2026-08-14T10:48:46+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 641062246 990 2024-10-01 752051646 COOK CHILDREN'S MEDICAL CENTER COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 NANCY CYCHOL NANCY CYCHOL 2026-08-14 true true MICHAEL ENGLE P00482834 8162216300 2026-08-17 2024 2025-03-06 01:10:19Z NANCY CYCHOL 801 SEVENTH AVENUE FORT WORTH TX 76104 2269822319 false X WWW.COOKCHILDRENS.ORG X 1985 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. 13 13 5692 890 14637 9938 22942471 12247041 2195940423 2252070978 2770914 1080121 222910 2997491 2221876718 2268395631 100455428 110683116 0 574668377 609975340 0 0 0 988635221 1025475554 1663759026 1746134010 558117692 522261621 2486656392 3427865062 814134605 1224546562 1672521787 2203318500 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 1352770479 110683116 2254758346 COOK CHILDREN'S MEDICAL CENTER (CCMC) - FORT WORTH REMAINS THE CORNERSTONE OF COOK CHILDREN'S HEALTH CARE SYSTEM. THIS 461-BED FACILITY BRINGS TOGETHER NATIONALLY RECOGNIZED CLINICIANS, ADVANCED TECHNOLOGY, FAMILY-CENTERED CARE AND LEADING-EDGE CLINICAL RESEARCH - ALL WITH THE SYSTEM'S PROMISE IN MIND. IT IS ONE OF ONLY 10 FREESTANDING CHILDREN'S HOSPITALS IN THE WORLD TO ACHIEVE MAGNET DESIGNATION WITH THREE CONSECUTIVE RE-DESIGNATIONS FROM THE AMERICAN NURSING CREDENTIALING CENTER. NATIONALLY RECOGNIZED SERVICES SUCH AS THE LEVEL IV NEONATAL INTENSIVE CARE UNIT (NICU), THE JANE AND JOHN JUSTIN INSTITUTE FOR MIND HEALTH, AND THE HEMATOLOGY AND ONCOLOGY CENTER LEAD THE WAY IN PROVIDING THE HIGHEST LEVEL OF CARE TO FAMILIES WHO TRAVEL FROM ACROSS TEXAS, THE UNITED STATES AND INTERNATIONALLY. 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INFORMATION OFFICER - END 6/1/25 1.0 41.0 X 0 949722 64282 ALDRENA HEAD AVP, HIM 40.0 0 X 228558 0 50198 CHERYL PETERSEN SVP NURSING/ CHIEF NURSING CNO 40.0 0 X 610846 0 128743 DEBORAH BOUDREAUX VP, NURSING & PATIENT SVC 40.0 0 X 357289 0 76761 ELIA VALENCIA-STOKES VP, FINANCE 40.0 0 X 459499 0 101646 JACK SOSEBEE SVP OPERATIONS 40.0 2.0 X 628404 0 107739 MEGAN CHAVEZ VP, COOK CHILDREN'S EXPERIENCE 40.0 0.0 X 497439 0 83275 NATALIE WILKINS VP, OPERATIONS 40.0 0 X 486264 0 71369 NICHOLAS MARKHAM VP CAMPUS FAC, SUPP SERVICES 40.0 0.0 X 327931 0 70363 ORLANDO CHAPA VP, NURSING & PATIENT SVC 40.0 0 X 361419 0 76085 OZIOMA OLOWU AVP, PHARMACY 40.0 0 X 348680 0 66499 RAMONDA BUSBY AVP, CASE MANAGEMENT SERVICES 40.0 0 X 251645 0 36090 TAMMY THOMLISON AVP, REVENUE CYCLE 40.0 0 X 322540 0 36755 TIFFANY EPPERSON AVP, NURSING 40.0 0 X 215059 0 41349 GINA HERNANDEZ DIRECTOR, NURSING ADMIN 40.0 0 X 231899 0 29369 JESSACA SIBR PHARMACIST 40.0 0 X 246422 0 42029 NATALIE CARPENTER AVP, NURSING 40.0 0 X 227912 0 35052 ROBERT TUCKER DIRECTOR, FINANCE 40.0 0 X 228087 0 39238 TOMMIE MOSS PHARMACIST 40.0 0 X 261139 0 55939 KEVIN GREENE VP, PROSPER MEDICAL CENTER 0.0 40.0 X 0 343582 81639 9461398 9779417 4808280 929 true true false LINBECK GROUP LLC 1263 W ROSEDALE STE 202 FORT WORTH TX 76104 CONSTRUCTION 24260845 DAVID M SCHWARZ ARCHITECTS INC 1707 L STREET NW SUITE 400 WASHINGTON DC 20036 ARCHITECTURE DESIGN 3925386 HKS INC PO BOX 731121 DALLAS TX 75373 PROFESSIONAL SERVICES 3273253 BOTTOM LINE SYSTEMS LLC 541 BUTTERMILK PIKE STE 401 CRESCENT SPRINGS KY 41017 PROFESSIONAL SERVICES 2732120 DUNAWAY ASSOCIATES LLC 550 BAILEY AVE SUITE 400 FORT WORTH TX 76107 CONSTRUCTION 1702887 109 12099488 147553 12247041 PATIENT SERVICES 622310 2088394363 2088394363 OTHER OPERATING REVENUE 622310 140452082 140452082 JOINT VENTURE REVENUE 622310 23209896 23209896 LAB REFERRALS 621511 14637 14637 0 0 0 0 2252070978 949450 949450 1653336 1357850 295486 0 295486 295486 199509 68838 0 130671 130671 130671 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SUPPLEMENTAL ASSETS 116511540 RIGHTS OF USE ASSETS 15929973 INTERCOMPANY RECEIVABLES 10325769 506831387 FEDERAL INCOME TAXES INTERCOMPANY PAYABLES 174515907 ESTIMATED DUE TO THIRD PARTIES 102122402 RIGHT OF USE LIABILITY 14940792 291579101 2273034567 8087978 1804955 9892933 2263141634 5253997 5253997 2268395631 1746063225 1357850 1357850 1744705375 1428635 1428635 1746134010 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE PLUS INFLATION OVER A ROLLING SEVEN-YEAR PERIOD, AS WELL AS SHOW FAVORABLE PERFORMANCE CHARACTERISTICS RELATIVE TO OTHER MARKET INDICES WEIGHTED FOR ASSET ALLOCATIONS AS WELL AS SIMILARLY MANAGED FUNDS. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON PUBLIC AND PRIVATE EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) IN WHERE W.I. COOK FOUNDATION, INC. MAY MAKE AVAILABLE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH THE EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. THE INTENDED USE OF THE HIGHEST AMOUNTS OF ENDOWMENTS IS CHARITY CARE, OPERATIONAL NEEDS OF THE CHILD LIFE DEPARTMENT, OPERATIONS OF THE HOSPITAL, TO SUPPORT THE FACILITY DOG PROGRAM, SUPPORT THE OPERATIONAL NEEDS OF THE PASTORAL CARE DEPARTMENT AND NURSING RESEARCH. SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 INTEREST RATE SWAP ADJUSTMENT - 447105 RENT EXPENSE - 1357850 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS ADDITIONAL CONTRIBUTIONS FROM FOUNDATION - 3677809 CCIC RETRO PREMIUM - 1297964 GOVERNMENT GRANTS - 147553 GAIN ON DISPOSAL OF ASSETS - 130671 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 RENT EXPENSE - 1357850 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS GAIN ON DISPOSAL OF ASSETS - 130671 CCIC RETRO PREMIUM - 1297964 true true X true X 400 true X 500 true false true true 19333187 2051351 17281836 0.00990 987380575 837429758 149950817 0.08588 0 0.0 0 0 1006713762 839481109 167232653 0.09577 10715902 32569 10683333 0.00612 0 0.0 13989579 13989579 0.00801 12542967 3443939 9099028 0.00521 110258496 110258496 0.06314 0 0 147506944 3476508 144030436 0.08249 0 0 1154220706 842957617 311263089 0.17826 20000 20000 0.00001 0 0.0 0 0.0 0 0.0 0 0.0 38613 38613 0.00002 497700 497700 0.00029 0 0.0 0 0.0 0 0 556313 0 556313 0.00032 true 131618519 6427373 6067380 359993 X true true COOK CHILDRENS SURGERY CENTER SURGERY CENTER 0.51 0.0 0.3003 CENTER FOR PEDIATRIC SURGERY LTD SURGERY CENTER 0.5203 0.0 0.1429 CPS PEDIATRICS LLC PEDIATRIC CARE 0.5255 0.0 0.1429 1 1 COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 WWW.COOKCHILDRENS.ORG 000332 X COOK CHILDREN'S MEDICAL CENTER 1 false false true X X X X X X X X X 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 CHILDRENS MEDICAL CENTER. THE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, 2018 2021, AND 2024). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. OVERALL, OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) METHODOLOGY INCLUDES A SURVEY OF CAREGIVERS OF CHILDREN AGES 0-17, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS OUTLINED IN THE TABLE BELOW. WE ALSO GATHER FEEDBACK FROM COMMUNITY PARTNERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE CAREGIVER AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2024 CHNA PARENT/CAREGIVER SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF CAREGIVERS WITH CHILDREN AGES 0-17 LIVING IN OUR PRIMARY SERVICE AREA (COLLIN, DENTON, GRAYSON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (6,877 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL EIGHT COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 1.2%; 95% CI). THE SURVEY IS ADMINISTERED THROUGH MAIL, TELEPHONE, AND INTERNET COMMUNICATIONS AND ETC MONITORS RESPONSES TO ENSURE THAT REPRESENTATION IS SIMILAR TO GENERAL POPULATION DEMOGRAPHICS IN TERMS OF TOTAL POPULATION IN EACH GEOGRAPHIC AREA, RACE/ETHNICITY, MARITAL STATUS, INCOME, AND EDUCATION LEVEL. IN ORDER TO ASSESS THE HEALTH OF CHILDREN LIVING IN FAMILIES THAT ARE TRADITIONALLY UNDERREPRESENTED IN MAIL AND TELEPHONE SURVEYS, A RESEARCH TEAM FROM THE EVALUATION AND OUTCOMES DIVISION OF MY HEALTH MY RESOURCES OF TARRANT COUNTY (MHMRTC) ADMINISTERED THE PARENT/CAREGIVER SURVEY TO AN INTENTIONAL SAMPLE OF CAREGIVERS WITH FAMILIES EXPERIENCING HOMELESSNESS IN SHELTERS OR FAMILIES WITH AT LEAST ONE UNDOCUMENTED MEMBER AT SEVERAL TARRANT COUNTY HOMELESS SHELTERS (227 COMPLETED SURVEYS). COMMUNITY HEALTH WORKERS (CHWS) FROM THE CENTER CONDUCTED 27 INTERVIEWS WITH ENGLISH AND SPANISH-SPEAKING CAREGIVERS, TOTALING APPROXIMATELY 540 MINUTES SPENT WITH FAMILIES. CHWS WHO HAD ALREADY BUILT TRUST WITH THE FAMILY/CAREGIVER LED THE INTERVIEWS. THIS PROVIDED AN OPPORTUNITY FOR CAREGIVERS TO SHARE ADDITIONAL INFORMATION BEYOND QUESTIONS ON THE PARENT/CAREGIVER SURVEY. A COOK CHILDREN'S PHYSICIAN SUPPORTED INTERVIEWS WITH 4 CAREGIVERS OF CHILDREN SEEKING HEALTH CARE IN THE SERVICE AREA AND WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AND SPANISH, TOTALING APPROXIMATELY 140 MINUTES SPENT WITH FAMILIES. THESE INTERVIEWS OFFERED AN IMPORTANT OPPORTUNITY FOR CAREGIVERS TO SHARE THEIR EXPERIENCES NAVIGATING THE NORTH TEXAS HEALTH CARE SYSTEM, IDENTIFY OBSTACLES TO QUALITY CARE, AND PROVIDE INFORMATION ON WAYS TO ENHANCE FAMILY-CENTERED CARE, PARTICULARLY FOR IMMIGRANT FAMILIES. ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,002 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 239 RESPONSES (24% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. VIRTUAL INTERVIEWS WITH 12 COMMUNITY LEADERS ACROSS THE EIGHT-COUNTY SERVICE AREA WERE ALSO CONDUCTED. LEADERS WERE RECRUITED BASED ON THEIR EXPERTISE AND DIVERSE ROLES WITHIN THE COMMUNITY. INTERVIEWEES DISCUSSED PRESSING ISSUES OR CONCERNS IN THE COMMUNITY, PROVIDING ADDITIONAL CONTEXT FOR THE COMMUNITY LEADER AND PARENT/CAREGIVER SURVEY FINDINGS. PRIORITY TOPICS DISCUSSED INCLUDED MENTAL HEALTH, ACES, HOUSING AND FOOD SECURITY, HEALTHY LIFESTYLES, INJURY PREVENTION, AND ACCESS TO HEALTH CARE FOR ALL CHILDREN. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES REPRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CHNA PROCESSES IN 2012, 2015, 2018, 2021, AND 2024 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: - EQUITABLE ACCESS TO HEALTH CARE - ORAL HEALTH - MENTAL HEALTH - HEALTHY LIFESTYLES (OBESITY PREVENTION) - CAREGIVER AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) - INJURY PREVENTION - ASTHMA COOK CHILDREN'S CONTINUES TO USE THE 2024 CHNA FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS. THE 2027 CHNA IS CURRENTLY IN DEVELOPMENT AND WILL BE COMPLETED AND POSTED BY SEPTEMBER 30, 2028. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. THIS 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS INTENDED TO SERVE AS A JOINT ASSESSMENT FOR THE MAIN COOK CHILDREN'S MEDICAL CENTER-FORT WORTH AND COOK CHILDREN'S MEDICAL CENTER-PROSPER, WHICH OPENED IN JANUARY 2023. THE FORT WORTH MEDICAL CENTER'S PRIMARY SERVICE AREA ENCOMPASSES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. THE PROSPER MEDICAL CENTER SERVES THE PRIMARY COUNTIES OF COLLIN, DENTON AND GRAYSON. OUR 2024 ASSESSMENT INTENTIONALLY COLLECTED DATA IN COLLIN AND GRAYSON COUNTIES TO REPRESENT THOSE COMMUNITIES IN THE PROSPER SERVICE AREA. DENTON COUNTY FALLS WITHIN BOTH THE FORT WORTH AND PROSPER SERVICE AREAS. SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. EXTERNAL VENDORS USED TO CONDUCT THE PARENT AND COMMUNITY LEADER SURVEYS INCLUDED ETC INSTITUTE, INC., MY HEALTH MY RESOURCES OF TARRANT COUNTY, AND UNIVERSITY OF NORTH TEXAS HEALTH - FORT WORTH. NO OTHER ORGANIZATIONS WERE INVOLVED OTHER THAN THESE CONTRACTED SURVEYOR ENTITIES AND NO OTHER ORGANIZATIONS ARE ABLE TO USE THIS ASSESSMENT TO FULFILL CHNA REQUIREMENTS. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - COOK CHILDRENS MEDICAL CENTER. COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH (THE CENTER), FORMERLY THE CENTER FOR CHILDREN'S HEALTH, WAS CREATED IN 2011 TO PROVIDE AN INFRASTRUCTURE FOR CONDUCTING THE TRIENNIAL CHNA, LEAD COMMUNITY RESEARCH, AND GUIDE COMMUNITY PROGRAMS AND STAKEHOLDER COLLABORATIONS. THESE COMBINED ACTIVITIES FOCUS ON INCREASING ACCESS TO PREVENTIVE SERVICES FOR UNDER-RESOURCED POPULATIONS. THE CENTER DEVELOPS STRATEGIES FOR ADDRESSING TARGETED CHILDREN'S HEALTH PRIORITIES THROUGH RESEARCH AND AN INFRASTRUCTURE THAT SUPPORTS EFFECTIVE DELIVERY OF COMMUNITY AND FAMILY SERVICES. OUR SERVICES ARE DATA DRIVEN, EVIDENCE-INFORMED AND PROVIDED USING HIGH STANDARDS OF COMMUNITY PRACTICE AND SERVICE DELIVERY. RECOGNIZING THAT COOK CHILDREN'S CANNOT SOLVE COMPLEX CHILDREN'S HEALTH NEEDS ALONE, WE LEAD COLLABORATIONS AND SUPPORT PARTNERSHIPS IN EVERY COUNTY WITHIN OUR EIGHT-COUNTY SERVICE REGION TO INVOLVE COMMUNITY PARTNERS IN IDENTIFYING HEALTH NEEDS, AND DEVELOPING AND IMPLEMENTING SUSTAINABLE SOLUTIONS. COLLABORATIONS ARE STRUCTURED ACCORDING TO PRINCIPLES THAT RESEARCH INDICATES ARE EFFECTIVE CHARACTERISTICS FOR SUCCESSFUL COMMUNITY COLLABORATIONS, INCLUDING A COMMITMENT TO USING STRATEGIC PLANS TO GUIDE IMPLEMENTATION OF STRATEGIES, DIVERSE REPRESENTATION WITHIN EACH COMMUNITY, AND FACILITATING DECISIONS GUIDED BY MEMBERS ACCORDING TO FORMAL COLLABORATIVE BYLAWS AND MEETING GUIDELINES. COLLABORATIONS LED BY THE CENTER INCLUDE: - CAREGIVER AND FAMILY SUPPORT ACTION TEAM - CHILDREN'S ORAL HEALTH COLLABORATIVE - HEALTH ACCESS ACTION TEAM - HEALTHY LIFESTYLES ACTION TEAM - INJURY PREVENTION COLLABORATIVE - LIFEGUARD YOUR CHILD CAMPAIGN - THRIVING COMMUNITIES COLLABORATIVE - SCHOOL-BASED ORAL HEALTH ACTION TEAM - SAVE A SMILE - SAFE BABY SLEEP COUNCIL - MENTAL HEALTH & RESILIENCY ACTION TEAM 2024 CHNA PARENT AND COMMUNITY LEADER SURVEY FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL PARENT SURVEY PROCESS IN 2009. THE FAMILY SERVICES ADDRESSING PRIORITY CHILDREN'S HEALTH NEEDS ARE PROVIDED USING EVIDENCE-BASED/INFORMED PRACTICES, INCLUDING STRICT ADHERENCE TO REGULATORY REQUIREMENTS, IMPLEMENTING PROVEN PROGRAM DESIGNS AND FRAMEWORKS SUCH AS THE SPECTRUM OF PREVENTION, OBTAINING APPROPRIATE STAFF CERTIFICATIONS OR LICENSURES, PROVIDING ADEQUATE SUPERVISION, PRACTICING ACCURATE AND CONFIDENTIAL RECORD-KEEPING, AND CONDUCTING ONGOING FORMAL EVALUATION. RECOGNIZING THE NEED TO IMPROVE ACCESS TO CARE FOR UNDER-RESOURCED POPULATIONS, THE CENTER FOCUSES ALL PROGRAMMING LISTED IN THE FOLLOWING SECTIONS TO FAMILIES IDENTIFIED AS HIGH-RISK EITHER DUE TO LOW INCOME OR HIGH PREVALENCE OF HEALTH RISK FACTORS. EQUITABLE ACCESS TO HEALTH CARE GOAL: INCREASE ACCESS TO OVERALL HEALTH & WELL-BEING FOR ALL CHILDREN - ENSURE THAT C4CH PROGRAMS AND COMMUNITY INVOLVEMENT EXEMPLIFY COOK CHILDREN'S PROMISE. COMMUNITY STRATEGIES - MONITOR AND ADDRESS CHILDREN'S HEALTH ISSUES IN COOK CHILDREN'S 6-COUNTY FWSA TO GUIDE PROGRAM DESIGN AND PRIORITIZATION 1. HOSTED TWO REGIONAL CHILD HEALTH SUMMITS TO SHARE FINDINGS FROM THE 2024 CHNA. 2. COMPLETED ROLLING DATA COLLECTION FOR YEAR 1 OF THE 2027 CHNA BY ADMINISTERING THE PARENT/CAREGIVER SURVEY ANNUALLY AMONG A PURPOSEFUL SAMPLE OF CAREGIVERS AND FAMILIES ACROSS THE 8-COUNTY SERVICE AREA. - LEVERAGE COMMUNITY PARTNERSHIPS TO EXPAND HEALTHCARE SERVICES AND RESOURCES 1. THE HOMELESS INITIATIVE ADDRESSES UNMET HEALTH AND PSYCHO-SOCIAL NEEDS OF CHILDREN LIVING IN THREE SHELTERS IN TARRANT COUNTY BY PROVIDING A MEDICAL HOME AND A CASE MANAGEMENT MODEL TO COORDINATE HEALTH AND SOCIAL SERVICES. 2. COOK CHILDREN'S IS REGULARLY REPRESENTED AT COMMUNITY INITIATIVES THROUGHOUT THE 8-COUNTY SERVICE AREA ADDRESSING VARIOUS CHILD HEALTH ISSUES. 3. HOSTED 15 COLLABORATIVE MEETINGS WITH COMMUNITY PARTNERS AND ENGAGED OVER 860 COMMUNITY ORGANIZATIONS, SHARING KEY MESSAGING AND EDUCATIONAL RESOURCES. 4. PROVIDED 379,970 MINUTES OF DIRECT EDUCATION AND TRAINING TO OVER 40,000 CHILDREN, CAREGIVERS, AND COMMUNITY PARTNERS, ACHIEVING A 99% PARTICIPANT SATISFACTION RATE ON TRAIN THE TRAINERS. 5. THE CENTER DISTRIBUTED 177,097 PREVENTION TOOLS AND 308,529 EDUCATIONAL RESOURCES THROUGH COMMUNITY EVENTS AND COMMUNITY PARTNERS IN FY25. - ALIGN C4CH PROGRAMS WITH COOK CHILDREN'S PROMISE WHILE FOCUSING ON COLLABORATION, EVIDENCE-BASED PRACTICES, AND ADDRESSING HEALTH DISPARITIES. 1. THE CENTER PROVIDES REGULAR COMMUNICATION ABOUT HEALTH INFORMATION TO FAMILIES AND COMMUNITY PARTNERS THROUGH ONLINE EDUCATIONAL RESOURCES, CHECKUP MAGAZINE, YOUTUBE VIDEOS, EVENTS, AND PRESENTATIONS. IN FY25, C4CH REACHED OVER 3.3 MILLION UNIQUE COMMUNITY MEMBERS THROUGH TARGETED DIGITAL AWARENESS CAMPAIGNS ACROSS PRIORITY GEOGRAPHIES, REFLECTING 48,000 HOURS OF ENGAGEMENT. 2. THE CENTER MAXIMIZES THE POWER OF COOK CHILDREN'S INTEGRATED HEALTH SYSTEM BY DEVELOPING CLOSE PARTNERSHIPS WITH NEIGHBORHOOD HEALTH CENTERS, COOK CHILDREN'S HEALTH PLAN, AND OTHER DEPARTMENTS OFFERING CASE MANAGEMENT SERVICES TO DISTRIBUTE HEALTH AND WELLNESS MESSAGES AND PREVENTION TOOLS. 3. COMMUNITY HEALTH WORKERS (CHWS) ARE AN INTEGRAL PIECE TO THE SUCCESS OF SEVERAL C4CH PROGRAMS INCLUDING BUILD-A-BRIDGE, SAVE-A-SMILE, AND HEALTHY HOMES BY CONNECTING FAMILIES TO NEEDED RESOURCES AND SUPPORT SERVICES TO INCREASE ACCESS TO CARE. IN FY25, CHWS PROVIDED OVER 10,680 SOCIAL SERVICES TO FAMILIES TO HELP THEM MEET BASIC NEEDS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH AND WERE RESPONSIBLE FOR 2,290 COMMUNITY REFERRALS PROVIDED TO FAMILIES CONNECTING THEM TO BASIC NEEDS AND HEALTH SERVICES. CHWS, ALONG WITH OTHER C4CH STAFF, SERVED NEARLY 28,000 CHILDREN, FAMILIES, AND PARTNERS. - SERVE AS AN ACTIVE PARTNER ON COLLABORATIONS LED BY OTHER COMMUNITY ORGANIZATIONS TO ADVOCATE FOR AND IMPROVE THE SYSTEM OF CARE FOR CHILDREN WITH DISPARITIES. 1. SUPPORTED 389 PARTNER EVENTS AND MEETINGS INCLUDING PRESENTATIONS. ADDITIONAL INFORMATION RELATED TO INCREASING ACCESS TO CARE IS ALSO ADDRESSED THROUGHOUT EACH OF THE REMAINING SIX FOCUS AREAS DISCUSSED BELOW. 2. THE CENTER CONTRIBUTES FUNDING TO THE IMMUNIZATION COLLABORATION OF TARRANT COUNTY TO PROVIDE EASY ACCESS TO IMMUNIZATIONS FOR CHILDREN FROM LOW-INCOME FAMILIES IN TARRANT COUNTY. THE COLLABORATION HOSTS A MULTI-WEEK EVENT DURING AUGUST AND SEPTEMBER, WITH THE HELP OF NEARLY 100 VOLUNTEERS TO IMMUNIZE APPROXIMATELY 7,000+ CHILDREN EACH YEAR. ADDITIONAL INFORMATION RELATED TO INCREASING ACCESS TO CARE IS ALSO ADDRESSED THROUGHOUT EACH OF THE REMAINING SIX FOCUS AREAS DISCUSSED BELOW. ORAL HEALTH GOAL: IMPROVE CHILD ORAL HEALTH - RESPOND TO THE URGENT NEEDS OF CHILDREN AT INCREASED RISK OF POOR ORAL HEALTH COMMUNITY STRATEGIES - LEAD AND SUSTAIN ORAL HEALTH COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT ORAL HEALTH COLLABORATIVE INTERVENTIONS. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED ORAL HEALTH RESOURCES TO EDUCATE FAMILIES, MEDICAL/DENTAL PROVIDERS, AND OTHER COMMUNITY PARTNERS. - CONTINUE IMPLEMENTING SAVE A SMILE: A) CONDUCT LIMITED ORAL HEALTH EVALUATIONS FOR LOW-INCOME CHILDREN. B) IDENTIFY THOSE WITH ACUTE DENTAL PROBLEMS IN IDENTIFIED SCHOOLS. C) PROVIDE COMPREHENSIVE DENTAL TREATMENT AND COORDINATED CARE CONNECTING FAMILIES TO COMMUNITY RESOURCES MEETING IMMEDIATE SOCIAL SERVICE NEEDS. - BUILD ORGANIZATIONAL CAPACITY AND PROVIDE EVIDENCE-BASED TRAINING TO CAREGIVERS AND CHILDREN; PREGNANT WOMEN; SCHOOL NURSES; MEDICAL/DENTAL PROVIDERS; AND OTHER COMMUNITY PARTNERS. - FACILITATE AND TRACK COMMUNITY-LEVEL ORAL HEALTH SCREENING OUTCOMES. - REDUCE OBSTACLES TO ORAL HEALTH CARE FOR PREGNANT TEENS AND WOMEN AND COORDINATE WITH OTHER C4CH SERVICES/PROGRAMMING FOR BROADER 4TH TRIMESTER SUPPORT. - EXPLORE MEDICAL/DENTAL INTEGRATION OPPORTUNITIES WITHIN COOK CHILDREN'S AND BEYOND TO ENHANCE COORDINATED CARE SERVICES. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS, EVENTS, AND ADVOCACY EFFORTS TO ENCOURAGE GOOD ORAL HEALTH (E.G., NATIONAL CHILDREN'S DENTAL HEALTH MONTH). CONTINUED ON NEXT DISCLOSURE SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 2 FACILITY , 2 - COOK CHILDRENS MEDICAL CENTER. CONTINUED FROM PRIOR DISCLOSURE MENTAL HEALTH GOAL: IMPROVE CHILD MENTAL HEALTH, RESILIENCY, AND WELL-BEING - RESPOND TO THE URGENT AND GROWING NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN AND YOUTH BY SUPPORTING COMMUNITY PARTNERS WHO PROVIDE ESSENTIAL MENTAL HEALTH CARE COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT MENTAL HEALTH COLLABORATIVE INTERVENTIONS, TARGETING HIGH-RISK POPULATIONS. - SUPPORT ORGANIZATIONS IN CAPACITY BUILDING TO FORM IMPACTFUL AND SUSTAINABLE MENTAL HEALTH PRACTICES AND POLICIES (E.G., HEALTHY MINDS. RESILIENT COMMUNITIES., MENTAL HEALTH CONNECTION).* DEVELOP AND IMPLEMENT EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR CAREGIVERS, CHILDREN AND ADOLESCENTS TO EXPAND THE REACH OF MENTAL HEALTH MESSAGING AND STRENGTHEN CONNECTIONS TO HEALTH CARE AND COMMUNITY RESOURCES (E.G., CHILDREN'S FEELINGS ARE A WORK OF ART, ROADMAP FOR CHILDREN'S MENTAL HEALTH). - PROVIDE PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR MENTAL HEALTH PROVIDERS TO SHARE SKILLS, KNOWLEDGE, AND TOOLS WITH COLLEAGUES AND CAREGIVERS WITHIN THEIR REACH (E.G., WELLNESS WORKSHOPS, TRAUMA INFORMED CARE TRAINING, QPR TRAINING (SUICIDE PREVENTION), YOUTH MENTAL HEALTH FIRST AID TRAINING). - SUPPORT COMMUNITY CAMPAIGNS AND EVENTS TO REDUCE STIGMA AND PROMOTE AWARENESS ABOUT MENTAL HEALTH AND WELL-BEING (E.G., MENTAL HEALTH AWARENESS MONTH, SUICIDE PREVENTION AND AWARENESS MONTH). HEALTHY LIFESTYLES (OBESITY PREVENTION) GOAL: IMPROVE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY FOR CHILDREN - RESPOND TO THE GENERAL HEALTH AND WELLNESS NEEDS OF FAMILIES COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT FAMILY WELLNESS COLLABORATIVE INTERVENTIONS. -INCREASE ACCESS TO FOOD RESOURCES THROUGH COMMUNITY PARTNERSHIPS AND EDUCATION (E.G., NOURISHING COMMUNITIES EFFORTS, LVT NHC DEMONSTRATION KITCHEN) - EXPLORE AND PROVIDE TRAUMA-INFORMED CARE TRAINING AND PRACTICES REGARDING FOOD INSECURITY SCREENING AND FOOD RESOURCE CONNECTION. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR CHILDREN TO PROMOTE HEALTHY LIFESTYLES, NUTRITIOUS FOOD CONSUMPTION, AND PHYSICAL ACTIVITY (E.G., 5210+ EVERY DAY, GARDENING). - PROVIDE HEALTHY LIFESTYLES TRAINING TO PROVIDERS AND COMMUNITY MEMBERS TO EQUIP THEM WITH KNOWLEDGE AND TOOLS TO SUPPORT CAREGIVERS WITHIN THEIR REACH (E.G., 5210+ EVERY DAY FACILITATOR TRAINING, GARDEN WORKSHOPS). - SUPPORT CAPACITY-BUILDING EFFORTS FOR ORGANIZATIONS TO ESTABLISH SUSTAINABLE, IMPACTFUL PRACTICES AND POLICIES. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO ENCOURAGE HEALTHY LIFESTYLES (E.G., HEALTHY LIFESTYLES AWARENESS MONTH). CAREGIVER AND FAMILY SUPPORT (ABUSE NEGLECT AND PREVENTION) GOAL: IMPROVE FAMILY RESILIENCY THROUGH CAREGIVER AND FAMILY SUPPORT -RESPOND TO THE URGENT NEEDS OF FAMILIES RAISING CHILDREN FACING SERIOUS ADVERSITIES, INCLUDING ADVERSE CHILDHOOD EXPERIENCES (ACES), BY PROVIDING SUPPORT TO STRENGTHEN PARENTING SKILLS. COMMUNITY STRATEGIES - LEAD AND SUSTAIN THRIVING COMMUNITIES COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT INTERVENTIONS THAT PROTECT CHILDREN'S WELL-BEING AND BUILD FAMILY RESILIENCE. - DEVELOP AND DISTRIBUTE EVIDENCE-INFORMED EDUCATION, RESOURCES, AND INTERVENTIONS THAT PROVIDE NETWORKS OF SUPPORT FOR PARENTS AND CAREGIVERS (E.G., BUILD-A-BRIDGE, CAREGIVER ALLIANCE, DIAPER HUB, AND PARENT CAFES). - CONTINUE IMPLEMENTING BUILD-A-BRIDGE TO: A) CONNECT FAMILIES WITH COORDINATED CARE AND COMMUNITY RESOURCES TO ADDRESS IMMEDIATE SOCIAL NEEDS. B) PROMOTE HEALTHY CAREGIVER AND CHILD ATTACHMENT AND CONNECTION WITH A MEDICAL HOME. - BUILD ORGANIZATIONAL CAPACITY AND PROVIDE EVIDENCE-INFORMED EDUCATION TO PROVIDERS AND COMMUNITY MEMBERS (E.G., PARENT CAFE FACILITATOR TRAINING, SCHOOL COUNSELOR ROUNDTABLES, EARLY DETECTION OF CHILD ABUSE AND NEGLECT, ACES 101 AND PCE TRAININGS). - CONNECT FAMILIES TO MATERNAL AND INFANT HEALTH SERVICES, INCLUDING POSTPARTUM MENTAL HEALTH SUPPORT AND LOCAL RESOURCES ADDRESSING THE NON-MEDICAL DRIVERS OF HEALTH, AND COORDINATE WITH OTHER C4CH SERVICES/PROGRAMMING FOR BROADER 4TH TRIMESTER SUPPORT. (E.G., PARENT PASS, COORDINATION AMONG C4CH SERVICES, SUPPORT SERVICES FOR TEEN PARENTS, EDUCATIONAL VIDEOS). - COLLABORATE WITH MATERNAL/INFANT HEALTH COALITIONS TO EXPAND ACCESS TO CRITICAL RESOURCES FOR POSTPARTUM MOTHERS AND FAMILIES (E.G., HEAL, TARRANT CO. MATERNAL-INFANT HEALTH COALITION). - SUPPORT COMMUNITY CAMPAIGNS AND EVENTS TO INCREASE AWARENESS ABOUT THE IMPORTANCE OF CAREGIVER AND FAMILY SUPPORT (E.G., CHILD ABUSE PREVENTION MONTH). INJURY PREVENTION GOAL: INCREASE SAFETY PRACTICES TO REDUCE UNINTENTIONAL INJURIES TO CHILDREN -RESPOND TO THE URGENT NEEDS OF FAMILIES WITH UNSAFE SLEEP ENVIRONMENTS, WHERE DROWNINGS ARE MORE LIKELY TO OCCUR, WHO DO NOT HAVE PROPERLY INSTALLED CAR SEATS, RECENTLY PRESCRIBED MEDICATION, RISK FOR ACCIDENTAL INGESTION/OVERDOSE, OR ARE MORE LIKELY TO HAVE GUN-RELATED INJURY IN THE HOME. COMMUNITY STRATEGIES - LEAD AND SUSTAIN INJURY PREVENTION COLLABORATIVE AND ASSOCIATED ACTION TEAMS TO PLAN AND IMPLEMENT COLLABORATIVE INTERVENTIONS - PROVIDE EVIDENCE-INFORMED EDUCATION AND INTERVENTIONS FOR PARENTS AND CAREGIVERS THAT ENCOURAGE SAFER HABITS (PLANNED VS UNPLANNED WATER SAFETY, CHILD PASSENGER SAFETY IN THE CAR AND ON THE ROAD, MEDICATION STORAGE, GUN STORAGE, AND SAFE SLEEP) - ENHANCE ORGANIZATIONAL CAPACITY BY EQUIPPING PROVIDERS AND COMMUNITY MEMBERS WITH THE KNOWLEDGE AND TOOLS TO ADVOCATE FOR SAFER HABITS WITH CAREGIVERS WITHIN THEIR REACH (TRAIN THE TRAINER EVENTS, CAR SEAT TECHNICIAN TRAINING EVENTS, AND SAFE BABY SLEEP SYMPOSIUM) - DEVELOP AND DISTRIBUTE EVIDENCE-BASED RESOURCES AND TOOLS TO PROMOTE SAFE PRACTICES FOR WATER SAFETY, CHILD PASSENGER SAFETY, POISON PREVENTION, GUN SAFETY, AND SAFE INFANT SLEEP - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO ENCOURAGE SAFE PRACTICES FOR WATER SAFETY, CHILD PASSENGER SAFETY, POISON PREVENTION, GUN SAFETY, AND SAFE INFANT SLEEP ASTHMA GOAL: IMPROVE CONTROL OF CHILDHOOD ASTHMA - RESPOND TO THE URGENT NEEDS OF CHILDREN WITH INCREASED RISK OF UNCONTROLLED ASTHMA COMMUNITY STRATEGIES - HEALTHY HOMES 1. COACH FAMILIES TO IDENTIFY AND ADDRESS POTENTIAL ASTHMA TRIGGERS IN THEIR HOME ENVIRONMENT 2. EQUIP FAMILIES AND PARTNERS WITH EDUCATIONAL MATERIALS AND PRACTICAL TOOLS TO MITIGATE ASTHMA TRIGGERS. 3. CONNECT FAMILIES WITH CLINICAL ASTHMA CARE MANAGEMENT SERVICES AND COMMUNITY RESOURCES TO MEET IMMEDIATE SOCIAL SERVICE NEEDS (HEALTH CARE, FOOD, ETC.). - ASTHMA 411: SUPPORT PREVENTION-ORIENTED CARE IN SCHOOL SETTINGS 1. EQUIP SCHOOL NURSES WITH TRAINING AND MEDICATION NEEDED TO REDUCE MISSED SCHOOL AND EMERGENCY DEPARTMENT VISITS. 2. PROVIDE PHARMACY SERVICES AND TECHNICAL ASSISTANCE TO BUILD SCHOOL DISTRICTS' CAPACITY TO PROVIDE PREVENTION-ORIENTED CARE 3. PROVIDE GUIDANCE ON STANDING DELEGATED ORDERS AND OTHER CLINICAL ASPECTS THROUGH THE ASTHMA 411 MEDICAL ADVISORY COMMITTEE - EXPLORE ADDITIONAL SUPPORT OF COOK CHILDREN'S CLINICAL ASTHMA EFFORTS FOR HIGH-RISK ASTHMA POPULATIONS. - LEAD AND SUSTAIN THE THRIVING COMMUNITIES COLLABORATIVE AND SUPPORT OTHER COLLECTIVE COMMUNITY EFFORTS TO PLAN AND IMPLEMENT PREVENTIVE ASTHMA INTERVENTIONS, PRIORITIZING HIGH-RISK POPULATIONS. - PROVIDE ASTHMA-RELATED TRAINING TO PROVIDERS AND COMMUNITY MEMBERS WHO WILL SHARE SKILLS, KNOWLEDGE, AND TOOLS WITH COLLEAGUES AND CAREGIVERS WITHIN THEIR REACH. - SUPPORT COMMUNITY AWARENESS CAMPAIGNS AND EVENTS TO INCREASE AWARENESS ABOUT UNCONTROLLED ASTHMA 2 CENTER FOR PEDIATRIC SURGERY 4200 W UNIVERSITY DRIVE STE 110 PROSPER TX 75075 AMBULATORY SURGERY CENTER COOK CHILDREN'S SURGERY CENTER 6313 PRECINCT LINE RD HURST TX 76054 AMBULATORY SURGERY CENTER SCHEDULE H, PART I, LINE 3C OTHER METHODS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE COOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT COOK CHILDREN'S CONDUCTS A CHNA AND PREPARES A SUMMARY REPORT EVERY THREE YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN 2024, AND THE WRITTEN CHNA REPORT WAS POSTED IN 2025. THE 2024 CHNA REPORT IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE: (HTTPS://WWW.COOKCHILDRENS.ORG/ABOUT/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/). THE NEXT CHNA (2027) IS CURRENTLY IN DEVELOPMENT AND WILL BE POSTED BY SEPTEMBER 30, 2028. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST COOK CHILDREN'S HEALTH CARE SYSTEM PROVIDES CRITICAL BENEFITS TO THE COMMUNITIES IT SERVES, MANY OF WHICH ARE FUNDED BY PARENT AND CHILD ORGANIZATIONS OF THE MEDICAL CENTERS. THE FOLLOWING CONTAINS A SUMMARY OF COMMUNITY BENEFITS THAT ARE NOT INCLUDED ON SCHEDULE H OF THE IRS FORM 990, BUT ARE AN IMPORTANT PART OF THE MISSION. COMMUNITY BENEFITS FUNDED BY NON-HOSPITAL COOK CHILDREN'S ORGANIZATIONS, FISCAL 2025: (9) NEIGHBORHOOD CLINICS - $11,394,081 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION (10) ENDOWED CHAIRS - $1,000,000 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION CHILD STUDY CENTER - $2,914,449 BEHAVIORAL HEALTH - $126,645 - COMMUNITY BENEFITS FUNDED BY WI COOK FOUNDATION TOTAL COMMUNITY BENEFITS FUNDED BY NON-HOSPITAL COOK CHILDREN'S ORGANIZATIONS - $15,435,175 NEIGHBORHOOD CLINICS - FREE-STANDING PEDIATRIC PRACTICE BUILT IN A NEIGHBORHOOD IDENTIFIED AS HAVING INADEQUATE ACCESS TO PRIMARY CARE FOR CHILDREN. THE PRACTICE IS STAFFED WITH DOCTORS, OTHER CLINICAL AND SUPPORT STAFF TO HELP MAINTAIN HEALTH AND PROMOTE HEALING FOR CHILDREN THROUGH WELL-CHILD EXAMINATIONS, VACCINES, AND SICK VISITS. ENDOWED CHAIRS - COOK CHILDREN'S FUNDED RESEARCH PERFORMED BY COOK CHILDREN'S PHYSICIANS FOR THE COMMUNITY-WIDE ADVANCEMENT OF PEDIATRIC CARE. CHILD STUDY CENTER - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DIAGNOSIS, TREATMENT, AND EDUCATION TO THE UNDER-SERVED POPULATION OF CHILDREN WITH COMPLEX DEVELOPMENTAL AND BEHAVIORAL DISABILITIES. BEHAVIORAL HEALTH - BEHAVIORAL HEALTH IS A GROWING NEED IDENTIFIED IN COOK CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COOK CHILDREN'S HAS INVESTED IN PROVIDING THIS CARE FOR THE COMMUNITY, DESPITE LACK OF ADEQUATE REIMBURSEMENT FROM PAYORS. TOTAL COMMUNITY BENEFITS PROVIDED BY ALL COOK CHILDREN'S SUBSIDIARIES, FISCAL 2025: COOK CHILDREN'S MEDICAL CENTER - FORT WORTH - $311,263,089 (ALREADY INCLUDED IN COMMUNITY BENEFIT CALCULATION ON SCHEDULE H, PART I, LINE 7K) COOK CHILDREN'S MEDICAL CENTER - PROSPER - $49,752,846 (ALREADY INCLUDED IN COMMUNITY BENEFIT CALCULATION ON SCHEDULE H, PART I, LINE 7K) WI COOK FOUNDATION - $12,520,726 CHILD STUDY CENTER - $2,914,449 TOTAL COMMUNITY BENEFITS PROVIDED BY ALL COOK CHILDREN'S SUBSIDIARIES - $376,451,110 SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE LINE 7A IS CALCULATED USING WORKSHEET 1 AND THE COST TO CHARGE RATIO. LINE 7B MEDICAID SHORTFALL IS CALCULATED USING WORKSHEET 3 AND THE COST TO CHARGE RATIO. LINES 7E - I ARE CALCULATED USING THE HOSPITAL'S INTERNAL ACTIVITY REPORTS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES: PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES. OVER 1,090 HOURS WERE CONTRIBUTED TO MULTIPLE COALITIONS, COMMITTEES, AND COUNCILS FOR FYE 2025. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT WE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGE 16 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - COOK CHILDREN'S MEDICAL CENTER: LINE 16A URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - COOK CHILDREN'S MEDICAL CENTER: LINE 16B URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - COOK CHILDREN'S MEDICAL CENTER: LINE 16C URL: WWW.COOKCHILDRENS.ORG/PATIENTS-FAMILIES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALTIES, THE PARENT SURVEY FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT, ALSO KNOWN AS THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT & PLANNING SURVEY (CCHAPS) AS REPORTED IN PART V, SECTION B-IS THE ONLY COMMUNITY-WIDE CHILDREN'S HEALTH NEEDS ASSESSMENT CONDUCTED BY OUR HEALTH SYSTEM SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION COOK CHILDREN'S FORT WORTH SERVICE AREA (FWSA) IS BASED IN NORTH CENTRAL TEXAS AND COMPRISES DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES. COOK CHILDREN'S EVALUATES THE STATISTICS DESCRIBING OUR COMMUNITY AND REPRESENTING OUR POPULATION SERVED WITH EVERY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOR FISCAL YEAR 2025, ALL INFORMATION PROVIDED IS IN RESPONSE TO OUR 2024 CHNA. PLEASE NOTE: OUR 2027 CHNA IS CURRENTLY IN DEVELOPMENT AND WILL BE APPROVED AND POSTED BY SEPTEMBER 30, 2028. THE U.S. CENSUS BUREAU CLASSIFIES THESE COUNTIES AS FOLLOWS: DENTON COUNTY-URBAN, HOOD COUNTY-MOSTLY URBAN, 41% RURAL; JOHNSON COUNTY-NEARLY MIXED, 54% URBAN AND 46% RURAL; PARKER COUNTY- MOSTLY RURAL, 36% URBAN; TARRANT COUNTY-URBAN AND WISE COUNTY-RURAL.(2) OVERALL, THE EIGHT-COUNTY REGION IS HOME TO A DIVERSE POPULATION OF 5,626,154 PEOPLE, AND 1,181,591 (25%) ARE CHILDREN 17 YEARS AND YOUNGER.(1) THE FWSA TOTAL POPULATION OF 3,495,123 INCLUDES 877,448 CHILDREN FROM BIRTH TO 17. OF THOSE CHILDREN AGES 0-17, THERE ARE 218,680 IN DENTON COUNTY; 12,922 IN HOOD COUNTY; 46,951 IN JOHNSON COUNTY; 37,266 IN PARKER COUNTY; 544,440 IN TARRANT COUNTY; AND 17,189 IN WISE COUNTY. (1) THE ANNUAL MEDIAN INCOME FOR FAMILIES WITH CHILDREN UNDER AGE 18 RANGE BETWEEN $86,236 IN TARRANT COUNTY TO $130,127 IN DENTON COUNTY.(1) OF THE 877,448 CHILDREN UNDER AGE 18 LIVING IN THE FWSA, NEARLY 116,000 (13%) LIVE IN HOUSEHOLDS WITH INCOME BELOW THE POVERTY LEVEL, AND CHILDREN IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE OR FOOD STAMPS/SNAP BENEFITS RANGES FROM 11% IN DENTON COUNTY TO 24% IN TARRANT COUNTY. (1) THE INFORMATION BELOW REFLECTS RACE AND ETHNICITY BY COUNTY WITHIN OUR REGION. 2022 U.S. CENSUS ESTIMATES OF RACE AND ETHNICITY (CHILDREN UNDER 18 YEARS).(2) * ASIAN: DENTON 10.2%; HOOD 0.5%; JOHNSON 1.4%; PARKER 0.8%; TARRANT 5%; WISE 0.3% * BLACK/AFRICAN AMERICAN: DENTON 10%; HOOD 1%; JOHNSON 4.8%; PARKER 1.6%; TARRANT 18.8%; WISE 1.7% * OTHER RACE: DENTON 3.8%; HOOD 1.3%; JOHNSON 4.5%; PARKER 1.9%; TARRANT 10%; WISE 5.5% * TWO OR MORE RACES: DENTON 16.2%; HOOD 14.3%; JOHNSON 12.7%; PARKER 11.9%; TARRANT 17.1%; WISE 9.3% * WHITE: DENTON 59%; HOOD 82.7%; JOHNSON 76.4%; PARKER 83.1%; TARRANT 48.4%; WISE 82.5% * HISPANIC OR LATINO (ANY RACE): DENTON 25.6%; HOOD 22.1%; JOHNSON 31.4%; PARKER 19.1%; TARRANT 38.6%; WISE 29% THE COOK CHILDREN'S FWSA CONTAINS THREE MEDICALLY UNDERSERVED AREAS AND ONE MEDICALLY UNDERSERVED POPULATION AS DEFINED BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION. (3) THESE AREAS ARE: MEDICALLY UNDERSERVED AREAS (3) * DENTON COUNTY: KNOWN AS POVERTY POPULATION BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 0 (GOVERNOR'S EXCEPTION), RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE * TARRANT COUNTY: KNOWN AS CENTRAL SERVICE AREA BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 55.3, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE * TARRANT COUNTY: KNOWN AS FORT WORTH-NORTH BY SERVICE AREA NAME, MEDICAL UNDERSERVICE SCORE IS 58, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE MEDICALLY UNDERSERVED POPULATION (3) * TARRANT COUNTY: KNOWN AS LOW INC-EAST SIDE BY SERVICE AREA NAME, MEDICAL UNDERSERVE SCORE IS 59.8, RURAL STATUS IS NON-RURAL, DISCIPLINE IS PRIMARY CARE REFERENCES: (1) US CENSUS BUREAU. 2022 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. UNITED STATES CENSUS BUREAU. PUBLISHED DECEMBER 7, 2023. ACCESSED JANUARY 2026. HTTP://DATA.CENSUS.GOV (2) US CENSUS BUREAU. 2020 URBAN AREA TO 2020 COUNTY RELATIONSHIP FILE (2020_UA_COUNTY.XLSX). GEOGRAPHY DIVISION. DECEMBER 2022. ACCESSED JANUARY 30, 2026. HTTPS://WWW.CENSUS.GOV/GEOGRAPHIES/REFERENCE-FILES/TIME-SERIES/GEO/RELATIONSHIP-FILES.HTML (3) MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P) FIND TOOL. HEALTH RESOURCES AND SERVICES ADMINISTRATION. ACCESSED JANUARY 30, 2025. HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/MUA-FIND (THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. IN ORDER TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0, EXCEPT FOR A GOVERNOR DESIGNATION, WHICH DOES NOT RECEIVE AN IMU SCORE.) SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH IN FY2025, COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH LED 819 HEALTH OUTREACH TRAININGS AND EVENTS SERVING OVER 22,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE REPRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM OUR FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN 2009, WHICH INCLUDE: EQUITABLE ACCESS TO HEALTH CARE ORAL HEALTH MENTAL HEALTH HEALTHY LIFESTYLES (OBESITY PREVENTION) CAREGIVER AND FAMILY SUPPORT (ABUSE AND NEGLECT PREVENTION) INJURY PREVENTION ASTHMA IN FY2025, OUR COMMUNITY PARTNERS AND VOLUNTEERS DONATED NEARLY 3,200 HOURS OF VOLUNTEER SUPPORT TO THE CENTER, TOTALING A VALUE OF $106,799. THE 819 HEALTH OUTREACH TRAININGS AND EVENTS LED BY THE CENTER WERE PROVIDED THROUGH OUR COLLABORATIONS BELOW. * CAREGIVER AND FAMILY SUPPORT ACTION TEAM * MENTAL HEALTH & RESILIENCY ACTION TEAM * CHILDREN'S ORAL HEALTH COLLABORATIVE * SAFE BABY SLEEP COUNCIL * HEALTH ACCESS ACTION TEAM * SAVE A SMILE * HEALTHY LIFESTYLES ACTION TEAM * SCHOOL-BASED ORAL HEALTH ACTION TEAM * INJURY PREVENTION COLLABORATIVE * THRIVING COMMUNITIES COLLABORATIVE * LIFEGUARD YOUR CHILD CAMPAIGN SELECTED HIGHLIGHTS OF OUR WORK IN FY2025 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: * FACILITATED 9,800 LIMITED ORAL HEALTH EVALUATIONS AND DENTAL TREATMENT PROCEDURES FOR CHILDREN WITH DENTAL DISEASE FOR A TOTAL VALUE OF $643,590. * PROVIDED 532 CAR SEAT CHECKS TO FAMILIES IN NEED AND EDUCATED 133 CAREGIVERS ON PROPER INSTALLATION TO ENSURE THEIR CHILDREN'S SAFETY. NEARLY 3 IN 4 CAR SEATS ARRIVED INCORRECTLY INSTALLED AT OUR EVENTS. HOWEVER, THROUGH OUR HANDS-ON EDUCATION, 100% OF CAR SEATS LEAVE PROPERLY INSTALLED, PROVIDING CRITICAL SAFETY FOR CHILDREN AND FAMILIES. * DISTRIBUTED OVER 4,880 RESOURCES AND EDUCATIONAL ITEMS TO 321 FAMILIES. * PROVIDED 1,248 HOURS OF CONTINUED EDUCATION CREDITS TO OVER 710 COMMUNITY PROFESSIONALS AT OUR MENTAL HEALTH EDUCATION WORKSHOPS. * EXPANDED FOOD ACCESS ACROSS OUR COOK CHILDREN'S SYSTEM AND SERVICE AREA: HELPED SUPPORT THE DISTRIBUTION OF OVER 911,280 LBS. OF FOOD THROUGH C4CH, CCHP, NHCS, DODSON SPECIALTY CLINICS (INFECTIOUS DISEASE, NEPHROLOGY, CYSTIC FIBROSIS), VOLUNTEER SERVICES, AND PARTNER PANTRIES. * PROVIDED 10,680 SUPPORT SERVICES AND NEARLY 2,300 COMMUNITY REFERRALS TO FAMILIES, MEETING NEEDS FOR FOOD, RENT AND UTILITIES ASSISTANCE, SCHOOL SUPPLIES, AND MENTAL HEALTH. * DISTRIBUTED 177,097 PREVENTION TOOLS AND 308,529 EDUCATIONAL RESOURCES AT A VALUE OF $1,064,503 TO FAMILIES AND COMMUNITY PARTNERS. * OVER 3.3 MILLION UNIQUE COMMUNITY MEMBERS REACHED THROUGH TARGETED DIGITAL AWARENESS CAMPAIGNS, REFLECTING 48,000 HOURS OF ENGAGEMENT. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM COOK CHILDREN'S ALSO OPERATES SEVEN NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER AND INNER CITY TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENT SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND CHIP, PROVIDING AN OPEN PROVIDER PANEL FOR ALL ELIGIBLE CHILDREN IN THE SIX-COUNTY PRIMARY SERVICE AREA. COOK CHILDREN'S HOME HEALTH OFFERS PEDIATRIC-SPECIFIC HOME CARE TO ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE AND LOWEST COST SETTING. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX true COOK CHILDRENS PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76107 752485366 501(C)(3) 110042991 SUBSIDIZE OPERATIONS JUNIOR LEAGUE OF FORT WORTH 255 BAILEY AVE FORT WORTH TX 76107 756022377 501(C)(3) 35000 SPONSORSHIP BREAKTHROUGH T1D NORTH TEXAS AND OKLAHOMA PO BOX 5029 HAGERSTOWN MD 21741 231907729 501(C)(3) 10000 SPONSORSHIP 3 0 BABY SUPPLIES 466 32211 GIFT CARDS 506 25869 LODGING 452 106533 MEALS 568 15294 MEDICAL EQUIPMENT 10 1809 MEDICATION 2007 133730 MISCELLANEOUS 7 202 TRANSPORTATION 1845 101139 UTILITIES 14 4928 FUNERAL SERVICES 149 124727 HOLIDAY BENEVOLENCE GIFT CARDS 88 23683 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. 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 496024 267089 245484 132184 113833 61295 214526 115514 25507 13735 1095374 589817 0 0 STANLEY E DAVIS PRESIDENT 622211 0 283922 0 119901 0 678012 0 40626 0 1744672 0 85949 0 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 285169 506968 141101 250846 70148 124708 174581 310366 11762 20910 682761 1213798 55518 98699 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 6/1/25 0 577639 0 260293 0 111790 0 25875 0 38407 0 1014004 0 0 RICK W MERRILL CEO 409809 1229427 268858 806577 113906 341717 98136 294408 8824 26473 899533 2698602 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 VP, PROSPER MEDICAL CENTER 0 251951 0 90096 0 1535 0 45800 0 35839 0 425221 0 0 DEBORAH BOUDREAUX VP, NURSING & PATIENT SVC 257999 0 92575 0 6715 0 48514 0 28247 0 434050 0 0 0 RAMONDA BUSBY AVP, CASE MANAGEMENT SERVICES 202489 0 44600 0 4556 0 10219 0 25871 0 287735 0 0 0 ORLANDO CHAPA VP, NURSING & PATIENT SVC 263446 0 93298 0 4675 0 58506 0 17579 0 437504 0 0 0 MEGAN CHAVEZ VP, COOK CHILDREN'S EXPERIENCE 324345 0 118040 0 55054 0 48769 0 34506 0 580714 0 52501 0 TIFFANY EPPERSON AVP, NURSING 175490 0 27952 0 11617 0 7158 0 34191 0 256408 0 0 0 ALDRENA HEAD AVP, HIM 171519 0 46054 0 10985 0 14520 0 35678 0 278756 0 0 0 NICHOLAS MARKHAM VP CAMPUS FAC, SUPP SERVICES 240694 0 85303 0 1934 0 47171 0 23192 0 398294 0 0 0 OZIOMA OLOWU AVP, PHARMACY 243453 0 69493 0 35734 0 31679 0 34820 0 415179 0 0 0 CHERYL PETERSEN SVP NURSING/ CHIEF NURSING CNO 369661 0 168862 0 72323 0 88117 0 40626 0 739589 0 52394 0 JACK SOSEBEE SVP OPERATIONS 391630 0 174255 0 62519 0 89608 0 18131 0 736143 0 44974 0 TAMMY THOMLISON AVP, REVENUE CYCLE 247441 0 61452 0 13647 0 14423 0 22332 0 359295 0 0 0 ELIA VALENCIA-STOKES VP, FINANCE 330140 0 120992 0 8367 0 61020 0 40626 0 561145 0 0 0 NATALIE WILKINS VP, OPERATIONS 325951 0 113633 0 46680 0 56855 0 14514 0 557633 0 44159 0 NATALIE CARPENTER AVP, NURSING 193284 0 28981 0 5647 0 17019 0 18033 0 262964 0 0 0 GINA HERNANDEZ DIRECTOR, NURSING ADMIN 191993 0 27350 0 12556 0 17090 0 12279 0 261268 0 0 0 TOMMIE MOSS PHARMACIST 257769 0 0 0 3370 0 18228 0 37711 0 317078 0 0 0 JESSACA SIBR PHARMACIST 243052 0 0 0 3370 0 17541 0 24488 0 288451 0 0 0 ROBERT TUCKER DIRECTOR, FINANCE 188542 0 27127 0 12418 0 11876 0 27362 0 267325 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: TOMMIE MOSS SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN RICK W MERRILL - PAID BY SYSTEM - $366,668 DEFERRED, $NONE W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $99,100 DEFERRED, $110,868 W-2 CORY R RHOADES - PAID BY SYSTEM - $96,735 DEFERRED, $103,601 W-2 SPENCER D SEALS - PAID BY SYSTEM - $39,192 DEFERRED, $45,938 W-2 STANLEY E. DAVIS - PAID BY CCMC - $653,100 DEFERRED, $85,949 W-2 JACK SOSEBEE - PAID BY CCMC - $63,733 DEFERRED, $44,974 W-2 CHERYL PETERSEN - PAID BY CCMC - $62,242 DEFERRED, $52,394 W-2 ELIA VALENCIA-STOKES - PAID BY CCMC - $42,350 DEFERRED, $NONE W-2 NATALIE WILKINS - PAID BY SYSTEM - $39,744 DEFERRED, $44,159 W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $81,644 DEFERRED, $NONE W-2 NICHOLAS MARKHAM - PAID BY CCMC - $29,835 DEFERRED, $NONE W-2 KEVIN GREENE - PAID BY PROSPER - $31,708 DEFERRED, $NONE W-2 ORLANDO CHAPA - PAID BY CCMC - $32,631 DEFERRED, $NONE W-2 DEBORAH BOUDREAUX - PAID BY CCMC - $32,378 DEFERRED, $NONE W-2 OZIOMA OLOWU - PAID BY CCMC - $17,214 DEFERRED, $NONE W-2 MEGAN CHAVEZ - PAID BY CCMC - $41,400 DEFERRED, $52,501 W-2 JAMES C CUNNINGHAM, MD - PAID BY SYSTEM - $847,163 DEFERRED, $NONE W-2 NANCY C. CYCHOL - PAID BY CCMC - $304,165 DEFERRED, $NONE W-2 SCHEDULE J, PART II ALLOCATION OF CEO & CFO SALARIES SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER A TARRANT COUNTY CULTURAL EDUCATION FACILITIES 751181060 875906NY1 2010-02-24 231948097 DEVELOPMENT, CONST, EQUIPMENT true false false B TARRANT COUNTY CULTURAL EDUCATION FACILITIES 043833551 87638QKX6 2014-02-02 176767688 CONSTRUCTION & EQUIPMENT COSTS true false false C TARRANT COUNTY CULTURAL EDUCATION FACILITIES 043833551 87638QQQ5 2020-02-25 241629204 REFUNDING AND CONSTRUCTION AND EQUIPMENT false false false D TARRANT COUNTY CULTURAL EDUCATION FACILITIES 043833551 000000000 2023-09-05 163310000 REFUNDING 2013 & 2014 BONDS false false false A 202570000 0 231948097 2686446 230119470 2011 false false true true B 28820000 135820000 176767688 1755350 176023031 2016 false false true true C 20745000 242464102 90712257 2221088 198738578 2023 true false true true D 6905000 165369955 162599938 710063 2059954 2023 true false true true A false true false false false false 0.0049 0 0.0049 false false 0 false true B false false false false false false 0 0 0.0 false false 0 false true C false true false false false false 0.0019 0 0.0019 false false 0 false true D false true false false false false 0.0021 0 0.0021 false false 0 false true A false false false true true true BANK OF AMERICA 0.2 false false false 0 false false true B false false false true false false 0 false false false 0 false false true C false false false true false false 0 false false false 0 false false true D false true false false false false 0 false false false 0 false false true A true B true C true D true SCHEDULE K, PART III, LINE 7 COLUMNS A, B & C FOR THE PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS A, B & C. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS A, B & C IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS." SCHEDULE K, PART II COLUMNS A-D TOTAL EXPENDITURES INCLUDE AMOUNTS SPENT AFTER INVESTMENT EARNINGS. SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 02/14/2014 SCHEDULE K, PART IV, LINE 2C COLUMN B ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 03/22/2017 SCHEDULE K, PART IV, LINE 2C COLUMN C ISSUER NAME: TARRANT COUNTY CULTURAL EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/14/2021 A TARRANT COUNTY CULTURAL EDUCATION FACILITIES 043833551 87638QTK5 2025-02-27 400041204 REFUNDING 2014 AND CONSTRUCTION AND EQUIPMENT false false false A 400041204 46772072 3269132 350000000 true false false true A false false false false false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true A true FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION FROM COMPLEX SURGICAL CARE AND LEVEL II TRAUMA SERVICES TO PHYSICAL THERAPY AND BEHAVIORAL HEALTH SERVICES, CCMC - FORT WORTH OFFERS COMPREHENSIVE SERVICES TAILORED TO THE NEEDS OF EVERY PATIENT AND FAMILY. COLLABORATION LEADS TO NEW CHAPTER FOR TWO NEIGHBORHOODS IN FY25, OUR GENEROUS DONORS MET THE GROWING NEED FOR ADDITIONAL NEIGHBORHOOD HEALTH CENTERS (NHC). BECAUSE OF THEIR GENEROSITY, TWO MORE NHCS WERE ADDED TO THE COOK CHILDREN'S ROSTER - MANHATTAN AND LAS VEGAS TRAIL - FOR A TOTAL OF NINE. THESE CENTERS PROVIDE PRIMARY HEALTH CARE, WELL-BEING SERVICES AND MORE TO FAMILIES LIVING IN AREAS WHERE RESIDENTS ARE MET WITH MULTIPLE BARRIERS TO ACCESSING CARE, INCLUDING LIMITED TRANSPORTATION, FOOD INSECURITY, LANGUAGE OR LITERACY BARRIERS, AND A LACK OF AWARENESS OF AVAILABLE RESOURCES. THE NHC LOCATED ON MANHATTAN BOULEVARD IN EAST FORT WORTH WAS PROVIDED BY THE HAPPY DAVIS FOUNDATION AND THE TEXAS RANGERS. THE NEW CENTER SHOWCASES THE COMMUNITY'S GENEROSITY AND COLLABORATIVE SPIRIT WITH ARTWORK FEATURING A LOCAL LEGEND-RANGERS CAPTAIN, THE TEXAS RANGERS MASCOT. THE LAS VEGAS TRAIL (LVT) HEALTH CENTER IS A FIRST-OF-ITS-KIND PARTNERSHIP BETWEEN JPS HEALTH NETWORK, COOK CHILDREN'S HEALTH CARE SYSTEM, THE CITY OF FORT WORTH, LVTRISE AND WESTAID. MORE THAN JUST A CLINIC, IT FUNCTIONS AS A COMPREHENSIVE HEALTHCARE HUB, CONNECTING INDIVIDUALS AND FAMILIES TO SERVICES THAT SUPPORT HOLISTIC WELL-BEING, INCLUDING PERSONAL SAFETY, MEDICAL CARE, FOOD SECURITY, FINANCIAL STABILITY AND STRONG FAMILY FOUNDATIONS. SINCE THE LVT HEALTH CENTER OPENED ITS DOORS, THOUSANDS HAVE RECEIVED HEALTHCARE SERVICES. PARTICIPANTS IN THE NEIGHBORHOOD HEALTH CENTER'S FIRST WORKFORCE DEVELOPMENT PROGRAM, TAUGHT BY TARRANT COUNTY COLLEGE, GRADUATED IN DECEMBER. NEARLY 100 COMMUNITY MEMBERS HAVE PARTICIPATED IN ONE OF 12 COOKING CLASSES OFFERED IN THE CENTER'S TEACHING KITCHEN, WHERE A COOK CHILDREN'S DIETITIAN DEMONSTRATES HOW TO PREPARE HEALTHY, BUDGET-FRIENDLY MEALS WITH LIMITED COOKING RESOURCES. HUNDREDS OF CONNECTIONS HAVE BEEN MADE THROUGH OUTREACH EVENTS. ADVANCING THE LEGACY OF HEALING AND HOPE IN SPRING 2025, COOK CHILDREN'S BROKE GROUND ON A NEW 700,000-SQUARE-FOOT BUILDING - THE WEST TOWER. THE ADDITION OF THE WEST TOWER WILL ENHANCE COOK CHILDREN'S HEART CENTER, ALREADY HOME TO THE NATION'S TOP PEDIATRIC CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS. THE GROWTH, WHICH INCLUDES TWO NEW DEDICATED CARDIOVASCULAR OPERATING ROOMS, PAVES THE WAY FOR COOK CHILDREN'S SURGEONS TO PERFORM LIFE-SAVING HEART TRANSPLANTS. THE WEST TOWER ALSO MAKES WAY FOR THE EXPANSION AND REDESIGN OF COOK CHILDREN'S PEDIATRIC INTENSIVE CARE UNIT (PICU) AND NEONATAL INTENSIVE CARE UNIT (NICU). THE PICU WILL INCLUDE 56 PRIVATE PATIENT ROOMS AND BATHROOMS. DESIGNS FOR THE NEW PICU FOCUS ON TWO KEY ELEMENTS FOR SUPPORTING HEALING AND IMPROVING THE PATIENT AND FAMILY EXPERIENCE - SUNLIGHT AND PRIVACY. THE NICU WILL BE APPROXIMATELY 40,000 SQUARE FEET AND INCLUDE 143 PRIVATE ROOMS. THE WEST TOWER WILL BE A PLACE WHERE COOK CHILDREN'S CHARTS NEW FRONTIERS IN MEDICAL RESEARCH, ENSURING THAT EVERY STEP FORWARD IN PATIENT CARE IS DRIVEN BY CONTINUOUS INNOVATION AND EVIDENCE-BASED PRACTICE. FIGHTING FOR THE COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S HEALTH PLAN PROVIDES HEALTH CARE COVERAGE TO A VULNERABLE POPULATION THAT MAY NOT OTHERWISE BE ABLE TO ACCESS OR AFFORD CARE - LOW-INCOME FAMILIES WHO QUALIFY FOR MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). MEMBERS ENROLLED IN CCHP ARE ASSURED OF TIMELY ACCESS TO NECESSARY MEDICAL CARE, INCLUDING PREVENTIVE SERVICES SUCH AS WELL-CHILD VISITS, IMMUNIZATIONS AND PRENATAL/POSTPARTUM CARE. THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC), ANNOUNCED IN MARCH 2024 ITS INTENT TO NOT RENEW CCHP'S MEDICAID STAR AND CHIP CONTRACT, INSTEAD AWARDING THOSE CONTRACTS TO NUMEROUS FOR-PROFIT HEALTH CARE COMPANIES. THE STATE'S DECISION, THE RESULT OF A FLAWED PROCESS, IGNORED COOK CHILDREN'S 20+ YEAR TRACK RECORD OF SUCCESS IN ADMINISTERING THESE PROGRAMS TO LOCAL FAMILIES. IN RESPONSE, COOK CHILDREN'S FORMALLY PROTESTED THAT THE SCORING PROCESS LACKED TRANSPARENCY, IGNORED LEGISLATIVELY MANDATED CONSIDERATIONS AND PREFERENCES, AND PUT NON-PROFIT COMMUNITY PLANS AT AN UNFAIR DISADVANTAGE. IN JUNE 2024, COOK CHILDREN'S HEALTH PLAN FILED A LAWSUIT ALLEGING THAT THE STATE'S PROCUREMENT WAS NOT CONDUCTED ACCORDING TO THE APPROPRIATE STATUTES. IN OCTOBER 2024, TRAVIS COUNTY DISTRICT COURT ISSUED A TEMPORARY INJUNCTION WHICH STOPS HHSC FROM IMPLEMENTING ANY NEW MEDICAID STAR/CHIP CONTRACTS, THEREBY PRESERVING THE STATUS QUO AND PROTECTING THE COOK CHILDREN'S HEALTH PLAN. THE TEXAS LEGISLATURE MET IN EARLY 2025 AND FAILED TO TAKE ANY ACTION THAT WOULD HAVE CLARIFIED OR IMPROVED THE STATE'S MEDICAID MANAGED CARE ORGANIZATION PROCUREMENT PROCESS. THEREFORE, THE LAWSUIT FILED BY COOK CHILDREN'S HEALTH PLAN IS PROCEEDING THROUGH THE COURTS. IN THE MIDST OF UNCERTAINTY, CCHP HAS WORKED TO REASSURE ITS MEMBERS THAT THEIR COVERAGE REMAINS ACTIVE UNTIL A FINAL DECISION IS MADE, THEY MAY CONTINUE SEEING THEIR CURRENT PHYSICIANS AND PROVIDERS, AND THEIR CHILD'S HEALTH IS TOP PRIORITY. THIS ORDER IS CURRENTLY BEING REVIEWED BY THE FIFTEENTH COURT OF APPEALS. RAISING AWARENESS THROUGH LEADERSHIP FROM THE CENTER FOR COMMUNITY HEALTH, COOK CHILDREN'S CONTINUES TO INFORM AND EDUCATE THE PUBLIC ON TIMELY PEDIATRIC HEALTH AND SAFETY ISSUES. INJURY PREVENTION MESSAGES IN FY25 INCLUDED THE IMPORTANCE OF CAR SEATS, REMINDERS OF SUMMER POOL SAFETY, AWARENESS OF BATHTUB SAFETY, ATV SAFETY AND DOG BITE PREVENTION. DURING FOOTBALL SEASON, COOK CHILDREN'S HIGHLIGHTED TIPS ON HOW TO PROTECT ATHLETES AND THE MOST IMPORTANT SAFETY ELEMENTS OF A FOOTBALL PROGRAM. AN ARTICLE DURING POISON PREVENTION WEEK REPORTED THE GROWING NUMBER OF YOUNG CHILDREN TREATED IN THE EMERGENCY DEPARTMENT (ED) FOR ACCIDENTAL OVERDOSES AND PROVIDED TIPS FOR SAFE DOSING, STORAGE AND DISPOSAL. ACCESSING HEALTHY FOODS BECAME EASIER FOR FAMILIES THANKS TO A PARTNERSHIP WITH COOK CHILDREN'S AND TEXAS HEALTH RESOURCES. THE RENOVATED EASTSIDE YMCA OPENED JANUARY 27 WITH NEW AMENITIES INCLUDING A GOOD FOR YOU HEALTHY HUB TO HELP FIGHT FOOD INSECURITY IN THE SURROUNDING NEIGHBORHOOD. THE CENTER FOR COMMUNITY HEALTH, LED BY COOK CHILDREN'S, IS FUNDING THE HUB'S STARTUP COSTS AND THE FIRST TWO YEARS OF OPERATION. THE CENTER OFFERS CLASSES ON NUTRITION, GARDENING AND PREPARING MEALS IN THE YMCA'S DEMONSTRATION KITCHEN AS PART OF THE COLLABORATION. EDUCATION ALSO COVERS HEALTHY LIFESTYLE TOPICS SUCH AS EXERCISE, SLEEP AND LIMITS ON SCREEN TIME. IN THE SUMMER OF 2025, THE AIM FOR SAFETY PROGRAM AT COOK CHILDREN'S CONTINUED TO SPREAD AWARENESS ABOUT PROPER STORAGE OF FIREARMS, FOCUSING ON THE INCREASED RISK OF UNINTENTIONAL GUN INJURIES WHILE SCHOOL IS OUT AND EDUCATION TO PREVENT ACCIDENTAL SHOOTINGS IN THE HOME. SURGING CASES OF FLU AND RESPIRATORY ILLNESSES STRAINED THE ED, PEDIATRIC OFFICES AND URGENT CARE CENTER SEVERAL TIMES IN FY25. COOK CHILDREN'S RESPONDED ON SOCIAL MEDIA AND OTHER OUTLETS BY ASKING FOR THE COMMUNITY'S HELP TO LIMIT THE SPREAD. THROUGH ARTICLES, CHARTS AND VIDEOS, THE COMMUNICATIONS TEAM PROMOTED TIPS TO HELP FAMILIES MANAGE MILD ILLNESS AT HOME - AND TO RECOGNIZE THE MORE SEVERE SYMPTOMS THAT WARRANT A TRIP TO URGENT CARE OR THE ED. TELEHEALTH REMAINS A CRITICAL RESOURCE FOR THE HOSPITAL, ESPECIALLY DURING TIMES OF INTENSE VIRAL SPREAD. FISCAL YEAR 2025 VIRTUAL HEALTH VISITS TOTALED 40,702 ACROSS ALL OF COOK CHILDREN'S HEALTH CARE SYSTEM. MENTAL WELL-BEING THE PODCAST, AN EXTENSION OF COOK CHILDREN'S SUICIDE PREVENTION JOY CAMPAIGN, AIRED ITS 100TH EPISODE IN FEBRUARY 2025. A RANGE OF TOPICS WERE COVERED IN FY25 INCLUDING PARENTING STRATEGIES, THE IMPACT OF ANXIETY AND TRAUMA ON CHILDREN, SOCIAL MEDIA'S INFLUENCE AND FOSTERING RESILIENCE IN YOUNG ATHLETES. DURING NATIONAL SUICIDE PREVENTION MONTH IN SEPTEMBER 2025, COOK CHILDREN'S TOOK A STAND FOR SUICIDE PREVENTION WITH A PROACTIVE APPROACH. THE PSYCHIATRY AND EMERGENCY DEPARTMENTS COLLABORATED TO IMPLEMENT THE ASK SUICIDE-SCREENING QUESTIONS (ASQ) TOOL, A SCREENING FOR ALL PATIENTS AGES EIGHT TO 18, REGARDLESS OF THE REASON THEY WERE PRESENTING TO THE EMERGENCY DEPARTMENT. IN 2025, COOK CHILDREN'S SCREENED MORE THAN 37,000 PATIENTS WHO PRESENTED TO THE ED FOR NON-BEHAVIORAL HEALTH CONCERNS WITH THE ASQ TOOL. OF THOSE, 834 SCREENED POSITIVE FOR SUICIDE RISK. ANOTHER 2,306 KIDS STRUGGLING WITH SADNESS AND WORRYING WERE PROVIDED WITH A CRISIS CONTACT INFORMATION SHEET. BREAKING BARRIERS WITH CUTTING-EDGE RESEARCH STUDIES THANKS TO A GENEROUS GIFT TO THE COOK CHILDREN'S FOUNDATION, CHILDREN DIAGNOSED WITH AN AGGRESSIVE AND INOPERABLE BRAIN TUMOR HAVE NEW HOPE. THE GIFT ALLOWED THE PURCHASE OF CAPITAL EQUIPMENT FOR NEURO-ONCOLOGY ENDOWED CHAIR FOCUSED ULTRASOUND RESEARCH, AND IN FY25 THE FOCUSED ULTRASOUND CLINICAL TRIAL BEGAN. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED) COOK CHILDREN'S IS THE FIRST PEDIATRIC HOSPITAL IN TEXAS - AND ONE OF ONLY THREE IN THE UNITED STATES - TO PARTICIPATE IN AN INTERVENTIONAL STUDY USING LOW-INTENSITY FOCUSED ULTRASOUND TO TREAT DIFFUSE INTRINSIC PONTINE GLIOMA (DIPG) AND POTENTIALLY IMPROVE BOTH SURVIVAL AND QUALITY OF LIFE. THE MEDIAN SURVIVAL FOR DIPG BRAIN TUMORS IS ONE YEAR. DR. SIBO ZHAO, MEDICAL DIRECTOR OF NEURO-ONCOLOGY AND RECIPIENT OF THE ENDOWED CHAIR, DEVELOPED THE FOCUSED ULTRASOUND PROGRAM AND IS GRATEFUL FOR THE CHANCE TO CHANGE LIVES FOR CHILDREN WITH DIPG AND THE POTENTIAL TO TREAT OTHER CONDITIONS SUCH AS EPILEPSY, CEREBRAL PALSY AND MOVEMENT DISORDERS. "BY MAKING THE DECISION TO GO AFTER THE MOST DEVASTATING DISEASE IN PEDIATRICS, WE ARE TELLING THE WORLD THAT WE WANT TO BE THE CHANGEMAKERS," SAID DR. WILLIAM STIGALL, CHIEF RESEARCH OFFICER AT COOK CHILDREN'S. LIFE-CHANGING PROGRAMS IN NOVEMBER 2024, LEANNYVETTE HERNANDEZ MADE COOK CHILDREN'S HISTORY BY BECOMING THE FIRST PATIENT TO UNDERGO WEIGHT LOSS SURGERY AS PART OF THE HOSPITAL'S ADOLESCENT BARIATRIC SURGERY PROGRAM, WHICH REMOVED ABOUT 70 PERCENT OF HER STOMACH. THREE MONTHS AFTER THAT LANDMARK SURGERY, SHE HAD DROPPED MORE THAN 50 POUNDS AND IMPROVED HER OVERALL HEALTH. THE PROGRAM OFFERS CUSTOMIZED SUPPORT AND RESOURCES FOR PATIENTS AGES 13-18. EACH MONTHLY APPOINTMENT PROVIDES ONE HOUR OF INTENSIVE HEALTH BEHAVIOR AND LIFESTYLE THERAPY DESIGNED TO SUPPORT LONG-TERM SUCCESS. IN JUNE 2025, COOK CHILDREN'S OFFICIALLY LAUNCHED A NEW PROGRAM TO HELP CHILDREN AND FAMILIES BETTER MANAGE ASTHMA AND ITS HIDDEN THREATS. IT'S KNOWN AS THE NELSON KU HIGH-RISK ASTHMA PROGRAM IN HONOR OF NELSON, AN 11-YEAR-OLD BOY WHO PASSED AWAY FROM AN ASTHMA ATTACK DURING LACROSSE PRACTICE. THE GOAL OF THE PROGRAM IS TO IDENTIFY AND ADDRESS THE BARRIERS TO ASTHMA CARE AND SYMPTOM CONTROL OF CHILDREN WHO OFTEN SEEK CARE FOR THE CONDITION IN THE EMERGENCY DEPARTMENT. THE PROGRAM AIMS TO GIVE PATIENTS AND FAMILIES THE EDUCATION AND TOOLS THEY NEED TO REDUCE THE SEVERITY OF THEIR ATTACKS AND THE NEED FOR HOSPITALIZATION. HIGH EXPECTATIONS IN OCTOBER 2025, U.S. NEWS & WORLD REPORT RANKED SIX COOK CHILDREN'S SPECIALTY PROGRAMS AMONG THE TOP 50 IN THE NATION FOR PEDIATRICS. RANKED SPECIALTIES INCLUDED PEDIATRIC BEHAVIORAL HEALTH, CANCER, DIABETES & ENDOCRINOLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY. COOK CHILDREN'S CONTINUALLY PURSUES QUALITY AND SAFETY. THAT COMMITMENT TO EXCELLENCE WAS REFLECTED IN THE 87% LIHOOD TO RECOMMEND" SCORE FOR PATIENT EXPERIENCE IN FY25. NURSES HONORED AS PART OF THE 2025 DALLAS/FORT WORTH GREAT 100 NURSES LIST INCLUDE REBECCA BROVINA, RESEARCH NURSE COORDINATOR, CAMMIE LARSON, CLINICAL NURSE LEADER, AND NATALIE PALAU, CLINICAL NURSE LEADER. HONOREES ARE NOMINATED BY THEIR NURSING PEERS FOR THEIR EXAMPLE AS LEADERS, ROLE MODELS AND COMPASSIONATE CAREGIVERS. BUILDING TRUST IN FY25, THE PATIENT AND FAMILY EXPERIENCE TEAM STRIVED TO CREATE A SEAMLESS EXPERIENCE SO THAT WHEREVER FAMILIES RECEIVE CARE, IT ALWAYS FEELS LIKE ONE HOSPITAL, ONE TEAM AND ONE PROMISE. FROM THEIR FIRST INTERACTION AT THE FRONT DESK TO THE MOMENT THEY WALK OUT THE HOSPITAL'S DOORS, THE GOAL IS FOR PATIENT FAMILIES TO FEEL LIKE THEY WERE TREATED AS PART OF THE COOK CHILDREN'S FAMILY. THE TEAM ALSO OVERSEES 16 FAMILY ADVISORY COUNCIL GROUPS. THE GROUPS PARTNER WITH THE TEAM AND SHARE THEIR PERSPECTIVES WITH STAFF IN MULTIPLE WAYS TO HELP MAKE PATIENTS FAMILIES' EXPERIENCES BETTER. THE TEAM PROVIDES MENTORSHIP OPPORTUNITIES FOR FAMILIES WHO ARE NEWLY ADMITTED, FEELING OVERWHELMED OR WITH A NEW DIAGNOSIS THROUGH THE PARENTS AS PARTNERS PROGRAM WHICH MATCHES THEM WITH THOSE WHO HAVE WALKED IN THEIR SHOES. WHEN EVERYONE IS CONNECTED AS ONE WITH A FOCUS ON EMPATHY AND BUILDING TRUST, THE FAMILIES AND CHILDREN FEEL THAT AND ARE CONFIDENT IN THEIR CARE. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS VARIOUS TRUSTEES & OFFICERS EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF THE JOINT VENTURES. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENT IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. , WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF JONES DAY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE TEXAS SECRETARY OF STATE. THE CONFLICT-OF-INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN FAIR VALUE OF SWAP - 447114; TOTAL - 447114; 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 ROSEDALE OFFICE BUILDING 1500 W ROSEDALE FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) CCHF 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 WEST 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 COOK CHILDREN'S MEDICAL CENTER PROSPER 801 SEVENTH AVE FORT WORTH TX 76104 852354189 HOSPITAL TX 501(C)(3) 3 CCHCS true CPS PEDIATRICS LLC 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD TN 37027 470871718 ASC TX NA RELATED 114804 112121 false false 0.5255 COOK CHILDREN'S SURGERY CENTER 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD TN 37027 205227064 ASC TX NA RELATED 12695488 3915557 false true 0.51 CENTER FOR PEDIATRIC SURGERY 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD TN 37027 470871715 ASC TX NA RELATED 11362282 13405583 false false 0.5203 CAFFEINATED CAPITAL PLAYGROUND SPV LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN CO 81611 992725317 INVESTMENTS CO NA N/A CC TRUEACCORD SPV II LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN CO 81611 822997101 INVESTMENTS CO NA N/A CAZ PARTNERS FUND LP- LIQUID INCOME PORTFOLIO ONE RIVERWAY STE 2000 HOUSTON TX 77056 800969684 INVESTMENTS TX NA N/A GOFF FOCUSED ENERGY STRATEGIES LP 3230 CAMP BOWIE BLVD STE 800 FORT WORTH TX 76107 822764240 INVESTMENTS TX NA N/A HT STORK LP 120 STATE ROUTE 28 UNIT 9 CRYSTAL BAY NV 89402 881770748 INVESTMENTS NV NA N/A OBERWEIS INTERNATIONAL SELECT FUND LLC 3333 WARRENVILLE ROAD STE 500 LISLE IL 60532 842094004 INVESTMENTS IL NA N/A STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262423493 INVESTMENTS MD NA N/A SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262821679 INVESTMENTS MD NA N/A SCP OPPORTUNITY FUND LLC 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 true true true false true true true true true true true COOK CHILDREN'S PHYSICIAN NETWORK A 1856744 FMV COOK CHILDREN'S PHYSICIAN NETWORK O 67021584 FMV COOK CHILDREN'S PHYSICIAN NETWORK Q 502914 FMV COOK CHILDREN'S PHYSICIAN NETWORK R 830596 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 110042991 FMV COOK CHILDREN'S HOME HEALTH P 362963 FMV COOK CHILDREN'S HOME HEALTH R 1956235 FMV COOK CHILDREN'S HEALTH PLAN Q 318623 FMV COOK CHILDREN'S HEALTH PLAN Q 63624 FMV COOK CHILDREN'S HEALTH PLAN S 280424612 FMV COOK CHILDREN'S SURGERY CENTER (NE) A 1653336 FMV COOK CHILDREN'S HEALTH ENTERPRISES N 7378783 FMV COOK CHILDREN'S MC PROSPER O 2290304 FMV COOK CHILDREN'S HEALTH CARE SYSTEM K 810646 FMV COOK CHILDREN'S HEALTH CARE SYSTEM S 2264599 FMV COOK CHILDREN'S HEALTH CARE SYSTEM C 202959 FMV COOK CHILDREN'S HEALTH CARE SYSTEM O 1411768 FMV COOK CHILDREN'S HEALTH CARE SYSTEM P 447979652 FMV COOK CHILDREN'S HEALTH CARE SYSTEM R 120000000 FMV COOK CHILDREN'S SURGERY CENTER S 11962990 FMV CENTER FOR PEDIATRIC SURGERY LTD S 11436286 FMV CPS PEDIATRICS LLC S 115518 FMV ROSEDALE OFFICE BUILDING R 87761 FMV COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVENUE FORT WORTH TX 76104 752051646 X 0 0 0 1746134010 1746134010 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 MEDICAL CENTER - PROSPER 801 SEVENTH AVE FORT WORTH TX 76104 852354189 X 0 0 0 165878477 165878477 1000000 250000 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