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COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-14
IRS object ID
201632279349300338
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)
EIN752705881EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CORY RHOADESInCareOfNm
Business Name ControlCOOKBusinessNameControlTxt
Phone6828854000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCORY RHOADESPersonNm
Person TitleVP & CHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone6828854480PhoneNum
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 OfficerRICK W MERRILLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$141,774,115GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COOKCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS OUR PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee570TotalEmployeeCnt
Total Volunteers27TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$915,681PYContributionsGrantsAmt
CY Contributions Grants$1,253,139CYContributionsGrantsAmt
PY Program Service Revenue$132,184,977PYProgramServiceRevenueAmt
CY Program Service Revenue$134,752,168CYProgramServiceRevenueAmt
PY Investment Income-$748,000PYInvestmentIncomeAmt
CY Investment Income$603,884CYInvestmentIncomeAmt
PY Other Revenue$5,888,900PYOtherRevenueAmt
CY Other Revenue$3,945,547CYOtherRevenueAmt
PY Total Revenue$138,241,558PYTotalRevenueAmt
CY Total Revenue$140,554,738CYTotalRevenueAmt
PY Grants And Similar Paid$162,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$402,824CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,781,306PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,745,855CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$80,369,691PYOtherExpensesAmt
CY Other Expenses$95,404,230CYOtherExpensesAmt
PY Total Expenses$121,313,847PYTotalExpensesAmt
CY Total Expenses$138,552,909CYTotalExpensesAmt
PY Revenues Less Expenses$16,927,711PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,001,829CYRevenuesLessExpensesAmt
Total Assets BOY$117,298,603TotalAssetsBOYAmt
Total Assets EOY$191,607,529TotalAssetsEOYAmt
Total Liabilities BOY$45,929,225TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,725,643TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,369,378NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$152,881,886NetAssetsOrFundBalancesEOYAmt
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$109,669,479ExpenseAmt
Grant$402,824GrantAmt
Revenue$138,697,715RevenueAmt
DescCook Children's Health Care System is one of the country's leading vertically integrated pediatric health care organizations. Cook Children's represents an award-winning, not-for- profit system of seamless health care designed to fulfill our Promise; "Knowing that every child's life is sacred, it is the Promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury." Cook Children's Health Care System is comprised of eight entities- a Medical Center, Physician Network, Home Health Company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services, Inc. and Health Foundation. Based in Fort Worth, Texas, Cook Children's primary service region includes Denton,Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing approximately half of the state. The integrated system has more than 60 primary, specialty and urgent care offices throughout Texas and has served hundreds of international patients, as well as those from all 50 states. Cook Children's sustainable heritage dates back to 1918. Since then, it has been established as a leader in pediatric health care by fostering continual change and robust growth while always embracing the abiding Promise that all 6,281 employees commit to every day. Cook Children's lives up to its Promise by combining the art of caring with integrity-led, interdisciplinary collaboration, a commitment to evidence-based practice, the highest levels of safety and security, leading clinical research, state-of-the-art technology, effective financial stewardship and the re-investment of hundreds of millions of dollars in community benefits. The commitment and expertise of the system's trustees, physicians and staff, combined with Cook Children's vast resources, enable this institution to be recognized as sustainable and among the best for positive clinical outcomes. As such, rating agencies have cited Cook Children's market leadership in Tarrant County for its successful expansion efforts, robust growth in revenue and liquidity and stellar operating margins. At Cook Children's, it's not just about the bottom line. It's about keeping our Promise. As much as we take pride in the rewards and recognition we receive for our work, we measure our success by the improved health of children in our region. That is why our team continues to work collaboratively with our community partners to address identified pediatric health needs in our area.Desc
Total Program Service Expenses$109,669,479TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
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 ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln 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 EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document160IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee570EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCORY RHOADESPersonNm
Phone6828854480PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
G THOMAS BOSWELL
TRUSTEE1.01.0Yes (X)$0$0$0
JOHN P BOSWELL
TRUSTEE-SECR/TREASURER2.03.0Yes (X)$0$0$0Yes (X)
JAMES R DUNAWAY JR
TRUSTEE1.01.0Yes (X)$0$0$0
NANCY KAY HOWARD
TRUSTEE1.01.0Yes (X)$0$0$0
MICHAEL R PAVELL
TRUSTEE1.03.0Yes (X)$0$0$0
PETER L PHILPOTT
TRUSTEE-CHAIRMAN2.03.0Yes (X)$0$0$0Yes (X)
JASON V TERK MD
TRUSTEE1.040.0Yes (X)$0$346,856$34,787
JAMES E WEBB
TRUSTEE1.01.0Yes (X)$0$0$0
GRETCHEN EAMES MD
TRUSTEE1.040.0Yes (X)$0$313,434$20,119
MARSHA A HILCHER
TRUSTEE1.01.0Yes (X)$0$0$0
CHRISTOPHER M HUCKABEE
TRUSTEE1.01.0Yes (X)$0$0$0
SAMUEL E KLEINMAN MD
TRUSTEE1.040.0Yes (X)$0$603,478$34,685
LINDA THOMPSON MD
TRUSTEE-VICE CHAIRMAN2.042.0Yes (X)$0$313,659$16,834Yes (X)
DEBORAH A SCHUTTE MD
TRUSTEE1.042.0Yes (X)$0$514,355$35,787
VANESSA CHARETTE MD
TRUSTEE1.042.0Yes (X)$0$419,926$17,133
MATT MAYFIELD MD
TRUSTEE1.041.0Yes (X)$0$605,333$24,778
JULIA DAVIDSON
TRUSTEE1.01.0Yes (X)$0$0$0
WM MACK LAWHON
TRUSTEE1.01.0Yes (X)$0$0$0
G MALCOLM LOUDEN
TRUSTEE1.02.0Yes (X)$0$0$0
SANDRA ARCA MD
TRUSTEE1.042.0Yes (X)$0$284,259$40,045
NICHOLAS M KYPREOS
TRUSTEE1.01.0Yes (X)$0$0$0
BRIAN C NEWBY
TRUSTEE1.03.0Yes (X)$0$0$0
TODD WOLF MD
TRUSTEE1.042.0Yes (X)$0$405,579$34,037
BRIAN D BARNARD
TRUSTEE1.03.0Yes (X)$0$0$0
JERRY R CONATSER
TRUSTEE1.03.0Yes (X)$0$0$0
MATTHEW DZURIK MD
TRUSTEE1.041.0Yes (X)$0$452,834$26,218
RYAN T MATTHEWS
TRUSTEE1.01.0Yes (X)$0$0$0
BONNIE PETSCHE
TRUSTEE1.03.0Yes (X)$0$0$0
LINDA S CHAPPELL
SR. VP-QUALITY MGMT40.00.0$370,738$0$29,707Yes (X)
DAVID F LANCASTER
VP, INTERNAL AUDIT & COMPLIANC40.00.0$314,116$0$34,679Yes (X)
CARA MARTZ
SECRETARY35.05.0$151,839$0$14,101Yes (X)
JOHN W MCNEY
SR. VP-GENERAL COUNSEL40.00.0$610,080$0$32,206Yes (X)
RICK W MERRILL
PRESIDENT AND CEO17.023.0$650,577$926,579$198,144Yes (X)
GEORGE B MONTAGUE
VP, REAL ESTATE35.05.0$386,794$0$34,988Yes (X)
LARRY L TUBB
SR. VP-SYSTEM PLANNING40.00.0$520,147$0$29,340Yes (X)
CORY RHOADES
VP-FINANCE, CHIEF ACCTG OFFCR40.00.0$374,203$0$32,762Yes (X)
JAMES R STALDER
VP-INFO SYS, CHIEF TECH OFFCR40.00.0$265,243$0$27,657Yes (X)
THERESA ZAK MEADOWS
SR VP-CIO40.00.0$430,818$0$27,360Yes (X)
HARRY I SHUMAN
CHIEF MEDICAL INFO OFFICER40.00.0$335,368$0$18,553Yes (X)
COLEMAN D SKINNER
VP-REVENUE CYCLE40.00.0$266,782$0$33,636Yes (X)
ROBERT K FEATHER
SR. VP-DEVELOPMENT40.00.0$616,441$0$36,881Yes (X)
STEPHEN W KIMMEL
CFO10.030.0$149,529$448,586$25,307Yes (X)
KEITH HOLTZ
SR. VP-TALENT MGMT & STRATEGIC40.00.0$526,921$0$51,195Yes (X)
GREGORY K JIMERSON
VP-PAYOR RELATIONS40.00.0$281,795$0$33,139Yes (X)
SCOTT LEDDY
CHIEF MEDICAL INFORMATION OFFC40.00.0$20,675$0$5,025Yes (X)
JOANN M SANDERS MD
CHIEF QUALITY OFFICER40.00.0$516,583$0$36,636Yes (X)
JAMES C CUNNINGHAM MD
CHIEF MEDICAL OFFICER40.00.0$843,932$0$37,975Yes (X)
ERIC H HUBLI
CHIEF SYSTEM EFFECTIVENESS OFF40.00.0$630,586$0$33,124Yes (X)
JAMES D MARSHALL MD
MEDICAL DIRECTOR40.00.0$643,165$0$36,674Yes (X)
JOSEPH GALLAGHER
DEPUTY GENERAL COUNSEL40.00.0$359,522$0$37,470Yes (X)
KAREN WARDELL
ASSOCIATE GENERAL COUNSEL40.00.0$316,591$0$27,400Yes (X)
DEBORAH RUBINSON
AVP-EDUCATION40.00.0$261,983$0$12,936Yes (X)
BILLY R KENNEDY
SR. VP-CHIEF ADMIN OFFICER40.00.0$457,770$0$21,420Yes (X)
FRANK J ROSSI
SR. VP-HUMAN RESOURCES0.00.0$473,222$0$10,970Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,775,420TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,634,878TotReportableCompRltdOrgAmt
Total Other Compensation$1,203,708TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K156IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GENERAL DATATECH
DEPT D8014 PO BOX 650002DALLASTX75265SOFTWARE SERVICES$2,423,647
MICROSOFT
1950 N STEMMONS FWY STE 5010DALLASTX75207SOFTWARE SERVICES$2,367,565
MCKESSON TECHNOLOGIES INC
22423 NETWORK PLACECHICAGOIL60673CONSULTING/ANALYTICS$1,201,037
RATTIKIN TITLE
3707 CAMP BOWIE BLVD 120FORT WORTHTX76107TITLE SERVICES$948,243
MS TECHNOLOGIES
14175 PROTON ROADDALLASTX75244SOFTWARE SERVICES$870,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$911,448RelatedOrganizationsAmt
Government Grants$81,267GovernmentGrantsAmt
All Other Contributions$260,424AllOtherContributionsAmt
Total Contributions$1,253,139TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SERVICES900099$123,661,297$123,661,297
HUMAN RESOURCES900099$6,088,085$6,088,085
RENT900099$2,221,102$2,221,102
COMMUNITY HEALTH OUTREACH900099$1,435,896$1,435,896
RESEARCH900099$608,927$608,927

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$736,861TotalRevenueColumnAmt
Related Or Exempt Func Income$736,861RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$134,752,168TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$498,261TotalRevenueColumnAmt
Exclusion$498,261ExclusionAmt

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$1,325,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,219,377OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$105,623OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,623TotalRevenueColumnAmt
Exclusion$105,623ExclusionAmt

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATE900099$3,768,479$3,768,479
CONCIERGE900099$150,340$150,340
OTHER REVENUE900099$26,728$26,728
FieldValueIRS element (for citing)
Other Revenue Total$3,945,547OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,554,738TotalRevenueColumnAmt
Related Or Exempt Func Income$138,697,715RelatedOrExemptFuncIncomeAmt
Exclusion$603,884ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$352,824TotalAmt
Program Services$352,824ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Program Services$50,000ProgramServicesAmt

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$7,565,465TotalAmt
Program Services$1,103,452ProgramServicesAmt
Management And General$6,462,013ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,171,624TotalAmt
Program Services$19,006,515ProgramServicesAmt
Management And General$7,165,109ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,008,766TotalAmt
Program Services$6,196,794ProgramServicesAmt
Management And General$2,811,972ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,045,964TotalAmt
Program Services$146,939ProgramServicesAmt
Management And General$899,025ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$346,620TotalAmt
Program Services$346,620ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$169,449TotalAmt
Program Services$169,449ProgramServicesAmt

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$10,954,217TotalAmt
Program Services$7,951,951ProgramServicesAmt
Management And General$3,002,266ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,499,179TotalAmt
Program Services$412,862ProgramServicesAmt
Management And General$3,086,317ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,248,259TotalAmt
Program Services$1,082,585ProgramServicesAmt
Management And General$165,674ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,304,922TotalAmt
Program Services$48,304,922ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,591,071TotalAmt
Program Services$2,591,071ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$741,475TotalAmt
Program Services$563,998ProgramServicesAmt
Management And General$177,477ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$217,381TotalAmt
Program Services$176,540ProgramServicesAmt
Management And General$40,841ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$194,175TotalAmt
Program Services$1,542ProgramServicesAmt
Management And General$192,633ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,305,930TotalAmt
Program Services$7,305,930ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,804,781TotalAmt
Program Services$1,804,781ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MINOR EQUIPMENT$1,840,707$1,832,167$8,540
PHYSICIAN REMUNERATION$12,744,020$8,425,201$4,318,819
DUES & SUBSCRIPTIONS$914,696$421,555$493,141
RECRUITMENT$491,594$491,594$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$989,790TotalAmt
Program Services$930,187ProgramServicesAmt
Management And General$59,603ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$138,552,909TotalAmt
Program Services$109,669,479ProgramServicesAmt
Management And General$28,883,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,350BOYAmt
EOY$9,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$48,607,895BOYAmt
EOY$29,955,136EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$207,036BOYAmt
EOY$298,946EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,671,505BOYAmt
EOY$1,901,701EOYAmt

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$3,644BOYAmt
EOY$5,587EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,064,162BOYAmt
EOY$599,696EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$95,887,567LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,625,830LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,372,974BOYAmt
EOY$56,261,737EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$100,143,666EOYAmt

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$2,362,037BOYAmt
EOY$2,431,560EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$117,298,603BOYAmt
EOY$191,607,529EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,367,399BOYAmt
EOY$38,313,714EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$561,826BOYAmt
EOY$411,929EOYAmt

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$45,929,225BOYAmt
EOY$38,725,643EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,369,378BOYAmt
EOY$152,881,886EOYAmt

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$71,369,378BOYAmt
EOY$152,881,886EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$117,298,603BOYAmt
EOY$191,607,529EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,001,829ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$307,878NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$79,202,801OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CC MED CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN752051646EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$109,669,478SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$109,669,478SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

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

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION E, LINE 3AThe 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 3BThe 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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$169,449FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$169,449FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$138,383,460FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$138,552,909FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$130,918CurrentYearMinus3Amt
Current Year Minus2$131,959CurrentYearMinus2Amt
Current Year Minus1$143,972CurrentYearMinus1Amt
Current Year$169,449CurrentYearAmt
Total$576,298TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,682,964OtherCostOrOtherBasisAmt
Book Value$20,682,964BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,910,165OtherCostOrOtherBasisAmt
Depreciation$7,185,439DepreciationAmt
Book Value$11,724,726BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$755,656OtherCostOrOtherBasisAmt
Depreciation$740,696DepreciationAmt
Book Value$14,960BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,036,001OtherCostOrOtherBasisAmt
Depreciation$31,268,212DepreciationAmt
Book Value$23,767,789BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$502,781OtherCostOrOtherBasisAmt
Depreciation$431,483DepreciationAmt
Book Value$71,298BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,261,737TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$142,351,062TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$307,878NetUnrealizedGainsInvstAmt
Other Revenue$1,594,069OtherRevenueAmt
Revenue Not Reported$1,901,947RevenueNotReportedAmt
Revenue Subtotal$140,449,115RevenueSubtotalAmt
Other Revenues Not Included$105,623OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$105,623RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$140,554,738TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$140,083,957TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,531,048OtherExpensesIncludedAmt
Expenses Not Reported$1,531,048ExpensesNotReportedAmt
Expenses Subtotal$138,552,909ExpensesSubtotalAmt
Total Expenses Per Form990$138,552,909TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2DOTHER CHANGE: MANAGEMENT FEE REDUCTION $1,531,048 CCIC PREMIUM $ 63,021 -------------- $1,594,069
SCHEDULE D, PART XII, LINE 2DOTHER CHANGE: MANAGEMENT FEE REDUCTION $1,531,048

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$3,145,894RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$3,145,894SubtotalSpentAmt
Total Spent$3,145,894TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COWTOWN MARATHON INC
PO BOX 100192FORT WORTHTX76185752541065501(C)3$40,000SPONSORSHIP
TEXAS HEALTH RESOURCES FOUNDATION
612 E LAMAR STREET SUITE 300ARLINGTONTX76011752022128501(C)3$250,000DONATION
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS FOR INDIVIDUALSGrantTypeTxt
Recipient10RecipientCnt
Cash Grant$50,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 (35 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
JASON V TERK MD
TRUSTEE$0$337,746$0$0$0$9,110$0$19,500$0$15,287$0$381,643$0$0
LINDA S CHAPPELL
SR. VP-QUALITY MGMT$164,444$0$93,405$0$112,889$0$19,500$0$10,207$0$400,445$0$0$0
BILLY R KENNEDY
SR. VP-CHIEF ADMIN OFFICER$149,525$0$0$0$308,245$0$13,569$0$7,851$0$479,190$0$0$0
DAVID F LANCASTER
VP, INTERNAL AUDIT & COMPLIANC$172,735$0$61,766$0$79,615$0$19,500$0$15,179$0$348,795$0$0$0
CARA MARTZ
SECRETARY$91,147$0$22,399$0$38,293$0$8,491$0$5,610$0$165,940$0$0$0
JOHN W MCNEY
SR. VP-GENERAL COUNSEL$298,248$0$142,295$0$169,537$0$19,500$0$12,706$0$642,286$0$0$0
RICK W MERRILL
PRESIDENT AND CEO$329,684$469,552$200,569$285,658$120,324$171,369$73,528$104,722$8,207$11,687$732,312$1,042,988$133,650$190,350
GEORGE B MONTAGUE
VP, REAL ESTATE$219,366$0$78,890$0$88,538$0$19,500$0$15,488$0$421,782$0$0$0
FRANK J ROSSI
SR. VP-HUMAN RESOURCES$8,952$0$0$0$464,270$0$9,963$0$1,007$0$484,192$0$0$0
LARRY L TUBB
SR. VP-SYSTEM PLANNING$255,053$0$105,313$0$159,781$0$19,500$0$9,840$0$549,487$0$0$0
CORY RHOADES
VP-FINANCE, CHIEF ACCTG OFFCR$250,259$0$110,022$0$13,922$0$12,147$0$20,615$0$406,965$0$0$0
GRETCHEN EAMES MD
TRUSTEE$0$288,716$0$11,000$0$13,718$0$19,500$0$619$0$333,553$0$0
SAMUEL E KLEINMAN MD
TRUSTEE$0$591,176$0$0$0$12,302$0$19,398$0$15,287$0$638,163$0$0
LINDA THOMPSON MD
TRUSTEE-VICE CHAIRMAN$0$284,332$0$18,750$0$10,577$0$16,250$0$584$0$330,493$0$0
DEBORAH A SCHUTTE MD
TRUSTEE$0$494,461$0$10,000$0$9,894$0$19,500$0$16,287$0$550,142$0$0
JAMES R STALDER
VP-INFO SYS, CHIEF TECH OFFCR$193,296$0$66,926$0$5,021$0$10,400$0$17,257$0$292,900$0$0$0
THERESA ZAK MEADOWS
SR VP-CIO$249,665$0$116,062$0$65,091$0$10,400$0$16,960$0$458,178$0$0$0
HARRY I SHUMAN
CHIEF MEDICAL INFO OFFICER$242,654$0$84,562$0$8,152$0$10,149$0$8,404$0$353,921$0$0$0
COLEMAN D SKINNER
VP-REVENUE CYCLE$166,952$0$58,335$0$41,495$0$15,889$0$17,747$0$300,418$0$0$0
VANESSA CHARETTE MD
TRUSTEE$0$413,756$0$0$0$6,170$0$16,531$0$602$0$437,059$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
SANDRA ARCA MD
TRUSTEE$0$275,540$0$0$0$8,719$0$18,276$0$21,769$0$324,304$0$0
TODD WOLF MD
TRUSTEE$0$272,626$0$125,313$0$7,640$0$16,250$0$17,787$0$439,616$0$0
ROBERT K FEATHER
SR. VP-DEVELOPMENT$304,020$0$126,218$0$186,203$0$19,500$0$17,381$0$653,322$0$0$0
STEPHEN W KIMMEL
CFO$99,865$299,596$45,057$135,169$4,607$13,821$2,600$7,800$3,728$11,179$155,857$467,565$0$0
KEITH HOLTZ
SR. VP-TALENT MGMT & STRATEGIC$319,079$0$174,759$0$33,083$0$32,150$0$19,045$0$578,116$0$0$0
MATTHEW DZURIK MD
TRUSTEE$0$426,310$0$0$0$26,524$0$16,250$0$9,968$0$479,052$0$0
GREGORY K JIMERSON
VP-PAYOR RELATIONS$202,529$0$60,368$0$18,898$0$15,691$0$17,448$0$314,934$0$0$0
JOANN M SANDERS MD
CHIEF QUALITY OFFICER$370,306$0$65,281$0$80,996$0$19,500$0$17,136$0$553,219$0$0$0
ERIC H HUBLI
CHIEF SYSTEM EFFECTIVENESS OFF$567,105$0$15,000$0$48,481$0$13,000$0$20,124$0$663,710$0$0$0
JAMES D MARSHALL MD
MEDICAL DIRECTOR$467,638$0$73,766$0$101,761$0$19,500$0$17,174$0$679,839$0$0$0
JOSEPH GALLAGHER
DEPUTY GENERAL COUNSEL$218,495$0$77,499$0$63,528$0$19,500$0$17,970$0$396,992$0$0$0
KAREN WARDELL
ASSOCIATE GENERAL COUNSEL$193,145$0$69,528$0$53,918$0$12,525$0$14,875$0$343,991$0$0$0
DEBORAH RUBINSON
AVP-EDUCATION$156,093$0$36,980$0$68,910$0$11,832$0$1,104$0$274,919$0$0$0
JAMES C CUNNINGHAM MD
CHIEF MEDICAL OFFICER$518,992$0$167,929$0$157,011$0$19,500$0$18,475$0$881,907$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AJAMES D. MARSHALL $125 GROSS-UP
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 IIALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN
SCHEDULE J PART I, LINE 4ASEVERANCE PAYMENTS BILLY R. KENNEDY SEVERANCE PAYMENT OF $199,670 FRANK J. ROSSI SEVERANCE PAYMENT OF $340,144
PART I, QUESTION 4BARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- ---------- --------- RICK W. MERRILL 125,644 162,000 CCHS LINDA S. CHAPPELL 37,545 NONE CCHS JAMES C. CUNNINGHAM, MD 68,326 NONE CCHS ROBERT K. FEATHER 53,525 NONE CCHS KEITH HOLTZ 17,500 21,750 CCHS ERIC H. HUBLI, MD 17,500 NONE CCHS BILLY R. KENNEDY 28,591 NONE CCHS JOHN W. MCNEY 56,380 NONE CCHS THERESA ZAK MEADOWS 47,776 NONE CCHS FRANK J. ROSSI 6,642 NONE CCHS LARRY L. TUBB 46,020 NONE CCHS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART VI, QUESTION 6SOLE MEMBER: W. I. COOK FOUNDATION, INC., D/B/A COOK CHILDREN'S HEALTH FOUNDATION, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990 PART VI, QUESTION 7AMEMBER ELECTION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, W.I. COOK FOUNDATION, INC., HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990 PART VI, QUESTION 7BMEMBER DECISION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, W.I. COOK FOUNDATION, INC., HAS THE EXCLUSIVE POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY; G. APPROVE THE REMOVAL OF A MEMBER OF THE BOARD OF TRUSTEES OF THE ORGANIZATION; AND H. APPROVE THE PERSONS WHO ARE TO BE ELECTED BY THE ORGANIZATION TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES OR BOARD OF DIRECTORS, AS APPLICABLE, OF (1) COOK CHILDREN'S MEDICAL CENTER, (2) COOK CHILDREN'S PHYSICIAN NETWORK, (3) COOK CHILDREN'S HOME HEALTH, (4) COOK CHILDREN'S HEALTH PLAN, (5) COOK CHILDREN'S INDEMNITY COMPANY; 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, QUESTION 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, 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, QUESTION 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 VI QUESTION 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 XI, LINE 9OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFER TO ROB ($20,910,830) TRANSFER FROM CCMC 100,000,000 DONATED CAPITAL FROM RF 26,110 CONTRIBUTIONS FOR CAPITAL (GRANTS) 24,500 CCIC RETRO PREMIUM 63,021 --------------- $79,202,801

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 AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)9CCHCSYes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCSYes (true)
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNAfalse
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3CCHCSYes (true)
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983HEALTHCARETX501(C)(3)9CCHCSYes (true)
ROSEDALE OFFICE BUILDING INC
801 SEVENTH AVEFORT WORTHTX76104460866421TITLE HOLDINGTX501(C)(2)N/ACCHFYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHCSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$714,759ShareOfTotalIncomeAmt
Share Of EOY Assets$2,307,476ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S HEALTH PLAN
A$295,020FMV
COOK CHILDREN'S HEALTH PLAN
O$179,157FMV
COOK CHILDREN'S HEALTH PLAN
Q$4,062,256FMV
COOK CHILDREN'S HEALTH SERVICES
Q$174,313FMV
COOK CHILDREN'S HOME HEALTH
A$180,000FMV
COOK CHILDREN'S HOME HEALTH
Q$4,504,553FMV
COOK CHILDREN'S MEDICAL CENTER
B$1,161,279FMV
COOK CHILDREN'S MEDICAL CENTER
O$77,230FMV
COOK CHILDREN'S MEDICAL CENTER
Q$165,027,968FMV
COOK CHILDREN'S MEDICAL CENTER
S$100,000,000FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A$1,511,525FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B$256,519FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O$14,268,104FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P$245,958FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q$16,030,188FMV
ROSEDALE OFFICE BUILDING
K$1,226,040FMV
ROSEDALE OFFICE BUILDING
P$2,710,354FMV