Form 990 for tax year 2022

Totals

Total revenue

$50,141,080

Total expenses

$92,976,629

Contributions and grants received

$143,259

Grants paid

$7,197,667

Program service revenue

$49,997,821

Investment income

$0

Other revenue

$0

Total assets, end of year

$243,010,723

Total liabilities, end of year

$299,420,261

Net assets or fund balances, end of year

-$56,409,538

Program services expenses (Part IX)

$76,422,756

Management and general expenses

$16,553,873

Fundraising expenses

$0

Program service expenses (Part III)

$76,422,756

Program services were 82.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2022

• Cook Children's Medical Center - Prosper opened its doors in January 2023, bringing the world-class care Cook Children's is known for closer to the homes of families living in the northeastern sector of Texas. Opening celebrations included a ribbon cutting and hospital tours with multiple health system leaders, community leaders and new medical center employees in attendance. The first patient was welcomed on January 9. Cook Children's began developing the health care landscape in Prosper, Texas, in 2019 with the opening of an urgent care center and several area primary care offices, followed by a medical office building and outpatient surgery center in 2020. By 2021, construction was underway for a medical center to support these existing services. The Prosper medical center adds to the 35-acre Prosper campus an emergency department; a surgical and procedural floor; an infusion center; an outpatient imaging center; a retail pharmacy; an inpatient unit with medical-surgical and pediatric intensive care beds; and two floors of shell space that allow for growth to meet the future needs of the community. In FY23, Cook Children's - Prosper discharged more than 1,500 patients and saw more than 8,900 emergency department visits. Early Success Within the first 50 days of opening, the medical center had a successful Joint Commission survey. The Joint Commission evaluates, accredits and certifies more than 22,000 health care organizations and programs in the United States for the highest standards, safety and quality. Surveyors were very complimentary of the Cook Children's Medical Center - Prosper culture and alignment with Cook Children's Promise, "Everything for the Child." They also loved the facilities, with its unique features, one-of-a-kind design elements and beautiful aesthetics. Six months after opening, the Prosper Lab passed its first College of American Pathologists (CAP) Inspection - the gold standard for hospital labs to become CAP accredited. CAP requirements commonly exceed the standards to elevate patient care and safety. Innovatively Empowering Families Family friendly tech features integrated into every inpatient room at Cook Children's - Prosper keep children and families in control of their hospital experience and make their health care journey easier. When designing patient rooms for the Prosper facility, Cook Children's wanted to match the innovation that patients and families experience at every turn throughout the facility, from the life-size digital display in the front atrium to the operating rooms equipped with technology that allows real-time remote viewing and physician collaboration. The teams designing the rooms, particularly the technology behind them, conducted extensive research and asked patients and families for feedback on what tools would make their stay easier. The result was an app for patients and families that puts control of their experience right in the palm of their own hands. When families download the app during their hospital stay, they can view and interact with much of the behind-the-scenes workflow involved in their child's care. In addition to the app, the communication portals in each patient room are fully digitized and populated with information in real-time. Integration between multiple tech platforms, and collaboration among several health system departments and tech vendors, help make the app and other patient communication tools the seamless supporting players for the care and comfort of patients that they are. All of these innovations talk to and inform each other. These tools help Cook Children's communicate with and care for a tech-savvy generation in the way they prefer to consume information. But, should a patient not have access to a personal device or care not to use one, there are multiple ways to communicate and access the information and features offered in the app. Adding Value In July 2023, Cook Children's - Prosper launched a new testing and diagnostic service that allows children experiencing seizures to receive care closer to their homes and communities. The test, called continuous electroencephalogram (EEG) monitoring, reads electrical activity in the brain and is an essential tool for detecting and diagnosing a seizure disorder. The new EEG monitoring service is made possible through collaboration with the Neurosciences team at Cook Children's Medical Center in Fort Worth. The collaboration allows for the EEG test being performed on an inpatient unit at Cook Children's - Prosper to be livestreamed to clinicians in the Epilepsy Monitoring Unit in Fort Worth for observation and reading. Several obstacles were overcome to make this remote monitoring service a reality, including building the technological infrastructure to support high-speed and secure data-sharing channels between the two medical centers for real-time monitoring of the patient's EEG patterns and events. Raising Awareness With the help of the Center for Community Health, led by Cook Children's, the medical center keeps a close eye on issues within the Prosper and surrounding communities impacting the health and wellness of children and families, and takes action to raise awareness and educate the community when needed. In FY23, Cook Children's - Prosper teamed up with the Prosper Fire Department to host a press conference reminding parents of the dangers of leaving children in a hot car. The press conference was spurred by alarming vehicular heatstroke numbers nationwide. By June 2023, eight children died of vehicular heatstroke in the U.S., including a 4-year-old boy in Houston, Texas. The previous year, three children died of vehicular heatstroke in Texas. First responders showed a live demonstration at Cook Children's - Prosper to simulate a 911 call and emergency response for a child left in a hot car. A digital thermometer displayed the internal temperature of a second demonstration vehicle to show how high and how quickly a vehicle can heat up. The temperature inside the vehicle surged past 135 degrees. Speakers at the press conference included a representative from Cook Children's Center for Community Health and a Cook Children's - Prosper emergency department physician.

  Expenses $76,422,756 · Grants $7,197,667 · Revenue $49,997,821

As filed on the 2022 return.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• COOK CHILDREN'S PHYSICIAN NETWORK

  $7,197,667

  GENERAL SUPPORT

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• Cook Children's Health Care System

  501(c)(3) · Health Care Support · TX · controlled entity

  Directly controlled by CCHF

• COOK CHILDREN'S PHYSICIAN NETWORK

  501(c)(3) · Physician SERVICES · TX · controlled entity

  Directly controlled by CCHCS

• WI COOK FOUNDATION dba Cook Children's Health Foundation

  501(c)(3) · Fundraising · TX

  Directly controlled by NA

• COOK CHILDREN'S MEDICAL CENTER

  501(c)(3) · Hospital · TX · controlled entity

  Directly controlled by CCHCS

• COOK CHILDREN'S HOME HEALTH

  501(c)(3) · Healthcare · TX · controlled entity

  Directly controlled by CCHCS

• COOK CHILDREN'S HEALTH PLAN

  501(c)(3) · Insurance · TX · controlled entity

  Directly controlled by CCHCS

• CHILD STUDY CENTER

  501(c)(3) · Healthcare SERVICES · TX · controlled entity

  Directly controlled by CCMC

• COOK CHILDREN'S HEALTH ENTERPRISES

  501(c)(3) · Healthcare SERVICES · TX · controlled entity

  Directly controlled by CCHCS

• ROSEDALE OFFICE BUILDING

  501(c)(2) · TITLE HOLDING · TX · controlled entity

  Directly controlled by CCHF

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2022

Filed

14 August 2024

IRS schema version

2022v5.0

Source object

202412279349300821

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