STRATEGY STUDIO / PUBLIC DATA EXPLORER

COOK CHILDRENS HEALTH PLAN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HEALTH PLAN (EIN 76-0585240)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202402279349300430
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-14T09:25:36+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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Preparer Firm Name PreparerFirmName

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Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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Address Line114241 DALLAS PARKWAY STE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

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EIN760585240EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cook Children's Health PlanBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOOKBusinessNameControlTxt
Phone6828854000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN LOVEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6828854000PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone9727028262PhoneNum
Preparation2023-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN LOVEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$961,991,683GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COOKCHP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee373TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,500PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$854,550,174PYProgramServiceRevenueAmt
CY Program Service Revenue$907,371,285CYProgramServiceRevenueAmt
PY Investment Income$3,311,672PYInvestmentIncomeAmt
CY Investment Income$13,802,897CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$857,864,346PYTotalRevenueAmt
CY Total Revenue$921,174,182CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,373,206PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,186,852CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$802,947,821PYOtherExpensesAmt
CY Other Expenses$843,253,504CYOtherExpensesAmt
PY Total Expenses$840,321,027PYTotalExpensesAmt
CY Total Expenses$887,440,356CYTotalExpensesAmt
PY Revenues Less Expenses$17,543,319PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,733,826CYRevenuesLessExpensesAmt
Total Assets BOY$451,986,963TotalAssetsBOYAmt
Total Assets EOY$460,192,841TotalAssetsEOYAmt
Total Liabilities BOY$277,879,430TotalLiabilitiesBOYAmt
Total Liabilities EOY$250,431,409TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$174,107,533NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$209,761,432NetAssetsOrFundBalancesEOYAmt
MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$862,746,173ExpenseAmt
Revenue$907,371,285RevenueAmt
DescCook Children's Health Plan (CCHP) Cook Children's Health Plan (CCHP) 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 government-sponsored programs such as Medicaid and the Children's Health Insurance Program (CHIP). Members enrolled in CCHP are assured timely access to necessary medical care, including preventive services such as well-child visits, immunizations and prenatal/postpartum care. Cook Children's Health Plan's role is to manage and, in conjunction with Cook Children's and other network providers, deliver care to its members. Since it was established in 1999, the organization has successfully grown to a substantial operation, currently covering more than 140,000 members, primarily representing children and expectant mothers. In addition to the nearly 2,900 providers in the Cook Children's Physician Network, members have access to approximately 1,400 additional primary care physicians, 240 OB-Gyns, 2,300 specialists, 680 behavioral health providers, and numerous hospitals, surgery centers and a variety of urgent care and clinic locations. This comprehensive network ensures access to quality health care providers for all CCHP members. Members with chronic conditions such as asthma and diabetes can participate in the plan's vigorous and effective disease management programs, which help prevent unnecessary and costly emergency department visits and hospitalizations, as well as help prevent further deterioration of members' health. Although Cook Children's Medical Center does not provide maternity services, pregnant members are closely cared for and monitored to avoid complications and premature deliveries. Cook Children's Medical Center is often the hospital of choice for members' newborns who require neonatal intensive care. Medicaid Renewal Much of CCHP's focus for 2023 centered around preparing for and responding to the Request For Proposals (RFP) to win renewal of its Medicaid contract with the State of Texas. Completing and submitting the application is a long and arduous process. The Health Plan submitted its completed application in February and made its oral presentation in October. It will be another year before CCPN is notified of renewal. Effective Health Management In response to a growing community need for behavioral health care and case management, CCHP brought this previously outsourced service in-house in 2022. Provider contracting, utilization management, care management and claims payment are now managed by an in-house Behavioral Health Director and behavioral health trained staff. In FY23, CCHP marked the first full year of managing this service, which has led to improved case management and care coordination for the health of the whole person - mind, body and spirit. Collaboration and Prevention Collaboration with providers and community based organizations is key to CCHP's success in helping members achieve optimal health. The Health Plan actively collaborates with therapy providers, private duty nursing agencies, pharmacies, home health agencies and other community resources to enhance the quality of care provided. In 2023, CCHP created its first Community Advisory Committee, formalizing and expanding partnerships with several community-based organizations. This group was particularly active during the "unwinding" of the COVID Public Health Emergency when it came to an end. They were instrumental in getting the word out to Medicaid families about the potential loss of coverage if they did not take the required action when the State began re-certifying members. The Health Plan is actively working to address food insecurity among its members. In 2023, as a value-added service for members, pregnant women whose care is coordinated by CCHP case management, gained access to the health food delivery service Tangelo. These members can get up to five monthly boxes of prepared food or groceries delivered directly to their door by Tangelo. In 2023, CCHP and ACCLAIM, the physician group that staffs JPS, outlined a formal collaboration agreement to enhance the quality and safety of prenatal and postpartum services received by patients of ACCLAIM, particularly CCHP members of color. When ACCLAIM identifies a pregnant CCHP member under the care of one of its physicians who would benefit from additional support, ACCLAIM notifies CCHP so that it can coordinate additional care and resources during pregnancy and after delivery. Transformative Partnership In April 2023, Cook Children's announced a first-of-its-kind partnership with JPS Health Network, the City of Fort Worth and local non-profit organizations to bring critical health care and social services to the traditionally underserved children and families living in Fort Worth's Las Vegas Trail (LVT) area. The future Las Vegas Trail Neighborhood Health Center, located on 3.7 donated acres of land, will be home to various pediatric and adult medical and social services as well as a Fort Worth Police storefront. The two-story, 40,000-square-foot center will open in late 2025. The addition is another step in the vision of city leaders, local nonprofits and health care partners to transform Fort Worth's struggling LVT neighborhood into a safe, healthy community with vital resources that support residents' ability to live, work and play. Approximately 7,500 CCHP members live in the LVT area, making CCHP a key player in service delivery and care coordination at the center. When complete, CCHP staff will be embedded at the center to help members navigate resources, be they offered there or by another provider. For example, for those without internet service that need to attend a telehealth appointment, there will be private space within the center equipped with internet and video where community members can access this service with the help of an on-site CCHP representative. WestAid Food Bank will relocate to the LVT Neighborhood Health Center. In lock-step with this resource and its mission to fight food insecurity, CCHP will provide an on-site nutritionist to help community members gain access to nutritious food and learn how to prepare healthy meals even if their living space does not have a full kitchen. The Health Plan will support plans to offer a workforce training program at the center where residents can learn customer service, phone management and general office skills, to name a few. This job training initiative will give LVT residents employable skills to gain stable, well-paying jobs within the health industry while also building a new pool of qualified candidates for filling staffing needs at Cook Children's and JPS. Working directly with providers from JPS, CCHP will also support the care of pregnant women with parenting classes, maternity support groups and classes for women preparing for childbirth. All of these collaborations and value-added resources provided by CCHP help improve the health and well-being of their members.Desc
Total Program Service Expenses$862,746,173TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
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Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee373EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
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Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
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Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
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Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
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Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
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Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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Books In Care Of Detail BooksInCareOfDetail

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FieldValueIRS element (for citing)
Business Name Line1CORY RHOADESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6828854000PhoneNum

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FieldValueIRS element (for citing)
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CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
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Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Andrew J Rosell
Trustee - Chairman END: 5/31/232.02.0Yes (X)Yes (X)$0$0$0
Julee S Morrow MD
Trustee - Vice chairman2.042.0Yes (X)Yes (X)$0$356,943$22,294
Rick Sorenson
Trustee - Chairman2.05.0Yes (X)Yes (X)$0$0$0
Angela N Cabarcas MD
Trustee1.040.0Yes (X)$0$313,320$35,295
Hadley Woerner
Trustee1.01.0Yes (X)$0$0$0
Jerry R Conatser
Trustee1.06.0Yes (X)$0$0$0
Kathryn M King MD
Trustee1.040.0Yes (X)$0$273,668$37,642
Michael R Pavell
Trustee1.01.0Yes (X)$0$0$0
Paul S Thornton MD
Trustee1.040.0Yes (X)$0$452,251$51,891
Rachel R Werner
Trustee1.02.0Yes (X)$0$0$0
Ryan B Dickerson
Trustee1.04.0Yes (X)$0$0$0
Sandy Varghese MD
Trustee1.040.0Yes (X)$0$285,936$10,499
Thomas Breckinridge Ray
Trustee Start: 6/1/231.02.0Yes (X)$0$0$0
Karen Love
President40.00Yes (X)$775,661$0$120,708
Mary Cara Martz
Secretary1.040.0Yes (X)$0$176,919$24,465
Richard Lee
VP, Finance and CFO40.00Yes (X)$390,791$0$31,366
Rick W Merrill
CEO2.038.0Yes (X)$140,153$3,363,664$182,676
Stephen W Kimmel
EVP, SYS FINANCE4.038.0Yes (X)$120,960$978,680$170,569
Crystal O'Reilly
AVP, QUALITY & CARE MGMT40.00$192,379$0$49,840Yes (X)
Kimberly Aaron
VP CLINIC AFFAIRS40.00$488,797$0$97,712Yes (X)
Sherry Vetter
CHIEF OPERATING OFFICER CCHP40.00$425,311$0$60,916Yes (X)
Catherine Nicholas MD
MEDICAL DIRECTOR40.00$308,812$0$41,949Yes (X)
Glen Lemmons
DIRECTOR, START KIDS CARE MGMT40.00$207,402$0$53,356Yes (X)
Kathleen Roman
REGULATORY COMPLIANCE DIRECTOR40.00$193,642$0$37,116Yes (X)
Robert Burright
DIRECTOR - CLINICAL EFFECTIVE40.00$207,082$0$17,033Yes (X)
Timothy Fancher
DIRECTOR CLIN PHARMACY PROG40.00$224,643$0$36,663Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,675,633TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,201,381TotReportableCompRltdOrgAmt
Total Other Compensation$1,081,990TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K76IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
BEACON HEALTH STRATEGIES
200 STATE STREET SUITE 302BOSTONMA02109BEHAVIORAL HEALTH MANAGER$5,753,196
NAVITUS HEALTH SOLUTIONS
5 INNOVATION COURTAPPLETONWI54914PHARMACY BENEFIT MANAGER$3,303,410
HEALTH MANAGEMENT SYSTEMS
PO BOX 166409IRVINGTX75016SOFTWARE SERVICES$1,784,885
JOHN SONS PRESS
3300 SOUTH FREEWAYFORT WORTHTX76110PRINTING$1,243,657
CYPRESS HEALTHCARE CONSULTANTS
2929 N CENTRAL EXPRESSWAYRICHARDSONTX75080CONSULTING SERVICES$828,442SUITE 205
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCapitation RevenueDesc
Business900099BusinessCd
Total Revenue Column$907,371,285TotalRevenueColumnAmt
Related Or Exempt Func Income$907,371,285RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
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Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
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FieldValueIRS element (for citing)
Total Program Service Revenue$907,371,285TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,086,663TotalRevenueColumnAmt
Exclusion$15,086,663ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$39,533,735SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$40,817,501SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,283,766SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,283,766TotalRevenueColumnAmt
Exclusion-$1,283,766ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
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Related Or Exempt Func Income$907,371,285RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,802,897ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,713,924TotalAmt
Program Services$1,241,598ProgramServicesAmt
Management And General$1,472,326ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,591,507TotalAmt
Program Services$27,534,708ProgramServicesAmt
Management And General$3,056,799ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,684,112TotalAmt
Program Services$1,337,610ProgramServicesAmt
Management And General$346,502ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,904,292TotalAmt
Program Services$6,252,734ProgramServicesAmt
Management And General$651,558ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,293,017TotalAmt
Program Services$2,085,723ProgramServicesAmt
Management And General$207,294ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,544,964TotalAmt
Management And General$13,544,964ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$91,079TotalAmt
Management And General$91,079ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$217,726TotalAmt
Management And General$217,726ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,784TotalAmt
Management And General$24,784ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$120,601TotalAmt
Management And General$120,601ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,066,453TotalAmt
Program Services$11,790,026ProgramServicesAmt
Management And General$276,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$860,951TotalAmt
Program Services$860,951ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,590,288TotalAmt
Program Services$1,324,047ProgramServicesAmt
Management And General$266,241ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$918,867TotalAmt
Management And General$918,867ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,521TotalAmt
Program Services$56,677ProgramServicesAmt
Management And General$4,844ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,701TotalAmt
Program Services$27,943ProgramServicesAmt
Management And General$8,758ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,254,394TotalAmt
Management And General$3,254,394ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$104,839TotalAmt
Management And General$104,839ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Claims$790,882,526$790,882,526
Premium & Maintenance Tax$17,688,491$17,688,491
Fees & Financing$722,206$676,049$46,157
Administration$775,009$775,009

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$292,104TotalAmt
Program Services$212,081ProgramServicesAmt
Management And General$80,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$887,440,356TotalAmt
Program Services$862,746,173ProgramServicesAmt
Management And General$24,694,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$309,414,996BOYAmt
EOY$317,144,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,596,870BOYAmt
EOY$19,762,073EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$305,473BOYAmt
EOY$5,106,693EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,490,772LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,079,063LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,646,102BOYAmt
EOY$3,411,709EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$110,085,661BOYAmt
EOY$112,248,151EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$937,861BOYAmt
EOY$2,519,240EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$451,986,963BOYAmt
EOY$460,192,841EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$108,570,946BOYAmt
EOY$240,210,758EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$169,308,484BOYAmt
EOY$10,220,651EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$277,879,430BOYAmt
EOY$250,431,409EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$174,107,533BOYAmt
EOY$209,761,432EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$174,107,533BOYAmt
EOY$209,761,432EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$451,986,963BOYAmt
EOY$460,192,841EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$33,733,826ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,920,073NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,500CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$25,000TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$564,545,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$627,358,834CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$710,732,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$854,550,174CurrentTaxYearMinus1YearAmt
Current Tax Year$907,371,285CurrentTaxYearAmt
Total$3,664,558,922TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$564,545,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$627,358,834CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$710,755,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$854,552,674CurrentTaxYearMinus1YearAmt
Current Tax Year$907,371,285CurrentTaxYearAmt
Total$3,664,583,922TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,664,583,922PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,233,378CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,695,216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,128,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,135,768CurrentTaxYearMinus1YearAmt
Current Tax Year$15,086,663CurrentTaxYearAmt
Total$24,279,314TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,233,378CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,695,216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,128,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,135,768CurrentTaxYearMinus1YearAmt
Current Tax Year$15,086,663CurrentTaxYearAmt
Total$24,279,314TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,905CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$29,081TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$567,789,193CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$629,073,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$711,883,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$857,688,442CurrentTaxYearMinus1YearAmt
Current Tax Year$922,457,948CurrentTaxYearAmt
Total$3,688,892,317TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9934PublicSupportCY509Pct
Public Support PY5090.9967PublicSupportPY509Pct
Investment Income CY0.01InvestmentIncomeCYPct
Investment Income PY0.0033InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$24,784OtherActivitiesAmt
Total Lobbying Expenditures$24,784TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationTHE LOBBYING EXPENSES OF THIS ORGANIZATION WERE USED TO PARTICIPATE IN CONSORTIUMS THAT SEEK TO INFLUENCE TEXAS LAWMAKERS, THE HEALTH & HUMAN SERVICES COMMISSION, AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES REGARDING MANAGED CARE AND MEDICAID REGULATIONS AND POLICIES.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,470,772OtherCostOrOtherBasisAmt
Depreciation$10,079,063DepreciationAmt
Book Value$3,391,709BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,000OtherCostOrOtherBasisAmt
Book Value$20,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,411,709TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$10,021,074
LEASE OBLIGATIONS$199,577
FieldValueIRS element (for citing)
Total Liability$10,220,651TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,013,610,281TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,920,073NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$1,920,073RevenueNotReportedAmt
Revenue Subtotal$1,011,690,208RevenueSubtotalAmt
Investment Expenses Not Incld$120,601InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$90,636,627OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$90,516,026RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$921,174,182TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$977,956,382TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$90,636,627OtherExpensesIncludedAmt
Expenses Not Reported$90,636,627ExpensesNotReportedAmt
Expenses Subtotal$887,319,755ExpensesSubtotalAmt
Investment Expenses Not Incld2$120,601InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$120,601ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$887,440,356TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 DISLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsPROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) - -90636627
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) - 90636627

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Julee S Morrow MD
Trustee - Vice chairman$0$317,865$0$8,350$0$30,728$0$0$0$22,294$0$379,237$0$0
Angela N Cabarcas MD
Trustee$0$256,512$0$48,876$0$7,932$0$11,401$0$23,894$0$348,615$0$0
Kathryn M King MD
Trustee$0$238,656$0$29,067$0$5,945$0$5,545$0$32,097$0$311,310$0$0
Paul S Thornton MD
Trustee$0$424,449$0$11,031$0$16,771$0$22,875$0$29,016$0$504,142$0$0
Sandy Varghese MD
Trustee$0$237,012$0$41,405$0$7,519$0$9,252$0$1,247$0$296,435$0$0
Stephen W Kimmel
EVP, SYS FINANCE$73,122$591,623$32,965$266,720$14,873$120,337$15,368$124,337$3,395$27,469$139,723$1,130,486$10,967$88,735
Mary Cara Martz
Secretary$0$136,752$0$33,892$0$6,275$0$8,274$0$16,191$0$201,384$0$0
Rick W Merrill
CEO$53,905$1,293,712$31,394$753,459$54,854$1,316,493$5,804$139,295$1,503$36,074$147,460$3,539,033$39,200$940,800
Richard Lee
VP, Finance and CFO$259,314$0$62,693$0$68,784$0$16,818$0$14,548$0$422,157$0$0$0
Karen Love
President$481,866$0$198,826$0$94,969$0$90,274$0$30,434$0$896,369$0$66,794$0
Kimberly Aaron
VP CLINIC AFFAIRS$353,659$0$129,393$0$5,745$0$67,617$0$30,095$0$586,509$0$0$0
Crystal O'Reilly
AVP, QUALITY & CARE MGMT$144,625$0$43,941$0$3,813$0$12,547$0$37,293$0$242,219$0$0$0
Sherry Vetter
CHIEF OPERATING OFFICER CCHP$308,134$0$109,363$0$7,814$0$49,925$0$10,991$0$486,227$0$0$0
Robert Burright
DIRECTOR - CLINICAL EFFECTIVE$170,618$0$25,102$0$11,362$0$11,496$0$5,537$0$224,115$0$0$0
Timothy Fancher
DIRECTOR CLIN PHARMACY PROG$188,378$0$28,571$0$7,694$0$13,965$0$22,698$0$261,306$0$0$0
Glen Lemmons
DIRECTOR, START KIDS CARE MGMT$170,859$0$24,868$0$11,675$0$16,167$0$37,189$0$260,758$0$0$0
Catherine Nicholas MD
MEDICAL DIRECTOR$245,065$0$55,635$0$8,112$0$19,063$0$22,886$0$350,761$0$0$0
Kathleen Roman
REGULATORY COMPLIANCE DIRECTOR$164,443$0$23,774$0$5,425$0$14,634$0$22,482$0$230,758$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsGROSS UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: ROBERT J BURRIGHT TIMOTHY FANCHER RICHARD LEE GLEN LEMMONS CATHERINE NICHOLAS, MD CRYSTAL O'REILLY KATHLEEN ROMAN
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesTHERE 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 TYPES 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 compensationCOOK 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 planRick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Kimberly Aaron - Paid by CCHP - $44,742 Deferred, $0 W-2 Richard Lee - Paid by CCHP - $10,923 Deferred, $0 W-2 Karen Love - Paid by CCHP - $78,524 Deferred, $66,794 W-2 Sherry Vetter - Paid by CCHP - $37,726 Deferred, $0 W-2
Schedule J, Part II ALLOCATION OF CEO AND CFO SALARIES:SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsPETER PHILPOTT & CARA MARTZ - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersCOOK 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 bodyAS 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 stockholdersAS 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; F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY; G. APPROVE CAPITAL AND OPERATING BUDGETS OF THE ORGANIZATION; H. APPROVE DEBT TO BE INCURRED BY THE ORGANIZATION WHICH WOULD EXCEED SUCH LIMITS AS ESTABLISHED BY THE SOLE MEMBER; AND, I. APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE 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 policyEVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialCOOK 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 employeesCOOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
Form 990, Part VI, Line 19 Required documents available to the publicThe 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Cook Children's Health Care System
801 Seventh AveFort WorthTX76104752705881Health Care SupportTX501(c)(3)Type III-FICCHFYes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 Seventh AveFort WorthTX76104752485366Physician SERVICESTX501(c)(3)3CCHCSYes (true)
WI COOK FOUNDATION dba Cook Children's Health Foundation
801 Seventh AveFort WorthTX76104752051649FundraisingTX501(c)(3)7NAfalse
COOK CHILDREN'S MEDICAL CENTER
801 Seventh AveFort WorthTX76104752051646HospitalTX501(c)(3)3CCHCSYes (true)
COOK CHILDREN'S HOME HEALTH
801 Seventh AveFort WorthTX76104752896983HealthcareTX501(c)(3)10CCHCSYes (true)
ROSEDALE OFFICE BUILDING
1500 W ROSEDALEFort WorthTX76104460866421TITLE HOLDINGTX501(c)(2)CCHFYes (true)
CHILD STUDY CENTER
1300 W LANCASTERFort WorthTX76102751099536Healthcare SERVICESTX501(c)(3)7CCMCYes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 Seventh AveFort WorthTX76104842625990Healthcare SERVICESTX501(c)(3)Type IICCHCSYes (true)
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 Seventh AveFort WorthTX76104852354189HospitalTX501(c)(3)3CCHCSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
CPS Pediatrics LLC
340 Seven Springs WaySte 600BrentwoodTN37027470871718ASCTXNAN/A
COOK CHILDREN'S SURGERY CENTER
340 Seven Springs WaySte 600BrentwoodTN37027205227064ASCTXNAN/A
CENTER FOR PEDIATRIC SURGERY
340 Seven Springs WaySte 600BrentwoodTN37027470871715ASCTXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Cook Children's Health Services
801 Seventh AveFort WorthTX76104454024843HealthcareTXCCHCSC CorporationYes (true)
Cook Children's Indemnity Company
980424041Self InsuranceCCHCSC CorporationYes (true)878 West Bay RoadPO Box 1159Grand CaymanGrand CaymanCJKY1110CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
R$265,435,249FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R$25,011,805FMV
COOK CHILDREN'S HOME HEALTH
R$24,799,289FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
S$702,814FMV
COOK CHILDREN'S MEDICAL CENTER
P$60,572FMV
CHILD STUDY CENTER
S$561,025FMV