2024-08-14T09:26:28+00:00 2023-09-30 440160260 FORVIS MAZARS LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2022-10-01 852354189 Cook Children's Medical Center - Prosper COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY R RHOADES CFO, SVP FINANCE 6828854000 2024-08-14 true true MICHAEL J ENGLE P00482834 9727028262 2022 2024-08-08 14:25:15Z Nancy Cychol 801 Seventh Avenue Fort Worth TX 76104 50141080 false X www.cookchildrens.org X 2020 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. 13 13 350 32 0 0 24008 143259 0 49997821 0 0 1336 0 25344 50141080 0 7197667 0 0 2298012 38516877 0 0 0 11254720 47262085 13552732 92976629 -13527388 -42835549 170694010 243010723 184267999 299420261 -13573989 -56409538 KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. false false 76422756 7197667 49997821 Cook Children's Medical Center - Prosper opened its doors in January 2023, bringing the world-class care Cook Children's is known for closer to the homes of families living in the northeastern sector of Texas. Opening celebrations included a ribbon cutting and hospital tours with multiple health system leaders, community leaders and new medical center employees in attendance. The first patient was welcomed on January 9. Cook Children's began developing the health care landscape in Prosper, Texas, in 2019 with the opening of an urgent care center and several area primary care offices, followed by a medical office building and outpatient surgery center in 2020. By 2021, construction was underway for a medical center to support these existing services. The Prosper medical center adds to the 35-acre Prosper campus an emergency department; a surgical and procedural floor; an infusion center; an outpatient imaging center; a retail pharmacy; an inpatient unit with medical-surgical and pediatric intensive care beds; and two floors of shell space that allow for growth to meet the future needs of the community. In FY23, Cook Children's - Prosper discharged more than 1,500 patients and saw more than 8,900 emergency department visits. Early Success Within the first 50 days of opening, the medical center had a successful Joint Commission survey. The Joint Commission evaluates, accredits and certifies more than 22,000 health care organizations and programs in the United States for the highest standards, safety and quality. Surveyors were very complimentary of the Cook Children's Medical Center - Prosper culture and alignment with Cook Children's Promise, "Everything for the Child." They also loved the facilities, with its unique features, one-of-a-kind design elements and beautiful aesthetics. Six months after opening, the Prosper Lab passed its first College of American Pathologists (CAP) Inspection - the gold standard for hospital labs to become CAP accredited. CAP requirements commonly exceed the standards to elevate patient care and safety. Innovatively Empowering Families Family friendly tech features integrated into every inpatient room at Cook Children's - Prosper keep children and families in control of their hospital experience and make their health care journey easier. When designing patient rooms for the Prosper facility, Cook Children's wanted to match the innovation that patients and families experience at every turn throughout the facility, from the life-size digital display in the front atrium to the operating rooms equipped with technology that allows real-time remote viewing and physician collaboration. The teams designing the rooms, particularly the technology behind them, conducted extensive research and asked patients and families for feedback on what tools would make their stay easier. The result was an app for patients and families that puts control of their experience right in the palm of their own hands. When families download the app during their hospital stay, they can view and interact with much of the behind-the-scenes workflow involved in their child's care. In addition to the app, the communication portals in each patient room are fully digitized and populated with information in real-time. Integration between multiple tech platforms, and collaboration among several health system departments and tech vendors, help make the app and other patient communication tools the seamless supporting players for the care and comfort of patients that they are. All of these innovations talk to and inform each other. These tools help Cook Children's communicate with and care for a tech-savvy generation in the way they prefer to consume information. But, should a patient not have access to a personal device or care not to use one, there are multiple ways to communicate and access the information and features offered in the app. Adding Value In July 2023, Cook Children's - Prosper launched a new testing and diagnostic service that allows children experiencing seizures to receive care closer to their homes and communities. The test, called continuous electroencephalogram (EEG) monitoring, reads electrical activity in the brain and is an essential tool for detecting and diagnosing a seizure disorder. The new EEG monitoring service is made possible through collaboration with the Neurosciences team at Cook Children's Medical Center in Fort Worth. The collaboration allows for the EEG test being performed on an inpatient unit at Cook Children's - Prosper to be livestreamed to clinicians in the Epilepsy Monitoring Unit in Fort Worth for observation and reading. Several obstacles were overcome to make this remote monitoring service a reality, including building the technological infrastructure to support high-speed and secure data-sharing channels between the two medical centers for real-time monitoring of the patient's EEG patterns and events. Raising Awareness With the help of the Center for Community Health, led by Cook Children's, the medical center keeps a close eye on issues within the Prosper and surrounding communities impacting the health and wellness of children and families, and takes action to raise awareness and educate the community when needed. In FY23, Cook Children's - Prosper teamed up with the Prosper Fire Department to host a press conference reminding parents of the dangers of leaving children in a hot car. The press conference was spurred by alarming vehicular heatstroke numbers nationwide. By June 2023, eight children died of vehicular heatstroke in the U.S., including a 4-year-old boy in Houston, Texas. The previous year, three children died of vehicular heatstroke in Texas. First responders showed a live demonstration at Cook Children's - Prosper to simulate a 911 call and emergency response for a child left in a hot car. A digital thermometer displayed the internal temperature of a second demonstration vehicle to show how high and how quickly a vehicle can heat up. The temperature inside the vehicle surged past 135 degrees. Speakers at the press conference included a representative from Cook Children's Center for Community Health and a Cook Children's - Prosper emergency department physician. 76422756 true true false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 11 0 true 350 true false false false false false false false false false false true false X 13 13 true false false false true true true true true false false true true true true true true true true false TX X Cory Rhoades 6828854000 801 Seventh Avenue Fort Worth TX 76104 Andrew S Wayne Trustee-VICE CHAIRMAN 2.0 2.0 X X 0 0 0 Anne M Carvalho Trustee - Vice Chairman 2.0 4.0 X X 0 0 0 John P Boswell Trustee - Chairman 2.0 3.0 X X 0 0 0 Leah M King Trustee - SEC/TREASURER End: 05/23 2.0 2.0 X X 0 0 0 Ryan B Dickerson Trustee - SEC/TREASURER 2.0 3.0 X X 0 0 0 Billie R Pugh Jr MD Trustee End: 05/23 1.0 2.0 X 0 0 0 Bonnie Petsche Trustee 1.0 1.0 X 0 0 0 Edwin S Ryan Trustee Start: 06/23 1.0 1.0 X 0 0 0 Frank A Anderson Trustee 1.0 1.0 X 0 0 0 Judge Jeffrey L Cureton Trustee 1.0 3.0 X 0 0 0 Laura Miller Trustee 1.0 1.0 X 0 0 0 Michael A LaGatta Trustee 1.0 1.0 X 0 0 0 Robert J Batton Trustee 1.0 2.0 X 0 0 0 Thomas Breckinridge Ray Trustee Start: 06/23 1.0 2.0 X 0 0 0 Wally Jones Trustee 1.0 2.0 X 0 0 0 Cory R Rhoades Chief Financial Officer 1.0 40.0 X 0 774430 138551 James C Cunningham MD EVP, CMO 1.0 40.0 X 0 1109667 46454 Joseph M Gallagher Sr. VP, Chief Legal Officer 1.0 40.0 X 0 831546 145319 Mary Cara Martz Secretary 1.0 40.0 X 0 176919 24465 Nancy C Cychol President/EVP Hospital SVCS 1.0 40.0 X 0 1093361 44537 Rick W Merrill CEO 2.0 40.0 X 140153 3363664 182676 Spencer D Seals VP Construction & REAL ESTATE 1.0 40.0 X 0 383947 90528 Stanley E Davis PRESIDENT, CCMC 1.0 40.0 X 0 691841 130199 Stephen W Kimmel EVP, SYS FINANCE 1.0 41.0 X 32989 1066651 170569 Theresa Z Meadows Sr. VP, Chief Information Officer 1.0 40.0 X 0 750448 55486 Kevin Greene VP, Prosper Medical Center 40.0 0.0 X 270134 0 54019 Sheralyn Hartline AVP, Nursing & Patient Care 40.0 0 X 230247 0 52865 Andres Ardila RN 40.0 0 X 272374 0 25494 Armaghan Amani Pharmacist 40.0 0 X 148091 0 7052 Clifford Ho Pharmacy Clinic Specialist 40.0 0 X 160200 0 24428 Maria Silverio RN Internal Staffing 40.0 0 X 200886 0 22997 Stefanie Tanner Director, Nurse & Patient Care 40.0 0 X 130390 0 53483 1585464 10242474 1269122 9 false true false Linbeck Group Inc 700 9th Ave Fort Worth TX 76104 Construction Work 25316747 Dynamic Systems In 2315 East Loop 820 North Fort Worth TX 76118 Construction Work 8860921 Fisk Electric Co 1617 W Crosby Rd 120 Carrollton TX 75006 Electric Work 5528905 3 143259 143259 Patient Service Revenue 621110 44979695 44979695 Medical Office Rent Revenue 531120 4457402 4457402 Other Operating Revenue 621110 560724 560724 0 0 0 0 49997821 0 0 0 0 0 0 0 0 0 50141080 49997821 0 0 7197667 7197667 741557 741557 29027188 27269722 1757466 948846 909397 39449 5799256 5553131 246125 2000030 1891374 108656 6701723 6701723 3880779 3061747 819032 0 54179 11436 42743 931146 909414 21732 1439328 1107972 331356 379605 372547 7058 53060 40416 12644 8500 8500 10691232 7910443 2780789 PHYSICIAN REMUNERATION 8333158 8333158 Bad Debt Expense 5224277 5224277 MEDICAL/LAB SUPPLIES 5086425 5085165 1260 Minor Equipment 3126203 439919 2686284 1352470 1096471 255999 0 92976629 76422756 16553873 0 9771 11196725 0 0 0 1616040 216968200 16674475 170684005 200293725 0 0 10005 29894462 170694010 243010723 184267999 261791009 0 0 37629252 184267999 299420261 X -13573989 -56409538 -13573989 -56409538 170694010 243010723 -42835549 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10403514 10403514 163818281 9188781 154629500 5178982 1125756 4053226 28817948 6359938 22458010 8749475 8749475 200293725 INTERCOMPANY RECEIVABLES 29894462 29894462 INTERCOMPANY PAYABLES 37629252 37629252 44795683 -5224277 -5224277 50019960 121120 121120 50141080 87752352 0 0 87752352 5224277 5224277 92976629 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Bad Debt Expense - -5224277 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Net assets released from Foundation for capital purchases - 121120 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debt Expense - 5224277 true true X true X 400 true X 500 true false true true 190549 190549 0.0022 6816131 1268699 5547432 0.0632 0 0.0 0 0 7006680 1268699 5737981 0.0654 1068520 1068520 0.0122 0 0.0 0 0.0 0 0.0 7197667 7197667 0.0820 0 0 8266187 0 8266187 0.0942 0 0 15272867 1268699 14004168 0.1596 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5224277 X true true 1 1 COOK CHILDREN'S MEDICAL CENTER - PROSPER 801 SEVENTH AVE FORT WORTH TX 76104 www.cookchildrens.org 100572 X COOK CHILDREN'S MEDICAL CENTER - PROSPER 1 true false true X X X X X X X X X 21 true true true true X www.cookchildrens.org/about/community-outreach/community-health-needs-assessment/ X WWW.CENTERFORCHILDRENSHEALTH.ORG X true 21 true www.cookchildrens.org/about/community-outreach/community-health-needs-assessment/ false true X 400.0 500.0 X X X X X true true X X X true X www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ X www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ X www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - COOK CHILDREN'S MEDICAL CENTER - PROSPER. THE 2021 CHNA PARENT SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF PARENTS WITH CHILDREN AGES 0-17 LIVING IN OUR PRIMARY SERVICE REGION (COLLIN, DENTON, GRAYSON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (5,715 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL EIGHT COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 1.3%; 95% CI). THE SURVEY IS ADMINISTERED THROUGH MAIL, TELEPHONE, AND INTERNET COMMUNICATIONS AND ETC MONITORS RESPONSES TO ENSURE THAT REPRESENTATION IS SIMILAR TO GENERAL POPULATION DEMOGRAPHICS IN TERMS OF TOTAL POPULATION IN EACH GEOGRAPHIC AREA, RACE/ETHNICITY, MARITAL STATUS, INCOME, AND EDUCATION LEVEL. IN ORDER TO ASSESS THE HEALTH OF CHILDREN LIVING IN FAMILIES THAT ARE TRADITIONALLY UNDERREPRESENTED IN MAIL AND TELEPHONE SURVEYS, A RESEARCH TEAM FROM THE EVALUATION AND OUTCOMES DIVISION OF MY HEALTH MY RESOURCES OF TARRANT COUNTY (MHMRTC) ADMINISTERED THE PARENT SURVEY TO AN INTENTIONAL SAMPLE OF CAREGIVERS WITHIN FAMILIES EXPERIENCING HOMELESSNESS IN SHELTERS OR WITHIN FAMILIES WITH AT LEAST ONE UNDOCUMENTED MEMBER AT SEVERAL TARRANT COUNTY HOMELESS SHELTERS (229 COMPLETED SURVEYS). A TEAM FROM UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH'S SCHOOL OF PUBLIC HEALTH CONDUCTED SIX VIRTUAL FOCUS GROUPS AND ONE INTERVIEW WITH PARENTS (TOTAL OF 22 PARENTS/CAREGIVERS) ACROSS THE EIGHT-COUNTY SERVICE AREA. COMMUNITY PARTNERS AND PROGRAM STAFF WITHIN THE CENTER FOR CHILDREN'S HEALTH HELPED ADVERTISE AND REFER PARTICIPANTS VIA EMAIL. THESE FOCUS GROUPS PROVIDED AN OPPORTUNITY FOR PARENTS AND CAREGIVERS TO SHARE ADDITIONAL INFORMATION BEYOND QUESTIONS WITHIN IN THE PARENT SURVEY. PRIORITY TOPICS WITHIN THESE FOCUS GROUPS INCLUDED ASTHMA, ORAL HEALTH, MENTAL HEALTH, HEALTHY LIFESTYLES, INJURY PREVENTION, PARENTING SUPPORT, COVID-19 AND EQUITABLE ACCESS TO CARE. THE CENTER FOR TRANSFORMING LIVES CONDUCTED A SURVEY OF FAMILIES WITH CHILDREN FROM BIRTH TO AGE 17 WHO WERE LIVING WITHIN MOTELS OR EXTENDED-STAY PROPERTIES THROUGHOUT TARRANT COUNTY FROM FEBRUARY TO OCTOBER 2021. SEVENTY FAMILIES COMPLETED THE ANONYMOUS SURVEYS ON-SITE AT THE MOTEL LOCATIONS. ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,881 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 306 RESPONSES (16% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. VIRTUAL INTERVIEWS WITH 20 COMMUNITY LEADERS ACROSS THE EIGHT-COUNTY SERVICE AREA WERE ALSO CONDUCTED. LEADERS WERE RECRUITED BASED ON THEIR EXPERTISE AND DIVERSE ROLES WITHIN THE COMMUNITY. INTERVIEWEES DISCUSSED PRESSING ISSUES OR CONCERNS IN THE COMMUNITY, PROVIDING ADDITIONAL CONTEXT FOR THE COMMUNITY LEADER AND PARENT SURVEY FINDINGS. PRIORITY TOPICS DISCUSSED DURING THE INTERVIEWS INCLUDED THE IMPACT OF COVID-19, MENTAL HEALTH, ACES, HOUSING AND FOOD SECURITY, HEALTHY LIFESTYLES, INJURY PREVENTION, AND EQUITABLE ACCESS TO HEALTH CARE. COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CHNA PROCESSES CONDUCTED FOR THE RELATED ORGANIZATION COOK CHILDREN'S MEDICAL CENTER IN 2012, 2015, 2018, AND 2021 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: - EQUITABLE ACCESS TO HEALTH CARE - ORAL HEALTH - MENTAL HEALTH - HEALTHY LIFESTYLES (OBESITY PREVENTION) - PARENTING AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) - INJURY PREVENTION - ASTHMA COOK CHILDREN'S CONTINUES TO USE THE 2021 CHNA FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS. THE 2024 CHNA IS CURRENTLY IN DEVELOPMENT AND WILL BE COMPLETED AND POSTED BY SEPTEMBER 30, 2025. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - COOK CHILDREN'S MEDICAL CENTER - PROSPER. THIS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS INTENDED TO SERVE AS A JOINT ASSESSMENT FOR THE MAIN COOK CHILDREN'S MEDICAL CENTER IN FORT WORTH AND THE NEW COOK CHILDREN'S MEDICAL CENTER IN PROSPER, OPEN IN JANUARY 2023. THE FORT WORTH MEDICAL CENTER'S PRIMARY SERVICE AREA ENCOMPASSES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. THE PROSPER MEDICAL CENTER SERVES THE PRIMARY COUNTIES OF COLLIN, DENTON AND GRAYSON. OUR 2021 ASSESSMENT INTENTIONALLY COLLECTED DATA IN COLLIN AND GRAYSON COUNTIES TO REPRESENT THOSE COMMUNITIES IN THE PROSPER SERVICE AREA. DENTON COUNTY FALLS WITHIN BOTH THE FORT WORTH AND PROSPER SERVICE AREAS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - COOK CHLIDREN'S MEDICAL CENTER - PROSPER. EXTERNAL VENDORS USED TO CONDUCT THE PARENT AND COMMUNITY LEADER SURVEYS INCLUDED THE CENTER FOR TRANSFORMING LIVES, ETC INSTITUTE, INC., MY HEALTH MY RESOURCES OF TARRANT COUNTY, AND UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER. NO OTHER ORGANIZATIONS WERE INVOLVED OTHER THAN THESE CONTRACTED SURVEYOR ENTITIES AND NO OTHER ORGANIZATIONS ARE ABLE TO USE THIS ASSESSMENT TO FULFILL CHNA REQUIREMENTS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COOK CHILDREN'S MEDICAL CENTER - PROSPER. Cook Children's created the Center for Children's Health in 2011 to provide an infrastructure for using children's health assessment data to guide community programs and stakeholder collaborations that prevent illness, disease and injuries for children. The center oversees a regular community health needs assessment, community research and community health outreach. All three categories of Center activities are focused on increasing access to preventive services for underserved populations. The Center for Children's Health develops strategies for addressing targeted children's health priorities through research and an infrastructure that supports effective delivery of community and family services. Our services are data driven, evidence-informed and provided using high standards of community practice and service delivery. Recognizing that Cook Children's cannot solve complex children's health needs alone, we lead coalitions and support partnerships in every county within our primary service region to involve community partners in identifying health needs, and developing and implementing sustainable solutions. Collaborations are structured according to principles that research indicates are effective characteristics for successful community collaborations, including a commitment to using strategic plans to guide implementation of strategies, diverse representation within each community, and facilitating decisions guided by members according to formal coalition bylaws and meeting guidelines. Collaborations led by the Center for Children's Health include: - ACEs Task Force - Children's Oral Health Coalition - Lifeguard Your Child (Drowning Prevention Campaign) - Healthy Children Coalition of Parker County - Hood County for Healthy Children - Johnson County Alliance for Healthy Kids - Safe Baby Sleep Council - Safe Kids North Texas-Fort Worth - SaVe a Smile - Wise Coalition for Healthy Children - Wellness Alliance for Total Children's Health of Denton County 2021 CHNA parent and community leader survey findings support Cook Children's continued focus on family outreach programs that address the children's health issues identified in our initial parent survey process in 2009. The family services addressing priority children's health needs are provided using evidence-based/informed practices, including strict adherence to regulatory requirements, implementing proven program designs, obtaining appropriate staff certifications or licensures, providing adequate supervision, practicing accurate and confidential record-keeping, and conducting ongoing formal evaluation. Recognizing the need to improve access to care for vulnerable populations, the Center for Children's Health focuses all programming listed in the following sections to families identified as high-risk either due to low income or high prevalence of health risk factors. Equitable Access to Health Care Goal: Improve overall health for children and increase equitable access to quality health care - Ensure that C4CH programs and community involvement exemplify Cook Children's Promise. Community Strategies - Monitor and identify priority children's health issues in Cook Children's 6-county FWSA/3-county PSA to guide equitable service delivery program designs > Held 6 local and 2 regional CHNA Summits to share findings from the 2021 CHNA. > Rolling data collection is in progress for the 2024 CHNA by administering the parent survey among a purposeful sample of caregivers and families across the 8-county region. - Draw on the power of community partnerships to increase the reach for equitable health care information and services to disproportionally impacted populations (C4CH Coalitions) > The Homeless Initiative addresses unmet health and psycho-social needs of children living in three shelters in Tarrant County by providing a medical home and a case management model to coordinate health and social services. > Cook Children's is regularly represented at community initiatives throughout our region addressing various child health issues. > The Center for Children's Health distributed 332,529 educational resources and 181,567 prevention tools through community events and community partners in FY22. - Lead community coalitions with multi-sector, geographically diverse membership. > The Center for Children's Health led over 800 community events and engaged over 600 community partners to promote the health and safety of children. - Maintain focus of C4CH service delivery programs designs on the principles of community collaboration, evidence-based information and practices, and reducing health disparities and inequities. - The Center for Children's Health contributes funding to the Immunization Collaboration of Tarrant County to provide easy access to immunizations for children from low-income families in Tarrant County. The collaboration hosts a multi-week event during August and September, with the help of nearly 100 volunteers to immunize approximately 6,000+ children each year. - The Center for Children's Health provides regular communication about health information to families and community partners through Checkup Magazine, YouTube videos, and presentations. - The Center maximizes the power of Cook Children's integrated health system by developing close partnerships with Neighborhood Clinics, Cook Children's Health Plan, and other departments offering case management services to distribute health and wellness messages and prevention tools. - The Center for Children's Health and Cook Children's Health Plan expanded their partnership with the addition of a C4CH/CCHP Liaison. This liaison has held multiple stakeholder meetings, educated children and families on prevention efforts to help keep their children healthy and safe, and assisted with resource distributions. In FY22, CCHP staff distributed 19,714 C4CH resources to members and potential members and provided 168 hours of support at C4CH meetings and events. - Community Health Workers (CHWs) are an integral piece to the success of several C4CH programs including Build-a-Bridge, Save-A-Smile, and Healthy Homes by connecting families to needed resources and support services to increase access to care. In FY22, CHWs provided 5,660 social services to families to help them meet basic needs and address social determinants of health and were responsible for 477 community referrals provided to families connecting them to basic needs and health services. CHWs, along with other C4CH staff, served 21,616 children, families, and partners. Additional information related to increasing access to care is also addressed throughout each of the remaining six focus areas discussed below. Oral Health Goal: Improve child oral health - Respond to the urgent needs of children at increased risk of poor oral health Community Strategies - Lead and sustain the Save a Smile Advisory Committee; and the Children's Oral Health Coalition (COHC) to plan and implement oral health collaborative interventions. The coalition's Legislative Advocacy committee monitors state and national legislative issues, especially those supporting expanded access to dental care for low-income children. - Develop and distribute evidence-informed oral health resources to educate families, medical/dental providers and other community partners. - Continue Save a Smile programming to conduct limited oral health evaluations for low-income children; identify those with acute dental problems in targeted schools; and provide comprehensive social and dental treatment services. - Provide evidence-based training to caregivers and children; pregnant women; school nurses; medical/dental providers; and other community partners. - Facilitate and track community-level oral health screening outcomes. - Reduce barriers to oral health care for pregnant teens and women. - Explore potential partnership with Renaissance Dental Clinic to expand patient family education opportunities. - Support community awareness campaigns and events to encourage good oral health Continued in next disclosure Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - COOK CHILDREN'S MEDICAL CENTER - PROSPER. CONTINUED FROM PRIOR DISCLOSURE Mental Health Goal: Increase access to services for child mental health and well-being - Respond to the increasing critical need for mental health services to serve children Community Strategies - Lead and sustain the Wellness Alliance for Total Children's Health (WATCH) to plan and implement mental health collaborative interventions, targeting high-risk populations. - Sustain a strong community network of quality mental health services to support mental health services and treatment (Mental Health Connection). - Provide professional development opportunities for mental health providers who will share skills, knowledge, and tools with colleagues and caregivers within their reach (Wellness Workshops). - Develop and implement evidence-informed education and interventions for caregivers, children and adolescents to expand the reach of mental health messaging and strengthen connections to health care and community resources (Children's Feelings are a Work of Art, WatchDenton.org). - Support community campaigns and events to reduce stigma and promote awareness about mental health and well-being (Okay to SayT, Mental Health Awareness Month, JOY Campaign). Healthy Lifestyles (obesity prevention) Goal: Improve access to nutritious food and physical activity for children - Respond to the general health and wellness needs of families Community Strategies - Lead and sustain Johnson County Alliance for Healthy Kids (JCAHK), Healthy Children Coalition for Parker County (HCCPC), and classroom-based intervention to plan and implement programming that increases access to community resources and supports healthy parents and family resiliency. - Develop and distribute evidence-informed education and interventions for children to promote healthy lifestyles, nutritious food consumption, and physical activity (5210+ Every Day Coaching Sessions and in-school educational platform) - Provide healthy lifestyles training to providers and community members who will share skills, knowledge and tools with caregivers within their reach (5210+ Every Day Facilitator Training). - Support community awareness campaigns and events to encourage healthy lifestyles (National Gardening Week, Child Health Summits, and others). - Cook Children's promotes physical activity through offering a digital-based platform to all school districts within our service region. This platform, offered free to schools and families, provides children in school and at home an opportunity to cultivate good health now and lifelong healthy habits through daily physical activity. Parenting and Family Support (abuse neglect and prevention) Goal: Increase family resiliency through parenting and family support - Respond to the urgent needs of families raising children through challenging times or serious adversities (often referred to as ACEs) Community Strategies - Lead and sustain Adverse Childhood Experiences (ACEs) Task Force to plan and implement collaborative interventions to prevent or reduce trauma and protect well-being for children. Lead and sustain Hood County for Healthy Children and Wise Coalition for Healthy Children to plan and implement programming that increases access to community resources and supports healthy parents and family resiliency. - Develop and distribute ACEs/evidence-informed education and interventions for parents, caregivers and ACEs survivors (Build a Bridge and Caregiver Alliance; Parent Cafes; and Survivors Like Us). - Provide ACEs/evidence-informed education to providers and community members who will share skills, knowledge and tools with caregivers within their reach (Parent Cafe Facilitator Training, Early Detection of Child Abuse and Neglect). - Support community awareness campaigns and events to reduce child abuse and neglect (April National Child Abuse Awareness Month, Child Health Summits, and others). Injury Prevention Goal: Increase safety practices to reduce unintentional injuries to children - Respond to the urgent needs of families with unsafe sleep environments, where drownings are more likely to occur, who do not have properly installed car seats, recently prescribed medication, risk for accidental ingestion/overdose, or are more likely to have gun-related injury in the home Community Strategies - Lead and sustain Safe Kids North Texas- Fort Worth coalition and Safe Baby Sleep Council to plan and implement collaborative interventions - Provide evidence-informed education and interventions for parents and caregivers that encourage safer habits (planned vs unplanned water safety, child passenger safety in the car and on the road, medication storage, gun storage, and safe sleep) - Provide training to providers and community members who will share skills, knowledge, and safety tools with caregivers within their reach (Train the Trainer events, car seat technician training events, and Safe Baby Sleep Symposium) - Develop and distribute evidence-informed resources to promote safe practices for water safety, child passenger safety, poison prevention, gun safety, and safe infant sleep - Support community awareness campaigns and events to encourage safe practices for water safety, child passenger safety, poison prevention, gun safety, and safe infant sleep. Asthma Goal: Improve control of childhood asthma - Respond to the urgent needs of children with increased risk of uncontrolled asthma Community Strategies - Healthy Homes: > Coach families to identify asthma triggers in the home > Purchase and distribute practical asthma trigger remediation items and services to maintain a clean home environment. > Equip families with educational materials and practical tools for adapting prevention-oriented practices. > Follow up with families to support progress. > Connect families with community resources to address immediate needs (health care, food, etc.) > Support community campaigns and events to increase awareness about uncontrolled asthma - Asthma 411: Support prevention oriented care in school settings > Equip school nurses with training and medication needed to quickly respond to a child in respiratory distress > Enhance school asthma services - Engage community partners to plan and implement asthma management education in alignment with Healthy Homes strategies. - Provide evidence-based training to providers and community partners who will share skills, knowledge, and asthma prevention tools with caregivers within their reach. - Distribute evidence-informed prevention tools and educational resources among the community to increase awareness and knowledge of asthma control. - Support community awareness campaigns and events to increase awareness about uncontrolled asthma 0 Schedule H, Part I, Line 3c OTHER FACTORS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE COOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 5224277 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 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 20 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 RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE IS GENERALLY TAKEN FROM THE MEDICARE COST REPORT. AS THE INITIAL YEAR OF OPERATIONS, THERE WERE NO MEDICARE COST OR CHARGES TO REPORT ON SCHEDULE H. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website - COOK CHILDREN'S MEDICAL CENTER - PROSPER: Line 16a URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - COOK CHILDREN'S MEDICAL CENTER - PROSPER: Line 16b URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COOK CHILDREN'S MEDICAL CENTER - PROSPER: Line 16c URL: www.cookchildrens.org/patients-families/billing-insurance/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALTIES, THE PARENT SURVEY FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT, ALSO KNOWN AS THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT & PLANNING SURVEY (CCHAPS) AS REPORTED IN PART V, SECTION B-IS THE ONLY COMMUNITY-WIDE CHILDREN'S HEALTH NEEDS ASSESSMENT CONDUCTED BY OUR HEALTH SYSTEM. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS. Schedule H, Part VI, Line 4 Community information Cook Children's eight-county service region is based in North Central Texas and comprises Collin, Denton, Grayson, Hood, Johnson, Parker, Tarrant, and Wise Counties. Cook Children's evaluates the statistics describing our community and representing our population served with every Community Health Needs Assessment (CHNA). For Fiscal Year 2022, all information provided is in response to our 2021 CHNA. Furthermore, the statistics described within this section reflect those reported in our 2021 CHNA. Please note: Our 2024 CHNA is currently in development and will be approved and posted by September 30, 2025. The U.S. Census Bureau classifies these counties as follows: Collin County-mostly urban, 5% rural; Denton County-mostly urban, 7% rural; Grayson County-rural 43%; Hood County-mostly urban, 33% rural; Johnson County-mostly urban, 38% rural; Parker County-rural 56%; Tarrant County-mostly urban, 1% rural and Wise County-mostly rural 72% (1). The FWSA total population of 3,309,223 includes 972,470 children from birth to age 17, while the PSA total population of 1,938,813 includes 512,680 children from birth to age 17. Overall, this eight-county region is home to a diverse population of 4,414,214 people, and 1,269,810 (28%) are children 17 years and younger (2). Of those 1,269,810 children ages 0-17, there are 265,400 children living in Collin County; 215,340 in Denton County; 31,940 in Grayson County; 12,230 in Hood County; 145,140 in Johnson County; 36,070 in Parker County; 547,340 in Tarrant County; and 16,350 in Wise County (2). The annual median income for families with children under age 18 range between $63,311 in Grayson County to $117,935 in Collin County (2). Of the 1,269,810 children under age 18 living in the region, nearly 150,000 (12%) live in households with income below the poverty level, and children in households that receive Supplemental Security Income (SSI), cash public assistance or food stamps/SNAP benefits ranges from 8% in Collin County to 27% in Grayson County. Of the 1,269,810 children under age 18 living in the region, between 8%-27% live in households that receive Supplemental Security Income (SSI), cash public assistance, or Food Stamps/SNAP benefits (2). The information below reflects race and ethnicity by county within our region. 2021 U.S. Census Estimates of Race and Ethnicity (Children under 18 years) (2) . Asian: Collin 16.2%; Denton 9.6%; Grayson 1.7%; Hood 0.7%; Johnson 5.2%; Parker 0.7%; Tarrant 5.6%; Wise 0.6% . Black/African American: Collin 10.3%; Denton 9.9%; Grayson 6%; Hood 0.8%; Johnson 4.7%; Parker 1.0%; Tarrant 16.8%; Wise 1.3% . Other Race/Two or More Races: Collin 0.5%; Denton 0.5%; Grayson 0.5%; Hood 1.0%; Johnson 0.2%; Parker 0.5%; Tarrant 0.8%; Wise 0.6% . White: Collin 55.0%; Denton 57.6%; Grayson 74.6%; Hood 84.2%; Johnson 79.3%; Parker 82.6%; Tarrant 45.2%; Wise 76.8% . Hispanic or Latino (Any Race): Collin 15.5%; Denton 19.6%; Grayson 14.2%; Hood 12.4%; Johnson 7.9%; Parker 13.0%; Tarrant 29.5%; Wise 19.3% The Cook Children's eight-county service region contains three medically underserved areas and two medically underserved populations as defined by the Health Resources & Services Administration. These areas are: Medically Underserved Areas (3) . Denton County: Known as Poverty Population by Service Area Name, Medical Underservice Score is 0 (Governor's Exception), Rural Status is Non-Rural . Tarrant County: Known as Diamond Hill Service Area by Service Area Name, Medical Underservice Score is 57.5, Rural Status is Non-Rural . Tarrant County: Known as Fort Worth-North by Service Area Name, Medical Underservice Score is 58, Rural Status is Non-Rural Medically Underserved Population (3) . Grayson County: Known as Low Income-Grayson County by Service Area Name, Medical Underserved Score is 61, Rural Status is Partially Rural . Tarrant County: Known as Low Inc-East Side by Service Area Name, Medical Underserve Score is 59.8, Rural Status is Non-Rural Schedule H, Part VI, Line 5 Promotion of community health IN FY2023, THE CENTER FOR CHILDREN'S HEALTH LED VARIOUS HEALTH OUTREACH EVENTS SERVING OVER 35,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM OUR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDE: - EQUITABLE ACCESS TO HEALTH CARE - ORAL HEALTH - MENTAL HEALTH - HEALTHY LIFESTYLES (OBESITY PREVENTION) - PARENTING AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) - INJURY PREVENTION - ASTHMA IN FY2023 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 5,000 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDREN'S HEALTH. OUT OF OUR MANY HEALTH OUTREACH EVENTS, OVER 200 WERE COALITION, WORKGROUP, AND STAKEHOLDER MEETINGS, TRAININGS, AND WORKSHOPS THAT WE LED THROUGH OUR COLLABORATIONS BELOW: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - LIFEGUARD YOUR CHILD (DROWNING PREVENTION CAMPAIGN) - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS - SAFE BABY SLEEP COUNCIL - SAFE KIDS NORTH TEXAS - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN SOME SELECTED HIGHLIGHTS OF OUR WORK IN FY2023 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - Distributed over 2,900 educational resources RELATED TO ORAL HEALTH to community partners for their use and distribution to families in need. - Distributed 412 prevention tools for trigger remediation and 250 educational resources to ISD partners, along with asthma medications to 2 ISDs through Asthma 411. - Ninety-five percent of attendees felt their current practice was validated or reported they will change their practice after attending the Asthma 411 In-service. - 532 people attended 4 Wellness Workshop sessions obtaining 603 hours of continuing education credits. Wellness Workshops provide professional development opportunities for mental health providers to share skills, knowledge, and resources with colleagues and the families that they serve. Recordings of the workshops are available online to extend our reach. - 532 people attended 4 Wellness Workshop sessions obtaining 603 hours of continuing education credits. Wellness Workshops provide professional development opportunities for mental health providers to share skills, knowledge, and resources with colleagues and the families that they serve. Recordings of the workshops are available online to extend our reach. - Hosted 65 coalition meetings, action team/subcommittee groups, and community stakeholder meetings supporting community collaboration. Forty-eight volunteers invested 370 hours of their time to improve mental health services for children. - Ninety-six percent of Wellness Workshop attendees agreed the workshop helped them understand the importance of inter-professional collaboration amongst the care team for improving services to children and families. - 532 people attended 4 Wellness Workshop sessions obtaining 603 hours of continuing education credits. Wellness Workshops provide professional development opportunities for mental health providers to share skills, knowledge, and resources with colleagues and the families that they serve. Recordings of the workshops are available online to extend our reach. - Distributed 480 healthy lifestyles prevention tools and 410 educational resources to community partners. - The ACEs Team and regional coalitions focused on parenting support distributed 1,984 prevention tools and 977 educational resources to support parents and raise awareness about child abuse and neglect. - Educated 4,627 adults and 78 children through the Water Safety Club (WSC). Swim lessons through WSC were also provided to 13,597 children. - Distributed 25,674 injury prevention tools valued at $83,906 and 50,046 educational resources valued at $10,522. 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 true COOK CHILDREN'S PHYSICIAN NETWORK 801 Seventh Ave FORT WORTH TX 76104 752485366 501(C)(3) 7197667 GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE AND HAS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS. THE ORGANIZATION ONLY MADE A GRANT TO ITS RELATED ORGANIZATION. false true false false false false false false false Nancy C Cychol President/EVP Hospital SVCS 0 648487 0 290507 0 154367 0 22875 0 21662 0 1137898 0 0 Stephen W Kimmel EVP, SYS FINANCE 19942 644803 8991 290694 4056 131154 4191 135514 926 29938 38106 1232103 2991 96711 Mary Cara Martz Secretary 0 136752 0 33892 0 6275 0 8274 0 16191 0 201384 0 0 Rick W Merrill CEO 53905 1293712 31394 753459 54854 1316493 5803 139296 1503 36074 147459 3539034 39200 940800 Cory R Rhoades Chief Financial Officer 0 497003 0 203540 0 73887 0 103167 0 35384 0 912981 0 53883 James C Cunningham MD EVP, CMO 0 657833 0 294570 0 157264 0 22875 0 23579 0 1156121 0 0 Joseph M Gallagher Sr. VP, Chief Legal Officer 0 528880 0 219616 0 83050 0 107742 0 37577 0 976865 0 60971 Theresa Z Meadows Sr. VP, Chief Information Officer 0 466675 0 192288 0 91485 0 22875 0 32611 0 805934 0 0 Spencer D Seals VP Construction & REAL ESTATE 0 288072 0 93520 0 2355 0 58122 0 32406 0 474475 0 0 Stanley E Davis PRESIDENT, CCMC 0 437486 0 170441 0 83914 0 91738 0 38461 0 822040 0 62559 Kevin Greene VP, Prosper Medical Center 188127 0 45058 0 36949 0 19505 0 34514 0 324153 0 0 0 Sheralyn Hartline AVP, Nursing & Patient Care 184456 0 37158 0 8633 0 16371 0 36494 0 283112 0 0 0 Armaghan Amani Pharmacist 144355 0 2500 0 1236 0 2553 0 4499 0 155143 0 0 0 Andres Ardila RN 243958 0 26300 0 2116 0 5690 0 19804 0 297868 0 0 0 Clifford Ho Pharmacy Clinic Specialist 152726 0 4100 0 3374 0 10031 0 14397 0 184628 0 0 0 Maria Silverio RN Internal Staffing 189618 0 8500 0 2768 0 9182 0 13815 0 223883 0 0 0 Stefanie Tanner Director, Nurse & Patient Care 111575 0 7187 0 11628 0 10903 0 42580 0 183873 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's 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 - $122,224 DEFERRED, $980,000 W-2 STEPHEN W. KIMMEL - PAID BY SYSTEM - $120,643 DEFERRED, $99,702 W-2 SPENCER D. SEALS - PAID BY SYSTEM - $35,247 DEFERRED, $0 W-2 STANLEY DAVIS - PAID BY CCMC - $70,334 DEFERRED, $62,559 W-2 CORY R. RHOADES - PAID BY SYSTEM - $80,292 DEFERRED, $53,883 W-2 JOSEPH M. GALLAGHER - PAID BY SYSTEM - $85,850 DEFERRED, $60,971 W-2 KEVIN GREENE - PAID BY PROSPER - $8,455 DEFERRED, $0 W-2 Schedule J, Part II 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 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF 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 MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE TEXAS SECRETARY OF STATE. THE CONFLICT-OF-INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE. 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 true COOK CHILDREN'S PHYSICIAN NETWORK 801 Seventh Ave Fort Worth TX 76104 752485366 Physician SERVICES TX 501(c)(3) 3 CCHCS true WI COOK FOUNDATION dba Cook Children's Health Foundation 801 Seventh Ave Fort Worth TX 76104 752051649 Fundraising TX 501(c)(3) 7 NA false COOK CHILDREN'S MEDICAL CENTER 801 Seventh Ave Fort Worth TX 76104 752051646 Hospital TX 501(c)(3) 3 CCHCS true COOK CHILDREN'S HOME HEALTH 801 Seventh Ave Fort Worth TX 76104 752896983 Healthcare TX 501(c)(3) 10 CCHCS true COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE Fort Worth TX 76104 760585240 Insurance TX 501(c)(3) 10 CCHCS true CHILD STUDY CENTER 1300 W LANCASTER Fort Worth TX 76102 751099536 Healthcare SERVICES TX 501(c)(3) 7 CCMC true COOK CHILDREN'S HEALTH ENTERPRISES 801 Seventh Ave Fort Worth TX 76104 842625990 Healthcare SERVICES TX 501(c)(3) Type II CCHCS true ROSEDALE OFFICE BUILDING 1500 W ROSEDALE Fort Worth TX 76104 460866421 TITLE HOLDING TX 501(c)(2) CCHF true CPS Pediatrics LLC 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871718 ASC TX NA N/A COOK CHILDREN'S SURGERY CENTER 340 Seven Springs Way Ste 600 Brentwood TN 37027 205227064 ASC TX NA N/A CENTER FOR PEDIATRIC SURGERY 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871715 ASC TX NA N/A Cook Children's Health Services 801 Seventh Ave Fort Worth TX 76104 454024843 Healthcare TX CCHCS C Corporation true Cook Children's Indemnity Company 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY1110 980424041 Self Insurance CJ CCHCS C Corporation true false true true false false false false false false false false false false false true false true false true COOK CHILDREN'S PHYSICIAN NETWORK O 7858647 FMV COOK CHILDREN'S HEALTH CARE SYSTEM Q 11557701 FMV COOK CHILDREN'S MEDICAL CENTER O 1968864 FMV COOK CHILDREN'S HEALTH CARE SYSTEM S 10403514 FMV Cook Children'S Physician Network B 7197667 FMV COOK CHILDREN'S PHYSICIAN NETWORK A 2001685 FMV