STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COOK CHILDRENS HOME HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HOME HEALTH (EIN 75-2896983)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-14
IRS object ID
201622279349300337
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-14T22:20:55-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752896983EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HOME HEALTHBusinessNameLine1Txt
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 RHOADESPersonNm
Person TitleVP & CHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone6828854000PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmanda MayaPreparerPersonNm
PTINP01067777PTIN
Phone7134994600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE SIMMONSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,324,669GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COOKCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH PREVENTION & TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee219TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$43,514,036PYProgramServiceRevenueAmt
CY Program Service Revenue$51,276,988CYProgramServiceRevenueAmt
PY Investment Income-$38,202PYInvestmentIncomeAmt
CY Investment Income$8,852CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$43,475,834PYTotalRevenueAmt
CY Total Revenue$51,285,840CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,061,040PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,075,160CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,109,646PYOtherExpensesAmt
CY Other Expenses$37,945,645CYOtherExpensesAmt
PY Total Expenses$43,170,686PYTotalExpensesAmt
CY Total Expenses$52,020,805CYTotalExpensesAmt
PY Revenues Less Expenses$305,148PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$734,965CYRevenuesLessExpensesAmt
Total Assets BOY$20,281,625TotalAssetsBOYAmt
Total Assets EOY$13,735,668TotalAssetsEOYAmt
Total Liabilities BOY$3,174,683TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,638,226TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,106,942NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,097,442NetAssetsOrFundBalancesEOYAmt
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$41,989,354ExpenseAmt
Revenue$51,276,988RevenueAmt
DescCOOK CHILDREN'S HOME HEALTH IS A NOT-FOR-PROFIT COMPANY WITHIN THE CONTINUUM OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. HOME HEALTH BEGAN OPERATING AS A COMPANY IN 2001 AND IS THE AREA'S LARGEST AND MOST COMPREHENSIVE PEDIATRIC HOME HEALTH CARE PROVIDER. AS A ONE-STOP ALTERNATIVE TO HOSPITALIZATION OR NURSING HOME CARE, HOME HEALTH MEETS THE DIVERSE NEEDS OF CHILDREN WHO ARE ABLE TO CONTINUE THEIR RECOVERY AND REHABILITATION IN THE COMFORT AND CONVENIENCE OF THEIR OWN HOME. RESEARCH VERIFIES THAT CHILDREN WHO REQUIRE LONG-TERM CARE USUALLY FEEL BETTER AND RECOVER MORE QUICKLY WHEN TREATED IN THE FAMILIAR SURROUNDINGS OF HOME AND ACCOMPANIED BY FAMILY. HOME HEALTH PROVIDES SERVICES THROUGH COOK CHILDREN'S EMPLOYEES RATHER THAN BY CONTRACTING WITH OUTSIDE PROVIDERS, ALLOWING PATIENTS AND THEIR FAMILIES THE OPPORTUNITY FOR GREATER CONTINUITY AND CONVENIENCE, WHILE SIGNIFICANTLY LOWERING COSTS. THE STAFF DEVELOPS INDIVIDUALIZED CARE PLANS FOR PATIENTS AND WORKS WITH THEM ON A MONTHLY, WEEKLY, OR DAILY BASIS. HOME HEALTH OPERATES SEVERAL DIVISIONS, INCLUDING NURSING SERVICES, INFUSION PHARMACY, DURABLE MEDICAL EQUIPMENT, SPECIALTY BIOTECHNOLOGY DRUGS, REHABILITATION, AND ORTHOTICS AND PROSTHETICS. THE COMPANY OFFERS CLINICAL SERVICES SUCH AS INITIAL DISCHARGE PLANNING, PATIENT ASSESSMENT, HOME CARE INSTRUCTION, AND ONGOING TREATMENTS AND/OR EVALUATION. ALONG WITH OFFICES IN DALLAS AND FORT WORTH, A NEW LOCATION IN AUSTIN ALLOWS COOK CHILDREN'S TO BETTER SERVE PATIENTS AT HOME. HOME HEALTH PHARMACISTS, NURSES, SOCIAL WORKERS, RESPIRATORY THERAPISTS, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS ARE TRAINED IN PEDIATRIC HOME CARE. ALL SUBMIT TO AN INTENSIVE INTERVIEW PROCESS AND RECEIVE THOROUGH BACKGROUND CHECKS. NURSES ARE REQUIRED TO BE PALS (PEDIATRIC ADVANCED LIFE SUPPORT) CERTIFIED WITH PEDIATRIC EXPERIENCE. EACH PATIENT IS ASSIGNED A COOK CHILDREN'S HOME HEALTH CARE COORDINATOR, WHO IS A REGISTERED NURSE, TO ENSURE THAT EVERY FAMILY IS TREATED WITH RESPECT, TO COORDINATE CARE AND TO SEE THAT COMMUNICATION BETWEEN THE FAMILY AND THE PROVIDERS IS TIMELY AND ACCURATE. PATIENTS AND THEIR FAMILIES MAY CALL ON A PEDIATRIC HOME CARE NURSE 24 HOURS A DAY, 7 DAYS A WEEK. HOME HEALTH PROVIDES PRODUCTS AND SERVICES FOR PATIENTS NEEDING ORTHOTICS AND PROSTHETICS, INCLUDING ANKLE-FOOT ORTHOTICS, SCOLIOSIS BRACING, CRANIAL HELMETS, PROSTHETIC LIMBS, UPPER EXTREMITY ORTHOTICS, SHOE INSERTS AND MORE. CHILDREN IN NEED OF CUSTOM ORTHOTICS RECEIVE HELP WITH DESIGN AND FIT.Desc
Total Program Service Expenses$41,989,354TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee219EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN P BOSWELL
TRUSTEE1.04.0Yes (X)$0$0$0
RICHARD W DYESS
TRUSTEE1.01.0Yes (X)$0$0$0
ROSALIND EVANS
TRUSTEE1.01.0Yes (X)$0$0$0
DANA C KELLY
TRUSTEE1.01.0Yes (X)$0$0$0
BONNIE PETSCHE
TRUSTEE-CHAIRMAN2.02.0Yes (X)$0$0$0Yes (X)
VICKIE V STEVENS
TRUSTEE1.01.0Yes (X)$0$0$0
RICHARD P HOWERY MD
TRUSTEE1.040.0Yes (X)$0$313,262$18,167
ANGEL HERNANDEZ-MULERO MD
TRUSTEE1.040.0Yes (X)$0$518,720$37,126
MATT MAYFIELD MD
TRUSTEE1.041.0Yes (X)$0$605,333$24,778
SCOTT PERRY MD
TRUSTEE-VICE CHAIRMAN2.040.0Yes (X)$0$520,536$28,287Yes (X)
DANNY RAFATI MD
TRUSTEE1.040.0Yes (X)$0$273,358$20,000
MICHAEL GENDKE
VP-OPERATIONS40.00.0$268,690$0$33,676Yes (X)
STEPHEN W KIMMEL
TREASURER2.038.0$29,906$568,209$25,307Yes (X)
RICK W MERRILL
CEO1.039.0$49,365$1,527,791$198,144Yes (X)
MICHAEL R SIMMONS
PRESIDENT & CFO40.00.0$353,755$0$36,622Yes (X)
CARA MARTZ
SECRETARY1.039.0$0$151,839$14,101Yes (X)
BRENDA DONNELLY
QI NURSE COORDINATOR40.00.0$133,947$0$418Yes (X)
JEFFREY M GILL
SR. DIRECTOR-FINANCE40.00.0$155,439$0$17,743Yes (X)
SANDRA MANNING
SR. DIRECTOR-OPERATIONS40.00.0$206,993$0$18,221Yes (X)
SHANNON ROGERS
SUPERVISOR-PHARMACY40.00.0$147,204$0$27,493Yes (X)
DIONNE R SMITH
DIRECTOR-PHARMACY40.00.0$181,965$0$20,019Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,527,264TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,479,048TotReportableCompRltdOrgAmt
Total Other Compensation$520,102TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CORNERSTONE STAFFING
PO BOX 909GRAPEVINETX76099RECRUITING SERVICES$398,950
FEDERAL EXPRESS
PO BOX 660481DALLASTX75266DELIVERY SERVICE$210,855
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT FEES621110$47,655,966$47,655,966
MANAGEMENT FEES900099$3,103,369$3,103,369
OTHER INCOME900099$517,653$517,653
FieldValueIRS element (for citing)
Total Program Service Revenue$51,276,988TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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)
Other$47,681OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$38,829OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$8,852OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,852TotalRevenueColumnAmt
Exclusion$8,852ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,285,840TotalRevenueColumnAmt
Related Or Exempt Func Income$51,276,988RelatedOrExemptFuncIncomeAmt
Exclusion$8,852ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$883,856TotalAmt
Management And General$883,856ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,216,951TotalAmt
Program Services$6,231,314ProgramServicesAmt
Management And General$3,985,637ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,974,353TotalAmt
Program Services$1,736,297ProgramServicesAmt
Management And General$1,238,056ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,475,380TotalAmt
Management And General$2,475,380ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$874,532TotalAmt
Program Services$186,525ProgramServicesAmt
Management And General$688,007ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,270TotalAmt
Program Services$25,630ProgramServicesAmt
Management And General$4,640ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$547,108TotalAmt
Program Services$448,550ProgramServicesAmt
Management And General$98,558ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$463,536TotalAmt
Program Services$148,506ProgramServicesAmt
Management And General$315,030ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$406,115TotalAmt
Program Services$354,441ProgramServicesAmt
Management And General$51,674ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,578TotalAmt
Program Services$14,058ProgramServicesAmt
Management And General$7,520ManagementAndGeneralAmt

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$343,279TotalAmt
Program Services$304,023ProgramServicesAmt
Management And General$39,256ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$26,508,469$26,500,412$8,057
BAD DEBT EXPENSE$5,402,059$5,402,059
MINOR EQUIPMENT$516,791$444,467$72,324
MAINTENANCE & REPAIR$175,681$159,958$15,723

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$180,847TotalAmt
Program Services$33,114ProgramServicesAmt
Management And General$147,733ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,020,805TotalAmt
Program Services$41,989,354ProgramServicesAmt
Management And General$10,031,451ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,200BOYAmt
EOY$1,200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,722,796BOYAmt
EOY$6,766,760EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,391,869BOYAmt
EOY$3,866,567EOYAmt

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$2,027,364BOYAmt
EOY$1,780,683EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,734BOYAmt
EOY$6,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,715,949LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,402,225LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,125,662BOYAmt
EOY$1,313,724EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

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$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,281,625BOYAmt
EOY$13,735,668EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,174,683BOYAmt
EOY$3,638,226EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,174,683BOYAmt
EOY$3,638,226EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,106,942BOYAmt
EOY$10,097,442EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,106,942BOYAmt
EOY$10,097,442EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,281,625BOYAmt
EOY$13,735,668EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$734,965ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$6,274,535OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$645TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,856,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,498,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,572,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,514,036CurrentTaxYearMinus1YearAmt
Current Tax Year$51,276,988CurrentTaxYearAmt
Total$217,718,793TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,856,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,499,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,572,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,514,036CurrentTaxYearMinus1YearAmt
Current Tax Year$51,276,988CurrentTaxYearAmt
Total$217,719,438TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$217,719,438PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,856,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,499,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,572,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,514,036CurrentTaxYearMinus1YearAmt
Current Tax Year$51,276,988CurrentTaxYearAmt
Total$217,719,438TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$350,651OtherCostOrOtherBasisAmt
Depreciation$140,570DepreciationAmt
Book Value$210,081BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,365,298OtherCostOrOtherBasisAmt
Depreciation$1,261,655DepreciationAmt
Book Value$1,103,643BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,313,724TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$45,874,929TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$5,402,059OtherRevenueAmt
Revenue Not Reported-$5,402,059RevenueNotReportedAmt
Revenue Subtotal$51,276,988RevenueSubtotalAmt
Other Revenues Not Included$8,852OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,852RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$51,285,840TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,609,894TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$8,852OtherExpensesIncludedAmt
Expenses Not Reported-$8,852ExpensesNotReportedAmt
Expenses Subtotal$46,618,746ExpensesSubtotalAmt
Other Expenses Not Included$5,402,059OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,402,059ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$52,020,805TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINES 2D & 4BRECONCILIATION OF REVENUE FINANCIAL STATEMENTS TO FORM 990 BAD DEBT TOTAL: ($ 5,402,059) GAIN ON DISPOSAL OF ASSETS: $ 8,852
PART XII, LINES 2D & 4BRECONCILIATION OF EXPENSES FINANCIAL STATEMENTS TO FORM 990 GAIN ON DISPOSAL OF ASSETS: ($ 8,852) BAD DEBT TOTAL: $ 5,402,059

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
MICHAEL GENDKE
VP-OPERATIONS$150,880$0$53,564$0$64,246$0$18,597$0$15,079$0$302,366$0$0$0
STEPHEN W KIMMEL
TREASURER$19,974$379,487$9,011$171,215$921$17,507$520$9,880$746$14,161$31,172$592,250$0$0
RICK W MERRILL
CEO$25,016$774,220$15,219$471,008$9,130$282,563$5,580$172,670$622$19,272$55,567$1,719,733$0$162,000
MICHAEL R SIMMONS
PRESIDENT & CFO$164,758$0$83,870$0$105,127$0$16,250$0$20,372$0$390,377$0$0$0
RICHARD P HOWERY MD
TRUSTEE$0$272,982$0$10,835$0$29,445$0$17,500$0$667$0$331,429$0$0
ANGEL HERNANDEZ-MULERO MD
TRUSTEE$0$488,076$0$0$0$30,644$0$19,339$0$17,787$0$555,846$0$0
CARA MARTZ
SECRETARY$0$91,147$0$22,399$0$38,293$0$8,491$0$5,610$0$165,940$0$0
MATT MAYFIELD MD
TRUSTEE$0$593,523$0$0$0$11,810$0$10,400$0$14,378$0$630,111$0$0
SCOTT PERRY MD
TRUSTEE-VICE CHAIRMAN$0$490,576$0$0$0$29,960$0$13,000$0$15,287$0$548,823$0$0
DANNY RAFATI MD
TRUSTEE$0$268,164$0$0$0$5,194$0$10,400$0$9,600$0$293,358$0$0
JEFFREY M GILL
SR. DIRECTOR-FINANCE$110,957$0$28,690$0$15,792$0$5,710$0$12,033$0$173,182$0$0$0
SANDRA MANNING
SR. DIRECTOR-OPERATIONS$127,905$0$33,601$0$45,487$0$627$0$17,594$0$225,214$0$0$0
SHANNON ROGERS
SUPERVISOR-PHARMACY$127,481$0$14,400$0$5,323$0$6,307$0$21,186$0$174,697$0$0$0
DIONNE R SMITH
DIRECTOR-PHARMACY$143,692$0$18,614$0$19,659$0$7,288$0$12,731$0$201,984$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ABRENDA DONNELLY RECEIVED A $125 GROSS UP FOR A GIFT CARD. SHANNON ROGERS RECEIVED A $125 GROSS UP FOR A GIFT CARD.
PART I, LINE 1A & 1BTHERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UPS IN TAX PAYMENTS EXCEPT IN UNUSUAL CIRCUMSTANCES AND ONLY THEN IF APPROVED BY SENIOR MANAGEMENT. IN THIS CASE, $500.00 GIFT CARDS WERE DISTRIBUTED AT CHRISTMAS TO NON-EXECUTIVE EMPLOYEES. THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES APPROVED THE GROSS-UP OF $125.00 PER CARD SO THAT EMPLOYEES WOULD RECEIVE THE FULL STATED BENEFIT OF THE GIFT CARD.
PART I, QUESTION 3METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, QUESTION 4BARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- ---------- --------- ANGEL HERNANDEZ-MULERO, MD 17,500 NONE CCPN RICHARD P. HOWERY, MD 16,518 NONE CCPN RICK W. MERRILL 125,644 162,000 CCHCS SCOTT PERRY, MD 17,500 NONE CCPN MICHAEL R. SIMMONS 41,675 NONE CCHH

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6SOLE MEMBER COOK CHILDREN'S HEALTH CARE SYSTEM, 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, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BMEMBER DECISION ABILITIES AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY; G. APPROVE CAPITAL AND OPERATING BUDGETS OF THE ORGANIZATION; H. APPROVE DEBT TO BE INCURRED BY THE ORGANIZATION WHICH WOULD EXCEED SUCH LIMITS AS ESTABLISHED BY THE SOLE MEMBER; AND, I. APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE ORGANIZATION.
FORM 990, PART VI, 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. 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 VI, SECTION B, QUESTION 15A & 15BREVIEW AND APPROVAL OF COMPENSATION Cook Children's 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., an independent, nationally recognized compensation consultant. The Compensation Committee documents the basis for its determinations following contemporaneous substantiation of the Compensation Committee's deliberations and decisions. The Compensation Committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the Compensation Committee also retains the law firm of McDermott, Will & Emery of Chicago, Illinois, to issue a reasonableness opinion covering the physician compensation plan for Cook Children's Physician Network.
FORM 990, PART VI, 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 or fund balances Transfer to Medical Center $(6,274,535.00) Cash trasfer of $6,274,535 from Home Health to Medical Center was done in August 2015 to eliminate fund balances on both HH's and MC's balance sheet. This amount of cash was previoulsy transferred from MC to HH which resulted in a debit fund balance on HH and a credit balance on MC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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 AVENUEFORT WORTHTX76104760585240INSURANCETX501(C)(3)9CCHCSYes (true)
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVENUEFORT WORTHTX76104752705881HLTH CARE SUPTX501(C)(3)11CCCHFfalse
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCSYes (true)
WI COOK FOUNDATION
801 SEVENTH AVENUEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNAfalse
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVENUEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3CCHCSYes (true)
ROSEDALE OFFICE BUILDING INC
1500 W ROSEDALEFT WORTHTX76104460866421TITLE HOLDINGTX501(C)(2)N/ACCHFfalse

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$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
S$3,099,372FMV
COOK CHILDREN'S MEDICAL CENTER
Q$164,117FMV
COOK CHILDREN'S HEALTH PLAN
S$6,685,759FMV
COOK CHILDREN'S MEDICAL CENTER
R$6,274,535FMV