COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-12
- IRS object ID
- 201902249349302300
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-12T21:38:37-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 Post Oak Blvd Ste 1500 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752705881 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cook Children's Health Care System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CORY RHOADES | InCareOfNm |
| Business Name Control | COOK | BusinessNameControlTxt |
| Phone | 6828854000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1Txt |
| City | Fort Worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY RHOADES | PersonNm |
| Person Title | SENIOR V.P. | PersonTitleTxt |
| Signature | 2019-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amanda Maya | PreparerPersonNm |
| PTIN | P01067777 | PTIN |
| Phone | 7134994600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 76915820192245000016 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3C05F97901279AF0647DFC7D8771036E0E35E774 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 40A118951004ACB7D6FC4F8785F06E4FCB5438C7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICK W MERRILL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $362,777,001 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COOKCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | KNOWING 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 INJURY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 765 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $106,267 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,472,065 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,978,834 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $166,641,182 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $184,436,150 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,113,563 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,603,663 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,594,607 | PYOtherRevenueAmt |
| CY Other Revenue | $2,576,106 | CYOtherRevenueAmt |
| PY Total Revenue | $177,821,417 | PYTotalRevenueAmt |
| CY Total Revenue | $194,594,753 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $158,200 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $96,240 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,950,507 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,960,711 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $126,440,507 | PYOtherExpensesAmt |
| CY Other Expenses | $168,096,847 | CYOtherExpensesAmt |
| PY Total Expenses | $169,549,214 | PYTotalExpensesAmt |
| CY Total Expenses | $222,153,798 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,272,203 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$27,559,045 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $346,897,985 | TotalAssetsBOYAmt |
| Total Assets EOY | $436,259,628 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,286,182 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $170,284,587 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $293,611,803 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $265,975,041 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $193,494,411 | ExpenseAmt |
| Grant | $96,240 | GrantAmt |
| Revenue | $187,012,256 | RevenueAmt |
| Desc | FROM PRIMARY CARE TO MORE THAN 100 SPECIALTIES AND SUBSPECIALTIES, COOK CHILDREN'S DOCTORS OFFER WORLD-CLASS, AWARD-WINNING CARE. COOK CHILDREN'S HEALTH CARE SYSTEM EMBRACES AN INSPIRING PROMISE - TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. BASED IN FORT WORTH, TEXAS, WE'RE PROUD OF OUR LONG AND RICH TRADITION OF SERVING THE COMMUNITY. OUR NOT-FOR-PROFIT ORGANIZATION ENCOMPASSES TWELVE COMPANIES - A MEDICAL CENTER, TWO SURGERY CENTERS, A PHYSICIAN NETWORK, HOME HEALTH SERVICES AND A HEALTH PLAN. IT ALSO INCLUDES CHILD STUDY CENTER AT COOK CHILDREN'S, COOK CHILDREN'S HEALTH SERVICES INC., ROSEDALE OFFICE BUILDING, AN ACO, AN INDEMNITY COMPANY, AND COOK CHILDREN'S HEALTH FOUNDATION. WITH MORE THAN 60 PRIMARY, SPECIALTY AND URGENT CARE LOCATIONS THROUGHOUT TEXAS, FAMILIES CAN ACCESS OUR TOP-RANKED SPECIALTY PROGRAMS AND NETWORK OF SERVICES TO MEET THEIR UNIQUE NEEDS. FOR MORE THAN 100 YEARS WE'VE WORKED TO COMBINE THE ART OF CARING WITH LEADING TECHNOLOGY AND EXTRAORDINARY COLLABORATION TO PROVIDE EXCEPTIONAL CARE FOR EVERY CHILD. THIS HAS EARNED COOK CHILDREN'S A STRONG, FAR-REACHING REPUTATION WITH PATIENTS TRAVELING FROM AROUND THE COUNTRY AND THE GLOBE TO RECEIVE LIFE-SAVING PEDIATRIC CARE. COOK CHILDREN'S IS HONORED TO CONTINUALLY RECEIVE RECOGNITION FOR OUR OUTSTANDING EFFORTS AND OUTCOMES IN PEDIATRIC HEALTH CARE. | Desc |
| Total Program Service Expenses | $193,494,411 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 186 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 765 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY RHOADES | PersonNm |
| Phone | 6828854480 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PETER L PHILPOTT | ||||||||||
| TRUSTEE | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW DZURIK MD | ||||||||||
| TRUSTEE-VICE CHAIR | 2.0 | 42.0 | Yes (X) | $0 | $479,538 | $34,006 | Yes (X) | |||
| BRIAN D BARNARD | ||||||||||
| TRUSTEE | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| G THOMAS BOSWELL | ||||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN P BOSWELL | ||||||||||
| TRUSTEE | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW CARROLL MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | Yes (X) | $0 | $253,994 | $19,576 | ||||
| JERRY R CONATSER | ||||||||||
| TRUSTEE-CHAIRMAN | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY H CONNER | ||||||||||
| TRUSTEE-SECRETARY/TREASURER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JULIA DAVIDSON | ||||||||||
| TRUSTEE THRU 5/31/18 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES R DUNAWAY JR | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| W M MACK LAWHON | ||||||||||
| TRUSTEE THRU 5/31/18 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| G MALCOLM LOUDEN | ||||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN C NEWBY | ||||||||||
| TRUSTEE THRU 5/31/18 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BONNIE PETSCHE | ||||||||||
| TRUSTEE | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| RAY RHODES MD | ||||||||||
| TRUSTEE THRU 5/31/18 | 1.0 | 42.0 | Yes (X) | $0 | $408,690 | $39,595 | ||||
| JASON V TERK MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | Yes (X) | $0 | $368,204 | $38,041 | ||||
| SAM CANTU MD | ||||||||||
| TRUSTEE | 1.0 | 42.0 | Yes (X) | $0 | $408,384 | $51,314 | ||||
| BRIAN CRUMLEY | ||||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOSE IGLESIAS MD | ||||||||||
| TRUSTEE | 1.0 | 42.0 | Yes (X) | $0 | $1,037,962 | $42,407 | ||||
| SALEEM MALIK MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | Yes (X) | $0 | $539,536 | $49,197 | ||||
| MARC MAZADE MD | ||||||||||
| TRUSTEE THRU 5/31/18 | 1.0 | 42.0 | Yes (X) | $0 | $359,881 | $49,689 | ||||
| JONATHAN NEDRELOW MD | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| LINDSAY NEWTON MD | ||||||||||
| TRUSTEE | 1.0 | 42.0 | Yes (X) | $0 | $165,848 | $32,941 | ||||
| ALICE PHILLIPS MD | ||||||||||
| TRUSTEE | 1.0 | 42.0 | Yes (X) | $0 | $339,515 | $45,056 | ||||
| BILLIE R PUGH JR MD | ||||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW ROSELL | ||||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| RICK W MERRILL | ||||||||||
| PRESIDENT AND CEO | 12.0 | 28.0 | $726,359 | $1,694,844 | $216,152 | Yes (X) | ||||
| JOANN M SANDERS MD | ||||||||||
| CHIEF QUALITY OFFICER | 40.0 | 0.0 | $518,890 | $0 | $38,812 | Yes (X) | ||||
| JAMES C CUNNINGHAM MD | ||||||||||
| EXEC VP, CHIEF MEDICAL OFFICER | 40.0 | 0.0 | $875,122 | $0 | $38,944 | Yes (X) | ||||
| KEITH HOLTZ | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.0 | 0.0 | $665,485 | $0 | $33,675 | Yes (X) | ||||
| ERIC H HUBLI MD | ||||||||||
| CHIEF SYS EFFECTIVENESS OFFCR | 40.0 | 0.0 | $553,370 | $0 | $41,297 | Yes (X) | ||||
| GREGORY K JIMERSON | ||||||||||
| VP-PAYOR RELATIONS | 40.0 | 0.0 | $310,264 | $0 | $44,767 | Yes (X) | ||||
| STEPHEN W KIMMEL | ||||||||||
| CFO | 10.0 | 30.0 | $211,885 | $635,653 | $104,515 | Yes (X) | ||||
| DAVID F LANCASTER | ||||||||||
| VP-INTERNAL AUDIT | 40.0 | 0.0 | $250,895 | $0 | $36,588 | Yes (X) | ||||
| SCOTT LEDDY | ||||||||||
| CHIEF MEDICAL INFO OFFICER | 40.0 | 0.0 | $384,147 | $0 | $37,069 | Yes (X) | ||||
| JAMES D MARSHALL MD | ||||||||||
| CHIEF RESEARCH OFFICER | 40.0 | 1.0 | $600,034 | $0 | $44,782 | Yes (X) | ||||
| CARA MARTZ | ||||||||||
| SECRETARY | 35.0 | 5.0 | $140,312 | $0 | $22,833 | Yes (X) | ||||
| JOHN W MCNEY | ||||||||||
| SR V PRESIDENT-GEN COUNSEL | 40.0 | 0.0 | $581,115 | $0 | $40,446 | Yes (X) | ||||
| THERESA ZAK MEADOWS | ||||||||||
| SR V PRESIDENT-CIO | 40.0 | 0.0 | $549,278 | $0 | $45,150 | Yes (X) | ||||
| CORY RHOADES | ||||||||||
| SR V PRESIDENT-FINANCE | 40.0 | 0.0 | $399,156 | $0 | $45,547 | Yes (X) | ||||
| JAMES R STALDER | ||||||||||
| V PRES-INFO SYSTEMS | 40.0 | 0.0 | $366,625 | $0 | $41,193 | Yes (X) | ||||
| LARRY L TUBB | ||||||||||
| SR VP-PLANNING THRU 2/16/18 | 40.0 | 0.0 | $408,934 | $0 | $37,148 | Yes (X) | ||||
| LORRAINEA WILLIAMS | ||||||||||
| PAT/MEDICATION SAFETY OFFCR | 40.0 | 0.0 | $237,343 | $0 | $40,214 | Yes (X) | ||||
| KENT SMITH | ||||||||||
| VP-COMPLIANCE | 40.0 | 0.0 | $287,014 | $0 | $20,787 | Yes (X) | ||||
| ROBERT K FEATHER | ||||||||||
| SR. VP PUBLIC POLICY | 40.0 | 0.0 | $488,169 | $0 | $47,295 | Yes (X) | ||||
| JOSE GONZALEZ MD | ||||||||||
| VP CHILDRENS HEALTH | 40.0 | 0.0 | $369,794 | $0 | $32,890 | Yes (X) | ||||
| CHRISTIAN PEDIGO | ||||||||||
| VP SYS PLANNING & HEALTH ANALY | 40.0 | 0.0 | $208,593 | $0 | $44,366 | Yes (X) | ||||
| SPENCER SEALS | ||||||||||
| VP REAL ESTATE & CONSTRUCTION | 40.0 | 0.0 | $126,854 | $0 | $33,683 | Yes (X) | ||||
| NATALIE WILKINS | ||||||||||
| CHIEF OF STAFF | 40.0 | 0.0 | $278,836 | $0 | $20,874 | Yes (X) | ||||
| JOSEPH GALLAHGER | ||||||||||
| DEPUTY GENERAL COUNSEL | 40.0 | 0.0 | $327,848 | $0 | $36,922 | Yes (X) | ||||
| BETH SCHMIDT | ||||||||||
| AVP-HUMAN RESOURCES | 40.0 | 0.0 | $242,824 | $0 | $25,973 | Yes (X) | ||||
| KAREN WARDELL | ||||||||||
| ASSOCIATE GENERAL COUNSEL | 40.0 | 0.0 | $308,163 | $0 | $32,302 | Yes (X) | ||||
| MAYNARD DYSON | ||||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $328,324 | $0 | $45,640 | Yes (X) | ||||
| TINA HASKINS | ||||||||||
| AVP, EPIC ENTERPRISE APPS | 40.0 | 0.0 | $232,799 | $0 | $10,058 | Yes (X) | ||||
| GEORGE B MONTAGUE | ||||||||||
| V PRESIDENT-REAL ESTATE | 38.0 | 2.0 | $250,714 | $0 | $25,648 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,229,146 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,692,049 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,687,392 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 199 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | SOFTWARE SERVICES | $8,066,913 |
| MUCKLEROY FALLS | |||||
| 5801 EDWARDS RANCH RD 100 | FORT WORTH | TX | 76104 | CONSTRUCTION | $3,001,450 |
| FPI BUILDERS LLC | |||||
| 2116 WENNECA AVE | FORT WORTH | TX | 76102 | CONSTRUCTION | $1,957,374 |
| TECHNOLOGENT | |||||
| 15821 VENTURA BLVD STE 100 | ENCINO | CA | 91436 | HRDWARE/SOFTWARE SVC | $1,507,369 |
| HYLAND SOFTWARE INC | |||||
| PO BOX 846261 | DALLAS | TX | 75284 | SOFTWARE SERVICES | $1,294,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $807,159 | RelatedOrganizationsAmt |
| Government Grants | $1,171,675 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $1,978,834 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SHARED SERVICES | 900099 | $162,780,805 | $162,780,805 |
| HUMAN RESOURCES | 900099 | $8,937,721 | $8,937,721 |
| RENT | 900099 | $6,145,605 | $6,145,605 |
| COMMUNITY HEALTH OUTREACH | 900099 | $4,760,046 | $4,760,046 |
| REAL ESTATE MANAGEMENT | 900099 | $429,470 | $429,470 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,382,503 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,382,503 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $184,436,150 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,975,545 | TotalRevenueColumnAmt |
| Exclusion | $6,975,545 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $166,795,571 | SecuritiesAmt |
| Other | $14,795 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $168,160,881 | SecuritiesAmt |
| Other | $21,367 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,365,310 | SecuritiesAmt |
| Other | -$6,572 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,371,882 | TotalRevenueColumnAmt |
| Exclusion | -$1,371,882 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REBATE | 900099 | $2,461,344 | $2,461,344 |
| CONCIERGE | 900099 | $109,242 | $109,242 |
| OTHER REVENUE | 900099 | $5,520 | $5,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,576,106 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,594,753 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $187,012,256 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,603,663 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,740 | TotalAmt |
| Program Services | $48,740 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,500 | TotalAmt |
| Program Services | $47,500 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,748,412 | TotalAmt |
| Program Services | $2,446,419 | ProgramServicesAmt |
| Management And General | $7,301,993 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,445,627 | TotalAmt |
| Program Services | $24,208,450 | ProgramServicesAmt |
| Management And General | $7,237,177 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,766,672 | TotalAmt |
| Program Services | $9,659,059 | ProgramServicesAmt |
| Management And General | $3,107,613 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,751,444 | TotalAmt |
| Program Services | $216,544 | ProgramServicesAmt |
| Management And General | $1,534,900 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,021 | TotalAmt |
| Program Services | $389,021 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,153 | TotalAmt |
| Program Services | $178,153 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,681 | TotalAmt |
| Program Services | $215,681 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,256,972 | TotalAmt |
| Program Services | $9,689,371 | ProgramServicesAmt |
| Management And General | $2,567,601 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,447,898 | TotalAmt |
| Program Services | $797,608 | ProgramServicesAmt |
| Management And General | $2,650,290 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $987,758 | TotalAmt |
| Program Services | $783,023 | ProgramServicesAmt |
| Management And General | $204,735 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,737,485 | TotalAmt |
| Program Services | $104,737,485 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,878,934 | TotalAmt |
| Program Services | $2,878,934 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,456 | TotalAmt |
| Program Services | $864,700 | ProgramServicesAmt |
| Management And General | $195,756 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,926 | TotalAmt |
| Program Services | $187,210 | ProgramServicesAmt |
| Management And General | $42,716 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,580,043 | TotalAmt |
| Program Services | $10,580,043 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,685,427 | TotalAmt |
| Program Services | $3,685,427 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHYSICIAN REMUNERATION | $11,143,841 | $8,714,925 | $2,428,916 |
| MINOR EQUIPMENT | $9,024,745 | $9,023,854 | $891 |
| RECRUITMENT | $1,584,832 | $1,584,832 | |
| DUES & SUBSCRIPTIONS | $1,406,166 | $489,047 | $917,119 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,538,065 | TotalAmt |
| Program Services | $2,068,385 | ProgramServicesAmt |
| Management And General | $469,680 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,153,798 | TotalAmt |
| Program Services | $193,494,411 | ProgramServicesAmt |
| Management And General | $28,659,387 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,950 | BOYAmt |
| EOY | $9,950 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,392,329 | BOYAmt |
| EOY | $17,082,912 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $557,593 | BOYAmt |
| EOY | $595,483 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,671,604 | BOYAmt |
| EOY | $3,558,341 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,236 | BOYAmt |
| EOY | $6,087 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,597,416 | BOYAmt |
| EOY | $3,407,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $262,543,357 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $76,239,973 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,805,522 | BOYAmt |
| EOY | $186,303,384 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,354,079 | BOYAmt |
| EOY | $218,735,152 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,500,256 | BOYAmt |
| EOY | $6,560,736 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,897,985 | BOYAmt |
| EOY | $436,259,628 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,606,436 | BOYAmt |
| EOY | $169,920,068 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $679,746 | BOYAmt |
| EOY | $364,519 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,286,182 | BOYAmt |
| EOY | $170,284,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,611,803 | BOYAmt |
| EOY | $265,975,041 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,611,803 | BOYAmt |
| EOY | $265,975,041 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,897,985 | BOYAmt |
| EOY | $436,259,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$27,559,045 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,594,321 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,516,604 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CC MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752051646 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $193,494,411 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $193,494,411 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION E, LINE 3A | 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. |
| PART IV, SECTION E, LINE 3B | The organization is the sole member of the supported organization, Cook Children's Medical Center, and as such HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. 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
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $178,153 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $178,153 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $221,978,496 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $222,156,649 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $169,449 | CurrentYearMinus3Amt |
| Current Year Minus2 | $150,577 | CurrentYearMinus2Amt |
| Current Year Minus1 | $177,550 | CurrentYearMinus1Amt |
| Current Year | $178,153 | CurrentYearAmt |
| Total | $675,729 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,658,053 | OtherCostOrOtherBasisAmt |
| Book Value | $66,658,053 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $82,468,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,436,709 | DepreciationAmt |
| Book Value | $67,031,868 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $907,109 | OtherCostOrOtherBasisAmt |
| Depreciation | $809,975 | DepreciationAmt |
| Book Value | $97,134 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,101,995 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,150,074 | DepreciationAmt |
| Book Value | $49,951,921 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,407,623 | OtherCostOrOtherBasisAmt |
| Depreciation | $843,215 | DepreciationAmt |
| Book Value | $2,564,408 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $186,303,384 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $192,854,681 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,594,320 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,063,357 | OtherRevenueAmt |
| Revenue Not Reported | -$1,530,963 | RevenueNotReportedAmt |
| Revenue Subtotal | $194,385,644 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $215,681 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$6,572 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $209,109 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $194,594,753 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $224,008,046 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,069,929 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,069,929 | ExpensesNotReportedAmt |
| Expenses Subtotal | $221,938,117 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $215,681 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $215,681 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $222,153,798 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 2D | OTHER CHANGE: MANAGEMENT FEE REDUCTION $ 2,063,357 |
| SCHEDULE D, PART XII, LINE 2D | OTHER CHANGE: MANAGEMENT FEE REDUCTION $ 2,063,357 LOSS ON ASSET DISPOSITION $ 6,572 ----------- TOTAL OTHER CHANGES: $ 2,069,929 |
| SCHEDULE D, PART XI, LINE 4B | OTHER CHANGES: LOSS ON ASSET DISPOSITION $ (6,572) |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $7,117,073 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $7,117,073 | SubtotalSpentAmt |
| Total Spent | $7,117,073 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS FOR INDIVIDUALS | GrantTypeTxt |
| Recipient | 10 | RecipientCnt |
| Cash Grant | $47,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURE 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 & 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK W MERRILL | ||||||||||||||
| PRESIDENT AND CEO | $318,789 | $743,842 | $143,872 | $335,704 | $263,698 | $615,298 | $57,519 | $134,211 | $7,327 | $17,095 | $791,205 | $1,846,150 | $243,000 | $567,000 |
| MATTHEW DZURIK MD | ||||||||||||||
| TRUSTEE-VICE CHAIR | $0 | $470,553 | $0 | $0 | $0 | $8,985 | $0 | $16,875 | $0 | $17,131 | $0 | $513,544 | $0 | $0 |
| JOANN M SANDERS MD | ||||||||||||||
| CHIEF QUALITY OFFICER | $356,388 | $0 | $107,424 | $0 | $55,078 | $0 | $20,250 | $0 | $18,562 | $0 | $557,702 | $0 | $18,000 | $0 |
| JAMES C CUNNINGHAM MD | ||||||||||||||
| EXEC VP, CHIEF MEDICAL OFFICER | $615,344 | $0 | $211,166 | $0 | $48,612 | $0 | $20,250 | $0 | $18,694 | $0 | $914,066 | $0 | $0 | $0 |
| MATTHEW CARROLL MD | ||||||||||||||
| TRUSTEE | $0 | $210,217 | $0 | $21,656 | $0 | $22,121 | $0 | $9,326 | $0 | $10,250 | $0 | $273,570 | $0 | $0 |
| RAY RHODES MD | ||||||||||||||
| TRUSTEE THRU 5/31/18 | $0 | $385,979 | $0 | $3,000 | $0 | $19,711 | $0 | $20,250 | $0 | $19,345 | $0 | $448,285 | $0 | $0 |
| JASON V TERK MD | ||||||||||||||
| TRUSTEE | $0 | $358,400 | $0 | $0 | $0 | $9,804 | $0 | $18,000 | $0 | $20,041 | $0 | $406,245 | $0 | $0 |
| KEITH HOLTZ | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $382,067 | $0 | $227,582 | $0 | $55,836 | $0 | $4,800 | $0 | $28,875 | $0 | $699,160 | $0 | $18,000 | $0 |
| ERIC H HUBLI MD | ||||||||||||||
| CHIEF SYS EFFECTIVENESS OFFCR | $510,114 | $0 | $17,104 | $0 | $26,152 | $0 | $16,875 | $0 | $24,422 | $0 | $594,667 | $0 | $18,000 | $0 |
| GREGORY K JIMERSON | ||||||||||||||
| VP-PAYOR RELATIONS | $229,037 | $0 | $74,337 | $0 | $6,890 | $0 | $16,257 | $0 | $28,510 | $0 | $355,031 | $0 | $0 | $0 |
| STEPHEN W KIMMEL | ||||||||||||||
| CFO | $130,076 | $390,228 | $70,258 | $210,773 | $11,551 | $34,652 | $19,909 | $59,728 | $6,220 | $18,658 | $238,014 | $714,039 | $0 | $0 |
| DAVID F LANCASTER | ||||||||||||||
| VP-INTERNAL AUDIT | $185,076 | $0 | $60,337 | $0 | $5,482 | $0 | $18,996 | $0 | $17,592 | $0 | $287,483 | $0 | $0 | $0 |
| SCOTT LEDDY | ||||||||||||||
| CHIEF MEDICAL INFO OFFICER | $285,203 | $0 | $90,045 | $0 | $8,899 | $0 | $10,800 | $0 | $26,269 | $0 | $421,216 | $0 | $0 | $0 |
| JAMES D MARSHALL MD | ||||||||||||||
| CHIEF RESEARCH OFFICER | $498,249 | $0 | $93,764 | $0 | $8,021 | $0 | $20,250 | $0 | $24,532 | $0 | $644,816 | $0 | $0 | $0 |
| CARA MARTZ | ||||||||||||||
| SECRETARY | $100,505 | $0 | $34,068 | $0 | $5,739 | $0 | $7,222 | $0 | $15,611 | $0 | $163,145 | $0 | $0 | $0 |
| JOHN W MCNEY | ||||||||||||||
| SR V PRESIDENT-GEN COUNSEL | $389,084 | $0 | $148,086 | $0 | $43,945 | $0 | $20,250 | $0 | $20,196 | $0 | $621,561 | $0 | $18,000 | $0 |
| THERESA ZAK MEADOWS | ||||||||||||||
| SR V PRESIDENT-CIO | $366,158 | $0 | $139,024 | $0 | $44,096 | $0 | $16,875 | $0 | $28,275 | $0 | $594,428 | $0 | $18,000 | $0 |
| GEORGE B MONTAGUE | ||||||||||||||
| V PRESIDENT-REAL ESTATE | $164,310 | $0 | $0 | $0 | $86,404 | $0 | $14,065 | $0 | $11,583 | $0 | $276,362 | $0 | $0 | $0 |
| CORY RHOADES | ||||||||||||||
| SR V PRESIDENT-FINANCE | $256,800 | $0 | $113,179 | $0 | $29,177 | $0 | $16,875 | $0 | $28,672 | $0 | $444,703 | $0 | $18,000 | $0 |
| JAMES R STALDER | ||||||||||||||
| V PRES-INFO SYSTEMS | $222,854 | $0 | $141,185 | $0 | $2,586 | $0 | $12,746 | $0 | $28,447 | $0 | $407,818 | $0 | $0 | $0 |
| LARRY L TUBB | ||||||||||||||
| SR VP-PLANNING THRU 2/16/18 | $269,101 | $0 | $102,874 | $0 | $36,959 | $0 | $20,250 | $0 | $16,898 | $0 | $446,082 | $0 | $18,000 | $0 |
| LORRAINEA WILLIAMS | ||||||||||||||
| PAT/MEDICATION SAFETY OFFCR | $184,313 | $0 | $42,969 | $0 | $10,061 | $0 | $12,358 | $0 | $27,856 | $0 | $277,557 | $0 | $0 | $0 |
| JOSEPH GALLAHGER | ||||||||||||||
| DEPUTY GENERAL COUNSEL | $239,356 | $0 | $75,703 | $0 | $12,789 | $0 | $20,250 | $0 | $16,672 | $0 | $364,770 | $0 | $0 | $0 |
| BETH SCHMIDT | ||||||||||||||
| AVP-HUMAN RESOURCES | $174,201 | $0 | $42,249 | $0 | $26,374 | $0 | $15,098 | $0 | $10,875 | $0 | $268,797 | $0 | $18,000 | $0 |
| KENT SMITH | ||||||||||||||
| VP-COMPLIANCE | $192,373 | $0 | $65,723 | $0 | $28,918 | $0 | $10,800 | $0 | $9,987 | $0 | $307,801 | $0 | $17,349 | $0 |
| KAREN WARDELL | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | $208,375 | $0 | $73,409 | $0 | $26,379 | $0 | $14,285 | $0 | $18,017 | $0 | $340,465 | $0 | $18,000 | $0 |
| SAM CANTU MD | ||||||||||||||
| TRUSTEE | $0 | $401,606 | $0 | $0 | $0 | $6,778 | $0 | $16,875 | $0 | $34,439 | $0 | $459,698 | $0 | $0 |
| JOSE IGLESIAS MD | ||||||||||||||
| TRUSTEE | $0 | $1,001,319 | $0 | $0 | $0 | $36,643 | $0 | $16,875 | $0 | $25,532 | $0 | $1,080,369 | $0 | $18,000 |
| SALEEM MALIK MD | ||||||||||||||
| TRUSTEE | $0 | $523,415 | $0 | $0 | $0 | $16,121 | $0 | $19,758 | $0 | $29,439 | $0 | $588,733 | $0 | $0 |
| MARC MAZADE MD | ||||||||||||||
| TRUSTEE THRU 5/31/18 | $0 | $346,851 | $0 | $0 | $0 | $13,030 | $0 | $20,250 | $0 | $29,439 | $0 | $409,570 | $0 | $0 |
| LINDSAY NEWTON MD | ||||||||||||||
| TRUSTEE | $0 | $112,053 | $0 | $39,459 | $0 | $14,336 | $0 | $10,636 | $0 | $22,305 | $0 | $198,789 | $0 | $8,509 |
| ALICE PHILLIPS MD | ||||||||||||||
| TRUSTEE | $0 | $328,872 | $0 | $0 | $0 | $10,643 | $0 | $20,250 | $0 | $24,806 | $0 | $384,571 | $0 | $0 |
| ROBERT K FEATHER | ||||||||||||||
| SR. VP PUBLIC POLICY | $317,980 | $0 | $121,504 | $0 | $48,685 | $0 | $20,250 | $0 | $27,045 | $0 | $535,464 | $0 | $0 | $0 |
| JOSE GONZALEZ MD | ||||||||||||||
| VP CHILDRENS HEALTH | $270,117 | $0 | $85,438 | $0 | $14,239 | $0 | $13,500 | $0 | $19,390 | $0 | $402,684 | $0 | $0 | $0 |
| CHRISTIAN PEDIGO | ||||||||||||||
| VP SYS PLANNING & HEALTH ANALY | $167,795 | $0 | $38,371 | $0 | $2,427 | $0 | $16,255 | $0 | $28,111 | $0 | $252,959 | $0 | $0 | $0 |
| SPENCER SEALS | ||||||||||||||
| VP REAL ESTATE & CONSTRUCTION | $107,229 | $0 | $14,360 | $0 | $5,265 | $0 | $8,388 | $0 | $25,295 | $0 | $160,537 | $0 | $0 | $0 |
| NATALIE WILKINS | ||||||||||||||
| CHIEF OF STAFF | $211,510 | $0 | $65,407 | $0 | $1,919 | $0 | $10,800 | $0 | $10,074 | $0 | $299,710 | $0 | $0 | $0 |
| MAYNARD DYSON | ||||||||||||||
| MEDICAL DIRECTOR | $248,111 | $0 | $68,983 | $0 | $11,230 | $0 | $19,497 | $0 | $26,143 | $0 | $373,964 | $0 | $0 | $0 |
| TINA HASKINS | ||||||||||||||
| AVP, EPIC ENTERPRISE APPS | $166,489 | $0 | $59,902 | $0 | $6,408 | $0 | $0 | $0 | $10,058 | $0 | $242,857 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | JAMES C CUNNINGHAM $25 GROSS-UP ROBERT K. FEATHER $934 GROSS-UP JOHN W. MCNEY $25 GROSS-UP KEITH HOLTZ $25 GROSS-UP DAVID F. LANCASTER $25 GROSS-UP JAMES R. STALDER $25 GROSS-UP JOSE GONZALEZ $180 GROSS-UP |
| SCHEDULE J, PART I, LINE 1A & 1B | General Gross Up Payments 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 2017 CME GROSS UP AMOUNTS MATTHEW CAROLL, MD $ 3,000.00 JAMES C. CUNNINGHAM, MD $ 3,250.00 MATTHEW DZURIK, MD $ 6,500.00 GRETCHEN EAMES, MD $ 9,750.00 ERIC H. HUBLI, MD $ 3,250.00 JAMES D. MARSHALL, MD $ 4,550.00 JOANN M. SANDERS, MD $ 4,875.00 JASON V. TERK, MD $ 6,500.00 ALICE PHILLIPS, MD $ 6,500.00 SALEM MALIK, MD $ 9,750.00 MARC MAZADE, MD $ 9,100.00 LINDSEY NEWTON, MD $ 4,875.00 JOSE IGLESIAS, MD $14,499.96 SAMSON CANTU, MD $ 3,900.00 RAY RHODES, JR MD $ 5,000.00 CME GROSS UPS PAYMENTS IN ADDITION TO THE GIFT CARD AND INCENTIVE BONUSES DESCRIBED ABOVE, 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. CHARTER TRAVEL PROVIDED TO DR. MATTHEW DZURIK FOR TRAVEL TO PERFORM PHYSICIAN DUTIES FOR COOK CHILDREN'S PHYSICIAN NETWORK. |
| SCHEDULE J, PART II | ALLOCATION 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 COOK CHILDREN'S PHYSICIAN NETWORK CHILD STUDY CENTER |
| SCHEDULE J, PART I, QUESTION 4B | PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- ---------- --------- RICK W. MERRILL 828,000 174,855 CCHS JAMES C. CUNNINGHAM, MD NONE NONE CCHS ROBERT K. FEATHER NONE NONE CCHS KEITH HOLTZ 18,000 53,393 CCHS ERIC H. HUBLI, MD 18,000 NONE CCHS STEPHEN KIMMEL 18,000 68,837 CCHS JOHN W. MCNEY 18,000 NONE CCHS THERESA ZAK MEADOWS 18,000 NONE CCHS JOANN SANDERS, MD 18,000 NONE CCHS LARRY L. TUBB 18,000 NONE CCHS KENT SMITH 17,349 NONE CCHS BETH SCHIMIDT 18,000 NONE CCHS KAREN WARDELL 18,000 NONE CCHS JOSE IGLESIAS, MD 18,000 NONE CCPN LINSAY NEWTON, MD 8,509 NONE CCPN CORY RHOADES 18,000 34,702 CCHS |
| SCHEDULE J, PART I, LINE 4A | SEVERANCE PAYMENT: GEORGE B MONTAGUE RECEIVED A SEVERANCE PAYMENT OF $62,192 IN CALENDAR YEAR 2017. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SOLE 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 7A | MEMBER 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 7B | MEMBER 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; AND (6) 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 11B | REVIEW 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 15A & 15B | REVIEW 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 & 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 19 | PROCESS 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 VI, SECTION B, LINE 12C | WRITTEN 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. 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 HOT-LINE 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 XI, LINE 9 | OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFER FROM CCHF $3,516,604 |
| FORM 990, PART VI, SECTION A, LINE 2 | BONNIE PETSCHE HAS A FAMILY RELATIONSHIP WITH JULIA DAVIDSON. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S HEALTH PLAN | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 10 | CCHCS | Yes (true) |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752485366 | PHYSICIAN SVC | TX | 501(C)(3) | 3 | CCHCS | Yes (true) |
| WI COOK FOUNDATION | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051649 | FUNDRAISING | TX | 501(C)(3) | 7 | NA | false |
| COOK CHILDREN'S MEDICAL CENTER | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | HOSPITAL | TX | 501(C)(3) | 3 | CCHCS | Yes (true) |
| COOK CHILDREN'S HOME HEALTH | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 10 | CCHCS | Yes (true) |
| ROSEDALE OFFICE BUILDING INC | ||||||||||
| 1500 W ROSEDALE | FORT WORTH | TX | 76104 | 460866421 | TITLE HOLDING | TX | 501(C)(2) | N/A | CCHF | Yes (true) |
| CHILD STUDY CENTER | ||||||||||
| 1300 WEST LANCASTER AVE | FORT WORTH | TX | 76102 | 751099536 | HEALTHCARE | TX | 501(C)3 | 7 | CCMC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S HEALTH SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 7TH AVENUE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454024843 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCHCS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORPORATION | EntityTypeTxt |
| Share Of Total Income | $758,260 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,371,992 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (19 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | ||
| A | $734,454 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| B | $728,840 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| O | $54,489 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| P | $232,714 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| Q | $207,872,886 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| A | $2,509,664 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| B | $522,588 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| O | $12,181,991 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| P | $691,439 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| Q | $24,182,215 | FMV |
| COOK CHILDREN'S HOME HEALTH | ||
| A | $807,753 | FMV |
| COOK CHILDREN'S HOME HEALTH | ||
| Q | $4,681,782 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| A | $690,324 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| Q | $10,588,753 | FMV |
| COOK CHILDREN'S HEALTH SERVICES | ||
| Q | $189,553 | FMV |
| ROSEDALE OFFICE BUILDING | ||
| K | $1,301,081 | FMV |
| ROSEDALE OFFICE BUILDING | ||
| O | $72,592 | FMV |
| ROSEDALE OFFICE BUILDING | ||
| P | $1,958,873 | FMV |
| CHILD STUDY CENTER | ||
| Q | $1,019,240 | FMV |