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COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201302269349301845
Schema version
2011v1.5
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)
Timestamp2013-08-14T11:57:29-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752705881EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH CARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CORY RHOADESInCareOfName
Name ControlCOOKNameControl
Phone6828854480Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCORY RHOADESName
TitleVP & CHIEF ACCOUNTING OFFICERTitle
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICK W MERRILLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts132327356GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COOKCHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionKNOWING 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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees503TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1639175ContributionsGrantsPriorYear
Contributions Grants Current Year973678ContributionsGrantsCurrentYear
Program Service Revenue Prior Year89340108ProgramServiceRevenuePriorYear
Program Service Revenue CY103525416ProgramServiceRevenueCY
Investment Income Prior Year324974InvestmentIncomePriorYear
Investment Income Current Year1757219InvestmentIncomeCurrentYear
Other Revenue Prior Year4670536OtherRevenuePriorYear
Other Revenue Current Year6594225OtherRevenueCurrentYear
Total Revenue Prior Year95974793TotalRevenuePriorYear
Total Revenue Current Year112850538TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year297375GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY228380GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32112286SalariesEtcPriorYear
Salaries Etc Current Year30692338SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year63047624OtherExpensePriorYear
Other Expenses Current Year78215493OtherExpensesCurrentYear
Total Expenses Prior Year95457285TotalExpensesPriorYear
Total Expenses Current Year109136211TotalExpensesCurrentYear
Revenues Less Expenses Prior Year517508RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3714327RevenuesLessExpensesCY
Total Assets BOY76398015TotalAssetsBOY
Total Assets EOY90956423TotalAssetsEOY
Total Liabilities BOY26477289TotalLiabilitiesBOY
Total Liabilities EOY33769969TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49920726NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY57186454NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionKNOWING 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense85691344Expense
Grants228380Grants
Revenue110119641Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense85691344TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096158NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees503NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCORY RHOADESNamePerson
Telephone Number6828854480TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationHighest Compensated EmployeeHighestCompensatedEmployee
KIMBERLY D AARON MD
TRUSTEE1.0X38681231563
R JEFFREY ALEXANDER
TRUSTEE1.0X
G THOMAS BOSWELL
TRUSTEE1.0X
JOHN P BOSWELL
TRUSTEE1.0X
MICHAEL J DEITCHMAN MD
TRUSTEE1.0X26352011518
JAMES R DUNAWAY JR
TRUSTEE1.0X
RICHARD F GARVEY
TRUSTEE1.0X
RAFAEL G GARZA
TRUSTEE-SECRETARY/TREASURER2.0XX
NANCY KAY HOWARD
TRUSTEE-CHAIRMAN2.0XX
FRANK MCGEHEE MD
TRUSTEE1.0X69812314149
JAMES P MILLER MD
TRUSTEE1.0X107184931922
MICHAEL R PAVELL
TRUSTEE1.0X
JOSEPH C PENSHORN
TRUSTEE1.0X
PETER L PHILPOTT
TRUSTEE1.0X
JASON V TERK MD
TRUSTEE1.0X36486929912
GARY G WALSH
TRUSTEE1.0X
JAMES E WEBB
TRUSTEE1.0X
M SUZANNE WHITWORTH MD
TRUSTEE1.0X15355510597
KEVIN D WYLIE DO
TRUSTEE-VICE CHAIRMAN2.0X24988326313X
GRETCHEN EAMES MD
TRUSTEE1.0X29813314331
ANGEL W HERNANDEZ-MULERO MD
TRUSTEE1.0X51839137086
MARSHA A HILCHER
TRUSTEE1.0X
CHRISTOPHER M HUCKABEE
TRUSTEE1.0X
SAMUEL E KLEINMAN MD
TRUSTEE1.0X62858330058
DONALD K MURPHEY MD
TRUSTEE1.0X27094830706
LINDA THOMPSON MD
TRUSTEE1.0X24789015894
DEBORAH A SCHUTTE MD
TRUSTEE1.0X47984928901
LINDA S CHAPPELL
SR. VP-QUALITY MGMT40.027576X294431
JAMES C CUNNINGHAM MD
CHIEF MEDICAL OFFICER40.014082X555618
RICHARD P GOODE
CFO10.049421530910X164738
TIMOTHY M HANNERS
SR. VP-CORP & COMMUNITY AFFAIR40.017483X282716
BILLY R KENNEDY
SR. VP-AFFILIATE VENTURES40.029199X456449
DAVID F LANCASTER
VP, INTERNAL AUDIT & COMPLIANC40.030095X220815
CARA MARTZ
SECRETARY36.07894X102876
JOHN W MCNEY
SR. VP-GENERAL COUNSEL40.016751X446119
RICK W MERRILL
PRESIDENT & CEO15.0800666166518X470232
GEORGE B MONTAGUE
VP, REAL ESTATE36.027079X293408
FRANK J ROSSI
SR. VP-HUMAN RESOURCES40.036090X478890
LARRY L TUBB
SR. VP-PLANNING40.07208X367662
CORY RHOADES
VP-FINANCE, CHIEF ACCTG OFFCR40.027374X233245
JAMES R STALDER
VP-INFO SYS, CHIEF TECH OFFCR40.024846X166894
THERESA ZAK MEADOWS
SR VP-CIO40.026166X234004
HARRY I SHUMAN
CHIEF MEDICAL INFO OFFICER40.019065X283569
COLEMAN D SKINNER
VP-REVENUE CYCLE40.027025X193245
ERIC H HUBLI
CHIEF SYSTEM EFFECTIVENESS OFF40.024852459275X
JAMES D MARSHALL
MEDICAL DIRECTOR40.033657513288X
JOANN M SANDERS MD
PATIENT SAFETY OFFICER40.031297345974X
JOSEPH GALLAGHER
ASSOCIATE GENERAL COUNSEL40.018244235768X
FLORENCE BROWN
DIRECTOR, PAYROLL40.05789215822X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7015038TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6927286TotalReportableCompFrmRltdOrgs
Total Other Compensation962150TotalOtherCompensation
Number Individuals GT100 K77NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LINBECK GROUP LLC
3900 ESSEX LANE SUITE 1200HOUSTONTX77027CONSTRUCTION CONT.7136821
GENERAL DATATECH
999 Metro Media PlaceDALLASTX75247SOFTWARE SERVICES4442523
CHOICE SOLUTIONS
7015 COLLEGE BOULEVARD SUITE 300OVERLAND PARKKS66211SOFTWARE SERVICES660169
PATIENT EXP LLC
11 MCLAREN RDDARIENCT06820SOFTWARE SERVICES315890
BKD LLP
910 E SAINT LOUIS ST STE 400SPRINGFIELDMO65806ACCOUNTING SERVICES259786
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Related Organizations559050RelatedOrganizations
Government Grants92696GovernmentGrants
All Other Contributions321932AllOtherContributions
Total Contributions973678TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SHARED SERVICES90009993812767938127670
HUMAN RESOURCES90009949636304963630
RENT90009922558292255829
COMMUNITY HEALTH OUTREACH90009912124651212465
RESEARCH900099609277609277

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column671448TotalRevenueColumn
Related Or Exempt Function Income671448RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue103525416TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1902914TotalRevenueColumn
Exclusion$1,902,914ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19330123Securities
Other1000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19476818Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-146695Securities
Other1000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-145695TotalRevenueColumn
Exclusion-$145,695ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LEGAL90009911366701136670
REBATE90009948155364815536
CONCIERGE900099632963632963

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9056TotalRevenueColumn
Related Or Exempt Function Income9056RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6594225TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column112850538TotalRevenueColumn
Related Or Exempt Function Income110119641RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,757,219ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total183380Total
Program Services183380ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total45000Total
Program Services45000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5777897Total
Program Services590597ProgramServices
Management And General5187300ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20918659Total
Program Services15563920ProgramServices
Management And General5354739ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3995782Total
Program Services2344872ProgramServices
Management And General1650910ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1799996Total
Program Services587462ProgramServices
Management And General1212534ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total311832Total
Program Services61568ProgramServices
Management And General250264ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total130918Total
Program Services130918ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5377919Total
Program Services3302027ProgramServices
Management And General2075892ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3572429Total
Program Services176428ProgramServices
Management And General3396001ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1508758Total
Program Services1123142ProgramServices
Management And General385616ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36224905Total
Program Services36224905ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4600458Total
Program Services4600458ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total854461Total
Program Services564240ProgramServices
Management And General290221ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total154739Total
Program Services132959ProgramServices
Management And General21780ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total196826Total
Program Services196826ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6532565Total
Program Services6532565ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1019236Total
Program Services1019236ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MINOR EQUIPMENT641554264121183424
PHYSICIAN REMUNERATION683239639518722880524
DUES & SUBSCRIPTIONS783667222536561131
RECRUITMENT773390773390

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1125456Total
Program Services950925ProgramServices
Management And General174531ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total109136211Total
Program Services85691344ProgramServices
Management And General23444867ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8400BOY
EOY8750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11730031BOY
EOY26660393EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY409874BOY
EOY339246EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13823896BOY
EOY6375647EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14199BOY
EOY6964EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY248651BOY
EOY698688EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis75385920LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19833919LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY46614599BOY
EOY55552001EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3548365BOY
EOY1314734EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76398015BOY
EOY90956423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26115833BOY
EOY33513584EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY361456BOY
EOY256385EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26477289BOY
EOY33769969EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49920726BOY
EOY57186454EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49920726BOY
EOY57186454EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76398015BOY
EOY90956423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3714327ReconcilationRevenueExpenses
Reconcilation Other Changes3551401ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CC MED CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN752051646EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$85,691,344Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts85691344SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals130918FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals130918FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals108670415FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals108801333FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3311106CurrentYearMinus3
Current Year Minus2221049CurrentYearMinus2
Current Year Minus1131000CurrentYearMinus1
Current Year130918CurrentYear
Total794073Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14614839OtherCostOrOtherBasis
Book Value14614839BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24072852OtherCostOrOtherBasis
Depreciation5548828Depreciation
Book Value18524024BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2240638OtherCostOrOtherBasis
Depreciation1968932Depreciation
Book Value271706BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis33954768OtherCostOrOtherBasis
Depreciation11944230Depreciation
Book Value22010538BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis502823OtherCostOrOtherBasis
Depreciation371929Depreciation
Book Value130894BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings55552001TotalOfBookValueLandBuildings
Total Revenue112850538TotalRevenue
Total Expenses109136211TotalExpenses
Excess Or Deficit For Year3714327ExcessOrDeficitForYear
Net Unrealized GL On Investments-275020NetUnrealizedGLOnInvestments
Other$328,422OtherAmount
Total Adjustments53402TotalAdjustments
Excess Or Deficit Per FS3767729ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt114661050TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-275020NetUnrealizedGainsInvestments
Other Revenues2086532OtherRevenues
Revenue Not Rptd F9901811512RevenueNotRptdF990
Revenue Subtotal112849538RevenueSubtotal
Other Revenues Not Included1000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1000RevenueNotRptdOnFinStmt
Total Revenue Per Form990112850538TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt110894321TotExpensesEtcAuditedFinclStmt
Other Expenses Included1758110OtherExpensesIncluded
Expenses Not Rptd F9901758110ExpensesNotRptdF990
Expenses Subtotal109136211ExpensesSubtotal
Total Expenses Per Form990109136211TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART XII, LINE 2DOTHER CHANGEMANAGEMENT FEE REDUCTION $1,758,110 CCIC PREMIUM $ 328,422 -------------- $2,086,532
SCHEDULE D, PART XIII, LINE 2DOTHER CHANGEMANAGEMENT FEE REDUCTION $1,758,110
SCHEDULE D, PART XI, LINE 8OTHER CHANGES TO NET ASSETSRETROSPECTIVE PREMIUM CREDIT $ 328,422
SCHEDULE D, PART XII, LINE 4BOTHER CHANGEGAIN ON ASSET DISPOSITION $ 1,000

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINVESTMENTSpecificServicesProvided
Total Expenditures5483174TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent5483174SubtotalAmountSpent
Total Amount Spent5483174TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
IMMUNIZATION COLLABORATION
PO BOX 100192FORT WORTHTX76185752541065501(C)(3)9000COLLABORATION
MENTAL HEALTH CONNECTION OF TEXAS
3131 SANGUINET STFORT WORTHTX76107752659610501(C)(3)25000SPONSORSHIP
MARCH OF DIMES 6815 MANHATTAN BLVD
102FORT WORTHTX76102131846366501(C)(3)20000SPONSORSHIP
MAKE A WISH FOUNDATION OF TEXAS
6655 DESEOIRVINGTX75039751889666501(C)(3)16500SPONSORSHIP
EPILEPSY FOUNDATION OF TEXAS
3629 WOSLEY DRFORT WORTHTX76133520856660501(C)(3)11400SPONSORSHIP
AMERICAN CANCER SOCIETY
2433 RIDGEPOINT DRIVEAUSTINTX78754741185665501(C)(3)15000SPONSORSHIP
CITY OF MANSFIELD
106 S WISTERIA STMANSFIELDTX76063756000594501(C)(3)10000SPONSORSHIP
MICHAEL YOUNG FAMILY FDN 1800 CENTURY PARK
E STE 914LOS ANGELESCA90067452623056501(C)(3)10000SPONSORSHIP
COWTOWN MARATHON INC
PO BOX 11565FORT WORTHTX76110752198418501(C)(3)20000SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS FOR INDIVIDUALSTypeOfGrant
Number Of Recipients11NumberOfRecipients
Amount Of Cash Grant45000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIMBERLY D AARON MD
3609992442513881837513188418375
MICHAEL J DEITCHMAN MD
262160136011518275038
FRANK MCGEHEE MD
694239388414149712272
JAMES P MILLER MD
105410701774217619143031103771
JASON V TERK MD
363429014401837511537394781
M SUZANNE WHITWORTH MD
1518390171670513546164152
KEVIN D WYLIE DO
229291197977951077515538276196
LINDA S CHAPPELL
1792267435940846183759201322007
JAMES C CUNNINGHAM MD
41178512661017223014082569700
RICHARD P GOODE
28925712087684082114851169751739796419402922802738283900172466
TIMOTHY M HANNERS
200317758166583574011743300199
BILLY R KENNEDY
27380611888863755980019399485648
DAVID F LANCASTER
15708851794119331684413251250910
JOHN W MCNEY
3008231143813091516751462870
RICK W MERRILL
437560266174969329513097769055722569781563255692955870574253184466000198000
GEORGE B MONTAGUE
20665367135196201531311766320487
FRANK J ROSSI
312682112764534441837517715514980
LARRY L TUBB
223434850665916207208374870
CORY RHOADES
174270573931582923518139260619
ERIC H HUBLI
4253331500018942980015052484127
JAMES D MARSHALL
4459076537120101531318344546945
JOANN M SANDERS MD
2925355002534141837512922377271
JOSEPH GALLAGHER
175120556664982103377907254012
GRETCHEN EAMES MD
2950000313313877454312464
ANGEL W HERNANDEZ-MULERO MD
4990280193631531321773555477
SAMUEL E KLEINMAN MD
624941150021421531314745658641
DONALD K MURPHEY MD
263901500020471649914207301654
LINDA THOMPSON MD
247856034105285366263784
DEBORAH A SCHUTTE MD
478114017351531313588508750
JAMES R STALDER
16537901515704917797191740
THERESA ZAK MEADOWS
210529023475933716829260170
HARRY I SHUMAN
22182559675206998009265302634
COLEMAN D SKINNER
1444504729115041246414561220270
FLORENCE BROWN
911231122911347005789221611

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J PART I LINE 4BRICK W. MERRILL-PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2011.
ALLOCATION OF CEO AND CFO SALARIESSCHEDULE J PART IICOOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 9 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH COMPANY, INDEMNITY COMPANY, HEALTH FOUNDATION, NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, AND HEALTH CARE SYSTEM COMPANY. THE CEO AND CFO ARE RESPONSIBLE FOR THE OVERSIGHT OF ALL FOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY.
SEVERANCE PAYMENTSCHEDULE J PART I LINE 4AFLORENCE BROWN RECEIVED $92,963 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2011.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (40 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SOLE MEMBERFORM 990, PART VI, QUESTION 6Cook Children's Health Foundation, a Texas non-profit corporation, is the sole member of the organization.
MEMBER ELECTION ABILITIESFORM 990 PART VI, QUESTION 7AAs 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 ABILITIESFORM 990 PART VI, QUESTION 7BAs 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; and f. Approve the creation of, or investment in, any subsidiary entity.
REVIEW PROCESS FOR FORM 990FORM 990, PART VI, QUESTION 11BThe 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 COMPENSATIONFORM 990 PART VI, QUESTION 15A & 15BCook 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 PUBLICFORM 990 PART VI, QUESTION 19The 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 INTERESTFORM 990 PART VI QUESTION 12CEvery 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 BALANCESFORM 990, PART XI, LINE 5TRANSFERS BETWEEN AFFILIATES $3,497,999 RETROPECTIVE PREMIUM CREDIT 328,422 UNREALIZED MARKET CHANGE (275,020) ------------ 3,551,401
PROGRAM SERVICE ACTIVITYFORM 990, PART III, QUESTION 4ACook 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 for children. The system has eight integrated 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 the state. The area's growth is substantial. In Fort Worth alone, the 2012 total population was 838,207, and over the next five years that number is expected to increase by nearly 60,000. 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 5,401 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 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. The services we provide increased with our Urgent Care and Pediatric Specialty facility in Southlake, Texas. Because we expanded our programs, services and amenities, we've augmented our capacity to meet the growing need for our services and transformed how we are caring 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. In 2012, Cook Children's recorded 1,187,104 patient encounters through its hospitals, specialty clinics, neighborhood clinics, physician offices, outpatient settings and home care business. In 2012, a total of 127,941 Emergency/Urgent Care visits occurred at Cook Children's. In 2012, Cook Children's proudly announced an endowed chair program for our physicians. Thanks to generous donors, two doctors, Warren Marks, M.D., and Paul Thornton, M.D., can intensify their work and develop more innovative treatments for kids. Dr. Marks is developing a comprehensive clinical center for pediatric movement disorders. This will build on the highly successful programs that are already in place within the Jane and John Justin Neurosciences Center at Cook Children's, with deep brain stimulation (DBS) serving as the centerpiece. The DBS program enjoys an international reputation and our rehabilitation services are recognized regionally. By establishing a comprehensive movement disorder, Cook Children's will further enhance our regional, national and international reputation as a destination for care in neurosciences. The scope of service will stretch from the earliest diagnosis to the last stage of rehabilitation and return to normal function. Dr. Thornton will help further the work of Cook Children's Congenital Hyperinsulinism Center, which has a national reputation and continues to gain prominence with his endowed chair. As one of only two such centers in the country, it positions Cook Children's program as a leader in clinical research in hypoglycemia. This endowed chair will also enable the development of the latest diagnostic and therapeutic interventions for patients with hyperinsulinism in Texas, the south and the United States. 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 "A Tradition of Champions."
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIMBERLY D. AARON, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:R. JEFFREY ALEXANDER TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:G. THOMAS BOSWELL TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN P. BOSWELL TITLE:TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL J. DEITCHMAN, MD TITLE:TRUSTEE HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES R. DUNAWAY, JR. TITLE:TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD F. GARVEY TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RAFAEL G. GARZA TITLE:TRUSTEE-SECRETARY/TREASURER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY KAY HOWARD TITLE:TRUSTEE-CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANK MCGEHEE, MD TITLE:TRUSTEE HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES P. MILLER, MD TITLE:TRUSTEE HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL R. PAVELL TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH C. PENSHORN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER L. PHILPOTT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JASON V. TERK, MD TITLE:TRUSTEE HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GARY G. WALSH TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES E. WEBB TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:M. SUZANNE WHITWORTH, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN D. WYLIE, DO TITLE:TRUSTEE-VICE CHAIRMAN HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GRETCHEN EAMES, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANGEL W. HERNANDEZ-MULERO, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARSHA A. HILCHER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHRISTOPHER M. HUCKABEE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD K. MURPHEY, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA THOMPSON, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH A. SCHUTTE, MD TITLE:TRUSTEE HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD P. GOODE TITLE:CFO HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CARA MARTZ TITLE:SECRETARY HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICK W. MERRILL TITLE:PRESIDENT & CEO HOURS:25
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE B. MONTAGUE TITLE:VP, REAL ESTATE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOANN M. SANDERS, MD TITLE:PATIENT SAFETY OFFICER HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)11CCCHCStrue
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCStrue
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNAfalse
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3CCHCStrue
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983HEALTHCARETX501(C)(3)11CCCHCStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 7TH AVENUEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
EIN454024843EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHCSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
Share Of Total Income181315ShareOfTotalIncome
Share Of EOY Assets756565ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COOK CHILDREN'S HOME HEALTH
A172844FMV
COOK CHILDREN'S HEALTH FOUNDATION
C559050FMV
COOK CHILDREN'S HEALTH FOUNDATION
P1332322FMV
COOK CHILDREN'S HOME HEALTH
P4181660FMV
COOK CHILDREN'S HEALTH PLAN
A208674FMV
COOK CHILDREN'S HEALTH PLAN
P2902836FMV
COOK CHILDREN'S MEDICAL CENTER
Q1176788FMV
COOK CHILDREN'S MEDICAL CENTER
P152067899FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A1469623FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q286172FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O6914051FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P6439143FMV