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COOK CHILDRENS HOME HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HOME HEALTH (EIN 75-2896983)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201112249349301296
Schema version
2009v1.7
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)
Timestamp2011-08-12T12:52:16-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752896983EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Cook Children's Home HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOOKNameControl
Phone6828854480Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Seventh AvenueAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCORY RHOADESName
TitleVP & CHIEF ACCOUNTING OFFICERTitle
Date Signed2011-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMIKE SIMMONSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35616588GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.COOKCHILRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees157TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year1000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35923195ProgramServiceRevenuePriorYear
Program Service Revenue CY35615588ProgramServiceRevenueCY
Investment Income Prior Year-10813InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year35912382TotalRevenuePriorYear
Total Revenue Current Year35616588TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7005488SalariesEtcPriorYear
Salaries Etc Current Year7896317SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26657959OtherExpensePriorYear
Other Expenses Current Year26578386OtherExpensesCurrentYear
Total Expenses Prior Year33663447TotalExpensesPriorYear
Total Expenses Current Year34474703TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2248935RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1141885RevenuesLessExpensesCY
Total Assets BOY9380775TotalAssetsBOY
Total Assets EOY10747681TotalAssetsEOY
Total Liabilities BOY2367464TotalLiabilitiesBOY
Total Liabilities EOY2592485TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7013311NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8155196NetAssetsOrFundBalancesEOY
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
Expense28437362Expense
Revenue35615588Revenue
DescriptionCOOK CHILDREN'S HOME HEALTH, A NOT-FOR-PROFIT COMPANY WITHIN THE CONTINUUM OF THE COOK CHILDREN'S HEALTH CARE SYSTEM, BEGAN OPERATING AS A COMPANY IN 2001. AS A ONE STOP ALTERNATIVE TO HOSPITALIZATION OR NURSING HOME CARE, HOME HEALTH CARES FOR PEDIATRIC PATIENTS ABLE TO CONTINUE THEIR RECOVERY OR REHABILITATION AT HOME. CONTINUED ON SCHEDULE ODescription
Total Program Service Expense28437362TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees157NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ANGEL HERNANDEZ MD
TRUSTEE-VICE CHAIRMAN1.0XX057151036162
JOSEPH C PENSHORN
TRUSTEE-CHAIRMAN1.0XX000
MATTHEW DZURIK MD
TRUSTEE1.0X041621116240
PETER L PHILPOT
TRUSTEE1.0X000
RICHARD P HOWREY MD
TRUSTEE1.0X029997215535
ROBIN W ARENA
TRUSTEE1.0X000
TRACY MCGEHEE
TRUSTEE1.0X000
VICKIE V STEVENS
TRUSTEE1.0X000
BONNIE PETSCHE
TRUSTEE1.0X000
GEORGE M YOUNG JR
TRUSTEE1.0X000
CARA MARTZ
SECRETARY1.0X0882475934
MICHAEL GENDKE
VP-OPERATIONS40.0X16631520727
MICHAEL R SIMMONS
PRESIDENT & CFO40.0X244193025895
RICK W MERRILL
CEO5.0X222581090647155959
RICHARD P GOODE
CFO-CCHCS5.0X2189441598828609
DIONNE R SMITH
PHARMACIST40.012917009776X
MARY L HICKS
PHARMACY MANAGER40.0119417013750X
SANDRA MANNING
DIRECTOR-CLINICAL SVCS40.0118092014503X
JEFFREY M GILL
DIRECTOR-FINANCE40.0100637013161X
DEBORAH VAE GRAHAM
DIRECTOR-PROSTHETICS/ORTHOTICS40.010860702245X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1030583TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2882575TotalReportableCompFrmRltdOrgs
Total Other Compensation358496TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FEDERAL EXPRESS
PO Box 660481DALLASTX752660481SHIPPING129344
TEXAS MEDICAID HEALTHCARE PARTNER
12357-B RIATA TRACE PKWY SUITE 150AUSTINTX78727CONSULTING182034
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations1000RelatedOrganizations
Total Contributions1000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT FEES9000993444761634447616
MANAGEMENT FEES90009911429881142988
OTHER INCOME9000992498424984
FieldValueIRS element (for citing)
Total Program Service Revenue35615588TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35616588TotalRevenueColumn
Related Or Exempt Function Income35615588RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total540318Total
Management And General540318ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5913345Total
Program Services3631558ProgramServices
Management And General2281787ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1442654Total
Program Services880421ProgramServices
Management And General562233ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1915400Total
Management And General1915400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1944Total
Management And General1944ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

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)
Total192197Total
Program Services121921ProgramServices
Management And General70276ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55008Total
Program Services12356ProgramServices
Management And General42652ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20099102Total
Program Services19987587ProgramServices
Management And General111515ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total220854Total
Management And General220854ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153281Total
Program Services128821ProgramServices
Management And General24460ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21816Total
Program Services15055ProgramServices
Management And General6761ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total230470Total
Program Services147789ProgramServices
Management And General82681ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT296759429675940
MINOR EQUIPMENT49580145046845333
MAINTENANCE & REPAIR916408038711253
DUES & SUBSCRIPTIONS37288718830100
COLLECTION EXPENSE32145032145

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total63846Total
Program Services6217ProgramServices
Management And General57629ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34474703Total
Program Services28437362ProgramServices
Management And General6037341ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY350BOY
EOY350EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5734138BOY
EOY6470864EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2102997BOY
EOY2237263EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY863668BOY
EOY1299759EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1553633LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec814188LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY679622BOY
EOY739445EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9380775BOY
EOY10747681EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1520692BOY
EOY1499990EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY846772BOY
EOY1092495EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2367464BOY
EOY2592485EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7013311BOY
EOY8155196EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7013311BOY
EOY8155196EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9380775BOY
EOY10747681EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis139084OtherCostOrOtherBasis
Depreciation12930Depreciation
Book Value126154BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis118577OtherCostOrOtherBasis
Depreciation18331Depreciation
Book Value100246BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1295972OtherCostOrOtherBasis
Depreciation782927Depreciation
Book Value513045BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings739445TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO MEDICAL CENTER$734,239
DUE TO HEALTH CARE SYSTEM$356,576
DUE TO PHYSICIANS NETWORK$1,680
FieldValueIRS element (for citing)
Total Of Amounts1092495TotalOfAmounts
Total Revenue35616588TotalRevenue
Total Expenses34474703TotalExpenses
Excess Or Deficit For Year1141885ExcessOrDeficitForYear
Excess Or Deficit Per FS1141885ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35616588TotRevenueEtcAuditedFinclStmt
Revenue Subtotal35616588RevenueSubtotal
Total Revenue Per Form99035616588TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34474703TotExpensesEtcAuditedFinclStmt
Expenses Subtotal34474703ExpensesSubtotal
Total Expenses Per Form99034474703TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAIN TAX POSITIONS UNDER FIN 48Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT 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.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 PaymentfalseSeverancePayment
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 (7 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 OrgsTotalCompensationRelatedOrgs
ANGEL HERNANDEZ MD
0553906000176040153130208490607672
MATTHEW DZURIK MD
0406431000978009800064400432451
MICHAEL GENDKE
1193163645410545694613781187042
MICHAEL R SIMMONS
14108706115204195401071601517902700880
RICHARD P HOWREY MD
0298262000171001531302220315507
RICK W MERRILL
1265362001667503307512855139880283613896428313876253771243487
RICHARD P GOODE
1336425391246998929038317278651898439121733623324443167

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PARTICIPATION IN A SUPLLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J PART I QUESTION 4BRICK W. MERRILL-PARTICIPATES, BUT RECEIVED 0 PAYMENT DURING CALENDAR YEAR 2009
ALLOCATION OF CEO AND CFO SALARIESSCHEDULE J PART IICOOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 7 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH, INDEMNITY COMPANY, FOUNDATION, 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUEDFORM 990 PART III QUESTION 4ARESEARCH SHOWS THAT CHILDREN WHO REQUIRE LONG-TERM CARE USUALLY FEEL BETTER AND RECOVER QUICKER WHEN TREATED IN THE FAMILIAR SURROUDINGS OF HOME AND FAMILY. IN ADDITION, HOME HEALTH SERVICES COST SIGNIFICANTLY LESS THAN HOSPITAL CARE. COOK CHILDREN'S HOME HEALTH IS THE LARGEST AND MOST COMPREHENSIVE PEDIATRIC HOME HEALTH CARE PROVIDER WITH OFFICES IN FORT WORTH AND DALLAS. IT OPERATES SEVERAL DIVISIONS, INCLUDING NURSING SERVICES, INFUSION PHARMACY, DURABLE MEDICAL EQUIPMENT, SPECIALTY BIOTECHNOLOGY DRUGS, REHABILITATION AND ORTHOTIC AND PROSTHETICS. HOME HEALTH OFFERS SUCH CLINICAL SERVICES AS INITIAL DISCHARGE PLANNING, PATIENT ASSESSMENT, HOME CARE INSTRUCTIONS, AND ONGOING TREATMENTS AND/OR EVALUATION. HOME HEALTH PROVIDES SERVICES THROUGH COOK CHILDREN'S EMPLOYEES RATHER THAN BY CONTRACTING WITH OUTSIDE PROVIDERS, WHICH GIVE PATIENTS AND THEIR FAMILIES GREATER CONTINUITY AND CONVENIENCE AND SIGNIFICANTLY LOWERS COST. MEETING THE PEDIATRIC PATIENT'S NEEDS IS HOME HEALTH'S PRIMARY VALUE. AS SUCH, THE STAFF DEVELOPS INDIVIDUALIZED CARE PLANS FOR EACH PATIENT AND WORKS WITH THEM ON A MONTHLY, WEEKLY, OR DAILY BASIS. HOME HEALTH PHARMACISTS, NURSES, SOCIAL WORKERS, RESPIRATORY THERAPISTS, AND OCCUPATIONAL AND SPEECH THERAPISTS ARE TRAINED IN THE SCIENCE OF PEDIATRIC HOME CARE. ALL SUBMIT TO AN INTENSIVE INTERVIEWING PROCESS AND RECEIVE THOROUGH BACKGROUND CHECKS. HOME HEALTH'S SKILLED NURSES ARE REQUIRED TO BE PALS (PEDIATRIC ADVANCED LIFE SUPPORT) CERTIFIED AND MOST HAVE A MINIMUM OF 5 YEARS' EXPERIENCE, AND MOST REHAB THERAPISTS HAVE AT LEAST 15 YEARS' EXPERIENCE. EACH PATIENT IS ASSIGNED A "COOK CHILDREN'S HOME HEALTH CARE COORDINATOR", A REGISTERED NURSE WHO ENSURES THAT EVERY FAMILY IS TREATED WITH RESPECT, THAT ALL CARE IS COORDINATED, AND THAT COMMUNICATION BETWEEN THE FAMILY AND THE PROVIDERS IS TIMELY AND ACCURATE. PATIENTS AND THEIR FAMILIES MAY CALL ON A PEDIATRIC HOME CARE NURSE AT ANY TIME. THEY ARE ALWAYS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. PRESS GANEY REPORTED IN 2010 THAT THE AVERAGE SATISFACTION IN HOME HEALTH CARE WAS 90.0 PERCENT. COOK CHILDREN'S HOME HEALTH CARE SERVICES SCORED 93.7 PERCENT FOR THE SAME PERIOD.
SOLE MEMBERFORM 990 PART VI, QUESTION 6COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
MEMBER ELECTION ABILITESFORM 990 PART VI, QUESTION 7AAS THE SOLE MEMBER OF THE ORGANIZATION COOK CHILDREN'S HEALTH CARE SYSTEM 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 POWER TO APPROVE REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES AND THE POWER TO APPROVE OTHER SIGNIFICANT ACTIVITY OF THE ORGANIZATION.
REVIEW PROCESS FOR FORM 990FORM 990 PART VI, QUESTION 10THE 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.
WRITTEN CONFLICT OF INTEREST POLICYFORM 990 PART VI, QUESTION 12CEVERY YEAR THE LEGAL DEPARTMENT SENDS OUT A FORM 990 QUESTIONNAIRE 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 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.
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), 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 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. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE.
RELATED COMPENSATION HOURS WORKEDFORM 990 PART VIIAVG HOURS WORKED FOR RELATED ORG CARA MARTZ 43 RICK W. MERRILL 50 RICHARD P. GOODE 45 ANGEL HERNANDEZ, MD 40 MATTHEW DZURIK, MD 40 RICHARD P. HOWREY, MD 40 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII MAY DEVOTE AN AVERAGE OF 1 TO 4 HOURS PER WEEK TO RELATED ORGANIZATIONS.

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 AVENUEFORT WORTHTX76104760585240INSURANCETX501(C)(3)11CNA
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVENUEFORT WORTHTX76104752705881SUPPORTTX501(C)(3)11CNA
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUEFORT WORTHTX76104752485366PHYSICIAN GRPTX501(C)(3)3NA
WI COOK FOUNDATION
801 SEVENTH AVENUEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNA
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVENUEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg