COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201242279349304254
- Schema version
- 2010v3.7
- 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 L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T18:39:06-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | 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 | 2010-10-01 | 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) |
|---|---|---|
| Name Control | COOK | NameControl |
| Phone | 6828854000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| 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 |
| Date Signed | 2012-08-15 | 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 | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 95974993 | 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 |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 484 | TotalNbrEmployees |
| Total Nbr Volunteers | 51 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 906905 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1639175 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84566527 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 89340108 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6727104 | InvestmentIncomePriorYear |
| Investment Income Current Year | 324974 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3000329 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4670736 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 95200865 | TotalRevenuePriorYear |
| Total Revenue Current Year | 95974993 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 266650 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 297375 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33428600 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32112286 | 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 | 55868974 | OtherExpensePriorYear |
| Other Expenses Current Year | 63047624 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 89564224 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95457285 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5636641 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 517708 | RevenuesLessExpensesCY |
| Total Assets BOY | 444792606 | TotalAssetsBOY |
| Total Assets EOY | 76398015 | TotalAssetsEOY |
| Total Liabilities BOY | 26418834 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26477289 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 418373772 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 49920726 | NetAssetsOrFundBalancesEOY |
| 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 | 76306144 | Expense |
| Grants | 247375 | Grants |
| Revenue | 94010844 | Revenue |
| Description | Cook Children's Health Care System is one of the country's leading, vertically integrated pediatric healthcare organizations that represents an award-winning, not-for-profit system of seamless healthcare designed exclusively for children. It is comprised of nine entities - the Medical Center, Physician Network, Home Health Company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Indemnity Company, Health Care System Company and Health Foundation. CONTINUED ON SCHEDULE O | Description |
| Total Program Service Expense | 76306144 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | true | 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 | true | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | true | 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 | 130 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 484 | 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 | 25 | 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 (52 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KIMBERLY D AARON MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 386877 | 23349 | ||
| R JEFFREY ALEXANDER | |||||||
| TRUSTEE-SECRETARY/TREASURER | 2.0 | X | 0 | 0 | 0 | X | |
| G THOMAS BOSWELL | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MICHAEL J DEITCHMAN MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 276938 | 11026 | ||
| JAMES R DUNAWAY JR | |||||||
| TRUSTEE-CHAIRMAN | 2.0 | X | 0 | 0 | 0 | X | |
| RICHARD F GARVEY | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| RAFAEL G GARZA | |||||||
| TRUSTEE-SECRETARY/TREASURER | 2.0 | X | 0 | 0 | 0 | X | |
| JAMES F HERD SR MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| NANCY KAY HOWARD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| HOWARD M KELFER MD | |||||||
| TRUSTEE-VICE CHAIRMAN | 2.0 | X | 0 | 518629 | 34075 | X | |
| JEFFREY B KING | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| G MALCOLM LOUDEN | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| FRANK MCGEHEE MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 582973 | 30848 | ||
| JAMES P MILLER MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 901864 | 31511 | ||
| MICHAEL R PAVELL | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JOSEPH C PENSHORN | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| PETER L PHILPOT | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JASON V TERK MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 328221 | 29011 | ||
| PAUL S THORNTON MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 432639 | 35949 | ||
| GARY G WALSH | |||||||
| TRUSTEE-CHAIRMAN | 2.0 | X | 0 | 0 | 0 | X | |
| JAMES E WEBB | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| M SUZANNE WHITWORTH MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 147956 | 11045 | ||
| KEVIN D WYLIE DO | |||||||
| TRUSTEE | 1.0 | X | 0 | 224015 | 30834 | ||
| GRETCHEN EAMES MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 296710 | 12156 | ||
| ANGEL W HERNANDEZ-MULERO MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 512850 | 35949 | ||
| MARSHA A HILCHER | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CHRISTOPHER M HUCKABEE | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| SAMUEL E KLEINMAN MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 618411 | 28743 | ||
| DONALD K MURPHEY MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 297404 | 32461 | ||
| DEBORAH A SCHUTTE MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 454764 | 27149 | ||
| LINDA S CHAPPELL | |||||||
| SR. VP-QUALITY MGMT | 40.0 | 262992 | 0 | 27372 | X | ||
| JAMES C CUNNINGHAM MD | |||||||
| CHIEF MEDICAL OFFICER | 40.0 | 518783 | 0 | 14533 | X | ||
| RICHARD P GOODE | |||||||
| CFO | 10.0 | 138846 | 416539 | 30985 | X | ||
| TIMOTHY M HANNERS | |||||||
| SR. VP-CORP & COMMUNITY AFFAIR | 40.0 | 249271 | 9441 | X | |||
| BILLY R KENNEDY | |||||||
| SR. VP-AFFILIATE VENTURES | 40.0 | 428276 | 0 | 27315 | X | ||
| DAVID F LANCASTER | |||||||
| VP, INTERNAL AUDIT & COMPLIANC | 40.0 | 203677 | 0 | 28746 | X | ||
| CARA MARTZ | |||||||
| SECRETARY | 36.0 | 95216 | 0 | 7326 | X | ||
| JOHN W MCNEY | |||||||
| SR. VP-GENERAL COUNSEL | 40.0 | 415439 | 0 | 36244 | X | ||
| RICK W MERRILL | |||||||
| PRESIDENT & CEO | 10.0 | 307892 | 923675 | 156115 | X | ||
| GEORGE B MONTAGUE | |||||||
| VP, REAL ESTATE | 36.0 | 278703 | 0 | 26894 | X | ||
| FRANK J ROSSI | |||||||
| SR. VP-HUMAN RESOURCES | 40.0 | 416525 | 0 | 31497 | X | ||
| LARRY L TUBB | |||||||
| SR. VP-PLANNING | 40.0 | 313084 | 0 | 25724 | X | ||
| TRACY T WALLER | |||||||
| SR. VP-CIO, INTERIM | 40.0 | 323879 | 0 | 17563 | X | ||
| CORY RHOADES | |||||||
| VP-FINANCE, CHIEF ACCTG OFFCR | 40.0 | 181121 | 0 | 22676 | X | ||
| THERESA ZAK MEADOWS | |||||||
| SR. VP-CIO | 40.0 | 116646 | 0 | 13693 | X | ||
| HARRY I SHUMAN | |||||||
| CHIEF MEDICAL INFO OFFICER | 40.0 | 219340 | 0 | 14378 | X | ||
| COLEMAN D SKINNER | |||||||
| VP-REVENUE CYCLE | 40.0 | 156807 | 0 | 23200 | X | ||
| ERIC H HUBLI | |||||||
| CHIEF SYSTEM EFFECTIVENESS OFF | 40.0 | 452582 | 0 | 24115 | X | ||
| GREGORY K JIMERSON | |||||||
| AVP, REVENUE MANAGEMENT | 40.0 | 210375 | 0 | 19981 | X | ||
| JAMES D MARSHALL | |||||||
| MEDICAL DIRECTOR | 40.0 | 538838 | 0 | 29246 | X | ||
| JOANN M SANDERS MD | |||||||
| PATIENT SAFETY OFFICER | 40.0 | 346541 | 0 | 30701 | X | ||
| JOSEPH GALLAGHER | |||||||
| ASSOCIATE GENERAL COUNSEL | 40.0 | 220122 | 0 | 20974 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6394955 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7320465 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1012825 | TotalOtherCompensation |
| Number Individuals GT100 K | 75 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| DELOITTE CONSULTING LLP | |
| CONSULTING | 2691719 |
| UNITED MARKETING COMMUNICATIONS INC | |
| MARKETING | 1763164 |
| AETNA INC | |
| ADMIN SERVICES | 1534801 |
| BEACON PARTNERS INC | |
| CONSULTING | 775903 |
| SHARED TECHNOLOGIES | |
| REPAIR & MAINTENANCE | 602289 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Related Organizations | 1187524 | RelatedOrganizations |
| All Other Contributions | 451651 | AllOtherContributions |
| Total Contributions | 1639175 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SHARED SERVICES | 900099 | 79628517 | 79628517 |
| HUMAN RESOURCES | 900099 | 4874947 | 4874947 |
| RENT | 900099 | 2447252 | 2447252 |
| COMMUNITY HEALTH OUTREACH | 900099 | 1178859 | 1178859 |
| ANSWERING SVC | 900099 | 631627 | 631627 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 578906 | TotalRevenueColumn |
| Related Or Exempt Function Income | 578906 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 89340108 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 320474 | TotalRevenueColumn |
| Exclusion | $320,474 | 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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4500 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4500 | TotalRevenueColumn |
| Exclusion | $4,500 | 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 | 3543771 | 3543771 |
| CONCIERGE | 900099 | 584147 | 584147 |
| LEGAL | 900099 | 515618 | 515618 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27200 | TotalRevenueColumn |
| Related Or Exempt Function Income | 27200 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4670736 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95974993 | TotalRevenueColumn |
| Related Or Exempt Function Income | 94010844 | RelatedOrExemptFunctionIncome |
| Exclusion | $324,974 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247375 | Total |
| Program Services | 247375 | 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 | 5613981 | Total |
| Program Services | 565719 | ProgramServices |
| Management And General | 5048262 | 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 | 21306521 | Total |
| Program Services | 17554418 | ProgramServices |
| Management And General | 3752103 | 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 | 5191784 | Total |
| Program Services | 3836530 | ProgramServices |
| Management And General | 1355254 | 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 | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 679471 | Total |
| Program Services | 341858 | ProgramServices |
| Management And General | 337613 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311378 | Total |
| Program Services | 67063 | ProgramServices |
| Management And General | 244315 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131000 | Total |
| Program Services | 131000 | 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 | 4143990 | Total |
| Program Services | 3177853 | ProgramServices |
| Management And General | 966137 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3233919 | Total |
| Program Services | 231460 | ProgramServices |
| Management And General | 3002459 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1138654 | Total |
| Program Services | 713426 | ProgramServices |
| Management And General | 425228 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32992778 | Total |
| Program Services | 32992778 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4709084 | Total |
| Program Services | 4709084 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797913 | Total |
| Program Services | 601610 | ProgramServices |
| Management And General | 196303 | 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 | 210752 | Total |
| Program Services | 177093 | ProgramServices |
| Management And General | 33659 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171893 | Total |
| Program Services | 2580 | ProgramServices |
| Management And General | 169313 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5326544 | Total |
| Program Services | 5326544 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 809152 | Total |
| Program Services | 809152 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MINOR EQUIPMENT | 2379576 | 2361356 | 18220 | 0 |
| PHYSICIAN REMUNERATIONS | 3236350 | 343127 | 2893223 | 0 |
| DUES & SUBSCRIPTIONS | 926709 | 367313 | 559396 | 0 |
| RECRUITMENT | 922382 | 828864 | 93518 | 0 |
| MAINTENANCE & REPAIR | 370519 | 370519 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 555560 | Total |
| Program Services | 499422 | ProgramServices |
| Management And General | 56138 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95457285 | Total |
| Program Services | 76306144 | ProgramServices |
| Management And General | 19151141 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8400 | BOY |
| EOY | 8400 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3514286 | BOY |
| EOY | 11730031 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 599682 | BOY |
| EOY | 409874 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2500121 | BOY |
| EOY | 13823896 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13444 | BOY |
| EOY | 14199 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 248651 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 59861528 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13246929 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40097098 | BOY |
| EOY | 46614599 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385289538 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12770037 | BOY |
| EOY | 3548365 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 444792606 | BOY |
| EOY | 76398015 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26132089 | BOY |
| EOY | 26115833 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286745 | BOY |
| EOY | 361456 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26418834 | BOY |
| EOY | 26477289 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 418373772 | BOY |
| EOY | 49920726 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 418373772 | BOY |
| EOY | 49920726 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 444792606 | BOY |
| EOY | 76398015 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 517708 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -368970754 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | 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 | 131000 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 131000 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 95326285 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 95457285 | 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 | 109914 | CurrentYearMinus3 |
| Current Year Minus2 | 311106 | CurrentYearMinus2 |
| Current Year Minus1 | 221049 | CurrentYearMinus1 |
| Current Year | 131000 | CurrentYear |
| Total | 773069 | 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 |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14614839 | OtherCostOrOtherBasis |
| Book Value | 14614839 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15601328 | OtherCostOrOtherBasis |
| Depreciation | 4921673 | Depreciation |
| Book Value | 10679655 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2240638 | OtherCostOrOtherBasis |
| Depreciation | 1590172 | Depreciation |
| Book Value | 650466 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26901900 | OtherCostOrOtherBasis |
| Depreciation | 6401461 | Depreciation |
| Book Value | 20500439 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 502823 | OtherCostOrOtherBasis |
| Depreciation | 333623 | Depreciation |
| Book Value | 169200 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 46614599 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 95974993 | TotalRevenue |
| Total Expenses | 95457285 | TotalExpenses |
| Excess Or Deficit For Year | 517708 | ExcessOrDeficitForYear |
| Other | -$481,215 | OtherAmount |
| Total Adjustments | -481215 | TotalAdjustments |
| Excess Or Deficit Per FS | 36493 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 97092960 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1917967 | OtherRevenues |
| Revenue Not Rptd F990 | 1917967 | RevenueNotRptdF990 |
| Revenue Subtotal | 95174993 | RevenueSubtotal |
| Other Revenues Not Included | 800000 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 800000 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 95974993 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 97051967 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1594682 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1594682 | ExpensesNotRptdF990 |
| Expenses Subtotal | 95457285 | ExpensesSubtotal |
| Total Expenses Per Form990 | 95457285 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART XII, LINE 2D | OTHER CHANGE | MANAGEMENT FEE REDUCTION $1,599,182 CCIC PREMIUM $318,785 ---------- $1,917,967 |
| SCHEDULE D, PART XIII, LINE 2D | OTHER CHANGE | MANAGEMENT FEE REDUCTION $1,599,182 GAIN ON ASSET DISPOSITION (4,500) --------- $1,594,682 |
| UNCERTAIN TAX POSITIONS UNDER FIN 48 | SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 8 | OTHER CHANGES TO NET ASSETS | CONTRIBUTION FROM HF RECORDED TO NET ASSETS (800,000) PREMIUM CREDIT 318,785 ---------- TOTAL (481,215) |
| SCHEDULE D, PART XII, LINE 4B | OTHER AMOUNT INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 | CONTRIBUTION FROM CCHF $800,000 |
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 | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | INVESTMENT | SpecificServicesProvided |
| Total Expenditures | 5862412 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 5862412 | SubtotalAmountSpent |
| Total Amount Spent | 5862412 | 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 (13 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 | |||||||
| 3131 SANGUINET ST | FORT WORTH | TX | 76107 | 752659610 | 501(C)(3) | 45150 | SPONSORSHIP |
| MARCH OF DIMES | |||||||
| 6815 MANHATTAN BLVD 102 FORT WORTH | FORT WORTH | TX | 76120 | 131846366 | 501(C)(3) | 25000 | SPONSORSHIP |
| GOODWILL INDUSTRIES OF FORT WORTH | |||||||
| PO BOX 1408 | FORT WORTH | TX | 76101 | 750868393 | 501(C)(3) | 8000 | SPONSORSHIP |
| MAKE A WISH FOUNDATION OF TX | |||||||
| 6655 DESEO | IRVING | TX | 75039 | 751889666 | 501(C)(3) | 10000 | SPONSORSHIP |
| EPILEPSY FOUNDATION OF TEXAS | |||||||
| 3629 WOSLEY DR | FORT WORTH | TX | 76133 | 520856660 | 501(C)(3) | 11400 | SPONSORSHIP |
| WESTLAKE ACADEMY FOUNDATION | |||||||
| 2600 OTTINGER RD | WESTLAKE | TX | 76262 | 200033926 | 501(C)(3) | 10000 | SPONSORSHIP |
| AMERICAN CANCER SOCIETY | |||||||
| 2433 RIDGEPOINT DRIVE | AUSTIN | TX | 78754 | 741185665 | 501(C)(3) | 12500 | SPONSORSHIP |
| CJ WILSON CHILDREN'S CHARITIES | |||||||
| 100 BALLPARK WAY STE 212 | ARLINGTON | TX | 76011 | 271301635 | 501(C)(3) | 12000 | SPONSORSHIP |
| DFW HOSPITAL COUNCIL | |||||||
| 250 DECKER DR | IRVING | TX | 75062 | 237004426 | 501(C)(3) | 5500 | SPONSORSHIP |
| FORT WORTH OBGYN SOCIETY | |||||||
| 1325 PENNSYLVANIA AVE SUITE 600 | FORT WORTH | TX | 76101 | 752345400 | 501(C)(3) | 6500 | EDUCATIONAL GRANT |
| HOPE WALK FOUNDATION | |||||||
| 21515 RIDGETOP CIRCLE SUITE 260 | STERLING | VA | 20165 | 273719584 | 501(C)(3) | 10000 | SPONSORSHIP |
| SOUTHLAKE CHAMBER OF COMMERCE | |||||||
| PO BOX 92611 | SOUTHLAKE | TX | 76092 | 751919765 | 501(C)(3) | 10000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 13 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS FOR INDIVIDUALS | TypeOfGrant |
| Number Of Recipients | 10 | 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 A MINIMUM OF ONE YEAR OF FULL TIME SERVICE 2)BE A FULL TIME STUDENT SEEKING THEIR FIRST DEGREE IN A BACCALAUREATE PROGRAM & 3)PURSUE A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. EVALUATION OF ALL APPLICANTS WILL FOCUS ON ACADEMIC ACHIEVEMENT AND ALIGNMENT WITH COOK CHILDREN'S VALUES. 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 |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | 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 (34 entries)
| 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 | |||||||||||||
| 0 | 276537 | 0 | 108630 | 0 | 1710 | 0 | 15313 | 0 | 8036 | 0 | 410226 | 0 | 0 |
| MICHAEL J DEITCHMAN MD | |||||||||||||
| 0 | 275578 | 0 | 0 | 0 | 1360 | 0 | 0 | 0 | 11026 | 0 | 287964 | 0 | 0 |
| HOWARD M KELFER MD | |||||||||||||
| 0 | 514165 | 0 | 0 | 0 | 4464 | 0 | 18375 | 0 | 15700 | 0 | 552704 | 0 | 0 |
| FRANK MCGEHEE MD | |||||||||||||
| 0 | 572961 | 0 | 2000 | 0 | 8012 | 0 | 18375 | 0 | 12473 | 0 | 613821 | 0 | 0 |
| JAMES P MILLER MD | |||||||||||||
| 0 | 884122 | 0 | 0 | 0 | 17742 | 0 | 18375 | 0 | 13136 | 0 | 933375 | 0 | 0 |
| JASON V TERK MD | |||||||||||||
| 0 | 326781 | 0 | 0 | 0 | 1440 | 0 | 18375 | 0 | 10636 | 0 | 357232 | 0 | 0 |
| PAUL S THORNTON MD | |||||||||||||
| 0 | 424215 | 0 | 6388 | 0 | 2036 | 0 | 15313 | 0 | 20636 | 0 | 468588 | 0 | 0 |
| M SUZANNE WHITWORTH MD | |||||||||||||
| 0 | 146512 | 0 | 200 | 0 | 1244 | 0 | 9303 | 0 | 1742 | 0 | 159001 | 0 | 0 |
| KEVIN D WYLIE DO | |||||||||||||
| 0 | 184767 | 0 | 38453 | 0 | 795 | 0 | 15970 | 0 | 14864 | 0 | 254849 | 0 | 0 |
| LINDA S CHAPPELL | |||||||||||||
| 181861 | 0 | 56148 | 0 | 24983 | 0 | 18375 | 0 | 8997 | 0 | 290364 | 0 | 0 | 0 |
| JAMES C CUNNINGHAM MD | |||||||||||||
| 399999 | 0 | 102971 | 0 | 15813 | 0 | 0 | 0 | 14533 | 0 | 533316 | 0 | 0 | 0 |
| RICHARD P GOODE | |||||||||||||
| 87080 | 261238 | 27683 | 83048 | 24083 | 72253 | 3298 | 9895 | 4448 | 13344 | 146592 | 439778 | 0 | 0 |
| TIMOTHY M HANNERS | |||||||||||||
| 188369 | 54804 | 6098 | 4900 | 4541 | 258712 | 0 | |||||||
| BILLY R KENNEDY | |||||||||||||
| 261094 | 0 | 99751 | 0 | 67431 | 0 | 9800 | 0 | 17515 | 0 | 455591 | 0 | 0 | 0 |
| DAVID F LANCASTER | |||||||||||||
| 153577 | 0 | 38626 | 0 | 11474 | 0 | 15575 | 0 | 13171 | 0 | 232423 | 0 | 0 | 0 |
| JOHN W MCNEY | |||||||||||||
| 254505 | 0 | 89544 | 0 | 71390 | 0 | 18375 | 0 | 17869 | 0 | 451683 | 0 | 0 | 0 |
| RICK W MERRILL | |||||||||||||
| 166779 | 500340 | 94912 | 284735 | 46201 | 138600 | 35450 | 106350 | 3579 | 10736 | 346921 | 1040761 | 33000 | 99000 |
| GEORGE B MONTAGUE | |||||||||||||
| 202686 | 0 | 57069 | 0 | 18948 | 0 | 15313 | 0 | 11581 | 0 | 305597 | 0 | 0 | 0 |
| FRANK J ROSSI | |||||||||||||
| 255819 | 0 | 85620 | 0 | 75086 | 0 | 18375 | 0 | 13122 | 0 | 448022 | 0 | 0 | 0 |
| LARRY L TUBB | |||||||||||||
| 197880 | 0 | 64836 | 0 | 50368 | 0 | 18375 | 0 | 7349 | 0 | 338808 | 0 | 0 | 0 |
| TRACY T WALLER | |||||||||||||
| 123113 | 0 | 53040 | 0 | 147726 | 0 | 7876 | 0 | 9687 | 0 | 341442 | 0 | 0 | 0 |
| CORY RHOADES | |||||||||||||
| 169553 | 0 | 10000 | 0 | 1568 | 0 | 7239 | 0 | 15437 | 0 | 203797 | 0 | 0 | 0 |
| ERIC H HUBLI | |||||||||||||
| 419072 | 0 | 15000 | 0 | 18510 | 0 | 9800 | 0 | 14315 | 0 | 476697 | 0 | 0 | 0 |
| GREGORY K JIMERSON | |||||||||||||
| 167244 | 0 | 41402 | 0 | 1729 | 0 | 8527 | 0 | 11454 | 0 | 230356 | 0 | 0 | 0 |
| JAMES D MARSHALL | |||||||||||||
| 456417 | 0 | 80411 | 0 | 2010 | 0 | 15313 | 0 | 13933 | 0 | 568084 | 0 | 0 | 0 |
| JOANN M SANDERS MD | |||||||||||||
| 283921 | 0 | 59286 | 0 | 3334 | 0 | 18375 | 0 | 12326 | 0 | 377242 | 0 | 0 | 0 |
| JOSEPH GALLAGHER | |||||||||||||
| 165470 | 0 | 49808 | 0 | 4844 | 0 | 10151 | 0 | 10823 | 0 | 241096 | 0 | 0 | 0 |
| GRETCHEN EAMES MD | |||||||||||||
| 0 | 295000 | 0 | 0 | 0 | 1710 | 0 | 12156 | 0 | 0 | 0 | 308866 | 0 | 0 |
| ANGEL W HERNANDEZ-MULERO MD | |||||||||||||
| 0 | 495632 | 0 | 0 | 0 | 17218 | 0 | 15313 | 0 | 20636 | 0 | 548799 | 0 | 0 |
| SAMUEL E KLEINMAN MD | |||||||||||||
| 0 | 616269 | 0 | 0 | 0 | 2142 | 0 | 15313 | 0 | 13430 | 0 | 647154 | 0 | 0 |
| DONALD K MURPHEY MD | |||||||||||||
| 0 | 275504 | 0 | 20000 | 0 | 1900 | 0 | 18375 | 0 | 14086 | 0 | 329865 | 0 | 0 |
| DEBORAH A SCHUTTE MD | |||||||||||||
| 0 | 453054 | 0 | 0 | 0 | 1710 | 0 | 15313 | 0 | 11836 | 0 | 481913 | 0 | 0 |
| HARRY I SHUMAN | |||||||||||||
| 219340 | 0 | 0 | 0 | 0 | 0 | 8512 | 0 | 5866 | 0 | 233718 | 0 | 0 | 0 |
| COLEMAN D SKINNER | |||||||||||||
| 136417 | 0 | 18904 | 0 | 1486 | 0 | 8655 | 0 | 14545 | 0 | 180007 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J PART I LINE 4B | RICK W. MERRILL PARTICIPATES, BUT RECEIVED 0 PAYMENT DURING CALENDAR YEAR 2010. |
| ALLOCATION OF CEO AND CFO SALARIES | SCHEDULE J PART II | COOK 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 AFOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY. |
| SEVERENCE PAYMENTS RECEIVED FROM ORGANIZATION | SCHEDULE J PART I LINE 4A | TRACY T. WALLER RECEIVED A SEVERANCE PAYMENT OF $131,258 DURING CALENDAR YEAR 2010. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part III Form990ScheduleLPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Interested Person | SEAN WYLIE | NameOfInterestedPerson |
| Relationship With Organization | SEE PART V | RelationshipWithOrganization |
| Amount Of Grant | 5000 | AmountOfGrant |
| Type Of Assistance | SCHOLARSHIP | TypeOfAssistance |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JP MORGAN | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 169612 | AmountOfTransaction |
| Description Of Transaction | INVESTMENT MGMT FEES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GRANT OR ASSISTANCE BENEFITING INTERESTED PERSONS | SCHEDULE L, PART III | SEAN WYLIE IS THE SON OF KEVIN D. WYLIE, A BOARD MEMBER. |
| RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | SCHEDULE L, PART IV | JEFFREY B. KING, BOARD MEMBER, IS A MANAGING DIRECTOR FOR JP MORGAN. |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Table | LiquidationTable |
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | CASH | DescriptionOfAsset |
| Date Of Distribution | 2011-09-30 | DateOfDistribution |
| FMV Of Asset | 369289538 | FMVOfAsset |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDetermination |
| EIN | 752051649 | EIN |
| Name Person | WI COOK FOUNDATION | NamePerson |
Address US AddressUS
| 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) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2 |
| Employee Of Successor2 | false | EmployeeOfSuccessor2 |
| Owner Of Successor2 | false | OwnerOfSuccessor2 |
| Receive Compensation2 | false | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SALE, EXCHANGE, DISPOSITION, OR OTHER TRANSFER OF MORE THAN 25% ASSETS | Identifier |
| Return Reference | SCHEDULE N, PART II | ReturnReference |
| Explanation | THE ORGANIZATION HAS COMPLETED SCHEDULE N, PART II FOR TRANSFERS OF MORE THAN 25% OF THE ORGANIZATION"S ASSETS. THE ORGANIZATION HAS TRANSFERRED ASSETS TO THE SYSTEM'S RELATED FOUNDATION FOR THE EFFICIENT MANAGEMENT OF THE INVESTMENT PORTFOLIO FOR THE AFFILIATED HEALTH CARE SYSTEM. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (44 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACTIVITY CONTINUED | FORM 990 PART III QUESTION 4A | 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 more than half the state. With a population of over 6.7 million, the Dallas-Fort Worth-Arlington metro area is the nation's fastest growing region and in 2011, Tarrant County alone added over 21,000 people. Economic development projections indicate that by 2020, the population of Fort Worth will increase by 800,000 over 2005 levels. In fact, "All roads lead to Cook Children's," as its community extends outside Texas to the rest of the United States, beyond borders, and across the seas. Patients and their families often travel great distances when making Cook Children's their destination for the best possible pediatric care. Many of their stories are published in Cook Children's annual report. 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 4,468 employees commit to keep every day--to improve the health of every child in its region through the prevention and treatment of illness, disease, and injury. Cook Children's is a promise-driven organization and lives up to that pledge by combining the art of caring with strong, 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 reinvestment of hundreds of millions of dollars in community benefits. Cultivating and maintaining a pediatric care system based on this promise is at the core of all Cook Children's long and short-term business strategies. As such, rating agencies have cited Cook Children's market dominance in Tarrant County because of its successful expansion efforts, robust growth in revenue and liquidity, and stellar operating margins. The commitment and expertise of the system's trustees, physicians, and Cook Children's staff combined with its vast resources enable this institution to be recognized as sustainable and among the best for positive clinical outcomes. This is evidenced by its double-A bond rating and the growing and impressive list of awards and acknowledgments the system receives every year. Cook Children's records approximately one million patient encounters each year through its hospitals, specialty clinics, neighborhood clinics, physician offices, outpatient settings, and home care business. |
| SOLE MEMBER | FORM 990 PART VI, QUESTION 6 | W.I. COOK FOUNDATION, INC., 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 W.I. COOK 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 Care System 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 corporation; c. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the corporation; d. Approve the persons who are to be elected by the corporation to fill any vacancies on the board of trustees; e. Approve the sale, gift or other disposition of all or substantially all of the property of the corporation; f. Approve the creation of, or investment in, any subsidiary entity; and g. Approve the removal of a member of the board of trustees. |
| REVIEW OF THE FORM 990 | FORM 990 PART VI, QUESTION 11 | 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 FORMS ARE PREPARED, THEY ARE REVIEWED BY COMPANY EXECUTIVES AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THEY ARE PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW. SUBSEQUENT TO AUDIT COMMITTEE REVIEW, THE FORMS ARE 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 COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, RELYING UPON COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY MERCER & ASSOCIATES (EXECUTIVE COMPENSATION) AND SULLIVAN COTTER (PHYSICIAN COMPENSATION), BOTH INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS, AND REQUIRES THE COMPENSATION CONSULTANTS TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE 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 CONFILCT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES 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 SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. 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 ARE PROVIDED TO THE 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 ENTITIES OF THE 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. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY. |
| OTHER CHANGE | PART XI, LINE 5 | TRANSFER TO CCHF (369,289,538) RETROSPECTIVE PREMIUM CREDIT 318,785 ------------- TOTAL (368,970,753) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KIMBERLY D. AARON, MD TITLE:TRUSTEE HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:R. JEFFREY ALEXANDER TITLE:TRUSTEE-SECRETARY/TREASURER HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:G. THOMAS BOSWELL TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL J. DEITCHMAN, MD TITLE:TRUSTEE HOURS:42 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES R. DUNAWAY, JR. TITLE:TRUSTEE-CHAIRMAN HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD F. GARVEY TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RAFAEL G. GARZA TITLE:TRUSTEE-SECRETARY/TREASURER HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES F. HERD, SR, MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NANCY KAY HOWARD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD M. KELFER, MD TITLE:TRUSTEE-VICE CHAIRMAN HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY B. KING TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:G. MALCOLM LOUDEN TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK MCGEHEE, MD TITLE:TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES P. MILLER, MD TITLE:TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL R. PAVELL TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSEPH C. PENSHORN TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PETER L. PHILPOT TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JASON V. TERK, MD TITLE:TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAUL S. THORNTON, MD TITLE:TRUSTEE HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY G. WALSH TITLE:TRUSTEE-CHAIRMAN HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES E. WEBB TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:M. SUZANNE WHITWORTH, MD TITLE:TRUSTEE HOURS:44 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEVIN D. WYLIE, DO TITLE:TRUSTEE HOURS:42 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GRETCHEN EAMES, MD TITLE:TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANGEL W. HERNANDEZ-MULERO, MD TITLE:TRUSTEE HOURS:43 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARSHA A. HILCHER TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRISTOPHER M. HUCKABEE TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SAMUEL E. KLEINMAN, MD TITLE:TRUSTEE HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONALD K. MURPHEY, MD TITLE:TRUSTEE HOURS:43 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEBORAH A. SCHUTTE, MD TITLE:TRUSTEE HOURS:42 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD P. GOODE TITLE:CFO HOURS:30 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CARA MARTZ TITLE:SECRETARY HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICK W. MERRILL TITLE:PRESIDENT & CEO HOURS:30 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GEORGE B. MONTAGUE TITLE:VP, REAL ESTATE HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOANN M. SANDERS, MD TITLE:PATIENT SAFETY OFFICER HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 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 |
|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S HEALTH PLAN | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 11C | NA |
| COOK CHILDREN'S PHYSICIAN NETWORK | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752485366 | PHYSICIAN SVC | TX | 501(C)(3) | 3 | NA |
| WI COOK FOUNDATION | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051649 | FUNDRAISING | TX | 501(C)(3) | 11D | NA |
| COOK CHILDREN'S MEDICAL CENTER | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | HOSPITAL | TX | 501(C)(3) | 3 | NA |
| COOK CHILDREN'S HOME HEALTH | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 11C | NA |
| 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 |
| 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 | false | 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 (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COOK CHILDREN'S HEALTH FOUNDATION | |
| C | 1187524 |
| COOK CHILDREN'S HEALTH FOUNDATION | |
| P | 1170470 |
| COOK CHILDREN'S HOME HEALTH | |
| A | 180552 |
| COOK CHILDREN'S HOME HEALTH | |
| P | 3544927 |
| COOK CHILDREN'S HEALTH PLAN | |
| A | 207612 |
| COOK CHILDREN'S HEALTH PLAN | |
| P | 3144770 |
| COOK CHILDREN'S MEDICAL CENTER | |
| B | 943663 |
| COOK CHILDREN'S MEDICAL CENTER | |
| P | 123427979 |
| COOK CHILDREN'S PHYSICIAN NETWORK | |
| A | 1470288 |
| COOK CHILDREN'S PHYSICIAN NETWORK | |
| B | 486694 |
| COOK CHILDREN'S PHYSICIAN NETWORK | |
| O | 3258045 |
| COOK CHILDREN'S PHYSICIAN NETWORK | |
| P | 15138534 |