COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201402269349304060
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T15:34:40-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752705881 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S HEALTH CARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % CORY RHOADES | InCareOfName |
| Name Control | COOK | NameControl |
| Phone | 6828854000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CORY RHOADES | Name |
| Title | VP & CHIEF ACCOUNTING OFFICER | Title |
| Phone | 6828854480 | Phone |
| Date Signed | 2014-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICK W MERRILL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 179561056 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COOKCHILDRENS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 500 | TotalNbrEmployees |
| Total Nbr Volunteers | 86 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 973678 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 989230 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 103525416 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 126103734 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1757219 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1623797 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6594225 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4285932 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 112850538 | TotalRevenuePriorYear |
| Total Revenue Current Year | 133002693 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 228380 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 161120 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30692338 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 35848302 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 78215493 | OtherExpensePriorYear |
| Other Expenses Current Year | 85227082 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 109136211 | TotalExpensesPriorYear |
| Total Expenses Current Year | 121236504 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3714327 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11766189 | RevenuesLessExpensesCY |
| Total Assets BOY | 90956423 | TotalAssetsBOY |
| Total Assets EOY | 108528577 | TotalAssetsEOY |
| Total Liabilities BOY | 33769969 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40961542 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 57186454 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 67567035 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 90457577 | Expense |
| Grants | 161120 | Grants |
| Revenue | 130389666 | Revenue |
| Description | Cook Children's Health Care System is one of the country's leading vertically integrated pediatric healthcare organizations. Cook Children's represents an award-winning, not-for-profit system of seamless heathcare 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 INCLUDES eight companies designed to meet children's health care needs across the continuum of care -the 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 has significant reach with more than 60 primary and specialty care offices and clinics throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing approximately half of the state. Cook Children's sustainable heritage dates back to 1918, and throughout the decades since, it has been a leader in pediatric healthcare by fostering continual change and robust growth while always embracing its abiding promise- that all 5,641 employees commit to keep every day. Cook Children's lives up to that pledge by combining the art of caring with integrity-led, interdisciplinary collaboration, a commitment to evidence-based practice, ensuring the highest levels of safety and security, leading clinical research, utilizing the best available technology, effective financial stewardship and the re-investment of hundreds of millions of dollars in community benefits. Cultivating and maintaining a pediatric care system is at the core of all of Cook Children's long and short-term business strategies. Most notably is the recent expansion of the medical center which nearly doubles the size of our campus. COOK CHILDREN'S INCREASED ITS services with our Urgent Care and Pediatric Specialties facility in Southlake, Texas. Because we expanded our programs, services and amenities, we have augmented our capacity to meet the growing need for our services and transformed how we will care for generations to come. 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 because of its successful expansion efforts, robust growth in revenue and liquidity, and stellar operating margins. Additionally, this is evidenced by its double-A bond rating and the growing and impressive list of awards and acknowledgments the system receives every year. At Cook Children's, we believe 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 Cook Children's team continues to work collaboratively with our community partners to address identified pediatric health needs in our area. These accomplishments can be seen in our 2012 annual report "KEEPING OUR PROMISE". | Description |
| Total Program Service Expense | 90457577 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 187 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 500 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CORY RHOADES | NamePerson |
| Telephone Number | 6828854480 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (51 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY D AARON MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | X | 0 | 280582 | 41335 | ||||
| R JEFFREY ALEXANDER | ||||||||||
| TRUSTEE | 1.0 | 2.0 | X | |||||||
| G THOMAS BOSWELL | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| JOHN P BOSWELL | ||||||||||
| TRUSTEE | 1.0 | 4.0 | X | |||||||
| MICHAEL J DEITCHMAN MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | X | 301954 | 12124 | |||||
| JAMES R DUNAWAY JR | ||||||||||
| TRUSTEE | 1.0 | 3.0 | X | |||||||
| RICHARD F GARVEY | ||||||||||
| TRUSTEE | 1.0 | 2.0 | X | |||||||
| RAFAEL G GARZA | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| NANCY KAY HOWARD | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| FRANK MCGEHEE MD | ||||||||||
| TRUSTEE | 1.0 | 41.0 | X | 846441 | 14474 | |||||
| JAMES P MILLER MD | ||||||||||
| TRUSTEE | 1.0 | 41.0 | X | 925597 | 14574 | |||||
| MICHAEL R PAVELL | ||||||||||
| TRUSTEE | 1.0 | 3.0 | X | |||||||
| PETER L PHILPOTT | ||||||||||
| TRUSTEE-SECRETARY/TREASURER | 2.0 | 5.0 | X | X | ||||||
| JASON V TERK MD | ||||||||||
| TRUSTEE | 1.0 | 41.0 | X | 402868 | 30824 | |||||
| GARY G WALSH | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| JAMES E WEBB | ||||||||||
| TRUSTEE-CHAIRMAN | 2.0 | 2.0 | X | X | ||||||
| KEVIN D WYLIE DO | ||||||||||
| TRUSTEE-VICE CHAIRMAN | 2.0 | 42.0 | X | 254465 | 36374 | X | ||||
| GRETCHEN EAMES MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | X | 299490 | 652 | |||||
| MARSHA A HILCHER | ||||||||||
| TRUSTEE | 1.0 | 2.0 | X | |||||||
| CHRISTOPHER M HUCKABEE | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| SAMUEL E KLEINMAN MD | ||||||||||
| TRUSTEE | 1.0 | 40.0 | X | 645017 | 33742 | |||||
| LINDA THOMPSON MD | ||||||||||
| TRUSTEE | 1.0 | 43.0 | X | 322465 | 17403 | |||||
| DEBORAH A SCHUTTE MD | ||||||||||
| TRUSTEE | 1.0 | 42.0 | X | 502488 | 31299 | |||||
| VANESSA CHARETTE MD | ||||||||||
| TRUSTEE | 1.0 | 43.0 | X | 260557 | 16983 | |||||
| MATT MAYFIELD MD | ||||||||||
| TRUSTEE | 1.0 | 41.0 | X | 501226 | 20746 | |||||
| JULIA DAVIDSON | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| WM MACK LAWHON | ||||||||||
| TRUSTEE | 1.0 | 1.0 | X | |||||||
| G MALCOLM LOUDEN | ||||||||||
| TRUSTEE | 1.0 | 2.0 | X | |||||||
| LINDA S CHAPPELL | ||||||||||
| SR. VP-QUALITY MGMT | 40.0 | 0.0 | 392719 | 29802 | X | |||||
| RICHARD P GOODE | ||||||||||
| CFO | 10.0 | 30.0 | 215388 | 646164 | 32851 | X | ||||
| BILLY R KENNEDY | ||||||||||
| SR. VP-CHIEF ADMIN OFFICER | 40.0 | 0.0 | 601994 | 27994 | X | |||||
| DAVID F LANCASTER | ||||||||||
| VP, INTERNAL AUDIT & COMPLIANC | 40.0 | 0.0 | 283742 | 13955 | X | |||||
| CARA MARTZ | ||||||||||
| SECRETARY | 36.0 | 4.0 | 136284 | 7967 | X | |||||
| JOHN W MCNEY | ||||||||||
| SR. VP-GENERAL COUNSEL | 40.0 | 0.0 | 593530 | 34140 | X | |||||
| RICK W MERRILL | ||||||||||
| PRESIDENT & CEO | 15.0 | 25.0 | 759506 | 1293213 | 86679 | X | ||||
| GEORGE B MONTAGUE | ||||||||||
| VP, REAL ESTATE | 36.0 | 4.0 | 373087 | 28094 | X | |||||
| FRANK J ROSSI | ||||||||||
| SR. VP-HUMAN RESOURCES | 40.0 | 0.0 | 640070 | 35285 | X | |||||
| LARRY L TUBB | ||||||||||
| SR. VP-SYSTEM PLANNING | 40.0 | 0.0 | 444545 | 28775 | X | |||||
| CORY RHOADES | ||||||||||
| CHIEF ACCOUNTING OFFCR | 40.0 | 0.0 | 308881 | 26565 | X | |||||
| JAMES R STALDER | ||||||||||
| VP-INFO SYS, CHIEF TECH OFFCR | 40.0 | 0.0 | 279929 | 24682 | X | |||||
| THERESA ZAK MEADOWS | ||||||||||
| SR VP-CIO | 40.0 | 0.0 | 446522 | 27253 | X | |||||
| COLEMAN D SKINNER | ||||||||||
| VP-REVENUE CYCLE | 40.0 | 0.0 | 252326 | 30347 | X | |||||
| JUDI HERSHMAN | ||||||||||
| SENIOR VP-CORP & COMM AFFAIRS | 40.0 | 0.0 | 137500 | X | ||||||
| JAMES C CUNNINGHAM MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | 741949 | 13852 | X | |||||
| HARRY I SHUMAN | ||||||||||
| CHIEF MEDICAL INFO OFFICER | 40.0 | 0.0 | 350885 | 17204 | X | |||||
| ERIC H HUBLI | ||||||||||
| CHIEF SYSTEM EFFECTIVENESS OFF | 40.0 | 0.0 | 488710 | 25430 | X | |||||
| JAMES D MARSHALL MD | ||||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | 594879 | 30863 | X | |||||
| JOANN M SANDERS MD | ||||||||||
| PATIENT SAFETY OFFICER | 40.0 | 0.0 | 420409 | 31951 | X | |||||
| JOSEPH GALLAGHER | ||||||||||
| ASSOCIATE GENERAL COUNSEL | 40.0 | 0.0 | 305210 | 19566 | X | |||||
| KAREN WARDELL | ||||||||||
| ASSOCIATE GENERAL COUNSEL | 40.0 | 0.0 | 265455 | 35290 | X | |||||
| TIMOTHY M HANNERS | ||||||||||
| SR. VP-CORP & COMMUNITY AFFAIR | 0.0 | 0.0 | 184954 | 11841 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9218474 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7482527 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 890916 | TotalOtherCompensation |
| Number Individuals GT100 K | 82 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LINBECK GROUP LLC | |||||
| 3900 ESSEX LANE SUITE 1200 | HOUSTON | TX | 77027 | CONSTRUCTION CONT. | 7136821 |
| GENERAL DATATECH | |||||
| 999 Metro Media Place | DALLAS | TX | 75247 | SOFTWARE SERVICES | 4442523 |
| CHOICE SOLUTIONS | |||||
| 7015 COLLEGE BOULEVARD SUITE 300 | OVERLAND PARK | KS | 66211 | SOFTWARE SERVICES | 660169 |
| PATIENT EXP LLC | |||||
| 11 MCLAREN RD | DARIEN | CT | 06820 | SOFTWARE SERVICES | 315890 |
| BKD LLP | |||||
| 910 E SAINT LOUIS ST STE 400 | SPRINGFIELD | MO | 65806 | ACCOUNTING SERVICES | 259786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Related Organizations | 548751 | RelatedOrganizations |
| Government Grants | 89399 | GovernmentGrants |
| All Other Contributions | 351080 | AllOtherContributions |
| Total Contributions | 989230 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SHARED SERVICES | 900099 | 115741652 | 115741652 |
| HUMAN RESOURCES | 900099 | 5356295 | 5356295 |
| RENT | 900099 | 2288442 | 2288442 |
| COMMUNITY HEALTH OUTREACH | 900099 | 1246928 | 1246928 |
| RESEARCH | 900099 | 764958 | 764958 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 705459 | TotalRevenueColumn |
| Related Or Exempt Function Income | 705459 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 126103734 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2950167 | TotalRevenueColumn |
| Exclusion | $2,950,167 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45208493 | Securities |
| Other | 23500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 46515036 | Securities |
| Other | 43327 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1306543 | Securities |
| Other | -19827 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1326370 | TotalRevenueColumn |
| Exclusion | -$1,326,370 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| REBATES | 900099 | 2974364 | 2974364 |
| LEGAL | 900099 | 940758 | 940758 |
| CONCIERGE | 900099 | 355471 | 355471 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15339 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15339 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4285932 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 133002693 | TotalRevenueColumn |
| Related Or Exempt Function Income | 130389666 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,623,797 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111120 | Total |
| Program Services | 111120 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50000 | Total |
| Program Services | 50000 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5338977 | Total |
| Program Services | 582680 | ProgramServices |
| Management And General | 4756297 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26221059 | Total |
| Program Services | 17694443 | ProgramServices |
| Management And General | 8526616 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4288266 | Total |
| Program Services | 1750312 | ProgramServices |
| Management And General | 2537954 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240400 | Total |
| Management And General | 240400 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1317098 | Total |
| Program Services | 280982 | ProgramServices |
| Management And General | 1036116 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356153 | Total |
| Program Services | 327261 | ProgramServices |
| Management And General | 28892 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131959 | Total |
| Program Services | 131959 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10509543 | Total |
| Program Services | 3505266 | ProgramServices |
| Management And General | 7004277 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2263651 | Total |
| Program Services | 135489 | ProgramServices |
| Management And General | 2128162 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1552723 | Total |
| Program Services | 725362 | ProgramServices |
| Management And General | 827361 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40830904 | Total |
| Program Services | 40830904 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3772693 | Total |
| Program Services | 3672693 | ProgramServices |
| Management And General | 100000 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 789406 | Total |
| Program Services | 543767 | ProgramServices |
| Management And General | 245639 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201366 | Total |
| Program Services | 161640 | ProgramServices |
| Management And General | 39726 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195162 | Total |
| Program Services | 195162 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8556407 | Total |
| Program Services | 8556407 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 952450 | Total |
| Program Services | 952450 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHYSICIAN REMUNERATION | 7463419 | 4815787 | 2647632 |
| MINOR EQUIPMENT | 3585043 | 3583900 | 1143 |
| DUES & SUBSCRIPTIONS | 848328 | 255505 | 592823 |
| RECRUITMENT | 726794 | 697663 | 29131 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933583 | Total |
| Program Services | 896825 | ProgramServices |
| Management And General | 36758 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121236504 | Total |
| Program Services | 90457577 | ProgramServices |
| Management And General | 30778927 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8750 | BOY |
| EOY | 8950 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26660393 | BOY |
| EOY | 51928406 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339246 | BOY |
| EOY | 508744 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6375647 | BOY |
| EOY | 3241428 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6964 | BOY |
| EOY | 7833 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 698688 | BOY |
| EOY | 1089060 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 75283915 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 25496588 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55552001 | BOY |
| EOY | 49787327 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1314734 | BOY |
| EOY | 1956829 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90956423 | BOY |
| EOY | 108528577 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33513584 | BOY |
| EOY | 40739078 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256385 | BOY |
| EOY | 222464 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33769969 | BOY |
| EOY | 40961542 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57186454 | BOY |
| EOY | 67567035 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57186454 | BOY |
| EOY | 67567035 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90956423 | BOY |
| EOY | 108528577 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 11766189 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1726585 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 340977 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CC MED CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752051646 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $90,457,577 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 90457577 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 131959 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 131959 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 121104545 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 121236504 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Form4720 Filed | false | Form4720Filed |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 221049 | CurrentYearMinus3 |
| Current Year Minus2 | 131000 | CurrentYearMinus2 |
| Current Year Minus1 | 130918 | CurrentYearMinus1 |
| Current Year | 131959 | CurrentYear |
| Total | 614926 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16846638 | OtherCostOrOtherBasis |
| Book Value | 16846638 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17588290 | OtherCostOrOtherBasis |
| Depreciation | 6078240 | Depreciation |
| Book Value | 11510050 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 800359 | OtherCostOrOtherBasis |
| Depreciation | 749536 | Depreciation |
| Book Value | 50823 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39566873 | OtherCostOrOtherBasis |
| Depreciation | 18277838 | Depreciation |
| Book Value | 21289035 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 481755 | OtherCostOrOtherBasis |
| Depreciation | 390974 | Depreciation |
| Book Value | 90781 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 49787327 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 133152061 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1726585 | NetUnrealizedGainsInvestments |
| Other Revenues | 1856126 | OtherRevenues |
| Revenue Not Rptd F990 | 129541 | RevenueNotRptdF990 |
| Revenue Subtotal | 133022520 | RevenueSubtotal |
| Other Revenues Not Included | -19827 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -19827 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 133002693 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 122753654 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1517150 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1517150 | ExpensesNotRptdF990 |
| Expenses Subtotal | 121236504 | ExpensesSubtotal |
| Total Expenses Per Form990 | 121236504 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART XI, LINE 2D | OTHER CHANGE | MANAGEMENT FEE REDUCTION $1,517,150 CCIC PREMIUM $ 338,976 -------------- $1,856,126 |
| SCHEDULE D, PART XI, LINE 4B | OTHER CHANGE | LOSS ON ASSET DISPOSITION ($ 19,827) |
| SCHEDULE D, PART XII, LINE 2D | OTHER CHANGE | MANAGEMENT FEE REDUCTION $1,517,150 |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 10927443 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 10927443 | SubtotalAmountSpent |
| Total Amount Spent | 10927443 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| IMMUNIZATION COLLABORATION | |||||||
| PO BOX 100192 | FORT WORTH | TX | 76185 | 752541065 | 501(C)(3) | 9000 | COLLABORATION |
| MENTAL HEALTH CONNECTION OF TEXAS | |||||||
| 3131 SANGUINET ST | FORT WORTH | TX | 76107 | 752659610 | 501(C)(3) | 25000 | SPONSORSHIP |
| EPILEPSY FOUNDATION OF TEXAS | |||||||
| 3629 WOSLEY DR | FORT WORTH | TX | 76133 | 520856660 | 501(C)(3) | 10000 | SPONSORSHIP |
| COWTOWN MARATHON INC | |||||||
| PO BOX 11565 | FORT WORTH | TX | 76110 | 752198418 | 501(C)(3) | 25000 | SPONSORSHIP |
| LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| 8111 LBJ FREEWAY | DALLAS | TX | 75251 | 135644916 | 501(C)(3) | 10000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS FOR INDIVIDUALS | TypeOfGrant |
| Number Of Recipients | 12 | NumberOfRecipients |
| Amount Of Cash Grant | 50000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | 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, $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY D AARON MD | ||||||||||||||
| TRUSTEE | 0 | 255824 | 0 | 20000 | 0 | 4758 | 0 | 18750 | 0 | 22585 | 0 | 321917 | 0 | 0 |
| MICHAEL J DEITCHMAN MD | ||||||||||||||
| TRUSTEE | 299006 | 2948 | 12124 | 314078 | ||||||||||
| FRANK MCGEHEE MD | ||||||||||||||
| TRUSTEE | 837621 | 8820 | 14474 | 860915 | ||||||||||
| JAMES P MILLER MD | ||||||||||||||
| TRUSTEE | 899054 | 26543 | 14574 | 940171 | ||||||||||
| JASON V TERK MD | ||||||||||||||
| TRUSTEE | 398981 | 3887 | 18750 | 12074 | 433692 | |||||||||
| KEVIN D WYLIE DO | ||||||||||||||
| TRUSTEE-VICE CHAIRMAN | 226594 | 25388 | 2483 | 18740 | 17634 | 290839 | ||||||||
| LINDA S CHAPPELL | ||||||||||||||
| SR. VP-QUALITY MGMT | 176437 | 159883 | 56399 | 18750 | 11052 | 422521 | ||||||||
| JAMES C CUNNINGHAM MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 438299 | 283172 | 20478 | 13852 | 755801 | |||||||||
| RICHARD P GOODE | ||||||||||||||
| CFO | 91769 | 275310 | 84702 | 254105 | 38917 | 116749 | 3906 | 11719 | 4307 | 12919 | 223601 | 670802 | ||
| TIMOTHY M HANNERS | ||||||||||||||
| SR. VP-CORP & COMMUNITY AFFAIR | 180581 | 4373 | 3755 | 8086 | 196795 | |||||||||
| BILLY R KENNEDY | ||||||||||||||
| SR. VP-CHIEF ADMIN OFFICER | 268528 | 244617 | 88849 | 10000 | 17994 | 629988 | ||||||||
| DAVID F LANCASTER | ||||||||||||||
| VP, INTERNAL AUDIT & COMPLIANC | 161396 | 109464 | 12882 | 13955 | 297697 | |||||||||
| JOHN W MCNEY | ||||||||||||||
| SR. VP-GENERAL COUNSEL | 265373 | 237652 | 90505 | 18750 | 15390 | 627670 | ||||||||
| RICK W MERRILL | ||||||||||||||
| PRESIDENT & CEO | 262017 | 446136 | 145596 | 247908 | 351893 | 599169 | 26362 | 44887 | 5710 | 9720 | 791578 | 1347820 | 121870 | 293130 |
| GEORGE B MONTAGUE | ||||||||||||||
| VP, REAL ESTATE | 210560 | 141220 | 21307 | 15893 | 12201 | 401181 | ||||||||
| FRANK J ROSSI | ||||||||||||||
| SR. VP-HUMAN RESOURCES | 275962 | 249187 | 114921 | 18750 | 16535 | 675355 | ||||||||
| LARRY L TUBB | ||||||||||||||
| SR. VP-SYSTEM PLANNING | 200722 | 176745 | 67078 | 18750 | 10025 | 473320 | ||||||||
| CORY RHOADES | ||||||||||||||
| CHIEF ACCOUNTING OFFCR | 182321 | 124491 | 2069 | 10000 | 16565 | 335446 | ||||||||
| ERIC H HUBLI | ||||||||||||||
| CHIEF SYSTEM EFFECTIVENESS OFF | 436873 | 30000 | 21837 | 10000 | 15430 | 514140 | ||||||||
| JAMES D MARSHALL MD | ||||||||||||||
| MEDICAL DIRECTOR | 451512 | 138759 | 4608 | 15625 | 15238 | 625742 | ||||||||
| JOANN M SANDERS MD | ||||||||||||||
| PATIENT SAFETY OFFICER | 298699 | 115234 | 6476 | 18750 | 13201 | 452360 | ||||||||
| JOSEPH GALLAGHER | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | 179912 | 119775 | 5523 | 10852 | 8714 | 324776 | ||||||||
| GRETCHEN EAMES MD | ||||||||||||||
| TRUSTEE | 294214 | 5276 | 652 | 300142 | ||||||||||
| SAMUEL E KLEINMAN MD | ||||||||||||||
| TRUSTEE | 640338 | 4679 | 18695 | 15047 | 678759 | |||||||||
| LINDA THOMPSON MD | ||||||||||||||
| TRUSTEE | 319420 | 3045 | 12977 | 4426 | 339868 | |||||||||
| DEBORAH A SCHUTTE MD | ||||||||||||||
| TRUSTEE | 487817 | 10000 | 4671 | 15625 | 15674 | 533787 | ||||||||
| JAMES R STALDER | ||||||||||||||
| VP-INFO SYS, CHIEF TECH OFFCR | 171682 | 106254 | 1993 | 7593 | 17089 | 304611 | ||||||||
| THERESA ZAK MEADOWS | ||||||||||||||
| SR VP-CIO | 207706 | 187403 | 51413 | 10000 | 17253 | 473775 | ||||||||
| HARRY I SHUMAN | ||||||||||||||
| CHIEF MEDICAL INFO OFFICER | 195724 | 152082 | 3079 | 9755 | 7449 | 368089 | ||||||||
| COLEMAN D SKINNER | ||||||||||||||
| VP-REVENUE CYCLE | 148774 | 101904 | 1648 | 15430 | 14917 | 282673 | ||||||||
| VANESSA CHARETTE MD | ||||||||||||||
| TRUSTEE | 183506 | 75248 | 1803 | 11316 | 5667 | 277540 | ||||||||
| MATT MAYFIELD MD | ||||||||||||||
| TRUSTEE | 496549 | 4677 | 8327 | 12419 | 521972 | |||||||||
| KAREN WARDELL | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | 152115 | 107737 | 5603 | 14218 | 21072 | 300745 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | PART I, QUESTION 4B | PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL $ 755,000 $ 61,249 |
| ALLOCATION OF CEO AND CFO SALARIES | PART II | 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 PHYSICIAN NETWORK COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SOLE MEMBER | FORM 990, PART VI, QUESTION 6 | 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. |
| MEMBER ELECTION ABILITIES | FORM 990 PART VI, QUESTION 7A | As the sole member of the organization, Cook Children's Health Foundation has the power to determine the number of members of the board of trustees and to elect the members of the board of trustees. |
| MEMBER DECISION ABILITIES | FORM 990 PART VI, QUESTION 7B | As the sole member of the organization, Cook Children's Health Foundation 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). |
| REVIEW PROCESS FOR FORM 990 | FORM 990, PART VI, QUESTION 11B | The organization engages an outside 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. In addition, it is presented to the Cook Children's Health Care System Audit Committee for review. Subsequent to Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review. |
| REVIEW AND APPROVAL OF COMPENSATION | FORM 990 PART VI, QUESTION 15A & 15B | Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation. The Compensation Committee approves compensation arrangements in advance, which includes a review and approval by independent persons, 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 deliberation and decision. 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. |
| PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990 PART VI, QUESTION 19 | 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. |
| CONFLICT OF INTEREST | FORM 990 PART VI QUESTION 12C | 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. 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 IN FORCE FOR 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. |
| OTHER CHANGES IN NET ASSETS OF FUND BALANCES | FORM 990, PART XI, LINE 9 | TRANSFERS BETWEEN AFFILIATES $ 2,001 RETROSPECTIVE PREMIUM CREDIT 338,976 --------- $ 340,977 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S HEALTH PLAN | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 11C | CCHCS | true |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752485366 | PHYSICIAN SVC | TX | 501(C)(3) | 3 | CCHCS | true |
| WI COOK FOUNDATION | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051649 | FUNDRAISING | TX | 501(C)(3) | 11D | NA | false |
| COOK CHILDREN'S MEDICAL CENTER | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | HOSPITAL | TX | 501(C)(3) | 3 | CCHCS | true |
| COOK CHILDREN'S HOME HEALTH | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 11C | CCHCS | true |
| ROSEDALE OFFICE BUILDING INC | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 460866421 | TITLE HOLDING | TX | 501(C)(2) | N/A | CCHF | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 7TH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454024843 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCHCS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | 1269873 | ShareOfTotalIncome |
| Share Of EOY Assets | 1667661 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COOK CHILDREN'S HOME HEALTH | ||
| A | 180000 | FMV |
| COOK CHILDREN'S HEALTH FOUNDATION | ||
| C | 548751 | FMV |
| COOK CHILDREN'S HEALTH FOUNDATION | ||
| P | 1404585 | FMV |
| COOK CHILDREN'S HOME HEALTH | ||
| P | 4160434 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| A | 315006 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| P | 3820965 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| B | 1122316 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| O | 28679 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| P | 181183440 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| A | 1519901 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| B | 302240 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| O | 7532319 | FMV |
| COOK CHILDREN'S PHYSICIAN NETWORK | ||
| P | 6109948 | FMV |
| ROSEDALE OFFICE BUILDING | ||
| A | 100000 | FMV |
| ROSEDALE OFFICE BUILDING | ||
| P | 4246595 | FMV |
| COOK CHILDREN'S HEALTH SERVICES | ||
| P | 51399 | FMV |