 2022. ACCESSED JANUARY 30, 2026. HTTPS://WWW.CENSUS.GOV/GEOGRAPHIES/REFERENCE-FILES/TIME-SERIES/GEO/RELATIONSHIP-FILES.HTML (3) MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P) FIND TOOL. HEALTH RESOURCES AND SERVICES ADMINISTRATION. ACCESSED JANUARY 30, 2025. HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/MUA-FIND (THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. IN ORDER TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0, EXCEPT FOR A GOVERNOR DESIGNATION, WHICH DOES NOT RECEIVE AN IMU SCORE.)
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	IN FY2025, COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH LED 819 HEALTH OUTREACH TRAININGS AND EVENTS SERVING OVER 22,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE REPRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM OUR FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN 2009, WHICH INCLUDE: EQUITABLE ACCESS TO HEALTH CARE ORAL HEALTH MENTAL HEALTH HEALTHY LIFESTYLES (OBESITY PREVENTION) CAREGIVER AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) INJURY PREVENTION ASTHMA IN FY2025, OUR COMMUNITY PARTNERS AND VOLUNTEERS DONATED NEARLY 3,200 HOURS OF VOLUNTEER SUPPORT TO THE CENTER, TOTALING A VALUE OF $106,799. THE 819 HEALTH OUTREACH TRAININGS AND EVENTS LED BY THE CENTER WERE PROVIDED THROUGH OUR COLLABORATIONS BELOW. * CAREGIVER AND FAMILY SUPPORT ACTION TEAM * MENTAL HEALTH & RESILIENCY ACTION TEAM * CHILDREN'S ORAL HEALTH COLLABORATIVE * SAFE BABY SLEEP COUNCIL * HEALTH ACCESS ACTION TEAM * SAVE A SMILE * HEALTHY LIFESTYLES ACTION TEAM * SCHOOL-BASED ORAL HEALTH ACTION TEAM * INJURY PREVENTION COLLABORATIVE * THRIVING COMMUNITIES COLLABORATIVE * LIFEGUARD YOUR CHILD CAMPAIGN SELECTED HIGHLIGHTS OF OUR WORK IN FY2025 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: * FACILITATED 9,800 LIMITED ORAL HEALTH EVALUATIONS AND DENTAL TREATMENT PROCEDURES FOR CHILDREN WITH DENTAL DISEASE FOR A TOTAL VALUE OF $643,590. * PROVIDED 532 CAR SEAT CHECKS TO FAMILIES IN NEED AND EDUCATED 133 CAREGIVERS ON PROPER INSTALLATION TO ENSURE THEIR CHILDREN'S SAFETY. NEARLY 3 IN 4 CAR SEATS ARRIVED INCORRECTLY INSTALLED AT OUR EVENTS. HOWEVER, THROUGH OUR HANDS-ON EDUCATION, 100% OF CAR SEATS LEAVE PROPERLY INSTALLED, PROVIDING CRITICAL SAFETY FOR CHILDREN AND FAMILIES. * DISTRIBUTED OVER 4,880 RESOURCES AND EDUCATIONAL ITEMS TO 321 FAMILIES. * PROVIDED 1,248 HOURS OF CONTINUED EDUCATION CREDITS TO OVER 710 COMMUNITY PROFESSIONALS AT OUR MENTAL HEALTH EDUCATION WORKSHOPS. * EXPANDED FOOD ACCESS ACROSS OUR COOK CHILDREN'S SYSTEM AND SERVICE AREA: HELPED SUPPORT THE DISTRIBUTION OF OVER 911,280 LBS. OF FOOD THROUGH C4CH, CCHP, NHCS, DODSON SPECIALTY CLINICS (INFECTIOUS DISEASE, NEPHROLOGY, CYSTIC FIBROSIS), VOLUNTEER SERVICES, AND PARTNER PANTRIES. * PROVIDED 10,680 SUPPORT SERVICES AND NEARLY 2,300 COMMUNITY REFERRALS TO FAMILIES, MEETING NEEDS FOR FOOD, RENT AND UTILITIES ASSISTANCE, SCHOOL SUPPLIES, AND MENTAL HEALTH. * DISTRIBUTED 177,097 PREVENTION TOOLS AND 308,529 EDUCATIONAL RESOURCES AT A VALUE OF $1,064,503 TO FAMILIES AND COMMUNITY PARTNERS. * OVER 3.3 MILLION UNIQUE COMMUNITY MEMBERS REACHED THROUGH TARGETED DIGITAL AWARENESS CAMPAIGNS, REFLECTING 48,000 HOURS OF ENGAGEMENT.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	COOK CHILDREN'S ALSO OPERATES SEVEN NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER AND INNER CITY TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENT SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND CHIP, PROVIDING AN OPEN PROVIDER PANEL FOR ALL ELIGIBLE CHILDREN IN THE SIX-COUNTY PRIMARY SERVICE AREA. COOK CHILDREN'S HOME HEALTH OFFERS PEDIATRIC-SPECIFIC HOME CARE TO ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE AND LOWEST COST SETTING.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COOK CHILDRENS PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76107	752485366	501(C)(3)	$110,042,991	SUBSIDIZE OPERATIONS
JUNIOR LEAGUE OF FORT WORTH
255 BAILEY AVE	FORT WORTH	TX	76107	756022377	501(C)(3)	$35,000	SPONSORSHIP
BREAKTHROUGH T1D NORTH TEXAS AND OKLAHOMA
PO BOX 5029	HAGERSTOWN	MD	21741	231907729	501(C)(3)	$10,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
BABY SUPPLIES	466	$32,211
GIFT CARDS	506	$25,869
LODGING	452	$106,533
MEALS	568	$15,294
MEDICAL EQUIPMENT	10	$1,809
MEDICATION	2007	$133,730
MISCELLANEOUS	7	$202
TRANSPORTATION	1845	$101,139
UTILITIES	14	$4,928
FUNERAL SERVICES	149	$124,727
HOLIDAY BENEVOLENCE GIFT CARDS	88	$23,683

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE AND HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES C CUNNINGHAM MD
EVP, CMO - END 1/3/25	$0	$780,476	$0	$385,606	$0	$187,693	$0	$873,037	$0	$39,407	$0	$2,266,219	$0	$0
NANCY C CYCHOL
EVP, HOSPITAL SERVICES	$496,024	$267,089	$245,484	$132,184	$113,833	$61,295	$214,526	$115,514	$25,507	$13,735	$1,095,374	$589,817	$0	$0
STANLEY E DAVIS
PRESIDENT	$622,211	$0	$283,922	$0	$119,901	$0	$678,012	$0	$40,626	$0	$1,744,672	$0	$85,949	$0
JOSEPH M GALLAGHER
SVP, CHIEF LEGAL OFFICER	$0	$595,791	$0	$300,421	$0	$134,976	$0	$123,663	$0	$37,866	$0	$1,192,717	$0	$110,868
STEPHEN W KIMMEL
EVP, SYSTEM FINANCE	$285,169	$506,968	$141,101	$250,846	$70,148	$124,708	$174,581	$310,366	$11,762	$20,910	$682,761	$1,213,798	$55,518	$98,699
MARY CARA MARTZ
SECRETARY	$0	$149,106	$0	$38,234	$0	$6,348	$0	$9,339	$0	$17,228	$0	$220,255	$0	$0
THERESA Z MEADOWS
SVP, CHIEF INFORMATION OFFICER - END 6/1/25	$0	$577,639	$0	$260,293	$0	$111,790	$0	$25,875	$0	$38,407	$0	$1,014,004	$0	$0
RICK W MERRILL
CEO	$409,809	$1,229,427	$268,858	$806,577	$113,906	$341,717	$98,136	$294,408	$8,824	$26,473	$899,533	$2,698,602	$0	$0
JONATHAN NEDRELOW MD
EVP, CHIEF MEDICAL OFFICER	$0	$498,211	$0	$223,042	$0	$18,587	$0	$95,444	$0	$26,295	$0	$861,579	$0	$0
CORY R RHOADES
CHIEF FINANCIAL OFFICER	$0	$586,487	$0	$261,581	$0	$125,061	$0	$122,610	$0	$37,853	$0	$1,133,592	$0	$103,601
SPENCER D SEALS
SVP CONSTRUCTION & REAL ESTATE	$0	$313,437	$0	$111,805	$0	$48,440	$0	$61,013	$0	$36,725	$0	$571,420	$0	$45,938
KEVIN GREENE
VP, PROSPER MEDICAL CENTER	$0	$251,951	$0	$90,096	$0	$1,535	$0	$45,800	$0	$35,839	$0	$425,221	$0	$0
DEBORAH BOUDREAUX
VP, NURSING & PATIENT SVC	$257,999	$0	$92,575	$0	$6,715	$0	$48,514	$0	$28,247	$0	$434,050	$0	$0	$0
RAMONDA BUSBY
AVP, CASE MANAGEMENT SERVICES	$202,489	$0	$44,600	$0	$4,556	$0	$10,219	$0	$25,871	$0	$287,735	$0	$0	$0
ORLANDO CHAPA
VP, NURSING & PATIENT SVC	$263,446	$0	$93,298	$0	$4,675	$0	$58,506	$0	$17,579	$0	$437,504	$0	$0	$0
MEGAN CHAVEZ
VP, COOK CHILDREN'S EXPERIENCE	$324,345	$0	$118,040	$0	$55,054	$0	$48,769	$0	$34,506	$0	$580,714	$0	$52,501	$0
TIFFANY EPPERSON
AVP, NURSING	$175,490	$0	$27,952	$0	$11,617	$0	$7,158	$0	$34,191	$0	$256,408	$0	$0	$0
ALDRENA HEAD
AVP, HIM	$171,519	$0	$46,054	$0	$10,985	$0	$14,520	$0	$35,678	$0	$278,756	$0	$0	$0
NICHOLAS MARKHAM
VP CAMPUS FAC, SUPP SERVICES	$240,694	$0	$85,303	$0	$1,934	$0	$47,171	$0	$23,192	$0	$398,294	$0	$0	$0
OZIOMA OLOWU
AVP, PHARMACY	$243,453	$0	$69,493	$0	$35,734	$0	$31,679	$0	$34,820	$0	$415,179	$0	$0	$0
CHERYL PETERSEN
SVP NURSING/ CHIEF NURSING CNO	$369,661	$0	$168,862	$0	$72,323	$0	$88,117	$0	$40,626	$0	$739,589	$0	$52,394	$0
JACK SOSEBEE
SVP OPERATIONS	$391,630	$0	$174,255	$0	$62,519	$0	$89,608	$0	$18,131	$0	$736,143	$0	$44,974	$0
TAMMY THOMLISON
AVP, REVENUE CYCLE	$247,441	$0	$61,452	$0	$13,647	$0	$14,423	$0	$22,332	$0	$359,295	$0	$0	$0
ELIA VALENCIA-STOKES
VP, FINANCE	$330,140	$0	$120,992	$0	$8,367	$0	$61,020	$0	$40,626	$0	$561,145	$0	$0	$0
NATALIE WILKINS
VP, OPERATIONS	$325,951	$0	$113,633	$0	$46,680	$0	$56,855	$0	$14,514	$0	$557,633	$0	$44,159	$0
NATALIE CARPENTER
AVP, NURSING	$193,284	$0	$28,981	$0	$5,647	$0	$17,019	$0	$18,033	$0	$262,964	$0	$0	$0
GINA HERNANDEZ
DIRECTOR, NURSING ADMIN	$191,993	$0	$27,350	$0	$12,556	$0	$17,090	$0	$12,279	$0	$261,268	$0	$0	$0
TOMMIE MOSS
PHARMACIST	$257,769	$0	$0	$0	$3,370	$0	$18,228	$0	$37,711	$0	$317,078	$0	$0	$0
JESSACA SIBR
PHARMACIST	$243,052	$0	$0	$0	$3,370	$0	$17,541	$0	$24,488	$0	$288,451	$0	$0	$0
ROBERT TUCKER
DIRECTOR, FINANCE	$188,542	$0	$27,127	$0	$12,418	$0	$11,876	$0	$27,362	$0	$267,325	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: TOMMIE MOSS
SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES	THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	RICK W MERRILL - PAID BY SYSTEM - $366,668 DEFERRED, $NONE W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $99,100 DEFERRED, $110,868 W-2 CORY R RHOADES - PAID BY SYSTEM - $96,735 DEFERRED, $103,601 W-2 SPENCER D SEALS - PAID BY SYSTEM - $39,192 DEFERRED, $45,938 W-2 STANLEY E. DAVIS - PAID BY CCMC - $653,100 DEFERRED, $85,949 W-2 JACK SOSEBEE - PAID BY CCMC - $63,733 DEFERRED, $44,974 W-2 CHERYL PETERSEN - PAID BY CCMC - $62,242 DEFERRED, $52,394 W-2 ELIA VALENCIA-STOKES - PAID BY CCMC - $42,350 DEFERRED, $NONE W-2 NATALIE WILKINS - PAID BY SYSTEM - $39,744 DEFERRED, $44,159 W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $81,644 DEFERRED, $NONE W-2 NICHOLAS MARKHAM - PAID BY CCMC - $29,835 DEFERRED, $NONE W-2 KEVIN GREENE - PAID BY PROSPER - $31,708 DEFERRED, $NONE W-2 ORLANDO CHAPA - PAID BY CCMC - $32,631 DEFERRED, $NONE W-2 DEBORAH BOUDREAUX - PAID BY CCMC - $32,378 DEFERRED, $NONE W-2 OZIOMA OLOWU - PAID BY CCMC - $17,214 DEFERRED, $NONE W-2 MEGAN CHAVEZ - PAID BY CCMC - $41,400 DEFERRED, $52,501 W-2 JAMES C CUNNINGHAM, MD - PAID BY SYSTEM - $847,163 DEFERRED, $NONE W-2 NANCY C. CYCHOL - PAID BY CCMC - $304,165 DEFERRED, $NONE W-2
SCHEDULE J, PART II ALLOCATION OF CEO & CFO SALARIES	SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
A	751181060	875906NY1	2010-02-24	$231,948,097	DEVELOPMENT, CONST, EQUIPMENT	Yes (true)	false	false
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
B	043833551	87638QKX6	2014-02-02	$176,767,688	CONSTRUCTION & EQUIPMENT COSTS	Yes (true)	false	false
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
C	043833551	87638QQQ5	2020-02-25	$241,629,204	REFUNDING AND CONSTRUCTION AND EQUIPMENT	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FACILITIES
D	043833551	000000000	2023-09-05	$163,310,000	REFUNDING 2013 & 2014 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$202,570,000	$0	$231,948,097	$2,686,446	$230,119,470	2011	false	false	Yes (true)	Yes (true)
B	$28,820,000	$135,820,000	$176,767,688	$1,755,350	$176,023,031	2016	false	false	Yes (true)	Yes (true)
C	$20,745,000		$242,464,102	$2,221,088	$198,738,578	2023	Yes (true)	false	Yes (true)	Yes (true)	$90,712,257
D	$6,905,000		$165,369,955	$710,063		2023	Yes (true)	false	Yes (true)	Yes (true)	$162,599,938	$2,059,954

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	false	0.0049	0.0049	false	false	false	Yes (true)
B	false	false	false	false	false	false	0	0.0	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	0.0019	0.0019	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	0.0021	0.0021	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BANK OF AMERICA
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	0.2	false	false	false	0	false	false	Yes (true)
(no name)
B	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	Yes (true)
(no name)
C	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	Yes (true)
(no name)
D	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, 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 A, B & C. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS A, B & C IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS."
SCHEDULE K, PART II COLUMNS A-D	TOTAL EXPENDITURES INCLUDE AMOUNTS SPENT AFTER INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2C COLUMN A	ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 02/14/2014
SCHEDULE K, PART IV, LINE 2C COLUMN B	ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 03/22/2017
SCHEDULE K, PART IV, LINE 2C COLUMN C	ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/14/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	TARRANT COUNTY CULTURAL EDUCATION FACILITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043833551	BondIssuerEIN
CUSIP	87638QTK5	CUSIPNum
Bond Issued	2025-02-27	BondIssuedDt
Issue Price	$400,041,204	IssuePriceAmt
Purpose	REFUNDING 2014 AND CONSTRUCTION AND EQUIPMENT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$400,041,204	TotalProceedsAmt
Refunding Escrow	$46,772,072	RefundingEscrowAmt
Issuance Costs From Proceeds	$3,269,132	IssuanceCostsFromProceedsAmt
Unspent	$350,000,000	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION	FROM COMPLEX SURGICAL CARE AND LEVEL II TRAUMA SERVICES TO PHYSICAL THERAPY AND BEHAVIORAL HEALTH SERVICES, CCMC - FORT WORTH OFFERS COMPREHENSIVE SERVICES TAILORED TO THE NEEDS OF EVERY PATIENT AND FAMILY. COLLABORATION LEADS TO NEW CHAPTER FOR TWO NEIGHBORHOODS IN FY25, OUR GENEROUS DONORS MET THE GROWING NEED FOR ADDITIONAL NEIGHBORHOOD HEALTH CENTERS (NHC). BECAUSE OF THEIR GENEROSITY, TWO MORE NHCS WERE ADDED TO THE COOK CHILDREN'S ROSTER - MANHATTAN AND LAS VEGAS TRAIL - FOR A TOTAL OF NINE. THESE CENTERS PROVIDE PRIMARY HEALTH CARE, WELL-BEING SERVICES AND MORE TO FAMILIES LIVING IN AREAS WHERE RESIDENTS ARE MET WITH MULTIPLE BARRIERS TO ACCESSING CARE, INCLUDING LIMITED TRANSPORTATION, FOOD INSECURITY, LANGUAGE OR LITERACY BARRIERS, AND A LACK OF AWARENESS OF AVAILABLE RESOURCES. THE NHC LOCATED ON MANHATTAN BOULEVARD IN EAST FORT WORTH WAS PROVIDED BY THE HAPPY DAVIS FOUNDATION AND THE TEXAS RANGERS. THE NEW CENTER SHOWCASES THE COMMUNITY'S GENEROSITY AND COLLABORATIVE SPIRIT WITH ARTWORK FEATURING A LOCAL LEGEND-RANGERS CAPTAIN, THE TEXAS RANGERS MASCOT. THE LAS VEGAS TRAIL (LVT) HEALTH CENTER IS A FIRST-OF-ITS-KIND PARTNERSHIP BETWEEN JPS HEALTH NETWORK, COOK CHILDREN'S HEALTH CARE SYSTEM, THE CITY OF FORT WORTH, LVTRISE AND WESTAID. MORE THAN JUST A CLINIC, IT FUNCTIONS AS A COMPREHENSIVE HEALTHCARE HUB, CONNECTING INDIVIDUALS AND FAMILIES TO SERVICES THAT SUPPORT HOLISTIC WELL-BEING, INCLUDING PERSONAL SAFETY, MEDICAL CARE, FOOD SECURITY, FINANCIAL STABILITY AND STRONG FAMILY FOUNDATIONS. SINCE THE LVT HEALTH CENTER OPENED ITS DOORS, THOUSANDS HAVE RECEIVED HEALTHCARE SERVICES. PARTICIPANTS IN THE NEIGHBORHOOD HEALTH CENTER'S FIRST WORKFORCE DEVELOPMENT PROGRAM, TAUGHT BY TARRANT COUNTY COLLEGE, GRADUATED IN DECEMBER. NEARLY 100 COMMUNITY MEMBERS HAVE PARTICIPATED IN ONE OF 12 COOKING CLASSES OFFERED IN THE CENTER'S TEACHING KITCHEN, WHERE A COOK CHILDREN'S DIETITIAN DEMONSTRATES HOW TO PREPARE HEALTHY, BUDGET-FRIENDLY MEALS WITH LIMITED COOKING RESOURCES. HUNDREDS OF CONNECTIONS HAVE BEEN MADE THROUGH OUTREACH EVENTS. ADVANCING THE LEGACY OF HEALING AND HOPE IN SPRING 2025, COOK CHILDREN'S BROKE GROUND ON A NEW 700,000-SQUARE-FOOT BUILDING - THE WEST TOWER. THE ADDITION OF THE WEST TOWER WILL ENHANCE COOK CHILDREN'S HEART CENTER, ALREADY HOME TO THE NATION'S TOP PEDIATRIC CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS. THE GROWTH, WHICH INCLUDES TWO NEW DEDICATED CARDIOVASCULAR OPERATING ROOMS, PAVES THE WAY FOR COOK CHILDREN'S SURGEONS TO PERFORM LIFE-SAVING HEART TRANSPLANTS. THE WEST TOWER ALSO MAKES WAY FOR THE EXPANSION AND REDESIGN OF COOK CHILDREN'S PEDIATRIC INTENSIVE CARE UNIT (PICU) AND NEONATAL INTENSIVE CARE UNIT (NICU). THE PICU WILL INCLUDE 56 PRIVATE PATIENT ROOMS AND BATHROOMS. DESIGNS FOR THE NEW PICU FOCUS ON TWO KEY ELEMENTS FOR SUPPORTING HEALING AND IMPROVING THE PATIENT AND FAMILY EXPERIENCE - SUNLIGHT AND PRIVACY. THE NICU WILL BE APPROXIMATELY 40,000 SQUARE FEET AND INCLUDE 143 PRIVATE ROOMS. THE WEST TOWER WILL BE A PLACE WHERE COOK CHILDREN'S CHARTS NEW FRONTIERS IN MEDICAL RESEARCH, ENSURING THAT EVERY STEP FORWARD IN PATIENT CARE IS DRIVEN BY CONTINUOUS INNOVATION AND EVIDENCE-BASED PRACTICE. FIGHTING FOR THE COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S HEALTH PLAN PROVIDES HEALTH CARE COVERAGE TO A VULNERABLE POPULATION THAT MAY NOT OTHERWISE BE ABLE TO ACCESS OR AFFORD CARE - LOW-INCOME FAMILIES WHO QUALIFY FOR MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). MEMBERS ENROLLED IN CCHP ARE ASSURED OF TIMELY ACCESS TO NECESSARY MEDICAL CARE, INCLUDING PREVENTIVE SERVICES SUCH AS WELL-CHILD VISITS, IMMUNIZATIONS AND PRENATAL/POSTPARTUM CARE. THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC), ANNOUNCED IN MARCH 2024 ITS INTENT TO NOT RENEW CCHP'S MEDICAID STAR AND CHIP CONTRACT, INSTEAD AWARDING THOSE CONTRACTS TO NUMEROUS FOR-PROFIT HEALTH CARE COMPANIES. THE STATE'S DECISION, THE RESULT OF A FLAWED PROCESS, IGNORED COOK CHILDREN'S 20+ YEAR TRACK RECORD OF SUCCESS IN ADMINISTERING THESE PROGRAMS TO LOCAL FAMILIES. IN RESPONSE, COOK CHILDREN'S FORMALLY PROTESTED THAT THE SCORING PROCESS LACKED TRANSPARENCY, IGNORED LEGISLATIVELY MANDATED CONSIDERATIONS AND PREFERENCES, AND PUT NON-PROFIT COMMUNITY PLANS AT AN UNFAIR DISADVANTAGE. IN JUNE 2024, COOK CHILDREN'S HEALTH PLAN FILED A LAWSUIT ALLEGING THAT THE STATE'S PROCUREMENT WAS NOT CONDUCTED ACCORDING TO THE APPROPRIATE STATUTES. IN OCTOBER 2024, TRAVIS COUNTY DISTRICT COURT ISSUED A TEMPORARY INJUNCTION WHICH STOPS HHSC FROM IMPLEMENTING ANY NEW MEDICAID STAR/CHIP CONTRACTS, THEREBY PRESERVING THE STATUS QUO AND PROTECTING THE COOK CHILDREN'S HEALTH PLAN. THE TEXAS LEGISLATURE MET IN EARLY 2025 AND FAILED TO TAKE ANY ACTION THAT WOULD HAVE CLARIFIED OR IMPROVED THE STATE'S MEDICAID MANAGED CARE ORGANIZATION PROCUREMENT PROCESS. THEREFORE, THE LAWSUIT FILED BY COOK CHILDREN'S HEALTH PLAN IS PROCEEDING THROUGH THE COURTS. IN THE MIDST OF UNCERTAINTY, CCHP HAS WORKED TO REASSURE ITS MEMBERS THAT THEIR COVERAGE REMAINS ACTIVE UNTIL A FINAL DECISION IS MADE, THEY MAY CONTINUE SEEING THEIR CURRENT PHYSICIANS AND PROVIDERS, AND THEIR CHILD'S HEALTH IS TOP PRIORITY. THIS ORDER IS CURRENTLY BEING REVIEWED BY THE FIFTEENTH COURT OF APPEALS. RAISING AWARENESS THROUGH LEADERSHIP FROM THE CENTER FOR COMMUNITY HEALTH, COOK CHILDREN'S CONTINUES TO INFORM AND EDUCATE THE PUBLIC ON TIMELY PEDIATRIC HEALTH AND SAFETY ISSUES. INJURY PREVENTION MESSAGES IN FY25 INCLUDED THE IMPORTANCE OF CAR SEATS, REMINDERS OF SUMMER POOL SAFETY, AWARENESS OF BATHTUB SAFETY, ATV SAFETY AND DOG BITE PREVENTION. DURING FOOTBALL SEASON, COOK CHILDREN'S HIGHLIGHTED TIPS ON HOW TO PROTECT ATHLETES AND THE MOST IMPORTANT SAFETY ELEMENTS OF A FOOTBALL PROGRAM. AN ARTICLE DURING POISON PREVENTION WEEK REPORTED THE GROWING NUMBER OF YOUNG CHILDREN TREATED IN THE EMERGENCY DEPARTMENT (ED) FOR ACCIDENTAL OVERDOSES AND PROVIDED TIPS FOR SAFE DOSING, STORAGE AND DISPOSAL. ACCESSING HEALTHY FOODS BECAME EASIER FOR FAMILIES THANKS TO A PARTNERSHIP WITH COOK CHILDREN'S AND TEXAS HEALTH RESOURCES. THE RENOVATED EASTSIDE YMCA OPENED JANUARY 27 WITH NEW AMENITIES INCLUDING A GOOD FOR YOU HEALTHY HUB TO HELP FIGHT FOOD INSECURITY IN THE SURROUNDING NEIGHBORHOOD. THE CENTER FOR COMMUNITY HEALTH, LED BY COOK CHILDREN'S, IS FUNDING THE HUB'S STARTUP COSTS AND THE FIRST TWO YEARS OF OPERATION. THE CENTER OFFERS CLASSES ON NUTRITION, GARDENING AND PREPARING MEALS IN THE YMCA'S DEMONSTRATION KITCHEN AS PART OF THE COLLABORATION. EDUCATION ALSO COVERS HEALTHY LIFESTYLE TOPICS SUCH AS EXERCISE, SLEEP AND LIMITS ON SCREEN TIME. IN THE SUMMER OF 2025, THE AIM FOR SAFETY PROGRAM AT COOK CHILDREN'S CONTINUED TO SPREAD AWARENESS ABOUT PROPER STORAGE OF FIREARMS, FOCUSING ON THE INCREASED RISK OF UNINTENTIONAL GUN INJURIES WHILE SCHOOL IS OUT AND EDUCATION TO PREVENT ACCIDENTAL SHOOTINGS IN THE HOME. SURGING CASES OF FLU AND RESPIRATORY ILLNESSES STRAINED THE ED, PEDIATRIC OFFICES AND URGENT CARE CENTER SEVERAL TIMES IN FY25. COOK CHILDREN'S RESPONDED ON SOCIAL MEDIA AND OTHER OUTLETS BY ASKING FOR THE COMMUNITY'S HELP TO LIMIT THE SPREAD. THROUGH ARTICLES, CHARTS AND VIDEOS, THE COMMUNICATIONS TEAM PROMOTED TIPS TO HELP FAMILIES MANAGE MILD ILLNESS AT HOME - AND TO RECOGNIZE THE MORE SEVERE SYMPTOMS THAT WARRANT A TRIP TO URGENT CARE OR THE ED. TELEHEALTH REMAINS A CRITICAL RESOURCE FOR THE HOSPITAL, ESPECIALLY DURING TIMES OF INTENSE VIRAL SPREAD. FISCAL YEAR 2025 VIRTUAL HEALTH VISITS TOTALED 40,702 ACROSS ALL OF COOK CHILDREN'S HEALTH CARE SYSTEM. MENTAL WELL-BEING THE PODCAST, AN EXTENSION OF COOK CHILDREN'S SUICIDE PREVENTION JOY CAMPAIGN, AIRED ITS 100TH EPISODE IN FEBRUARY 2025. A RANGE OF TOPICS WERE COVERED IN FY25 INCLUDING PARENTING STRATEGIES, THE IMPACT OF ANXIETY AND TRAUMA ON CHILDREN, SOCIAL MEDIA'S INFLUENCE AND FOSTERING RESILIENCE IN YOUNG ATHLETES. DURING NATIONAL SUICIDE PREVENTION MONTH IN SEPTEMBER 2025, COOK CHILDREN'S TOOK A STAND FOR SUICIDE PREVENTION WITH A PROACTIVE APPROACH. THE PSYCHIATRY AND EMERGENCY DEPARTMENTS COLLABORATED TO IMPLEMENT THE ASK SUICIDE-SCREENING QUESTIONS (ASQ) TOOL, A SCREENING FOR ALL PATIENTS AGES EIGHT TO 18, REGARDLESS OF THE REASON THEY WERE PRESENTING TO THE EMERGENCY DEPARTMENT. IN 2025, COOK CHILDREN'S SCREENED MORE THAN 37,000 PATIENTS WHO PRESENTED TO THE ED FOR NON-BEHAVIORAL HEALTH CONCERNS WITH THE ASQ TOOL. OF THOSE, 834 SCREENED POSITIVE FOR SUICIDE RISK. ANOTHER 2,306 KIDS STRUGGLING WITH SADNESS AND WORRYING WERE PROVIDED WITH A CRISIS CONTACT INFORMATION SHEET. BREAKING BARRIERS WITH CUTTING-EDGE RESEARCH STUDIES THANKS TO A GENEROUS GIFT TO THE COOK CHILDREN'S FOUNDATION, CHILDREN DIAGNOSED WITH AN AGGRESSIVE AND INOPERABLE BRAIN TUMOR HAVE NEW HOPE. THE GIFT ALLOWED THE PURCHASE OF CAPITAL EQUIPMENT FOR NEURO-ONCOLOGY ENDOWED CHAIR FOCUSED ULTRASOUND RESEARCH, AND IN FY25 THE FOCUSED ULTRASOUND CLINICAL TRIAL BEGAN.
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED)	COOK CHILDREN'S IS THE FIRST PEDIATRIC HOSPITAL IN TEXAS - AND ONE OF ONLY THREE IN THE UNITED STATES - TO PARTICIPATE IN AN INTERVENTIONAL STUDY USING LOW-INTENSITY FOCUSED ULTRASOUND TO TREAT DIFFUSE INTRINSIC PONTINE GLIOMA (DIPG) AND POTENTIALLY IMPROVE BOTH SURVIVAL AND QUALITY OF LIFE. THE MEDIAN SURVIVAL FOR DIPG BRAIN TUMORS IS ONE YEAR. DR. SIBO ZHAO, MEDICAL DIRECTOR OF NEURO-ONCOLOGY AND RECIPIENT OF THE ENDOWED CHAIR, DEVELOPED THE FOCUSED ULTRASOUND PROGRAM AND IS GRATEFUL FOR THE CHANCE TO CHANGE LIVES FOR CHILDREN WITH DIPG AND THE POTENTIAL TO TREAT OTHER CONDITIONS SUCH AS EPILEPSY, CEREBRAL PALSY AND MOVEMENT DISORDERS. "BY MAKING THE DECISION TO GO AFTER THE MOST DEVASTATING DISEASE IN PEDIATRICS, WE ARE TELLING THE WORLD THAT WE WANT TO BE THE CHANGEMAKERS," SAID DR. WILLIAM STIGALL, CHIEF RESEARCH OFFICER AT COOK CHILDREN'S. LIFE-CHANGING PROGRAMS IN NOVEMBER 2024, LEANNYVETTE HERNANDEZ MADE COOK CHILDREN'S HISTORY BY BECOMING THE FIRST PATIENT TO UNDERGO WEIGHT LOSS SURGERY AS PART OF THE HOSPITAL'S ADOLESCENT BARIATRIC SURGERY PROGRAM, WHICH REMOVED ABOUT 70 PERCENT OF HER STOMACH. THREE MONTHS AFTER THAT LANDMARK SURGERY, SHE HAD DROPPED MORE THAN 50 POUNDS AND IMPROVED HER OVERALL HEALTH. THE PROGRAM OFFERS CUSTOMIZED SUPPORT AND RESOURCES FOR PATIENTS AGES 13-18. EACH MONTHLY APPOINTMENT PROVIDES ONE HOUR OF INTENSIVE HEALTH BEHAVIOR AND LIFESTYLE THERAPY DESIGNED TO SUPPORT LONG-TERM SUCCESS. IN JUNE 2025, COOK CHILDREN'S OFFICIALLY LAUNCHED A NEW PROGRAM TO HELP CHILDREN AND FAMILIES BETTER MANAGE ASTHMA AND ITS HIDDEN THREATS. IT'S KNOWN AS THE NELSON KU HIGH-RISK ASTHMA PROGRAM IN HONOR OF NELSON, AN 11-YEAR-OLD BOY WHO PASSED AWAY FROM AN ASTHMA ATTACK DURING LACROSSE PRACTICE. THE GOAL OF THE PROGRAM IS TO IDENTIFY AND ADDRESS THE BARRIERS TO ASTHMA CARE AND SYMPTOM CONTROL OF CHILDREN WHO OFTEN SEEK CARE FOR THE CONDITION IN THE EMERGENCY DEPARTMENT. THE PROGRAM AIMS TO GIVE PATIENTS AND FAMILIES THE EDUCATION AND TOOLS THEY NEED TO REDUCE THE SEVERITY OF THEIR ATTACKS AND THE NEED FOR HOSPITALIZATION. HIGH EXPECTATIONS IN OCTOBER 2025, U.S. NEWS & WORLD REPORT RANKED SIX COOK CHILDREN'S SPECIALTY PROGRAMS AMONG THE TOP 50 IN THE NATION FOR PEDIATRICS. RANKED SPECIALTIES INCLUDED PEDIATRIC BEHAVIORAL HEALTH, CANCER, DIABETES & ENDOCRINOLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY. COOK CHILDREN'S CONTINUALLY PURSUES QUALITY AND SAFETY. THAT COMMITMENT TO EXCELLENCE WAS REFLECTED IN THE 87% LIHOOD TO RECOMMEND" SCORE FOR PATIENT EXPERIENCE IN FY25. NURSES HONORED AS PART OF THE 2025 DALLAS/FORT WORTH GREAT 100 NURSES LIST INCLUDE REBECCA BROVINA, RESEARCH NURSE COORDINATOR, CAMMIE LARSON, CLINICAL NURSE LEADER, AND NATALIE PALAU, CLINICAL NURSE LEADER. HONOREES ARE NOMINATED BY THEIR NURSING PEERS FOR THEIR EXAMPLE AS LEADERS, ROLE MODELS AND COMPASSIONATE CAREGIVERS. BUILDING TRUST IN FY25, THE PATIENT AND FAMILY EXPERIENCE TEAM STRIVED TO CREATE A SEAMLESS EXPERIENCE SO THAT WHEREVER FAMILIES RECEIVE CARE, IT ALWAYS FEELS LIKE ONE HOSPITAL, ONE TEAM AND ONE PROMISE. FROM THEIR FIRST INTERACTION AT THE FRONT DESK TO THE MOMENT THEY WALK OUT THE HOSPITAL'S DOORS, THE GOAL IS FOR PATIENT FAMILIES TO FEEL LIKE THEY WERE TREATED AS PART OF THE COOK CHILDREN'S FAMILY. THE TEAM ALSO OVERSEES 16 FAMILY ADVISORY COUNCIL GROUPS. THE GROUPS PARTNER WITH THE TEAM AND SHARE THEIR PERSPECTIVES WITH STAFF IN MULTIPLE WAYS TO HELP MAKE PATIENTS FAMILIES' EXPERIENCES BETTER. THE TEAM PROVIDES MENTORSHIP OPPORTUNITIES FOR FAMILIES WHO ARE NEWLY ADMITTED, FEELING OVERWHELMED OR WITH A NEW DIAGNOSIS THROUGH THE PARENTS AS PARTNERS PROGRAM WHICH MATCHES THEM WITH THOSE WHO HAVE WALKED IN THEIR SHOES. WHEN EVERYONE IS CONNECTED AS ONE WITH A FOCUS ON EMPATHY AND BUILDING TRUST, THE FAMILIES AND CHILDREN FEEL THAT AND ARE CONFIDENT IN THEIR CARE.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	VARIOUS TRUSTEES & OFFICERS EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES	A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF THE JOINT VENTURES.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENT IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. , WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF JONES DAY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE TEXAS SECRETARY OF STATE. THE CONFLICT-OF-INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN FAIR VALUE OF SWAP - 447114; TOTAL - 447114;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVE	FORT WORTH	TX	76104	752705881	HEALTH CARE SUPPORT	TX	501(C)(3)	TYPE III-FI	CCHF	Yes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	PHYSICIAN SERVICES	TX	501(C)(3)	3	CCHCS	Yes (true)
WI COOK FOUNDATION DBA COOK CHILDREN'S HEALTH FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752051649	FUNDRAISING	TX	501(C)(3)	7	NA	false
ROSEDALE OFFICE BUILDING
1500 W ROSEDALE	FORT WORTH	TX	76104	460866421	TITLE HOLDING	TX	501(C)(2)		CCHF	Yes (true)
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FORT WORTH	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	10	CCHCS	Yes (true)
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240	INSURANCE	TX	501(C)(3)	10	CCHCS	Yes (true)
CHILD STUDY CENTER
1300 WEST LANCASTER	FORT WORTH	TX	76102	751099536	HEALTHCARE SERVICES	TX	501(C)(3)	7	CCMC	Yes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 SEVENTH AVE	FORT WORTH	TX	76104	842625990	HEALTHCARE SERVICES	TX	501(C)(3)	TYPE II	CCHCS	Yes (true)
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 SEVENTH AVE	FORT WORTH	TX	76104	852354189	HOSPITAL	TX	501(C)(3)	3	CCHCS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CPS PEDIATRICS LLC
340 SEVEN SPRINGS WAY	STE 600	BRENTWOOD	TN	37027	470871718	ASC	TX	NA	RELATED	$114,804	$112,121	false	false	0.5255
COOK CHILDREN'S SURGERY CENTER
340 SEVEN SPRINGS WAY	STE 600	BRENTWOOD	TN	37027	205227064	ASC	TX	NA	RELATED	$12,695,488	$3,915,557	false	Yes (true)	0.51
CENTER FOR PEDIATRIC SURGERY
340 SEVEN SPRINGS WAY	STE 600	BRENTWOOD	TN	37027	470871715	ASC	TX	NA	RELATED	$11,362,282	$13,405,583	false	false	0.5203
CAFFEINATED CAPITAL PLAYGROUND SPV LLC
520 E COOPER AVE 2ND FL	STE C-7	ASPEN	CO	81611	992725317	INVESTMENTS	CO	NA	N/A
CC TRUEACCORD SPV II LLC
520 E COOPER AVE 2ND FL	STE C-7	ASPEN	CO	81611	822997101	INVESTMENTS	CO	NA	N/A
CAZ PARTNERS FUND LP- LIQUID INCOME PORTFOLIO
ONE RIVERWAY	STE 2000	HOUSTON	TX	77056	800969684	INVESTMENTS	TX	NA	N/A
GOFF FOCUSED ENERGY STRATEGIES LP
3230 CAMP BOWIE BLVD	STE 800	FORT WORTH	TX	76107	822764240	INVESTMENTS	TX	NA	N/A
HT STORK LP
120 STATE ROUTE 28	UNIT 9	CRYSTAL BAY	NV	89402	881770748	INVESTMENTS	NV	NA	N/A
OBERWEIS INTERNATIONAL SELECT FUND LLC
3333 WARRENVILLE ROAD	STE 500	LISLE	IL	60532	842094004	INVESTMENTS	IL	NA	N/A
STEPSTONE VC HEALTHCARE I LP
100 PAINTERS MILL ROAD	SUITE 700	OWINGS MILLS	MD	21117	262423493	INVESTMENTS	MD	NA	N/A
SAGAMORE HEALTHCARE I LP
100 PAINTERS MILL ROAD	SUITE 700	OWINGS MILLS	MD	21117	262821679	INVESTMENTS	MD	NA	N/A
SCP OPPORTUNITY FUND LLC
					981647424	INVESTMENTS		NA	N/A						190 ELGIN AVENUE	GEORGE TOWN	CJ	KY19008	CJ

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
COOK CHILDREN'S HEALTH SERVICES
801 SEVENTH AVE	FORT WORTH	TX	76104	454024843	HEALTHCARE	TX	CCHCS	C CORPORATION	Yes (true)
COOK CHILDREN'S INDEMNITY COMPANY
				980424041	SELF INSURANCE		CCHCS	C CORPORATION	Yes (true)	878 WEST BAY ROAD	PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1110	CJ
SPLIT INTEREST TRUSTS (2)
					SPLIT INTEREST TRUST	TX	NA	TRUST	Yes (true)
LIVE LEARN URBAN FUND FEEDER LLC
801 7TH AVENUE	FORT WORTH	TX	76104	352597171	REAL ESTATE	TX	CCHF	C CORPORATION	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S PHYSICIAN NETWORK
A	$1,856,744	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O	$67,021,584	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q	$502,914	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R	$830,596	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B	$110,042,991	FMV
COOK CHILDREN'S HOME HEALTH
P	$362,963	FMV
COOK CHILDREN'S HOME HEALTH
R	$1,956,235	FMV
COOK CHILDREN'S HEALTH PLAN
Q	$318,623	FMV
COOK CHILDREN'S HEALTH PLAN
Q	$63,624	FMV
COOK CHILDREN'S HEALTH PLAN
S	$280,424,612	FMV
COOK CHILDREN'S SURGERY CENTER (NE)
A	$1,653,336	FMV
COOK CHILDREN'S HEALTH ENTERPRISES
N	$7,378,783	FMV
COOK CHILDREN'S MC PROSPER
O	$2,290,304	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
K	$810,646	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
S	$2,264,599	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
C	$202,959	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
O	$1,411,768	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
P	$447,979,652	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
R	$120,000,000	FMV
COOK CHILDREN'S SURGERY CENTER
S	$11,962,990	FMV
CENTER FOR PEDIATRIC SURGERY LTD
S	$11,436,286	FMV
CPS PEDIATRICS LLC
S	$115,518	FMV
ROSEDALE OFFICE BUILDING
R	$87,761	FMV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752051646	Yes (X)	$0	$0	$0	$1,746,134,010	$1,746,134,010	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240		$0	$0	$0	$904,439,779	$904,439,779	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVE	FORT WORTH	TX	76104	752705881	Yes (X)	$0	$427,090	$427,090	$405,682,508	$406,109,598	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	Yes (X)	$0	$0	$0	$578,304,246	$578,304,246	$1,000,000	$250,000	$0	$0	$0
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752051649		$0	$0	$0	$64,584,867	$64,584,867	$1,000,000	$250,000	$0	$0	$0
ROSEDALE OFFICE BUILDING
801 SEVENTH AVE	FORT WORTH	TX	76104	460866421		$0	$0	$0	$2,471,731	$2,471,731	$273,587	$68,397	$0	$0	$0
CHILD STUDY CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	751099536		$0	$0	$0	$9,802,134	$9,802,134	$640,107	$160,027	$0	$0	$0
COOK CHILDREN'S HEALTH ENTERPRISES
801 SEVENTH AVE	FORT WORTH	TX	76104	842625990		$0	$0	$0	$9,318,792	$9,318,792	$615,940	$153,985	$0	$0	$0
COOK CHILDREN'S MEDICAL CENTER - PROSPER
801 SEVENTH AVE	FORT WORTH	TX	76104	852354189	Yes (X)	$0	$0	$0	$165,878,477	$165,878,477	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FORT WORTH	TX	76104	752896983	Yes (X)	$0	$0	$0	$81,354,819	$81,354,819	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	752051646	Yes (X)	$0	$0	$0	$1,746,134,010	$1,746,134,010	$1,000,000	$250,000	$0	$0	$0