2026-08-14T10:31:24+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 641062246 990 2024-10-01 852354189 COOK CHILDREN'S MEDICAL CENTER - PROSPER COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 NANCY CYCHOL PRESIDENT 6828854000 2026-08-14 true true MICHAEL ENGLE P00482834 8162216300 2026-08-14 2024 2025-03-06 01:10:19Z NANCY CYCHOL 801 SEVENTH AVENUE FORT WORTH TX 76104 137006842 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 13 505 68 0 0 104867 733518 104559864 136273324 0 25954 0 104690685 137006842 15484139 19310219 0 53353610 68583796 0 0 60593673 77984462 129431422 165878477 -24740737 -28871635 288609811 254075468 369760086 364097378 -81150275 -110021910 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 133239228 19310219 136273324 COOK CHILDREN'S PRESENCE IN PROSPER BEGAN IN 2019 WITH THE OPENING OF AN URGENT CARE CENTER AND SEVERAL PRIMARY CARE OFFICES. AS POPULATION GROWTH ACCELERATED ACROSS THE NORTHERN SECTOR OF THE METROPLEX, COOK CHILDREN'S MOVED QUICKLY TO BRING WORLD-CLASS, COMPREHENSIVE PEDIATRIC CARE CLOSER TO HOME FOR THE FAMILIES IN THIS RAPIDLY EXPANDING COMMUNITY. IN 2020, THE SYSTEM EXPANDED FURTHER WITH THE OPENING OF A MEDICAL OFFICE BUILDING AND OUTPATIENT SURGERY CENTER. THAT GROWTH CONTINUED IN 2023 WITH THE OPENING OF COOK CHILDREN'S MEDICAL CENTER - PROSPER, WHICH ADDED AN EMERGENCY DEPARTMENT, SURGICAL AND PROCEDURAL FLOOR, INFUSION CENTER, OUTPATIENT IMAGING CENTER, PEDIATRIC RETAIL PHARMACY, PEDIATRIC OUTPATIENT DRAW STATION FOR LABS, PEDIATRIC ICU, A MEDICAL/SURGICAL UNIT AND TWO FLOORS OF FUTURE SHELL SPACE. (CONTINUED ON SCHEDULE O) 133239228 true true false true false false false false false false true false false false 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 false false true true true false false true 48 0 true 505 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 false true true true true true true true true false 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 JOHN P BOSWELL TRUSTEE - SECRETARY/TREASURER 2.0 3.0 X X 0 0 0 RYAN B DICKERSON TRUSTEE - CHAIRMAN 2.0 4.0 X X 0 0 0 BONNIE PETSCHE TRUSTEE 1.0 1.0 X 0 0 0 EDWIN S WIN RYAN TRUSTEE 1.0 3.0 X 0 0 0 JUDGE JEFFREY L CURETON TRUSTEE 1.0 1.0 X 0 0 0 LAURA MILLER TRUSTEE 1.0 1.0 X 0 0 0 LEAH M KING TRUSTEE - END 5/31/25 1.0 2.0 X 0 0 0 MICHAEL A LAGATTA TRUSTEE 1.0 1.0 X 0 0 0 NA'IM R MOSES TRUSTEE 1.0 1.0 X 0 0 0 PEGGY L CASSIDY TRUSTEE 1.0 2.0 X 0 0 0 TERRI VON LEHMDEN TRUSTEE 1.0 1.0 X 0 0 0 THOMAS BRECKINRIDGE RAY TRUSTEE 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 43.0 X 0 973129 160463 JAMES C CUNNINGHAM MD EVP, CMO - END 1/3/25 1.0 41.0 X 0 1353775 912444 JONATHAN NEDRELOW MD EVP, CHIEF MEDICAL OFFICER 1.0 41.0 X 0 739840 121739 JOSEPH M GALLAGHER SVP, CHIEF LEGAL OFFICER 1.0 42.0 X 0 1031188 161529 MARY CARA MARTZ SECRETARY 1.0 40.0 X 0 193688 26567 NANCY C CYCHOL EVP, HOSPITAL SERVICES 14.0 27.0 X 460568 855341 369282 RICK W MERRILL CEO 2.0 40.0 X 158515 3011779 427841 SPENCER D SEALS SVP CONSTRUCTION & REAL ESTATE 1.0 43.0 X 0 473682 97738 STANLEY E DAVIS PRESIDENT 1.0 40.0 X 0 1026034 718638 STEPHEN W KIMMEL EVP, SYSTEM FINANCE 2.0 41.0 X 55158 1323782 517619 THERESA Z MEADOWS SVP, CHIEF INFORMATION OFFICER - END 5/31/25 1.0 41.0 X 0 949722 64282 KEVIN GREENE PRESIDENT, PROSPER MEDICAL CENTER 40.0 0.0 X 343582 0 81639 SHERALYN HARTLINE VP NURSING AND PATIENT SERVICES 40.0 0 X 273151 0 57322 ABIGAIL REED PHARMACY MANAGER 40.0 0 X 169461 0 42234 CLIFFORD HO PHARMACY CLINIC SPECIALIST 40.0 0 X 185555 0 27187 KRISTEN ELZEY MANAGER, PHARMACY OPERATIONS 40.0 0 X 206077 0 11702 RANDI PEDLOW DIRECTOR, FINANCE 40.0 0 X 169066 0 30594 STEFANIE TANNER DIR, NURSE & PATIENT CARE 40.0 0 X 192805 0 52230 2213938 11931960 3881050 94 false true false LINBECK GROUP LLC 700 9TH AVE FORT WORTH TX 76104 CONSTRUCTION WORK 14184393 HKS INC 350 N SAINT PAUL STREET STE 100 DALLAS TX 752014240 SERVICES - ARCHITECTURE/ DESIGN PROF 828291 LANDSCAPE PARTNERS 3412 KELLI CT FORT WORTH TX 76106 LANDSCAPING SERVICES 751016 PEDI ORTHO HEALTH CORP 2222 WELBORN STREET DALLAS TX 75219 PROFESSIONAL SERVICES 473020 COVALUS LLC 535 MARRIOT DR STE 625 NASHVILLE TN 37214 CONSULTING SERVICES 463595 22 733518 733518 PATIENT SERVICE REVENUE 621110 128145840 128145840 MEDICAL OFFICE RENT - AFFILIATES 531120 2509361 2509361 OTHER OPERATING REVENUE 621110 5618123 5618123 0 0 0 0 136273324 0 0 0 0 0 0 0 0 0 137006842 136273324 0 0 19310219 19310219 1260195 1260195 49031324 46461790 2569534 1798749 1727189 71560 13025772 12497852 527920 3467756 3298426 169330 19160594 19160594 7054537 5627218 1427319 0 330443 7130 323313 1732567 1620373 112194 2257866 730923 1526943 156707 129968 26739 55540 52105 3435 10837 6622 4215 13409239 9417309 3991930 594393 594393 MEDICAL/LAB SUPPLIES 14722708 14722708 MINOR EQUIPMENT 6966713 6782263 184450 LPPF SUPPLEMENTAL PAYMENTS 5092297 5092297 PHYSICIAN REMUNERATION 3220149 3220149 3219872 1940294 1279578 0 165878477 133239228 32639249 0 119263 9000 14233553 20479711 0 0 0 0 1435457 1585203 267008561 41395404 212834019 225613157 0 0 59987519 6388397 288609811 254075468 299690310 339998573 124240 106662 0 0 69945536 23992143 369760086 364097378 X -81150275 -110021910 -81150275 -110021910 288609811 254075468 -28871635 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 0 427090 0 427090 165878477 3967971363 165878477 3968398453 1000000 1000000 250000 250000 0 0 0 0 0 0 1000000 1000000 1500000 0 0 427090 427090 0 0 250000 250000 375000 0 0 0 0 10403514 10403514 191469702 24599019 166870683 5257352 1909820 3347532 54016777 14886565 39130212 5861216 5861216 225613157 FEDERAL INCOME TAXES INTERCOMPANY PAYABLES 18363973 DUE TO THIRD PARTY PAYOR 5628170 23992143 136336356 0 0 136336356 670486 670486 137006842 165878477 0 0 165878477 0 0 165878477 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 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS NET ASSETS RELEASED FROM FOUNDATION FOR CAPITAL PURCHASES - 670486 true true X true X 400 true X 500 true false true true 2110949 2110949 0.01273 53074948 26150621 26924327 0.16231 0 0.0 0 0 55185897 26150621 29035276 0.17504 1407605 1407605 0.00849 0 0.0 0 0.0 0 0.0 19309965 19309965 0.11641 0 0 20717570 0 20717570 0.12490 0 0 75903467 26150621 49752846 0.29994 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 5824797 38794 83159 -44365 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 24 true true true true X WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ WWW.CENTERFORCHILDRENSHEALTH.ORG X true 24 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 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 CHILDREN'S MEDICAL CENTER - PROSPER. 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 CHILDREN'S MEDICAL CENTER - PROSPER. 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 CHILDREN'S MEDICAL CENTER - PROSPER. 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. COOK CHILDREN'S IS REGULARLY REPRESENTED AT COMMUNITY INITIATIVES THROUGHOUT THE 8-COUNTY SERVICE AREA ADDRESSING VARIOUS CHILD HEALTH ISSUES. 2. HOSTED 15 COLLABORATIVE MEETINGS WITH COMMUNITY PARTNERS AND ENGAGED OVER 860 COMMUNITY ORGANIZATIONS, SHARING KEY MESSAGING AND EDUCATIONAL RESOURCES. 3. 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. 4. THE CENTER DISTRIBUTED 17,083 PREVENTION TOOLS AND 77,475 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. - 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 59 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. 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. - BUILD ORGANIZATIONAL CAPACITY AND PROVIDE EVIDENCE-BASED TRAINING TO CAREGIVERS AND CHILDREN; PREGNANT WOMEN; SCHOOL NURSES; MEDICAL/DENTAL PROVIDERS; AND OTHER COMMUNITY PARTNERS. - 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 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: 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., PARENT CAFES). - CONNECT FAMILIES WITH COORDINATED CARE AND COMMUNITY RESOURCES TO ADDRESS IMMEDIATE SOCIAL NEEDS. - 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. -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 - 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 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 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE 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 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 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 BEGINS 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 - 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 PROSPER SERVICE AREA (PSA) IS BASED IN NORTH CENTRAL TEXAS AND COMPRISES COLLIN, DENTON, AND GRAYSON. 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: COLLIN COUNTY-URBAN; DENTON COUNTY-URBAN; AND GRAYSON COUNTY-NEARLY MIXED, 52% URBAN AND 48% 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 PSA TOTAL POPULATION OF 2,131,031 INCLUDES 522,823 CHILDREN FROM BIRTH TO 17.1 OF THOSE CHILDREN AGES 0-17, THERE ARE 271,621 CHILDREN LIVING IN COLLIN COUNTY; 218,680 IN DENTON COUNTY; AND 32,522 IN GRAYSON COUNTY.(1) THE ANNUAL MEDIAN INCOME FOR FAMILIES WITH CHILDREN UNDER AGE 18 IN THE PSA RANGE BETWEEN $73,993 IN GRAYSON COUNTY TO $140,962 IN COLLIN COUNTY.(1) OF THE 522,823 CHILDREN UNDER AGE 18 LIVING IN THE PSA, OVER 42,000 (8%) 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 20% IN GRAYSON 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: COLLIN 17.7%; DENTON 10.2%; GRAYSON 1.8% * BLACK/AFRICAN AMERICAN: COLLIN 10.8%; DENTON 10%; GRAYSON 5.7% * OTHER RACE: COLLIN 3.3%; DENTON 3.8%; GRAYSON 4.3% * TWO OR MORE RACES: COLLIN 14%; DENTON 16.2%; GRAYSON 12.5% * WHITE: COLLIN 53.7%; DENTON 59%; GRAYSON 75.2% * HISPANIC OR LATINO (ANY RACE): COLLIN 19.7%; DENTON 25.6%; GRAYSON 23.4% THE COOK CHILDREN'S PSA CONTAINS ONE MEDICALLY UNDERSERVED AREA AND ONE MEDICALLY UNDERSERVED POPULATION 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, DISCIPLINE IS PRIMARY CARE 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, DISCIPLINE IS PRIMARY CARE (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) 2US 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 53 HEALTH OUTREACH TRAININGS AND EVENTS SERVING OVER 2,800 CAREGIVERS, FAMILIES, AND CHILDREN. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED 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 241 HOURS OF VOLUNTEER SUPPORT TO THE CENTER, TOTALING A VALUE OF $7,886. THE 53 HEALTH OUTREACH TRAININGS AND EVENTS LED BY THE CENTER WERE PROVIDED THROUGH OUR COLLABORATIONS BELOW: * 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 * MENTAL HEALTH & RESILIENCY ACTION TEAM * SAFE BABY SLEEP COUNCIL * SAVE A SMILE * SCHOOL-BASED ORAL HEALTH ACTION TEAM * THRIVING COMMUNITIES COLLABORATIVE SELECTED HIGHLIGHTS OF OUR WORK IN FY2025 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: * PROVIDED 92 CAR SEAT CHECKS TO FAMILIES IN NEED. NEARLY ONE IN TWO 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. * 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 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. * DISTRIBUTED 17,083 PREVENTION TOOLS VALUED AT $236,434 AND 77,475 EDUCATIONAL RESOURCES VALUED AT $37,186. * 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 true COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 501(C)(3) 19309965 SUBSIDIZED 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. X false true false true false false false false false false false JAMES C CUNNINGHAM MD EVP, CMO - END 1/3/25 0 780476 0 385606 0 187693 0 873037 0 39407 0 2266219 0 0 NANCY C CYCHOL EVP, HOSPITAL SERVICES 267089 496024 132184 245484 61295 113833 115514 214526 13735 25507 589817 1095374 0 0 STANLEY E DAVIS PRESIDENT 0 622211 0 283922 0 119901 0 678012 0 40626 0 1744672 0 85949 JOSEPH M GALLAGHER SVP, CHIEF LEGAL OFFICER 0 595791 0 300421 0 134976 0 123663 0 37866 0 1192717 0 110868 STEPHEN W KIMMEL EVP, SYSTEM FINANCE 31686 760451 15678 376269 7794 187062 19398 465549 1307 31365 75863 1820696 6169 148048 MARY CARA MARTZ SECRETARY 0 149106 0 38234 0 6348 0 9339 0 17228 0 220255 0 0 THERESA Z MEADOWS SVP, CHIEF INFORMATION OFFICER - END 5/31/25 0 577639 0 260293 0 111790 0 25875 0 38407 0 1014004 0 0 RICK W MERRILL CEO 81962 1557274 53772 1021663 22781 432842 19627 372917 1765 33532 179907 3418228 0 0 JONATHAN NEDRELOW MD EVP, CHIEF MEDICAL OFFICER 0 498211 0 223042 0 18587 0 95444 0 26295 0 861579 0 0 CORY R RHOADES CHIEF FINANCIAL OFFICER 0 586487 0 261581 0 125061 0 122610 0 37853 0 1133592 0 103601 SPENCER D SEALS SVP CONSTRUCTION & REAL ESTATE 0 313437 0 111805 0 48440 0 61013 0 36725 0 571420 0 45938 KEVIN GREENE PRESIDENT, PROSPER MEDICAL CENTER 251951 0 90096 0 1535 0 45800 0 35839 0 425221 0 0 0 SHERALYN HARTLINE VP NURSING AND PATIENT SERVICES 208658 0 55492 0 9001 0 20614 0 36708 0 330473 0 0 0 KRISTEN ELZEY MANAGER, PHARMACY OPERATIONS 202532 0 0 0 3545 0 8097 0 3605 0 217779 0 0 0 CLIFFORD HO PHARMACY CLINIC SPECIALIST 181944 0 0 0 3611 0 12379 0 14808 0 212742 0 0 0 RANDI PEDLOW DIRECTOR, FINANCE 144017 0 22258 0 2791 0 6870 0 23724 0 199660 0 0 0 ABIGAIL REED PHARMACY MANAGER 163903 0 2500 0 3058 0 7265 0 34969 0 211695 0 0 0 STEFANIE TANNER DIR, NURSE & PATIENT CARE 156307 0 26814 0 9684 0 14700 0 37530 0 245035 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: KRISTEN ELZEY CLIFFORD HO ABIGAIL REED 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 EXTREMELY UNUSUAL 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, $0 W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 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 CORY R RHOADES - PAID BY SYSTEM - $96,735 DEFERRED, $103,601 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $99,100 DEFERRED, $110,868 W-2 KEVIN GREENE - PAID BY PROSPER - $31,708 DEFERRED, $0 W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $81,644 DEFERRED, $0 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 FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION THE COOK CHILDREN'S PHYSICIAN NETWORK INCLUDES APPROXIMATELY 40 PEDIATRIC SUBSPECIALISTS PRACTICING ONSITE 24/7 AT COOK CHILDREN'S PEDIATRIC SPECIALTIES - PROSPER AND COOK CHILDREN'S MEDICAL CENTER - PROSPER. MEDICAL SERVICES AT THE PROSPER LOCATION INCLUDE EMERGENCY CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, MEDICAL/SURGICAL CARE, A SLEEP CENTER AND RADIOLOGY. THESE SERVICES ARE SUPPORTED BY SUBSPECIALTIES INCLUDING CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, ONCOLOGY, NEPHROLOGY, UROLOGY, PULMONOLOGY, PSYCHOLOGY, PEDIATRIC SURGERY, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC SPORTS MEDICINE, ORTHOPEDIC SURGERY, PLASTIC SURGERY, EAR, NOSE AND THROAT (ENT) AND WOUND CARE. TOGETHER, THESE SERVICES SUPPORT THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE REGION. MILESTONES AND GROWTH COOK CHILDREN'S MEDICAL CENTER - PROSPER CELEBRATED ITS SECOND "ANNIVERSARY" ON JAN. 9, 2025. THOUSANDS OF BABIES, CHILDREN AND TEENS FROM ACROSS NORTH TEXAS AND BEYOND WERE ABLE TO STAY CLOSER TO HOME WHILE RECEIVING THE SAME HIGH-QUALITY CARE THAT COOK CHILDREN'S HAS LONG PROVIDED AT OUR FORT WORTH MEDICAL CENTER. THE COOK CHILDREN'S SYSTEMWIDE CULTURE PLATFORM - THE VALUES OF RESPECT, SAFETY, GENEROSITY, COLLABORATION, IMAGINATION AND KINDNESS - SET THE TONE FOR THE SECOND YEAR. COOK CHILDREN'S - PROSPER OPENED A NEW OPERATING ROOM IN FY25 TO SUPPORT THE LEVEL III TRAUMA PROGRAM, WHICH IS "IN PURSUIT" OF DESIGNATION IN FY26. IN APRIL 2025, THE COOK CHILDREN'S - PROSPER ADOLESCENT BARIATRIC SURGERY PROGRAM MARKED ITS FIRST ANNIVERSARY OF HELPING TEENS WITH SEVERE OBESITY TO LOSE WEIGHT, MAKE HEALTHIER FOOD CHOICES AND GAIN SELF-CONFIDENCE. THE BARIATRIC PROGRAM IN ITS DEBUT YEAR TREATED 158 TEENS WHO STRUGGLE WITH THE COMPLEX AND CHRONIC DISEASE OF OBESITY WHICH AFFECTS AN ESTIMATED 14.4 MILLION CHILDREN AND TEENS IN THE UNITED STATES. A BOARD-CERTIFIED PEDIATRIC SURGEON, BOARD-CERTIFIED OBESITY MEDICINE DIRECTOR, PEDIATRIC PSYCHOLOGIST, CLINICAL DIETITIAN AND OTHER TEAM MEMBERS BRING SPECIALIZED KNOWLEDGE AND SENSITIVITY TO ADDRESS THE PHYSICAL AND MENTAL HARM CAUSED BY OBESITY. PATIENTS QUALIFY BASED ON THEIR BODY MASS INDEX (BMI). THE PROGRAM AIMS TO REDUCE THEIR BMI BY PRESENTING HEALTHY STRATEGIES FOR NUTRITION AND BEHAVIOR. IT ALSO HELPS MANAGE ASSOCIATED CONDITIONS SUCH AS DIABETES AND HIGH BLOOD PRESSURE. AFTER SIX VISITS OVER SIX MONTHS, PARTICIPANTS MAY CHOOSE TO UNDERGO LAPAROSCOPIC GASTRIC SLEEVE SURGERY. PATIENTS RETURN TO THE CLINIC FOR PERIODIC CHECKUPS AND RESOURCES FOLLOWING THE WEIGHT LOSS PROCEDURE. INNOVATIVELY EMPOWERING FAMILIES THE DESIGN OF THE FACILITY INTEGRATES TECHNOLOGY TO MAKE THE HEALTH CARE JOURNEY EASIER AT EVERY TURN - FROM THE DIGITAL DISPLAY IN THE ATRIUM, TO TOOLS IN THE OPERATING ROOM FOR REAL-TIME REMOTE VIEWING AND PHYSICIAN COLLABORATION. EACH INPATIENT ROOM INCLUDES A 65-INCH TELEVISION THAT SYNCS WITH PERSONAL DEVICES FOR ORDERING FOOD AND FOR ENTERTAINMENT AS WELL AS MEDICAL CONSULTATIONS. HEALTH TECHNOLOGY ADVOCATES AT THE PEAKS TECH ZONE ARE ON HAND TO ASSIST WITH SETTING UP MEDICAL DEVICES AND MYCOOKCHILDREN'S ACCOUNTS. FAMILIES CAN DOWNLOAD AN APP DURING THEIR HOSPITAL STAY THAT ALLOWS THEM TO VIEW AND INTERACT WITH MUCH OF THE WORKFLOW INVOLVED IN THEIR CHILD'S CARE. COMMUNICATION PORTALS IN EACH PATIENT ROOM ARE FULLY DIGITIZED AND POPULATED WITH INFORMATION IN REAL TIME. AS PART OF AN INTEGRATED HEALTH CARE SYSTEM, DOCTORS IN PROSPER HAVE THE CAPABILITY TO VIDEO CONFERENCE WITH THEIR COLLEAGUES AT COOK CHILDREN'S MEDICAL CENTER - FORT WORTH. ONE EXAMPLE OF THAT COLLABORATION CAN BE SEEN IN A DIAGNOSTIC SERVICE FOR SEIZURE DISORDERS. THE TEST, CALLED CONTINUOUS ELECTROENCEPHALOGRAM (EEG) MONITORING, READS ELECTRICAL ACTIVITY IN THE BRAIN. EEGS PERFORMED AT COOK CHILDREN'S - PROSPER CAN BE LIVESTREAMED TO NEUROLOGISTS AT THE EPILEPSY MONITORING UNIT IN FORT WORTH FOR OBSERVATION AND READING. RESPONDING TO NEEDS IN FY25, PROSPER OFFICIALLY OPENED ITS STATE-OF-THE-ART LEVEL I NEONATAL INTENSIVE CARE UNIT (NICU). PURPOSE-BUILT TO MEET THE URGENT NEEDS OF A RAPIDLY GROWING COMMUNITY, THE COOK CHILDREN'S - PROSPER NICU IS THE FIRST TO BE HOUSED WITHIN A CHILDREN'S HOSPITAL IN THE REGION. THE NICU INCLUDES 10 ROOMS, INCLUDING A ROOM FOR TWINS (11 BEDS TOTAL), SINGLE ROOMS WITH BATHROOMS, BREAST PUMPS, MILK WARMERS AND REFRIGERATORS, A DEDICATED NUTRITION LAB AND FORMULA MIXING AND BEDSIDE CAMERA SYSTEMS SO PARENTS CAN SEE THEIR BABIES VIA AN APP WHEN THEY ARE AWAY. COOK CHILDREN'S - PROSPER'S NICU IS MANAGED BY THE SAME BOARD-CERTIFIED NEONATOLOGISTS AND BOARD-CERTIFIED NEONATAL ADVANCED PRACTICE PROVIDERS WHO SUPPORT OUR LEVEL IV NICU AT COOK CHILDREN'S MEDICAL CENTER - FORT WORTH, AND COULD BE QUICKLY TRANSFERRED BY TEDDY BEAR TRANSPORT, IF NECESSARY. EMBRACED BY THE COMMUNITY DURING THE 2024 THANKSGIVING SEASON, COOK CHILDREN'S - PROSPER WAS DEEPLY TOUCHED BY THE GENEROSITY OF CHRIS AND SAM DAVIS, THE FOUNDERS OF SAM'S SEARCH FOR A CURE. AS FIREFIGHTERS AND PARAMEDICS SERVING THE PROSPER AND AUBREY COMMUNITIES, THEY TRANSPORT CHILDREN TO COOK CHILDREN'S - PROSPER AND DESIRE TO MAKE A DIFFERENCE IN PATIENTS' LIVES. THESE LOCAL HEROES MADE A SIGNIFICANT IMPACT ON THE LIVES OF YOUNG PATIENTS BY DONATING $20,000 TO THE COOK CHILDREN'S - PROSPER ENDOCRINOLOGY DEPARTMENT. SAM'S SEARCH FOR A CURE, A NONPROFIT ORGANIZATION FOUNDED BY CHRIS AND SAM, WAS ESTABLISHED TO SUPPORT CHILDREN WITH TYPE 1 DIABETES. SAM WAS DIAGNOSED WITH TYPE 1 DIABETES WHEN HE WAS 5 YEARS OLD, INSPIRING THE FAMILY'S MISSION TO IMPROVE CARE, AWARENESS AND OUTCOMES FOR OTHER CHILDREN FACING THE SAME CHALLENGES. CHRIS SAID IT WAS LIFE CHANGING AS PARENTS TO HELP SAM UPGRADE TO A CONTINUOUS GLUCOSE MONITOR (CGM) WHICH CONTINUOUSLY TRACKS BLOOD SUGAR LEVELS, COMPARED TO TRADITIONAL METHODS, LIKE A FINGER PRICK. THEIR DONATION WILL HELP OTHER FAMILIES RECEIVE THESE SUPPLIES TO AID IN THEIR DIABETES CARE. BEYOND THE HOSPITAL WALLS IN SPRING 2025, STUDENTS IN PROSPER ISD'S PREPARE TO PROSPER TRANSITIONAL SERVICES DUG THEIR HANDS INTO THE SOIL, NURTURING NOT ONLY VEGETABLES BUT ALSO VALUABLE LIFE SKILLS. WITH SUPPORT FROM COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH, THE SCHOOL GARDEN BECAME A PLACE TO CULTIVATE CONFIDENCE AND HEALTHY LIFE HABITS. COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH PARTNERS WITH LOCAL ORGANIZATIONS TO PROVIDE COMPREHENSIVE SUPPORT FOR THESE GARDENS, INCLUDING EDUCATIONAL RESOURCES, REGULAR ON-SITE VISITS, AND ANNUAL WORKSHOPS. COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH SUPPORTS 24 GARDENS IN OUR SERVICE AREA. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION MORE THAN JUST A RECREATIONAL ACTIVITY, THE GARDEN SERVES AS A LIVING CLASSROOM AND REFLECTS COOK CHILDREN'S COMMITMENT TO BUILDING HEALTHIER COMMUNITIES. IT BRINGS TO LIFE THE PRINCIPLES OF THE 5210+EVERY DAY INITIATIVE, WHICH ENCOURAGES FAMILIES ACROSS THE EIGHT-COUNTY NORTH TEXAS REGION TO PRACTICE HEALTHY HABITS EACH DAY: FIVE SERVINGS OF FRUITS AND VEGETABLES, NO MORE THAN TWO HOURS OF RECREATIONAL SCREEN TIME, AT LEAST ONE HOUR OF PHYSICAL ACTIVITY, ZERO SUGARY DRINKS AND PLENTY OF QUALITY SLEEP. THE HANDS-ON EXPERIENCE OF GROWING THEIR OWN PRODUCE DIRECTLY REINFORCES THE "FIVE FRUITS AND VEGETABLES" COMPONENT IN A TANGIBLE AND ENGAGING WAY. IN FALL 2025, ANOTHER PARTNERSHIP LAUNCHED BETWEEN COOK CHILDREN'S MEDICAL CENTER - PROSPER AND CELINA INDEPENDENT SCHOOL DISTRICT (ISD). THIS COLLABORATION BRINGS COOK CHILDREN'S TRUSTED PEDIATRIC CARE DIRECTLY INTO CELINA ISD, GIVING STUDENTS FAST, EXPERT ACCESS TO HEALTH SERVICES WITHOUT EVER LEAVING CAMPUS. BEGINNING IN FALL 2025, STUDENTS AT ALL CELINA ISD CAMPUSES BENEFIT FROM: - ACCESS TO COOK CHILDREN'S VIRTUAL HEALTH THROUGH THE SCHOOL NURSE'S OFFICE, ENABLING REAL-TIME VIDEO VISITS WITH PEDIATRIC PROVIDERS. - IN-SCHOOL DIAGNOSIS AND TREATMENT FOR COMMON ILLNESSES SUCH AS FEVERS, EARACHES, RASHES, SORE THROATS AND PINK EYE - MINIMIZING CLASSROOM DISRUPTIONS AND PARENT WORK ABSENCES. - SEAMLESS COMMUNICATION WITH PRIMARY CARE PROVIDERS, PRESCRIPTION SUPPORT AND VISIT SUMMARIES. THIS PROACTIVE MODEL OF CARE ENSURES KIDS STAY HEALTHIER, IN SCHOOL FOR MORE HOURS, AND CONNECTED TO BOTH LEARNING AND HEALING. 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 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 COMPENSATION OF THE CEO. 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. , 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. 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 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 190 ELGIN AVENUE GEORGE TOWN CJ KY19008 981647424 INVESTMENTS CJ 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 SPLIT INTEREST TRUSTS (2) SPLIT INTEREST TRUST TX NA TRUST true LIVE LEARN URBAN FUND FEEDER LLC 801 7TH AVENUE FORT WORTH TX 76104 352597171 REAL ESTATE TX CCHF C CORPORATION true true true true false false false false false false true false false false false true true false false true COOK CHILDREN'S PHYSICIAN NETWORK O 1925692 FMV COOK CHILDREN'S HEALTH CARE SYSTEM P 35323703 FMV COOK CHILDREN'S MEDICAL CENTER O 2290304 FMV COOK CHILDREN'S PHYSICIAN NETWORK A 480644 FMV COOK CHILDREN'S PHYSICIAN NETWORK S 92398 FMV COOK CHILDREN'S HEALTH CARE SYSTEM S 380451 FMV COOK CHILDREN'S HEALTH PLAN S 5845316 FMV CENTER FOR PEDIATRIC SURGERY A 1576202 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 19309965 FMV COOK CHILDREN'S MEDICAL CENTER - PROSPER 801 SEVENTH AVENUE FORT WORTH TX 76104 852354189 X 0 0 0 165878477 165878477 1000000 250000 0 0 0 COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 0 0 0 904439779 904439779 1000000 250000 0 0 0 COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 X 0 427090 427090 405682508 406109598 1000000 250000 0 0 0 COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 X 0 0 0 578304246 578304246 1000000 250000 0 0 0 WI COOK FOUNDATION 801 SEVENTH AVE FORT WORTH TX 76104 752051649 0 0 0 64584867 64584867 1000000 250000 0 0 0 ROSEDALE OFFICE BUILDING 801 SEVENTH AVE FORT WORTH TX 76104 460866421 0 0 0 2471731 2471731 273587 68397 0 0 0 CHILD STUDY CENTER 801 SEVENTH AVE FORT WORTH TX 76104 751099536 0 0 0 9802134 9802134 640107 160027 0 0 0 COOK CHILDREN'S HEALTH ENTERPRISES 801 SEVENTH AVE FORT WORTH TX 76104 842625990 0 0 0 9318792 9318792 615940 153985 0 0 0 COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FORT WORTH TX 76104 752896983 X 0 0 0 81354819 81354819 1000000 250000 0 0 0 COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 X 0 0 0 1746134010 1746134010 1000000 250000 0 0 0 COOK CHILDREN'S MEDICAL CENTER - PROSPER 801 SEVENTH AVE FORT WORTH TX 76104 852354189 X 0 0 0 165878477 165878477 1000000 250000 0 0 0