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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T18:39:06-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

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)
Name ControlCOOKNameControl
Phone6828854000Phone

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 Signed2012-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts95974993GrossReceipts
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
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees484TotalNbrEmployees
Total Nbr Volunteers51TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year906905ContributionsGrantsPriorYear
Contributions Grants Current Year1639175ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84566527ProgramServiceRevenuePriorYear
Program Service Revenue CY89340108ProgramServiceRevenueCY
Investment Income Prior Year6727104InvestmentIncomePriorYear
Investment Income Current Year324974InvestmentIncomeCurrentYear
Other Revenue Prior Year3000329OtherRevenuePriorYear
Other Revenue Current Year4670736OtherRevenueCurrentYear
Total Revenue Prior Year95200865TotalRevenuePriorYear
Total Revenue Current Year95974993TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year266650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY297375GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33428600SalariesEtcPriorYear
Salaries Etc Current Year32112286SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year55868974OtherExpensePriorYear
Other Expenses Current Year63047624OtherExpensesCurrentYear
Total Expenses Prior Year89564224TotalExpensesPriorYear
Total Expenses Current Year95457285TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5636641RevenuesLessExpensesPriorYear
Revenues Less Expenses CY517708RevenuesLessExpensesCY
Total Assets BOY444792606TotalAssetsBOY
Total Assets EOY76398015TotalAssetsEOY
Total Liabilities BOY26418834TotalLiabilitiesBOY
Total Liabilities EOY26477289TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY418373772NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49920726NetAssetsOrFundBalancesEOY
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
Expense76306144Expense
Grants247375Grants
Revenue94010844Revenue
DescriptionCook 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 ODescription
Total Program Service Expense76306144TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 FootnotetrueReportFin48Footnote
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 PersontrueGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationtruePartialLiquidation
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 With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees484NumberOfEmployees
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 Members25NbrVotingGoverningBodyMembers
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 (52 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KIMBERLY D AARON MD
TRUSTEE1.0X038687723349
R JEFFREY ALEXANDER
TRUSTEE-SECRETARY/TREASURER2.0X000X
G THOMAS BOSWELL
TRUSTEE1.0X000
MICHAEL J DEITCHMAN MD
TRUSTEE1.0X027693811026
JAMES R DUNAWAY JR
TRUSTEE-CHAIRMAN2.0X000X
RICHARD F GARVEY
TRUSTEE1.0X000
RAFAEL G GARZA
TRUSTEE-SECRETARY/TREASURER2.0X000X
JAMES F HERD SR MD
TRUSTEE1.0X000
NANCY KAY HOWARD
TRUSTEE1.0X000
HOWARD M KELFER MD
TRUSTEE-VICE CHAIRMAN2.0X051862934075X
JEFFREY B KING
TRUSTEE1.0X000
G MALCOLM LOUDEN
TRUSTEE1.0X000
FRANK MCGEHEE MD
TRUSTEE1.0X058297330848
JAMES P MILLER MD
TRUSTEE1.0X090186431511
MICHAEL R PAVELL
TRUSTEE1.0X000
JOSEPH C PENSHORN
TRUSTEE1.0X000
PETER L PHILPOT
TRUSTEE1.0X000
JASON V TERK MD
TRUSTEE1.0X032822129011
PAUL S THORNTON MD
TRUSTEE1.0X043263935949
GARY G WALSH
TRUSTEE-CHAIRMAN2.0X000X
JAMES E WEBB
TRUSTEE1.0X000
M SUZANNE WHITWORTH MD
TRUSTEE1.0X014795611045
KEVIN D WYLIE DO
TRUSTEE1.0X022401530834
GRETCHEN EAMES MD
TRUSTEE1.0X029671012156
ANGEL W HERNANDEZ-MULERO MD
TRUSTEE1.0X051285035949
MARSHA A HILCHER
TRUSTEE1.0X000
CHRISTOPHER M HUCKABEE
TRUSTEE1.0X000
SAMUEL E KLEINMAN MD
TRUSTEE1.0X061841128743
DONALD K MURPHEY MD
TRUSTEE1.0X029740432461
DEBORAH A SCHUTTE MD
TRUSTEE1.0X045476427149
LINDA S CHAPPELL
SR. VP-QUALITY MGMT40.0262992027372X
JAMES C CUNNINGHAM MD
CHIEF MEDICAL OFFICER40.0518783014533X
RICHARD P GOODE
CFO10.013884641653930985X
TIMOTHY M HANNERS
SR. VP-CORP & COMMUNITY AFFAIR40.02492719441X
BILLY R KENNEDY
SR. VP-AFFILIATE VENTURES40.0428276027315X
DAVID F LANCASTER
VP, INTERNAL AUDIT & COMPLIANC40.0203677028746X
CARA MARTZ
SECRETARY36.09521607326X
JOHN W MCNEY
SR. VP-GENERAL COUNSEL40.0415439036244X
RICK W MERRILL
PRESIDENT & CEO10.0307892923675156115X
GEORGE B MONTAGUE
VP, REAL ESTATE36.0278703026894X
FRANK J ROSSI
SR. VP-HUMAN RESOURCES40.0416525031497X
LARRY L TUBB
SR. VP-PLANNING40.0313084025724X
TRACY T WALLER
SR. VP-CIO, INTERIM40.0323879017563X
CORY RHOADES
VP-FINANCE, CHIEF ACCTG OFFCR40.0181121022676X
THERESA ZAK MEADOWS
SR. VP-CIO40.0116646013693X
HARRY I SHUMAN
CHIEF MEDICAL INFO OFFICER40.0219340014378X
COLEMAN D SKINNER
VP-REVENUE CYCLE40.0156807023200X
ERIC H HUBLI
CHIEF SYSTEM EFFECTIVENESS OFF40.0452582024115X
GREGORY K JIMERSON
AVP, REVENUE MANAGEMENT40.0210375019981X
JAMES D MARSHALL
MEDICAL DIRECTOR40.0538838029246X
JOANN M SANDERS MD
PATIENT SAFETY OFFICER40.0346541030701X
JOSEPH GALLAGHER
ASSOCIATE GENERAL COUNSEL40.0220122020974X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6394955TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7320465TotalReportableCompFrmRltdOrgs
Total Other Compensation1012825TotalOtherCompensation
Number Individuals GT100 K75NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE CONSULTING LLP
CONSULTING2691719
UNITED MARKETING COMMUNICATIONS INC
MARKETING1763164
AETNA INC
ADMIN SERVICES1534801
BEACON PARTNERS INC
CONSULTING775903
SHARED TECHNOLOGIES
REPAIR & MAINTENANCE602289
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Related Organizations1187524RelatedOrganizations
All Other Contributions451651AllOtherContributions
Total Contributions1639175TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SHARED SERVICES9000997962851779628517
HUMAN RESOURCES90009948749474874947
RENT90009924472522447252
COMMUNITY HEALTH OUTREACH90009911788591178859
ANSWERING SVC900099631627631627

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column578906TotalRevenueColumn
Related Or Exempt Function Income578906RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue89340108TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column320474TotalRevenueColumn
Exclusion$320,474ExclusionAmount

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)
Other4500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4500TotalRevenueColumn
Exclusion$4,500ExclusionAmount

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
REBATES90009935437713543771
CONCIERGE900099584147584147
LEGAL900099515618515618

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column27200TotalRevenueColumn
Related Or Exempt Function Income27200RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4670736TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column95974993TotalRevenueColumn
Related Or Exempt Function Income94010844RelatedOrExemptFunctionIncome
Exclusion$324,974ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total247375Total
Program Services247375ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total50000Total
Program Services50000ProgramServices

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)
Total5613981Total
Program Services565719ProgramServices
Management And General5048262ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21306521Total
Program Services17554418ProgramServices
Management And General3752103ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5191784Total
Program Services3836530ProgramServices
Management And General1355254ManagementAndGeneral

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)
Total679471Total
Program Services341858ProgramServices
Management And General337613ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total311378Total
Program Services67063ProgramServices
Management And General244315ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total131000Total
Program Services131000ProgramServices

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)
Total4143990Total
Program Services3177853ProgramServices
Management And General966137ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3233919Total
Program Services231460ProgramServices
Management And General3002459ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1138654Total
Program Services713426ProgramServices
Management And General425228ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total32992778Total
Program Services32992778ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4709084Total
Program Services4709084ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total797913Total
Program Services601610ProgramServices
Management And General196303ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total210752Total
Program Services177093ProgramServices
Management And General33659ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total171893Total
Program Services2580ProgramServices
Management And General169313ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5326544Total
Program Services5326544ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total809152Total
Program Services809152ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MINOR EQUIPMENT23795762361356182200
PHYSICIAN REMUNERATIONS323635034312728932230
DUES & SUBSCRIPTIONS9267093673135593960
RECRUITMENT922382828864935180
MAINTENANCE & REPAIR37051937051900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total555560Total
Program Services499422ProgramServices
Management And General56138ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total95457285Total
Program Services76306144ProgramServices
Management And General19151141ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8400BOY
EOY8400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3514286BOY
EOY11730031EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY599682BOY
EOY409874EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2500121BOY
EOY13823896EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13444BOY
EOY14199EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY248651EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis59861528LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13246929LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40097098BOY
EOY46614599EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY385289538BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12770037BOY
EOY3548365EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY444792606BOY
EOY76398015EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26132089BOY
EOY26115833EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY286745BOY
EOY361456EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26418834BOY
EOY26477289EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY418373772BOY
EOY49920726EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY418373772BOY
EOY49920726EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY444792606BOY
EOY76398015EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses517708ReconcilationRevenueExpenses
Reconcilation Other Changes-368970754ReconcilationOtherChanges
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$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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 Totals131000FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals131000FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals95326285FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals95457285FilingOrganizationsTotals

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 Minus3109914CurrentYearMinus3
Current Year Minus2311106CurrentYearMinus2
Current Year Minus1221049CurrentYearMinus1
Current Year131000CurrentYear
Total773069Total

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15601328OtherCostOrOtherBasis
Depreciation4921673Depreciation
Book Value10679655BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2240638OtherCostOrOtherBasis
Depreciation1590172Depreciation
Book Value650466BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26901900OtherCostOrOtherBasis
Depreciation6401461Depreciation
Book Value20500439BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis502823OtherCostOrOtherBasis
Depreciation333623Depreciation
Book Value169200BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings46614599TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue95974993TotalRevenue
Total Expenses95457285TotalExpenses
Excess Or Deficit For Year517708ExcessOrDeficitForYear
Other-$481,215OtherAmount
Total Adjustments-481215TotalAdjustments
Excess Or Deficit Per FS36493ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt97092960TotRevenueEtcAuditedFinclStmt
Other Revenues1917967OtherRevenues
Revenue Not Rptd F9901917967RevenueNotRptdF990
Revenue Subtotal95174993RevenueSubtotal
Other Revenues Not Included800000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt800000RevenueNotRptdOnFinStmt
Total Revenue Per Form99095974993TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt97051967TotExpensesEtcAuditedFinclStmt
Other Expenses Included1594682OtherExpensesIncluded
Expenses Not Rptd F9901594682ExpensesNotRptdF990
Expenses Subtotal95457285ExpensesSubtotal
Total Expenses Per Form99095457285TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART XII, LINE 2DOTHER CHANGEMANAGEMENT FEE REDUCTION $1,599,182 CCIC PREMIUM $318,785 ---------- $1,917,967
SCHEDULE D, PART XIII, LINE 2DOTHER CHANGEMANAGEMENT FEE REDUCTION $1,599,182 GAIN ON ASSET DISPOSITION (4,500) --------- $1,594,682
UNCERTAIN TAX POSITIONS UNDER FIN 48SCHEDULE D, PART X, LINE 2MANAGEMENT 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 8OTHER CHANGES TO NET ASSETSCONTRIBUTION FROM HF RECORDED TO NET ASSETS (800,000) PREMIUM CREDIT 318,785 ---------- TOTAL (481,215)
SCHEDULE D, PART XII, LINE 4BOTHER AMOUNT INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1CONTRIBUTION FROM CCHF $800,000

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 Expenditures5862412TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent5862412SubtotalAmountSpent
Total Amount Spent5862412TotalAmountSpent
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 (13 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
3131 SANGUINET STFORT WORTHTX76107752659610501(C)(3)45150SPONSORSHIP
MARCH OF DIMES
6815 MANHATTAN BLVD 102 FORT WORTHFORT WORTHTX76120131846366501(C)(3)25000SPONSORSHIP
GOODWILL INDUSTRIES OF FORT WORTH
PO BOX 1408FORT WORTHTX76101750868393501(C)(3)8000SPONSORSHIP
MAKE A WISH FOUNDATION OF TX
6655 DESEOIRVINGTX75039751889666501(C)(3)10000SPONSORSHIP
EPILEPSY FOUNDATION OF TEXAS
3629 WOSLEY DRFORT WORTHTX76133520856660501(C)(3)11400SPONSORSHIP
WESTLAKE ACADEMY FOUNDATION
2600 OTTINGER RDWESTLAKETX76262200033926501(C)(3)10000SPONSORSHIP
AMERICAN CANCER SOCIETY
2433 RIDGEPOINT DRIVEAUSTINTX78754741185665501(C)(3)12500SPONSORSHIP
CJ WILSON CHILDREN'S CHARITIES
100 BALLPARK WAY STE 212ARLINGTONTX76011271301635501(C)(3)12000SPONSORSHIP
DFW HOSPITAL COUNCIL
250 DECKER DRIRVINGTX75062237004426501(C)(3)5500SPONSORSHIP
FORT WORTH OBGYN SOCIETY
1325 PENNSYLVANIA AVE SUITE 600FORT WORTHTX76101752345400501(C)(3)6500EDUCATIONAL GRANT
HOPE WALK FOUNDATION
21515 RIDGETOP CIRCLE SUITE 260STERLINGVA20165273719584501(C)(3)10000SPONSORSHIP
SOUTHLAKE CHAMBER OF COMMERCE
PO BOX 92611SOUTHLAKETX76092751919765501(C)(3)10000SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS FOR INDIVIDUALSTypeOfGrant
Number Of Recipients10NumberOfRecipients
Amount Of Cash Grant50000AmountOfCashGrant

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 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

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)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIMBERLY D AARON MD
027653701086300171001531308036041022600
MICHAEL J DEITCHMAN MD
0275578000136000011026028796400
HOWARD M KELFER MD
05141650004464018375015700055270400
FRANK MCGEHEE MD
05729610200008012018375012473061382100
JAMES P MILLER MD
088412200017742018375013136093337500
JASON V TERK MD
03267810001440018375010636035723200
PAUL S THORNTON MD
04242150638802036015313020636046858800
M SUZANNE WHITWORTH MD
01465120200012440930301742015900100
KEVIN D WYLIE DO
01847670384530795015970014864025484900
LINDA S CHAPPELL
181861056148024983018375089970290364000
JAMES C CUNNINGHAM MD
3999990102971015813000145330533316000
RICHARD P GOODE
87080261238276838304824083722533298989544481334414659243977800
TIMOTHY M HANNERS
188369548046098490045412587120
BILLY R KENNEDY
261094099751067431098000175150455591000
DAVID F LANCASTER
1535770386260114740155750131710232423000
JOHN W MCNEY
2545050895440713900183750178690451683000
RICK W MERRILL
16677950034094912284735462011386003545010635035791073634692110407613300099000
GEORGE B MONTAGUE
2026860570690189480153130115810305597000
FRANK J ROSSI
2558190856200750860183750131220448022000
LARRY L TUBB
197880064836050368018375073490338808000
TRACY T WALLER
123113053040014772607876096870341442000
CORY RHOADES
16955301000001568072390154370203797000
ERIC H HUBLI
419072015000018510098000143150476697000
GREGORY K JIMERSON
16724404140201729085270114540230356000
JAMES D MARSHALL
456417080411020100153130139330568084000
JOANN M SANDERS MD
283921059286033340183750123260377242000
JOSEPH GALLAGHER
165470049808048440101510108230241096000
GRETCHEN EAMES MD
0295000000171001215600030886600
ANGEL W HERNANDEZ-MULERO MD
049563200017218015313020636054879900
SAMUEL E KLEINMAN MD
06162690002142015313013430064715400
DONALD K MURPHEY MD
027550402000001900018375014086032986500
DEBORAH A SCHUTTE MD
04530540001710015313011836048191300
HARRY I SHUMAN
219340000008512058660233718000
COLEMAN D SKINNER
13641701890401486086550145450180007000

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 2010.
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 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 ORGANIZATIONSCHEDULE J PART I LINE 4ATRACY T. WALLER RECEIVED A SEVERANCE PAYMENT OF $131,258 DURING CALENDAR YEAR 2010.

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII

FieldValueIRS element (for citing)
Name Of Interested PersonSEAN WYLIENameOfInterestedPerson
Relationship With OrganizationSEE PART VRelationshipWithOrganization
Amount Of Grant5000AmountOfGrant
Type Of AssistanceSCHOLARSHIPTypeOfAssistance

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJP MORGANNamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction169612AmountOfTransaction
Description Of TransactionINVESTMENT MGMT FEESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GRANT OR ASSISTANCE BENEFITING INTERESTED PERSONSSCHEDULE L, PART IIISEAN WYLIE IS THE SON OF KEVIN D. WYLIE, A BOARD MEMBER.
RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONSCHEDULE L, PART IVJEFFREY B. KING, BOARD MEMBER, IS A MANAGING DIRECTOR FOR JP MORGAN.

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation TableLiquidationTable

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetCASHDescriptionOfAsset
Date Of Distribution2011-09-30DateOfDistribution
FMV Of Asset369289538FMVOfAsset
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDetermination
EIN752051649EIN
Name PersonWI COOK FOUNDATIONNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
IdentifierSALE, EXCHANGE, DISPOSITION, OR OTHER TRANSFER OF MORE THAN 25% ASSETSIdentifier
Return ReferenceSCHEDULE N, PART IIReturnReference
ExplanationTHE 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACTIVITY CONTINUEDFORM 990 PART III QUESTION 4ABased 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 MEMBERFORM 990 PART VI, QUESTION 6W.I. COOK FOUNDATION, INC., 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 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 ABILITIESFORM 990 PART VI, QUESTION 7BAs 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 990FORM 990 PART VI, QUESTION 11THE 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 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 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 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 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 INTERESTFORM 990 PART VI QUESTION 12CEVERY 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 CHANGEPART XI, LINE 5TRANSFER TO CCHF (369,289,538) RETROSPECTIVE PREMIUM CREDIT 318,785 ------------- TOTAL (368,970,753)
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-SECRETARY/TREASURER 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:MICHAEL J. DEITCHMAN, MD TITLE:TRUSTEE HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES R. DUNAWAY, JR. TITLE:TRUSTEE-CHAIRMAN HOURS:5
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:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES F. HERD, SR, MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY KAY HOWARD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD M. KELFER, MD TITLE:TRUSTEE-VICE CHAIRMAN HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY B. KING TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:G. MALCOLM LOUDEN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANK MCGEHEE, MD TITLE:TRUSTEE HOURS:41
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:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER L. PHILPOT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JASON V. TERK, MD TITLE:TRUSTEE HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL S. THORNTON, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GARY G. WALSH TITLE:TRUSTEE-CHAIRMAN HOURS:2
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:44
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN D. WYLIE, DO TITLE:TRUSTEE HOURS:42
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GRETCHEN EAMES, MD TITLE:TRUSTEE HOURS:41
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:SAMUEL E. KLEINMAN, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD K. MURPHEY, 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:30
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/BusinessNameLine1
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)11CNA
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3NA
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNA
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3NA
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983HEALTHCARETX501(C)(3)11CNA
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 InvolvedAmountInvolved
COOK CHILDREN'S HEALTH FOUNDATION
C1187524
COOK CHILDREN'S HEALTH FOUNDATION
P1170470
COOK CHILDREN'S HOME HEALTH
A180552
COOK CHILDREN'S HOME HEALTH
P3544927
COOK CHILDREN'S HEALTH PLAN
A207612
COOK CHILDREN'S HEALTH PLAN
P3144770
COOK CHILDREN'S MEDICAL CENTER
B943663
COOK CHILDREN'S MEDICAL CENTER
P123427979
COOK CHILDREN'S PHYSICIAN NETWORK
A1470288
COOK CHILDREN'S PHYSICIAN NETWORK
B486694
COOK CHILDREN'S PHYSICIAN NETWORK
O3258045
COOK CHILDREN'S PHYSICIAN NETWORK
P15138534