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COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202132249349301313
Schema version
2019v5.2
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)
Return2021-08-12T09:17:25-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752705881EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cook Children's Health Care SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CORY RHOADESInCareOfNm
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)
PersonCORY R RHOADESPersonNm
Person TitleCFOPersonTitleTxt
Phone1111111111PhoneNum
Signature2021-08-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKevin EnsmingerPreparerPersonNm
PTINP01310558PTIN
Phone9727028262PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICK W MERRILLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$356,674,481GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COOKCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED IT IS OUR PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INjuryActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee855TotalEmployeeCnt
Total Volunteers27TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,602,327PYContributionsGrantsAmt
CY Contributions Grants$7,637,971CYContributionsGrantsAmt
PY Program Service Revenue$213,162,135PYProgramServiceRevenueAmt
CY Program Service Revenue$237,325,020CYProgramServiceRevenueAmt
PY Investment Income$11,676,557PYInvestmentIncomeAmt
CY Investment Income$11,162,446CYInvestmentIncomeAmt
PY Other Revenue$3,113,703PYOtherRevenueAmt
CY Other Revenue$654,855CYOtherRevenueAmt
PY Total Revenue$230,554,722PYTotalRevenueAmt
CY Total Revenue$256,780,292CYTotalRevenueAmt
PY Grants And Similar Paid$608,450PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$139,458CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$59,281,044PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,708,437CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$167,666,181PYOtherExpensesAmt
CY Other Expenses$202,026,720CYOtherExpensesAmt
PY Total Expenses$227,555,675PYTotalExpensesAmt
CY Total Expenses$266,874,615CYTotalExpensesAmt
PY Revenues Less Expenses$2,999,047PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,094,323CYRevenuesLessExpensesAmt
Total Assets BOY$470,709,212TotalAssetsBOYAmt
Total Assets EOY$566,258,574TotalAssetsEOYAmt
Total Liabilities BOY$193,616,133TotalLiabilitiesBOYAmt
Total Liabilities EOY$292,976,426TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$277,093,079NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$273,282,148NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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$222,313,320ExpenseAmt
Grant$139,458GrantAmt
Revenue$237,979,875RevenueAmt
DescCook Children's Health Care System (System) embraces an inspiring Promise-to improve the health of every child through the prevention and treatment of illness, disease and injury. As a not-for-profit, nationally-recognized and integrated pediatric health care organization based in Fort Worth, Texas, Cook Children's is comprised of 14 entities. They include a medical center, physician network, health plan, home health company, health foundation, a child study center and three surgery centers located in Fort Worth, Hurst and Prosper. It also includes Cook Children's Health Services Inc., and Cook Children's Health Foundation. Cook Children's Health Care System's growing reputation draws patients from near and far. Families travel from across Texas and the United States, as well as internationally, to receive life-saving pediatric care and benefit from the collaboration and vast resources the system offers. In addition to the medical center, a network of more than 60 primary, specialty and urgent care locations provide numerous access points for families. Community Needs Spur System Growth As the communities grow, the system continues to expand its services to meet the needs of children and families living in those areas. In 2019, the system added facilities near Walsh in Fort Worth, in Prosper and in Carrollton with primary care, urgent care and orthopedics services. In 2020, the Prosper campus grew to include an outpatient surgery center, outpatient imaging and lab services, and a number of specialty care services. Expansion of the Prosper campus continues with plans to add an inpatient medical center with an emergency department, operating rooms, medical/surgical unit and pediatric intensive care unit. Cook Children's pediatric surgery centers are home to specialty clinics and surgical teams specializing in many conditions, from simple to the most complex, and many of the procedures in these centers are done using minimally invasive techniques. The Dodson Surgery Center is one of three Cook Children's surgery centers in the Dallas/Fort Worth metroplex. It is undergoing an expansion to centralize 40 specialty clinics into one location in order to support a more seamless experience for children who receive care from multiple specialties. The expansion calls for 240,000 square-feet of new building and 75,000 square-feet of renovated space. Much of the planning and preparation for this endeavor took place in FY2020 to ready for the start of construction in February 2021. Award Winning Performance For more than 100 years, the system has worked to combine the art of caring with life-saving pediatric interventions that are family-centered and built on leading technology, collaboration and a best-in-class patient experience. This has earned the system a strong, far-reaching reputation - one for which it continually receives recognition for outstanding efforts and outcomes in pediatric health care. Cook Children's commitment to comply with the highest national standards for safety and quality of care repeatedly earns the system the Joint Commission's Gold Seal of Approval. Cook Children's Medical Center has been named numerous times to the elite Leapfrog Top Hospitals list based on a national quality and safety survey. A number of CCHCS physicians, nurses, clinicians and programs received recognitions and awards in 2020, including CCHCS President and CEO Rick W. Merrill who was named one of the 400 most influential people in Fort Worth by Fort Worth, Inc. magazine. Protecting Your Tomorrows Like all organizations, the COVID-19 pandemic presented the System with many challenges, but also shed light on opportunities to identify, assess and plan for current and future needs for system-wide operational coordination, crisis management and infectious disease control. In response, Cook Children's announced plans to construct a year-round solutions center that will coordinate daily operational needs for the entire system and will house dedicated space for an incident command center. Plans also include converting an existing 20-bed medical/surgical unit into an infectious disease unit, constructing a 6-bed infectious disease critical care unit and creating new space for the medical center's internationally recognized simulation lab. A Cook Children's Health Foundation capital campaign, called Protecting Your Tomorrows, will provide funding for the project. In spite of the many challenges of FY2020, SYSTEM continued to lead with fiscal responsibility, service to its community and commitment to its employees. As a result, the system emerged from the year with a stronger workforce, a more nimble organization and better positioned to meet the health needs of the community no matter the circumstance.Desc
Total Program Service Expenses$222,313,320TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
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Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document202IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee855EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCORY RHOADESPersonNm
Phone6828854480PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (67 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICK W MERRILL
PRESIDENT & CEO12.028.0Yes (X)$633,947$1,479,210$248,553
ANTHONY BAGWELL
SVP, CIIO1.040.0Yes (X)$0$1,189,038$99,630
JOSE IGLESIAS MD
TRUSTEE1.041.0$0$1,013,904$51,156Yes (X)
STEPHEN W KIMMEL
Executive VP10.030.0Yes (X)$235,928$707,781$119,654
JAMES C CUNNINGHAM
EXEC VP, CHIEF MEDICAL OFFICER40.00.0Yes (X)$912,730$0$51,166
KEITH M HOLTZ
CAO40.00.0Yes (X)$741,646$0$108,193
JOANN M SANDERS MD
CHIEF QUALITY OFFICER40.00.0Yes (X)$714,916$0$94,015
JAMES D MARSHALL
CHIEF RESEARCH OFFICER40.00.0Yes (X)$694,483$0$58,579
THERESA MEADOWS
SR V PRESIDENT - CIO40.00.0Yes (X)$671,899$0$52,491
JOSEPH GALLAGHER
SVP, CHIEF LEGAL OFFICER40.00.0Yes (X)$541,508$0$101,328
ERIC H HUBLI MD
CHIEF SYS EFFECTIVENESS OFFCR40.00.0Yes (X)$578,035$0$59,024
GAVIN FINE MD
TRUSTEE1.040.0$0$569,897$55,810Yes (X)
MAtTHEW DZURIK MD
TRUSTEE-VICE CHAIRMAN2.040.0Yes (X)$0$573,046$45,883Yes (X)
CORY R RHOADES
SVP, FINANCE & CFO40.00.0Yes (X)$502,809$0$95,712
JOHN MCNEY
SR V PRESIDENT-GEN COUNSEL40.00.0$527,636$0$52,725Yes (X)
ROBERT K FEATHER
SR. VP PUBLIC POLICY40.00.0$512,299$0$50,333Yes (X)
M scott perry MD
TRUSTEE1.040.0$0$475,586$51,774Yes (X)
SAMSON CANTU MD
TRUSTEE1.040.0$0$467,823$59,004Yes (X)
SALEEM MALIK MD
TRUSTEE1.040.0$0$466,478$57,086Yes (X)
SCOTT LEDDY
CHIEF MEDICAL INFO OFFICER40.00.0Yes (X)$455,165$0$40,154
CHRISTIAN PEDIGO
VP SYS PLANNING & HEALTH ANALY40.00.0$405,224$0$88,969Yes (X)
JAMES STALDER
VP - INFO SYSTEMS End: 202040.00.0$410,311$0$51,903Yes (X)
ALICE W PHILIPS MD
TRUSTEE1.042.0$0$351,213$58,089Yes (X)
gregory jimerson
VP-PAYOR RELATIONS40.00.0$335,610$0$60,109Yes (X)
MAYNARD DYSON
MEDICAL DIRECTOR40.00.0$335,039$0$57,599Yes (X)
MATTHEW CARROLL MD
TRUSTEE1.040.0$0$318,820$56,967Yes (X)
KAREN WARDELL
ASSOCIATE GENERAL COUNSEL40.00.0$329,425$0$46,170Yes (X)
KENT SMITH
VICE PRESIDENT - COMPLIANCE40.00.0$325,718$0$45,866Yes (X)
AARON WISHON
VP-CHIEF INFO SECURITY OFFICER40.00.0$312,175$0$24,479Yes (X)
NATALIE WILKINS
CHIEF OF STAFF40.00.0$306,046$0$22,492Yes (X)
DAVID LANCASTER
VP-INTERNAL AUDIT40.00.0$267,721$0$51,236Yes (X)
LORRAINEA WILLIAMS
PAT/MEDICATION SAFETY OFFICER40.00.0$250,631$0$55,488Yes (X)
BETH SCHMIDT
AVP-HUMAN RESOURCES40.00.0$268,042$0$32,954Yes (X)
ANU N PARTAP
Medical Diretor Health Equity40.00.0$256,124$0$44,791Yes (X)
SPENCER D SEALS
VP REAL ESTATE & CONSTRUCTION40.00.0Yes (X)$247,940$0$52,417
LINDSAY NEWTON MD
TRUSTEE1.040.0$0$254,292$38,178Yes (X)
jean turpin
AVP, Business Intel40.00.0$236,124$0$49,913Yes (X)
Amit Patel
ASSISTANT CHIEF MED INFO OFFCR40.00.0$249,941$0$22,900Yes (X)
Laura E Copeland
Assistant General Counsel40.00.0$247,945$0$23,249Yes (X)
Myranda Miller
AVP, Corporate Controller40.00.0$214,038$0$43,077Yes (X)
Cynthia W Guess
AVP Accreditation Compliance40.00.0$215,548$0$36,592Yes (X)
deborah a rubinson
avp, org & prof development40.00.0$222,703$0$27,086Yes (X)
Kathy R McLean
AVP Marketing40.00.0$220,239$0$29,417Yes (X)
Winifred J King
avp pub relation & social med40.00.0$216,357$0$29,330Yes (X)
NICOLAE L ANDREI
AVP Supply Chain40.00.0$216,585$0$20,970Yes (X)
SARA Y GARZA
TRUSTEE1.040.0$0$184,425$49,126Yes (X)
Lakaimi J Bryant
AVP, Enterprise Applications40.00.0$192,228$0$38,617Yes (X)
Nicholas W Markham
AVP Facilities/Campus Svcs40.00.0$192,688$0$37,890Yes (X)
Charity N Darnell
Director, Inpatient Clinic40.00.0$180,124$0$45,934Yes (X)
CARA MARTZ
SECRETARY40.07.0Yes (X)$157,852$0$31,463
JOSE GONZALEZ MD
VP COMMUNITY HEALTH End: 202040.00.0$164,326$0$1,126Yes (X)
JERRY R CONATSER
TRUSTEE - CHAIRMAN1.06.0Yes (X)$0$0$0Yes (X)
JEFF H CONNER
TRUSTEE1.04.0$0$0$0Yes (X)
BRIAN C CRUMLEY
TRUSTEE-SECRETARY/TREASURER2.02.0Yes (X)$0$0$0Yes (X)
JAMES R DUNAWAY JR
TRUSTEE1.01.0$0$0$0Yes (X)
JONATHAN NEDRELOW MD
TRUSTEE1.00.0$0$0$0Yes (X)
BRIAN C NEWBY
TRUSTEE1.01.0$0$0$0Yes (X)
PETER L PHILPOTT
TRUSTEE1.03.0$0$0$0Yes (X)
BILLIE R PUGH JR MD
TRUSTEE1.03.0$0$0$0Yes (X)
ANDREW J ROSELL
TRUSTEE1.02.0$0$0$0Yes (X)
JAMES WEBB
TRUSTEE1.05.0$0$0$0Yes (X)
R RUSSELL MORTON
TRUSTEE - CHAIRMAN2.00.0Yes (X)$0$0$0Yes (X)
WM MACK LAWHON
TRUSTEE1.01.0$0$0$0Yes (X)
MICHAEL R DIKE
TRUSTEE1.02.0$0$0$0Yes (X)
RICHARD W DYESS
TRUSTEE1.03.0$0$0$0Yes (X)
R John Batton
Trustee1.00.0$0$0$0Yes (X)
anne carvalho
TRUSTEE1.03.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,209,185TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,293,976TotReportableCompRltdOrgAmt
Total Other Compensation$1,868,939TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K244IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmt
MICROSOFT CO BANK OF AMERICA
1950 N STEMMONS FWY STE 5010DALLASTX75207SOFTWARE SERVICES$3,804,492
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SOFTWARE SERVICES$1,876,184
TECHNOLOGENT
15821 VENTURA BLVD STE 100ENCINOCA91436HARDWARE/SOFTWARE$1,806,582
NETSYNC NETWORK SOLUTIONS
2500 WEST LOOP SOUTH STE 410HOUSTONTX77027HARDWARE/SOFTWARE$1,434,037
ROYER SCHUTTS
3100 W 7TH ST STE 200FORT WORTHTX76107DESIGN SERVICES$1,410,788
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$5,919,869RelatedOrganizationsAmt
Government Grants$1,718,102GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$7,637,971TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Shared Services900099$207,199,542$207,199,542
Human Resources900099$10,887,982$10,887,982
Rent900099$10,927,372$10,927,372
Community Health Outreach900099$5,081,113$5,081,113
Real Estate Management900099$315,586$315,586

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,913,425TotalRevenueColumnAmt
Related Or Exempt Func Income$2,913,425RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$237,325,020TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,085,897TotalRevenueColumnAmt
Exclusion$9,085,897ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$101,963,286SecuritiesAmt
Other$7,452OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$99,894,189SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,069,097SecuritiesAmt
Other$7,452OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,076,549TotalRevenueColumnAmt
Exclusion$2,076,549ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Rebate900099$631,975$631,975
Other Revenue900099-$334-$334
Concierge900099$23,214$23,214
FieldValueIRS element (for citing)
Other Revenue Total$654,855OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,780,292TotalRevenueColumnAmt
Related Or Exempt Func Income$237,979,875RelatedOrExemptFuncIncomeAmt
Exclusion$11,162,446ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$89,177TotalAmt
Program Services$89,177ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$50,281TotalAmt
Program Services$50,281ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,266,520TotalAmt
Program Services$2,789,904ProgramServicesAmt
Management And General$12,476,616ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,049,088TotalAmt
Program Services$29,344,835ProgramServicesAmt
Management And General$5,704,253ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,123,086TotalAmt
Program Services$215,472ProgramServicesAmt
Management And General$907,614ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,112,800TotalAmt
Program Services$7,916,071ProgramServicesAmt
Management And General$2,196,729ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,156,943TotalAmt
Program Services$2,197,531ProgramServicesAmt
Management And General$959,412ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,978,801TotalAmt
Program Services$345,598ProgramServicesAmt
Management And General$1,633,203ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$533,000TotalAmt
Program Services$533,000ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$182,300TotalAmt
Management And General$182,300ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$210,990TotalAmt
Management And General$210,990ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,686,501TotalAmt
Program Services$8,549,864ProgramServicesAmt
Management And General$3,136,637ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,450,568TotalAmt
Program Services$656,193ProgramServicesAmt
Management And General$2,794,375ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,140,089TotalAmt
Program Services$2,084,349ProgramServicesAmt
Management And General$55,740ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$115,261,822TotalAmt
Program Services$115,261,822ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,417,971TotalAmt
Program Services$3,381,064ProgramServicesAmt
Management And General$36,907ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$542,325TotalAmt
Program Services$395,549ProgramServicesAmt
Management And General$146,776ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$161,472TotalAmt
Program Services$128,370ProgramServicesAmt
Management And General$33,102ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,668,932TotalAmt
Program Services$13,668,932ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,646,689TotalAmt
Program Services$2,646,689ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Physician Remuneration$26,094,067$12,929,741$13,164,326
Minor Equipment$14,222,831$14,222,831
Recruitment$1,424,479$1,422,529$1,950
Dues & Subscriptions$1,234,610$546,539$688,071

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,169,273TotalAmt
Program Services$2,936,979ProgramServicesAmt
Management And General$232,294ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$266,874,615TotalAmt
Program Services$222,313,320ProgramServicesAmt
Management And General$44,561,295ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,350BOYAmt
EOY$10,550EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,128,390BOYAmt
EOY$23,596,069EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$836,928BOYAmt
EOY$979,205EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,876,582BOYAmt
EOY$4,814,508EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,016BOYAmt
EOY$6,203EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,052,304BOYAmt
EOY$5,187,254EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$376,548,377LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$123,492,461LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$199,058,095BOYAmt
EOY$253,055,916EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$231,553,055BOYAmt
EOY$243,042,760EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,185,492BOYAmt
EOY$35,566,109EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$470,709,212BOYAmt
EOY$566,258,574EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$192,788,298BOYAmt
EOY$266,541,805EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$827,835BOYAmt
EOY$379,496EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$26,055,125EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,616,133BOYAmt
EOY$292,976,426EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$277,093,079BOYAmt
EOY$273,282,148EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$277,093,079BOYAmt
EOY$273,282,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$470,709,212BOYAmt
EOY$566,258,574EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,094,323ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,809,859NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,473,533OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN752051646EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$222,313,320SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$222,313,320SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentfalseSupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION E, LINE 3APOWER TO REGULARLY APPOINT: THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATION, COOK CHILDREN'S MEDICAL CENTER, AND AS SUCH HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATION.
SCHEDULE A, PART IV, SECTION E, LINE 3BSUBSTANTIAL DEGREE OF DIRECTION OVER POLICIES, PROGRAMS, AND ACTIVITIES: THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATION, COOK CHILDREN'S MEDICAL CENTER, AND AS SUCH HAS THE EXCLUSIVE 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. THE ORGANIZATION IS ALSO RESPONSIBLE FOR IMPLEMENTATION AND ENFORCEMENT OF VARIOUS POLICIES AND PROCEDURES OF THE SUPPORTED ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY AND COMPENSATION ARRANGEMENTS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$182,300FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$182,300FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$222,131,020FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$222,313,320FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$177,550CurrentYearMinus3Amt
Current Year Minus2$178,153CurrentYearMinus2Amt
Current Year Minus1$166,600CurrentYearMinus1Amt
Current Year$182,300CurrentYearAmt
Total$704,603TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,590,729BeginningYearBalanceAmt
Contributions$8,002,000ContributionsAmt
Investment Earnings Or Losses$620,002InvestmentEarningsOrLossesAmt
Other Expenditures$270,564OtherExpendituresAmt
End Year Balance$15,942,167EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Prmnnt Endowment Balance EOY0.94560PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05440TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,210,315OtherCostOrOtherBasisAmt
Book Value$80,210,315BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,182,123OtherCostOrOtherBasisAmt
Depreciation$27,083,452DepreciationAmt
Book Value$130,098,671BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$907,109OtherCostOrOtherBasisAmt
Depreciation$851,621DepreciationAmt
Book Value$55,488BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$123,333,824OtherCostOrOtherBasisAmt
Depreciation$93,828,796DepreciationAmt
Book Value$29,505,028BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,915,006OtherCostOrOtherBasisAmt
Depreciation$1,728,592DepreciationAmt
Book Value$13,186,414BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$253,055,916TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Intercompany Receivables$9,892,623
RIGHT OF USE ASSETS$25,673,486
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,566,109TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRIGHT OF USE LIABILITIESDesc
Amt$26,055,125Amt
FieldValueIRS element (for citing)
Total Liability$26,055,125TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$262,569,989TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,809,859NetUnrealizedGainsInvstAmt
Other Revenue$2,346,554OtherRevenueAmt
Revenue Not Reported$6,156,413RevenueNotReportedAmt
Revenue Subtotal$256,413,576RevenueSubtotalAmt
Investment Expenses Not Incld$210,990InvestmentExpensesNotIncldAmt
Other Revenues Not Included$155,726OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$366,716RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$256,780,292TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$269,002,727TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,339,102OtherExpensesIncludedAmt
Expenses Not Reported$2,339,102ExpensesNotReportedAmt
Expenses Subtotal$266,663,625ExpensesSubtotalAmt
Investment Expenses Not Incld2$210,990InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$210,990ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$266,874,615TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4USE OF ENDOWMENT FUNDS: RELATED ORGANIZATION W.I. COOK FOUNDATION INC. HOLDS AND ADMINISTERS THE ENDOWMENT FOR THE NEEDS RELATED TO THE PROGRAM(S) AS SPECIFIED IN THE DONATION DOCUMENTS.
SCHEDULE D, PART XI, LINE 2dRECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $ 2,346,554
SCHEDULE D, PART XI, LINE 4bRECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: GAIN ON DISPOSITION OF ASSETS $ 7,452 donated capital 148,274 --------------- total $ 155,726
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $ 2,346,554 GAIN ON DISPOSITION OF ASSET $ (7,452) ----------------------- TOTAL $ 2,339,102
SCHEDULE D, PART X, LINE 2ASC 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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$10,192,446RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$10,192,446SubtotalSpentAmt
Total Spent$10,192,446TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
JUVENILE DIABETES
930 W 1ST STREET 203FORT WORTHTX76102752541065501(C)(3)$10,000SPONSORSHIP
TEXAS MEDICAL ASSOCIATION FOUNDATION
401 W 15TH STREETAUSTINTX787011680752022128501(c)(3)$10,000ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant Typescholarships for individualsGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$50,281CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES: THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1) BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE, 2) BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM AND 3) PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000 FOR FIRST TIME RECIPIENTS AND $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (51 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
MATTHEW CARROLL MD
TRUSTEE$0$262,938$0$46,345$0$9,537$0$12,875$0$44,092$0$375,787$0$0
SAMSON CANTU MD
TRUSTEE$0$461,863$0$500$0$5,460$0$17,500$0$41,504$0$526,827$0$0
MAtTHEW DZURIK MD
TRUSTEE-VICE CHAIRMAN$0$527,433$0$36,803$0$8,810$0$21,000$0$24,883$0$618,929$0$0
JOSE IGLESIAS MD
TRUSTEE$0$951,938$0$43,944$0$18,022$0$17,500$0$33,656$0$1,065,060$0$0
SALEEM MALIK MD
TRUSTEE$0$452,367$0$500$0$13,611$0$20,646$0$36,440$0$523,564$0$0
LINDSAY NEWTON MD
TRUSTEE$0$209,208$0$39,225$0$5,859$0$9,878$0$28,300$0$292,470$0$0
ALICE W PHILIPS MD
TRUSTEE$0$317,133$0$24,058$0$10,022$0$21,000$0$37,089$0$409,302$0$0
GAVIN FINE MD
TRUSTEE$0$557,855$0$500$0$11,542$0$21,000$0$34,810$0$625,707$0$0
JAMES C CUNNINGHAM
EXEC VP, CHIEF MEDICAL OFFICER$588,541$0$212,564$0$111,625$0$21,000$0$30,166$0$963,896$0$0$0
STEPHEN W KIMMEL
Executive VP$142,471$427,412$64,325$192,974$29,132$87,395$22,322$66,965$7,592$22,775$265,842$797,521$66,071$0
CARA MARTZ
SECRETARY$121,670$0$31,749$0$4,433$0$7,704$0$23,759$0$189,315$0$0$0
RICK W MERRILL
PRESIDENT & CEO$362,282$845,325$192,239$448,558$79,426$185,327$65,100$151,900$9,466$22,087$708,513$1,653,197$0$0
CORY R RHOADES
SVP, FINANCE & CFO$330,835$0$123,165$0$48,809$0$58,126$0$37,586$0$598,521$0$34,905$0
SPENCER D SEALS
VP REAL ESTATE & CONSTRUCTION$181,402$0$53,900$0$12,638$0$15,880$0$36,537$0$300,357$0$0$0
JAMES D MARSHALL
CHIEF RESEARCH OFFICER$555,065$0$131,936$0$7,482$0$21,000$0$37,579$0$753,062$0$0$0
ANTHONY BAGWELL
SVP, CIIO$0$397,616$0$740,226$0$51,196$0$76,122$0$23,508$0$1,288,668$0$0
JOHN MCNEY
SR V PRESIDENT-GEN COUNSEL$288,763$0$152,196$0$86,677$0$21,000$0$31,725$0$580,361$0$0$0
JOANN M SANDERS MD
CHIEF QUALITY OFFICER$393,220$0$159,119$0$162,577$0$70,413$0$23,602$0$808,931$0$125,935$0
ERIC H HUBLI MD
CHIEF SYS EFFECTIVENESS OFFCR$539,611$0$15,000$0$23,424$0$17,500$0$41,524$0$637,059$0$0$0
THERESA MEADOWS
SR V PRESIDENT - CIO$427,055$0$173,531$0$71,313$0$17,500$0$34,991$0$724,390$0$0$0
ROBERT K FEATHER
SR. VP PUBLIC POLICY$313,167$0$128,371$0$70,761$0$21,000$0$29,333$0$562,632$0$0$0
SCOTT LEDDY
CHIEF MEDICAL INFO OFFICER$342,369$0$107,594$0$5,202$0$14,000$0$26,154$0$495,319$0$0$0
JOSE GONZALEZ MD
VP COMMUNITY HEALTH End: 2020$6,753$0$0$0$157,573$0$1,126$0$0$0$165,452$0$0$0
JOSEPH GALLAGHER
SVP, CHIEF LEGAL OFFICER$367,809$0$143,090$0$30,609$0$66,392$0$34,936$0$642,836$0$0$0
JAMES STALDER
VP - INFO SYSTEMS End: 2020$241,514$0$154,342$0$14,455$0$13,196$0$38,707$0$462,214$0$0$0
KENT SMITH
VICE PRESIDENT - COMPLIANCE$237,642$0$77,135$0$10,941$0$15,041$0$30,825$0$371,584$0$0$0
NATALIE WILKINS
CHIEF OF STAFF$232,896$0$69,787$0$3,363$0$8,972$0$13,520$0$328,538$0$0$0
CHRISTIAN PEDIGO
VP SYS PLANNING & HEALTH ANALY$267,102$0$114,407$0$23,715$0$49,634$0$39,335$0$494,193$0$0$0
DAVID LANCASTER
VP-INTERNAL AUDIT$196,227$0$64,371$0$7,123$0$20,057$0$31,179$0$318,957$0$0$0
LORRAINEA WILLIAMS
PAT/MEDICATION SAFETY OFFICER$193,394$0$45,845$0$11,392$0$13,706$0$41,782$0$306,119$0$0$0
AARON WISHON
VP-CHIEF INFO SECURITY OFFICER$239,295$0$69,090$0$3,790$0$9,682$0$14,797$0$336,654$0$0$0
KEITH M HOLTZ
CAO$457,414$0$206,816$0$77,416$0$73,497$0$34,696$0$849,839$0$47,577$0
MAYNARD DYSON
MEDICAL DIRECTOR$238,194$0$77,043$0$19,802$0$20,453$0$37,146$0$392,638$0$0$0
KAREN WARDELL
ASSOCIATE GENERAL COUNSEL$241,586$0$78,321$0$9,518$0$15,253$0$30,917$0$375,595$0$0$0
BETH SCHMIDT
AVP-HUMAN RESOURCES$209,739$0$46,787$0$11,516$0$15,841$0$17,113$0$300,996$0$0$0
ANU N PARTAP
Medical Diretor Health Equity$221,452$0$31,128$0$3,544$0$10,483$0$34,308$0$300,915$0$0$0
SARA Y GARZA
TRUSTEE$0$179,734$0$500$0$4,191$0$12,025$0$37,101$0$233,551$0$0
jean turpin
AVP, Business Intel$192,676$0$40,259$0$3,189$0$12,945$0$36,968$0$286,037$0$0$0
M scott perry MD
TRUSTEE$0$463,296$0$500$0$11,790$0$17,500$0$34,274$0$527,360$0$0
gregory jimerson
VP-PAYOR RELATIONS$249,597$0$80,892$0$5,121$0$20,256$0$39,853$0$395,719$0$0$0
NICOLAE L ANDREI
AVP Supply Chain$174,328$0$38,949$0$3,308$0$6,029$0$14,941$0$237,555$0$0$0
Lakaimi J Bryant
AVP, Enterprise Applications$156,471$0$31,439$0$4,318$0$14,539$0$24,078$0$230,845$0$0$0
Laura E Copeland
Assistant General Counsel$191,288$0$53,184$0$3,473$0$6,987$0$16,262$0$271,194$0$0$0
Charity N Darnell
Director, Inpatient Clinic$151,015$0$26,386$0$2,723$0$7,547$0$38,387$0$226,058$0$0$0
Cynthia W Guess
AVP Accreditation Compliance$167,652$0$41,277$0$6,619$0$9,635$0$26,957$0$252,140$0$0$0
Winifred J King
avp pub relation & social med$172,270$0$37,959$0$6,128$0$15,878$0$13,452$0$245,687$0$0$0
Nicholas W Markham
AVP Facilities/Campus Svcs$149,763$0$34,192$0$8,733$0$14,626$0$23,264$0$230,578$0$0$0
Kathy R McLean
AVP Marketing$176,427$0$38,762$0$5,050$0$15,667$0$13,750$0$249,656$0$0$0
Myranda Miller
AVP, Corporate Controller$168,520$0$40,106$0$5,412$0$6,503$0$36,574$0$257,115$0$0$0
Amit Patel
ASSISTANT CHIEF MED INFO OFFCR$210,607$0$28,043$0$11,291$0$9,905$0$12,995$0$272,841$0$0$0
deborah a rubinson
avp, org & prof development$173,503$0$39,333$0$9,867$0$11,926$0$15,160$0$249,789$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A & 1BGENERAL GROSS UP PAYMENTS: MAYNARD DYSON $110 GROSS UP ANU N PARTAP $110 GROSS UP CARA MARTZ $220 GROSS UP B. ANTHONY BAGWELL $7,960 GROSS UP THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN EXTREMELY UNUSUAL CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS. CY 2019 CME GROSS UP PAYMENTS: GAVIN FINE, MD $6,500 SARA Y GARZA MD 2,925 SALEEM MALIK MD 9,750 SAMSON CANTU MD 3,900 MATTHEW DZURIK MD 6,500 JOSE IGLESIAS MD 14,500 LINDSAY NEWTON MD 4,875 ALICE W PHILIPS MD 6,500 M. SCOTT PERRY MD 9,750 THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FOR CONTINUING MEDICAL EDUCATION ALLOWANCES PAID TO EMPLOYED PHYSICIANS OF COOK CHILDREN'S PHYSICIAN NETWORK. THESE TYPE OF EXPENSES ARE USUALLY HANDLED AS NON-TAXABLE ACCOUNTABLE PLAN BUSINESS EXPENSES UNDER THE INTERNAL REVENUE CODE, BUT THE COMPANY HAS ELECTED TO TREAT THESE PAYMENTS AND THE GROSS-UP PAYMENTS AS TAXABLE INCOME TO THE AFFECTED INDIVIDUALS. THESE PAYMENTS ARE APPROVED IN ADVANCE BY SENIOR MANAGEMENT AND REVIEWED BY THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. FURTHER, THESE EXPENSES ARE INCLUDED IN THE BENEFITS CALCULATION FOR SUCH PHYSICIANS WHICH ARE REVIEWED BY THE COMPANY'S COMPENSATION COMMITTEE TO VERIFY THAT SUCH PAYMENTS ARE PAID AT FAIR MARKET VALUE AND COMMERCIALLY REASONABLE. Air Travel: Matthew Dzurik, MD had charter air travel provided in his capacity as a physician for Cook Childrens Physician Network. M. Scott Perry, MD had charter air travel provided in his capacity as a physician for Cook Childrens Physician Network.
SCHEDULE J, PART I, LINE 4BPARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- ---------- --------- RICK W. MERRILL $ 140,060 $ 196,000 CCHCS STEPHEN W. KIMMEL 66,071 75,286 CCHCS KEITH M. HOLTZ 47,577 59,299 CCHCS JOANN M. SANDERS, MD 125,935 49,413 CCHCS CORY R. RHOADES 34,905 40,626 CCHCS JOHN MCNEY 47,439 NONE CCHCS THERESA MEADOWS 44,521 NONE CCHCS ROBERT K. FEATHER 39,634 NONE CCHCS JAMES C. CUNNINGHAM 68,250 NONE CCHCS JOSEPH GALLAGHER NONE 45,994 CCHCS CHRISTIAN PEDIGO NONE 28,634 CCHCS B. ANTHONY BAGWELL NONE 64,922 CCHCS
SCHEDULE J, PART IIALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO 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 CHILD STUDY CENTER COOK CHILDREN'S PHYSICIAN NETWORK

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6SOLE MEMBER: W. I. COOK FOUNDATION, INC., D/B/A COOK CHILDREN'S HEALTH FOUNDATION, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMEMBER ELECTION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, W.I. COOK FOUNDATION, INC., 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, SECTION A, LINE 7BMEMBER DECISION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, W.I. COOK FOUNDATION, INC., HAS THE EXCLUSIVE 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 THE REMOVAL OF A MEMBER OF THE BOARD OF TRUSTEES OF THE ORGANIZATION; AND H. APPROVE THE PERSONS WHO ARE TO BE ELECTED BY THE ORGANIZATION TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES OR BOARD OF DIRECTORS, AS APPLICABLE, OF (1) COOK CHILDREN'S MEDICAL CENTER, (2) COOK CHILDREN'S PHYSICIAN NETWORK, (3) COOK CHILDREN'S HOME HEALTH, (4) COOK CHILDREN'S HEALTH PLAN, (5) COOK CHILDREN'S INDEMNITY COMPANY (6) COOK CHILDREN'S HEALTH ENTERPRISES; AND (7) ANY OTHER SUBSIDIARY CORPORATION AFFILIATED WITH OR CONTROLLED BY THE ORGANIZATION (INCLUDING ANY VACANCIES ARISING FROM THE EXPIRATION OF THE TERMS OF ANY OF THE TRUSTEES OR DIRECTORS).
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS FOR FORM 990: 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 PRESENTED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO 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, SECTION B, LINE 12CWRITTEN CONFLICT OF INTEREST POLICY: EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15A & 15BREVIEW AND APPROVAL OF COMPENSATION: COOK CHILDRENS HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION, WHICH INCLUDES THE ORGANIZATION'S CEO AND 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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, THE INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL AND EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
FORM 990, PART VI, SECTION C, LINE 19PROCESS OF MAKING GOVERNING 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 SECRETARY OF STATE OF TEXAS. 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 9OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFERS FROM CCMC $ 2,473,533

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 PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)10CCHCSYes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCSYes (true)
WI COOK 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 INC
1500 W ROSEDALEFORT WORTHTX76104460866421TITLE HOLDINGTX501(C)(2)N/ACCHFYes (true)
CHILD STUDY CENTER
1300 WEST LANCASTER AVEFORT WORTHTX76102751099536HEALTHCARETX501(C)37CCMCYes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 7TH AVEFORT WORTHTX76104842625990SUPPORTTX501(C)(3)12BCCHFYes (true)
cook children's medical center PROSPER
801 SEVENTH AVEFORT WORTHTX76087852354189HEALTHCARE SVTX501(C)(3)3CCHCSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 7TH AVENUEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
EIN454024843EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHCSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$1,553,136ShareOfTotalIncomeAmt
Share Of EOY Assets$7,326,949ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (true)PerformOfServicesForOthOrgInd
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 (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
A$1,838,492FMV
COOK CHILDREN'S MEDICAL CENTER
R$4,603,221FMV
COOK CHILDREN'S MEDICAL CENTER
O$594,434FMV
COOK CHILDREN'S MEDICAL CENTER
O$359,561FMV
COOK CHILDREN'S MEDICAL CENTER
P$172,570FMV
COOK CHILDREN'S MEDICAL CENTER
P$580,420FMV
COOK CHILDREN'S MEDICAL CENTER
S$400,097FMV
COOK CHILDREN'S MEDICAL CENTER
Q$240,989,211FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A$4,659,443FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R$6,740,335FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O$26,372,288FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P$328,278FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q$32,728,090FMV
COOK CHILDREN'S PHYSICIAN NETWORK
N$902,489FMV
Cook Children's Home Health
A$885,109FMV
Cook Children's Home Health
Q$5,220,297FMV
Cook Children's Health Plan
A$1,357,876FMV
Cook Children's Health Plan
Q$18,104,646FMV
Cook Children's Health Services
Q$170,239FMV
ROSEDALE OFFICE BUILDING
K$1,712,998FMV
ROSEDALE OFFICE BUILDING
O$87,564FMV
ROSEDALE OFFICE BUILDING
P$1,131,301FMV
Child Study Center
Q$1,693,714FMV