COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201132289349301098
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T12:52:16-04:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | 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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752051646 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cook Children's Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COOK | NameControl |
| Phone | 6828854480 | 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 | 2011-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NANCY CYCHOL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 628299752 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.COOKCHILDRENS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3496 | TotalNbrEmployees |
| Total Nbr Volunteers | 1186 | TotalNbrVolunteers |
| Total Gross UBI | 35487 | TotalGrossUBI |
| Contributions Grants Prior Year | 7047101 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5735863 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 554453118 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 561457980 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -701739 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1962612 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2950885 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7023290 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 563749365 | TotalRevenuePriorYear |
| Total Revenue Current Year | 576179745 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 40293240 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 36628234 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 216761091 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 215700718 | 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 | 207130780 | OtherExpensePriorYear |
| Other Expenses Current Year | 232016571 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 464185111 | TotalExpensesPriorYear |
| Total Expenses Current Year | 484345523 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 99564254 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 91834222 | RevenuesLessExpensesCY |
| Total Assets BOY | 529398521 | TotalAssetsBOY |
| Total Assets EOY | 761990272 | TotalAssetsEOY |
| Total Liabilities BOY | 242877901 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 404033064 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 286520620 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 357957208 | 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 | 366145773 | Expense |
| Grants | 36628234 | Grants |
| Revenue | 567440054 | Revenue |
| Description | COOK CHILDREN'S MEDICAL CENTER IS RANKED IN THE TOP 5 PERCENT OF THE NATIONS HOSPITALS FOR ITS NURSING EXCELLENCE AND HAS A DISTINGUISHED REPUTATION FOR THE EXTRAORDINARY CARE AND OUTCOMES ACHIEVED IN ITS NEUROLOGY AND NEUROSURGERY, CARDIOLOGY AND CARDIOTHORACIC SURGERY, HEMATOLOGY AND ONCOLOGY, NEONATOLOGY AND PULMONOLOGY PROGRAMS. CONTINUED ON SCHEDULE O | Description |
| Total Program Service Expense | 366145773 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | 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 | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 119 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3496 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| 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 |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | 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 | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| R JEFFREY ALEXANDER | ||||||||
| SECRETARY/TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| CORLISS BALDWIN | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JAMES F HERD SR MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| MARSHA HILCHER | ||||||||
| VICE-CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| CHRISTOPHER M HUCKABEE | ||||||||
| SECRETARY/TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| WILLIAM DAVID LACY | ||||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| WM MACK LAWHON | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| PATTI MCCONNELL | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ROGER NOBER | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| BONNIE PETSCHE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| PETER L PHILPOT | ||||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| G DOUGLAS TATUM MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ANDREW S WAYNE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM H CRAIG | ||||||||
| VP, CLINICAL SUPPORT | 40.0 | X | 234238 | 0 | 20565 | |||
| JAMES C CUNNINGHAM MD | ||||||||
| CHIEF MEDICAL OFFICER | 2.0 | X | 0 | 519304 | 14132 | |||
| NANCY C CYCHOL | ||||||||
| PRESIDENT | 40.0 | X | 608895 | 0 | 26824 | |||
| STANLEY E DAVIS | ||||||||
| VP, SUPPORT SERVICES | 40.0 | X | 221905 | 0 | 22649 | |||
| RICHARD P GOODE | ||||||||
| CHIEF FINANCIAL OFFICER | 15.0 | X | 214562 | 223320 | 28609 | |||
| CARA MARTZ | ||||||||
| SECRETARY | 1.0 | X | 0 | 88247 | 5934 | |||
| RICK W MERRILL | ||||||||
| CHIEF EXECUTIVE OFFICER | 15.0 | X | 311613 | 801292 | 155959 | |||
| GEORGE B MONTAGUE | ||||||||
| VP, REAL ESTATE | 2.0 | X | 0 | 267795 | 26409 | |||
| PAULA J WEBB | ||||||||
| VP, NURSING | 40.0 | X | 251624 | 0 | 18008 | |||
| TERESA J CLARK | ||||||||
| DIRECTOR, H/O CENTER | 40.0 | 173801 | 0 | 11197 | X | |||
| KEVIN L DAHLE | ||||||||
| PHARMACIST | 40.0 | 169161 | 0 | 24383 | X | |||
| EDWIN VIRGIL EASON | ||||||||
| PHARMACY SYSTEMS SPECIALIST | 40.0 | 171672 | 0 | 23968 | X | |||
| MIKE SMITH | ||||||||
| PHARMACIST | 40.0 | 192405 | 0 | 21923 | X | |||
| MARK W THOMAS | ||||||||
| DIRECTOR, PHARMACY | 40.0 | 197933 | 0 | 9204 | X | |||
| JOHN A GRIGSON | ||||||||
| FORMER EXEC VP & CFO | 0.0 | 0 | 563881 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2747809 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2463839 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 409764 | TotalOtherCompensation |
| Number Individuals GT100 K | 143 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FKP ARCHITECTS INC | |||||
| 8 GREENWAY PLZ 300 | HOUSTON | TX | 77046 | CONSTR ARCHITECTS | 7672603 |
| LINBECK GROUP LLC | |||||
| 201 MAIN STREET STE 1801 | FORT WORTH | TX | 76102 | CONSTR CONTRACTOR | 64300655 |
| TEXAS HEALTH AND HUMAN SERVICES COM | |||||
| PO BOX 149055 | AUSTIN | TX | 78714 | MEDICAID APP PROCESS | 4586903 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 75312 | EQUIPMENT SERVICING | 2745909 |
| SB AIR INC | |||||
| 8111 LEMMON AVE HANGAR 4 | DALLAS | TX | 75209 | AVIATION SERVICES | 1513046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 55 | NumberOfContractorsGT100K |
| Related Organizations | 5186176 | RelatedOrganizations |
| Government Grants | 385566 | GovernmentGrants |
| All Other Contributions | 164121 | AllOtherContributions |
| Total Contributions | 5735863 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621110 | 525745165 | 525745165 | |
| OTHER OPERATING REVENUE | 621110 | 25349924 | 25349924 | |
| JOINT VENTURE REVENUE | 621110 | 10327404 | 10327404 | |
| LAB REFERRALS | 621500 | 35487 | 35487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 561457980 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1092522 | TotalRevenueColumn |
| Exclusion | $1,092,522 | 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 Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2673512 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1632296 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1041216 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1041216 | TotalRevenueColumn |
| Exclusion | $1,041,216 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 51161957 | Securities |
| Other | 195844 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 50394448 | Securities |
| Other | 93263 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 767509 | Securities |
| Other | 102581 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 870090 | TotalRevenueColumn |
| Exclusion | $870,090 | 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 |
|---|---|---|---|
| CCIC RETRO PREMIUM | 900099 | 4800115 | 4800115 |
| LOSS ON DEFEASANCE | 900099 | -1919913 | -1919913 |
| TEFRA ADJUSTMENT | 900099 | 3101872 | 3101872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5982074 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 576179745 | TotalRevenueColumn |
| Related Or Exempt Function Income | 567404567 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 35487 | UnrelatedBusinessRevenue |
| Exclusion | $3,003,828 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36597931 | Total |
| Program Services | 36597931 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30303 | Total |
| Program Services | 30303 | 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 | 1383269 | Total |
| Management And General | 1383269 | 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 | 171892006 | Total |
| Program Services | 154144761 | ProgramServices |
| Management And General | 17747245 | 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 | 42425443 | Total |
| Program Services | 37804859 | ProgramServices |
| Management And General | 4620584 | 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 | 87493 | Total |
| Program Services | 4257 | ProgramServices |
| Management And General | 83236 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000 | Total |
| Program Services | 3000 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 14866647 | Total |
| Program Services | 11124328 | ProgramServices |
| Management And General | 3742319 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158781 | Total |
| Program Services | 125669 | ProgramServices |
| Management And General | 33112 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57803082 | Total |
| Program Services | 56688903 | ProgramServices |
| Management And General | 1114179 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5084819 | Total |
| Program Services | 3928199 | ProgramServices |
| Management And General | 1156620 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 871383 | Total |
| Program Services | 735785 | ProgramServices |
| Management And General | 135598 | 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 | 411446 | Total |
| Program Services | 338962 | ProgramServices |
| Management And General | 72484 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5806765 | Total |
| Program Services | 5806765 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69511776 | Total |
| Program Services | 1154988 | ProgramServices |
| Management And General | 68356788 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22205390 | Total |
| Program Services | 16010086 | ProgramServices |
| Management And General | 6195304 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3374500 | Total |
| Management And General | 3374500 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHYSICIAN REMUNERATION | 17121025 | 16023873 | 1097152 |
| BAD DEBT EXPENSE | 16339167 | 16339167 | |
| REPAIRS & MAINTENANCE | 4403236 | 1863177 | 2540059 |
| MINOR EQUIPMENT | 4200775 | 1597632 | 2603143 |
| FOOD/LINENS | 3282776 | 2965127 | 317649 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6484510 | Total |
| Program Services | 2858001 | ProgramServices |
| Management And General | 3626509 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 484345523 | Total |
| Program Services | 366145773 | ProgramServices |
| Management And General | 118199750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8842 | BOY |
| EOY | 8887 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137227997 | BOY |
| EOY | 112756159 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58354685 | BOY |
| EOY | 52427080 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7756463 | BOY |
| EOY | 4840500 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1141417 | BOY |
| EOY | 980061 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 463812980 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 173452717 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222644828 | BOY |
| EOY | 290360263 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81401378 | BOY |
| EOY | 277460608 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8372861 | BOY |
| EOY | 7424990 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12490050 | BOY |
| EOY | 15731724 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 529398521 | BOY |
| EOY | 761990272 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55597405 | BOY |
| EOY | 60258395 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160113248 | BOY |
| EOY | 310673876 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27167248 | BOY |
| EOY | 33100793 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242877901 | BOY |
| EOY | 404033064 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286520620 | BOY |
| EOY | 357957208 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286520620 | BOY |
| EOY | 357957208 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 529398521 | BOY |
| EOY | 761990272 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 70947601 | BeginningOfYearBalance |
| Contributions | 3803664 | Contributions |
| Investment Earnings Or Losses | 5976642 | InvestmentEarningsOrLosses |
| Other Expenditures | 370647 | OtherExpenditures |
| End Of Year Balance | 80357260 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 65867824 | BeginningOfYearBalance |
| Contributions | 7205558 | Contributions |
| Investment Earnings Or Losses | -1698302 | InvestmentEarningsOrLosses |
| Other Expenditures | 427479 | OtherExpenditures |
| End Of Year Balance | 70947601 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.54000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.46000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11234574 | OtherCostOrOtherBasis |
| Book Value | 11234574 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 235494045 | OtherCostOrOtherBasis |
| Depreciation | 94057010 | Depreciation |
| Book Value | 141437035 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2213129 | OtherCostOrOtherBasis |
| Depreciation | 1388485 | Depreciation |
| Book Value | 824644 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 115431413 | OtherCostOrOtherBasis |
| Depreciation | 73469799 | Depreciation |
| Book Value | 41961614 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 99439819 | OtherCostOrOtherBasis |
| Depreciation | 4537423 | Depreciation |
| Book Value | 94902396 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 290360263 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST. PAYABLE (THIRD PARTY) | $19,228,119 |
| DUE TO AFFILIATES | $13,872,674 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33100793 | TotalOfAmounts |
| Total Revenue | 576179745 | TotalRevenue |
| Total Expenses | 484345523 | TotalExpenses |
| Excess Or Deficit For Year | 91834222 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 7101866 | NetUnrealizedGLOnInvestments |
| Other | -$2,982,650 | OtherAmount |
| Total Adjustments | 4119216 | TotalAdjustments |
| Excess Or Deficit Per FS | 95953438 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 615904574 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 7101866 | NetUnrealizedGainsInvestments |
| Other Revenues | 33170720 | OtherRevenues |
| Revenue Not Rptd F990 | 40272586 | RevenueNotRptdF990 |
| Revenue Subtotal | 575631988 | RevenueSubtotal |
| Other Revenues Not Included | 547757 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 547757 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 576179745 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 519951136 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 35708194 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 35708194 | ExpensesNotRptdF990 |
| Expenses Subtotal | 484242942 | ExpensesSubtotal |
| Other Expenses Not Included | 102581 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 102581 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 484345523 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART XI, LINE 8 | OTHER CHANGE | INTEREST RATE SWAP ADJUSTMENT ($2,537,474) CONTRIBUTION FROM HF RECORDED TO NET ASSETS ($ 279,426) CONTRIBUTION FROM HS RECORDED TO NET ASSETS ($ 165,750) ------------ ($2,982,650) |
| SCHEDULE D, PART XII, LINE 2D | OTHER CHANGE | JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $34,075,899 INTEREST RATE SWAP ADJUSTMENT ($ 2,537,474) RENT EXPENSE $ 1,632,296 ------------- $33,170,720 |
| SCHEDULE D, PART XII, LINE 4B | OTHER CHANGE | CONTRIBUTION FROM HS RECORDED TO NET ASSETS $165,750 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $279,426 GAIN IN AUDIT EXPENSE $102,581 ------------- $547,757 |
| SCHEDULE D, PART XIII, LINE 2D | OTHER CHANGE | JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $34,075,899 RENTAL EXPENSE $ 1,632,296 ------------- $35,708,194 |
| SCHEDULE D, PART XIII, LINE 4B | OTHER CHANGE | GAIN IN AUDIT EXPENSE $ 102,581 |
| UNCERTAIN TAX POSITIONS | 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 301. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1600318 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1600318 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 249323359 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 218877547 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30445812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06510 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 250923677 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 218877547 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32046130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06850 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2127449 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 309181 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1818268 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 285507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 169221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 116286 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 360510 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 360510 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36613780 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 36613780 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07820 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39387246 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 478402 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38908844 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 290310923 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 219355949 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 70954974 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15160 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 20000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18799 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 18799 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25250 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 25250 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 119000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 119000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2126 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2126 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 185175 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 185175 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $7,074,846 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2717340 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3877652 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1160312 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CC NORTHEAST HOSP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | FREESTANDING SURGICAL HOSP | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.55140 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.31860 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Childrens HospitalChildrensHospital | Er OtherErOther | OtherOther |
|---|---|---|---|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | ||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | X | ||
| COOK CHILDREN'S NORTHEAST HOSPITAL | ||||||
| 6316 Precinct Line Rd | Hurst | TX | 76054 | X | ||
| CENTER FOR PEDIATRIC SURGERY | ||||||
| 7000 W PLANO PARKWAY STE 100 | PLANO | TX | 75093 | X | AMBULATORY SURGERY CENTER | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | COOK CHILDREN'S USES FPG TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. | IncomeBasedCriteria |
| Annual Community Benefit Expln | THE ANNUAL REPORT AND COMMUNITY BENEFITS ARE LOCATED ON THE COOK CHILDREN'S WEB SITE (WWW.COOKCHILDRENS.ORG). A HARD COPY OF THE REPORT IS ALSO AVAILABLE IN THE PUBLICATION "KEEPING OUR PROMISE". | AnnualCommunityBenefitExpln |
| Costing Method Used | COSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. | CostingMethodUsed |
| Subsidized Health Services Expln | NOT APPLICABLE | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $16,339,167 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS AS FOLLOWS: COOK CHILDREN'S REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM GOVERNMENT PAYORS, MANAGED CARE PLANS, PATIENTS AND OTHERS. AMOUNTS DUE FROM PATIENTS INCLUDE BOTH AMOUNTS DUE FROM FULLY UNINSURED PATIENTS AND CO-PAYMENTS AND DEDUCTIBLES FOR WHICH INSURED PATIENTS ARE RESPONSIBLE. AS A SERVICE TO THE PATIENT, COOK CHILDREN'S BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. COOK CHILDREN'S PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICAL INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES-KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN IN SCREENING PATIENTS FOR CHARITY AND MEDICAL INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. | BadDebtFootnote |
| Shortfall As Community Benefit | THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT | ShortfallAsCommunityBenefit |
| Debt Collection Policy | THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. | DebtCollectionPolicy |
| Needs Assessment | IN 2009 COOK CHILDREN'S COMPLETED THE FIRST COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY ("CCHAPS"). THIS RANDOM HOUSEHOLD SURVEY OF FAMILIES WITH A CHILD AGED 0 - 14 YEARS GENERATED 7,439 RESPONSES TO 200 QUESTIONS ABOUT THEIR CHILD'S HEALTH. THE CCHAPS EFFORT IS THE FIRST KNOWN PROJECT OF ITS KIND IN THIS STATE TO FOCUS SOLELY ON THE OVERALL HEALTH STATUS OF CHILDREN. COOK CHILDREN'S IS COMMITTED TO THE HEALTH AND WELL-BEING OF OUR CHILDREN, WHICH CAN ONLY BE ACHIEVED THROUGH ACTIONS BASED ON SOLID INFORMATION. WHILE A GREAT AMOUNT OF MEDICAL INFORMATION EXISTS ABOUT CHILDREN, THERE ARE LARGE GAPS IN UNDERSTANDING AND MEASUREMENT OF CHILDREN'S HEALTH. CCHAPS FILLS THAT VOID AND HELPS US HONOR OUR COMMITMENT. THE DATA GATHERED THROUGH CCHAPS ALLOWS OUR COMMUNITY TO: - EVALUATE CHILDREN'S HEALTH NEEDS WITHIN THE REGION BY REVIEWING MEASURES OF HEALTH STATUS, AS WELL AS FACTORS THAT INFLUENCE HEALTH STATUS. - IDENTIFY CHILDREN'S HEALTH PRIORITIES WITHIN OUR COMMUNITY. - PROMOTE AND SUPPORT COMMUNITY COLLABORATIONS THAT IDENTIFY AND IMPLEMENT SOLUTIONS TO SPECIFICALLY TARGETED CHILDREN'S HEALTH PRIORITIES. - CREATE AND MONITOR COMMUNITY BENCHMARKS TO MEASURE PROGRESS. ACCESS TO THE CHILDREN'S HEALTH DATA PROVIDES A VALUABLE COMMUNITY TOOL TO SUPPORT PLANNING AND FUNDRAISING EFFORTS ON BEHALF OF CHILDREN. HEALTH STATUS DATA CAN BE USED BY COMMUNITY PLANNING ORGANIZATIONS TO DEVELOP INITIATIVES FOR ACTION ON CHILDREN'S ISSUES, BY FOUNDATIONS FOR DETERMINING FUNDING PRIORITIES WHERE CHILDREN ARE AFFECTED AND BY FAITH-BASED ORGANIZATIONS TO FOCUS OUTREACH MINISTRY EFFORTS. THE DATA IS INSTRUMENTAL IN HELPING TO IDENTIFY ANY DISPARITIES IN CHILDREN'S HEALTHCARE. COOK CHILDREN'S HAS IDENTIFIED A GROUP OF "TOP-LINE" CHILDREN'S HEALTH ISSUES IN ITS SIX-COUNTY SERVICE REGION WHICH WILL BE THE FOCUS OF COOK CHILDREN'S INITIAL EFFORTS TO ACT ON THE DATA: ABUSE/NEGLECT, ACCIDENTAL INJURY, ACCESS TO HEALTHCARE, ASTHMA, DENTAL HEALTH, MENTAL HEALTH AND OBESITY. ASTHMA AND OBESITY PROVED TO BE ESPECIALLY PREVALENT IN THE SURVEY FINDINGS. AS STEWARDS OF THE DATA, WHICH WAS GATHERED FOR THE BENEFIT OF THE COMMUNITY, COOK CHILDREN'S WANTS TO BE SURE THE DATA IS NOT ONLY WIDELY AVAILABLE, BUT ALSO THAT ADDITIONAL RESOURCES ACCOMPANY IT FOR THOSE INDIVIDUALS AND ORGANIZATIONS THAT WANT TO PUT THE INFORMATION TO USE. COOK CHILDREN'S WILL CONTINUE ITS IN-DEPTH ANALYSIS OF THE CCHAPS DATA TO BETTER UNDERSTAND AND COMMUNICATE CHILDREN'S HEALTH ISSUES AND POTENTIAL SOLUTIONS IN OUR AREA. COOK CHILDREN'S WILL FOCUS ITS EFFORTS OVER THE NEXT 10 YEARS TO REALIZE OUR PROMISE ... "TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY." CCHAPS OFFERS THE POTENTIAL OF REGIONAL COLLABORATION ON CHILDREN'S HEALTH ISSUES. COOK CHILDREN'S RECOGNIZES THIS AND CALLS ON THE COMMUNITY TO PARTICIPATE IN A JOINT EFFORT. THE PLAN IS TO PARTNER WITH THE COMMUNITY AND THE VARIOUS ORGANIZATIONS THAT EMBRACE CHILDREN'S HEALTH. COOK CHILDREN'S WANTS TO PLAY THE ROLE IN THOSE EFFORTS THAT IS MOST APPROPRIATE FOR HELPING IMPROVE CHILDREN'S HEALTH - BE THAT LEADER, PARTNER, COLLABORATOR, FOLLOWER OR SUPPORTER. THE HOPE IS TO JOIN WITH MANY ALLIES AND PARTNERS IN THE QUEST TO BE ONE OF THE HEALTHIEST AREAS TO RAISE A CHILD IN THE COMING DECADE. THE GOAL OF IMPROVING CHILDREN'S HEALTH CAN ONLY BECOME A REALITY IF COMMUNITIES, COLLABORATIONS AND COALITIONS WORK TOGETHER TO USE CCHAPS TO SET AND ACHIEVE REALISTIC, QUANTITATIVE GOALS TO IMPROVE CHILDREN'S HEALTH IN AREAS OF SPECIFIC CONCERNS OR INTEREST TO THAT GROUP. COOK CHILDREN'S WILL CONTINUE TO OFFER SUPPORT AS NEEDED IN EFFORTS TO RESEARCH DATA, FOSTER SHARING INFORMATION AND BUILD A SOLID ENDURING FOUNDATION THAT CONTINUES THE WORK OF IMPROVING THE LIVES OF CHILDREN. A PUBLIC WEB SITE WAS LAUNCHED ON JANUARY 15, 2010 THAT ALLOWS ANYONE DIRECT ACCESS TO THE DATA FROM THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY. WWW.CCHAPS.ORG DELIBERATELY PLACES THE DATA INTO THE HANDS OF EACH COMMUNITY WHERE IT CAN BE BEST UNDERSTOOD AND USED FOR PLANNING ACTIONS. COOK CHILDREN'S HEALTH CARE SYSTEM EMPLOYED THREE ADDITIONAL COMMUNITY OUTREACH WORKERS SPECIFICALLY ASSIGNED TO COUNTIES TO FOSTER THE USE OF THE DATA AND COORDINATE CHILD HEALTH SUMMITS IN EACH COUNTY. DURING 2010, THE CCHAPS TEAM PRESENTED DATA AND INFORMATION IN EACH OF THE FIVE-OUTLYING COUNTIES TO DIVERSE MEMBERS FROM EACH COMMUNITY. EACH, DAYLONG SUMMIT, CO-HOSTED BY ONE OR MORE LOCAL COMMUNITY SPONSORS, FORESHADOWED INDIVIDUAL STRATEGIC PLANNING EFFORTS AT THE LOCAL COMMUNITY LEVEL TO IMPROVE THE HEALTH OF CHILDREN IN EACH COMMUNITY PLANNED DURING 2011. THE CCHAPS DATA CONTINUES TO BE A SOURCE OF NEW INFORMATION. IN 2010, THE TEAM CALCULATED THE AGE AND GENDER SPECIFIC BMI PERCENTILES AND REPORTED THIS NEW INFORMATION IN A "CCHAPS SPECIAL REPORT ON CHILDHOOD OBESITY" AVAILABLE ON THE WEB SITE. TO GIVE STRATEGIC FOCUS TO COMMUNITY-PLANNING EFFORTS, A NOVEL ECOSYSTEM MODEL FOR CHILDREN'S HEALTH PROVIDES A WAY TO IDENTIFY THE RELEVANT FACTORS AND INTERACTION AFFECTING EACH CHILD HEALTH ISSUE. A "THINK-TANK" PROVIDED PARTICIPANTS FROM A WIDE-RANGE OF BACKGROUNDS THE OPPORTUNITY TO UNDERSTAND THE COMPLEX SYSTEMS AND INTERACTIONS INVOLVED IN CHILDHOOD ASTHMA. | NeedsAssessment |
| Patient Education Assistance | ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, NIGHT CLINIC, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT EXPLAINS: 1)HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE 2)QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME, AND 3)TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. IN ALL AREAS OF PATIENT REGISTRATION, REGISTRATION CLERKS OFFER A MEDICAID APPLICATION TO ALL SELF PAY REGISTRATIONS. PATIENT REGISTRATION STAFF WILL ASSIST THE FAMILY WITH THE APPLICATION FOR MEDICAID, AND THEN CHARITY IF MEDICAID IS DENIED. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. | PatientEducationAssistance |
| Community Information | THE MEDICAL CENTER PROVIDES PRIMARY, SECONDARY, TERTIARY, AND QUATERNARY LEVELS OF PEDIATRIC CARE IN TARRANT AND CONTIGUOUS COUNTIES AND APPROPRIATE SPECIALTY CARE REGIONALLY THROUGHOUT TEXAS. THE MEDICAL CENTER DEFINES ITS 132-COUNTY SERVICE AREA INTO THE MAJOR MARKETS LISTED BELOW: SIX-COUNTY AREA - TARRANT, HOOD, JOHNSON, PARKER, DENTON AND WISE COUNTIES. IN 2010, THE POPULATION OF THE SIX-COUNTY AREA WAS REPORTED TO BE 2,820,112, APPROXIMATELY 23% OF WHICH ARE AGES 0 TO 14. WITHIN THE SIX COUNTIES, TARRANT COUNTY SERVES AS COOK CHILDREN'S PRIMARY SERVICE AREA (PSA) GENERATING APPROXIMATELY 75% OF THE MEDICAL CENTER'S INPATIENTS EACH YEAR. REFERRAL MARKET - 126-COUNTIES TO THE SOUTH AND WEST OF THE DFW METROPLEX. FOR FISCAL YEAR 2010, 2,517 INPATIENT DISCHARGES ORIGINATE FROM THIS AREA. REGIONAL OUTPATIENT PEDIATRIC SPECIALTY CLINICS ARE STAFFED IN SEVERAL LOCATIONS IN THIS AREA WITH MULTI-SPECIALTY CLINICS LOCATED IN ABILENE, BROWNWOOD, MIDLAND/ODESSA, SAN ANGELO AND WACO. OTHER - OUTSIDE OF THE TRADITIONAL 132-COUNTIES AND INCLUDES OUT OF STATE PATIENTS. PATIENT VOLUME FROM THESE AREAS IS SIGNIFICANTLY SMALLER THAN FROM THE SIX-COUNTY AREA AND REFERRAL MARKETS DUE TO THE PRESENCE OF OTHER CHILDREN'S HOSPITALS. THE HOSPITALS THAT SERVE THE PEDIATRIC POPULATION AND COMPETE WITH THE MEDICAL CENTER FOR MARKET SHARE DIFFER FOR EACH OF THE MARKETS | CommunityInformation |
| Community Building Activities | PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NON-PROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THIS AREA. COMMUNITY SUPPORT: MORE THAN 48 COOK CHILDREN'S EMPLOYEES PARTICIPATE AT A NEARBY ELEMENTARY SCHOOL AS MENTORS THROUGH THE JUNIOR ACHIEVEMENT PROGRAM. THESE EMPLOYEES SPENT 240 HOURS DURING WORK TIME TEACHING CLASSES TO HELP INSPIRE THE STUDENTS TO "DREAM BIG AND REACH THEIR POTENTIAL". THE EXPERIENTIAL PROGRAM DEVELOPS AND STRENGTHENS THE YOUTHS' ASSETS AS THE STUDENTS LEARN KEY CONCEPTS RELATED TO WORK READINESS, ENTREPRENEURSHIP, AND FINANCIAL LITERACY. COALITION BUILDING: COOK CHILDREN'S IS A CO-FOUNDING MEMBER OF THE INFANT MORTALITY NETWORK ORGANIZED TO ADDRESS THE HIGH RATES OF INFANT MORTALITY IN THE COUNTY. THE CURRENT CO-CHAIR OF THE NETWORK IS A NURSING DIRECTOR AT COOK CHILDREN'S. THE NETWORK HAS RAISED COMMUNITY AWARENESS OF THE PROBLEM AND WORKED WITH LEGISLATORS TO CREATE PUBLIC POLICY TO HELP ADDRESS THE PROBLEM. COOK CHILDREN'S IS ALSO AN ACTIVE MEMBER OF THE HEALTHY TARRANT COUNTY COLLABORATION - A HEALTH PROMOTION NETWORK OF NON-PROFIT HOSPITALS, PUBLIC HEALTH AND LOCAL UNIVERSITIES. THE COLLABORATION EFFORTS INCLUDE HEALTH EDUCATION AT A SUMMER CAMP FOR UNDERSERVED CHILDREN. THE CURRENT CO-CHAIR OF THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES NEEDS COUNCIL OF TARRANT COUNTY IS A DIRECTOR OF PSYCHIATRIC SERVICES AT COOK CHILDREN'S. COOK CHILDREN'S IS ALSO INVOLVED IN THE TEXAS EARLY HEARING DETECTION AND INTERVENTION COALITION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ASSESSMENT OF COMMUNITY NEEDS, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY ON SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES ARE AMONG THE ISSUES ADDRESSED. WORKFORCE DEVELOPMENT: COOK CHILDREN'S HAS REPRESENTATION ON ADVISORY BOARDS AT LOCAL UNIVERSITIES AND COLLEGES TO PROVIDE GUIDANCE IN SPECIFIC AREAS OF STUDY. | CommunityBuildingActivities |
| Other Information | COOK CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF AND THE GOVERNING BODIES OF THE VARIOUS COMPANIES ARE MADE UP (UNLESS CONSTRAINED BY THE TEXAS MEDICAL PRACTICE ACT) OF VOLUNTARY COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE ORGANIZATION CARES FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE CHILDREN INTO APPROPRIATE PROGRAMS TO IMPROVE ACCESS TO CARE. | OtherInformation |
| Affiliated Health Care System | COOK CHILDREN'S ALSO OPERATES FIVE NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENTS SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND SCHIP, PROVIDING AN OPEN PROVIDER PANEL FOR ALL ELIGIBLE CHILDREN IN THE SIX-COUNTY PRIMARY SERVICE AREA. COOK CHILDREN'S OFFERS PEDIATRIC SPECIFIC HOME CARE TO ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE AND LOWEST COST SETTING. | AffiliatedHealthCareSystem |
| Reports Filed With States | TX | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S PHYSICIAN NETWORK | |||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752485366 | 501(C)(3) | 36489294 | subsidize operations |
| HISTORIC FORT WORTH INC | |||||||
| 1110 PENN ST | FORT WORTH | TX | 76103 | 237047051 | 501(C)(3) | 65000 | COMMUNITY BUILDING |
| TMA | |||||||
| 401 W 15TH ST | AUSTIN | TX | 78701 | 746073346 | 501(C)(3) | 10000 | SPONSOR |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| MEDICATIONS | 104 | 9335 |
| TRANSPORTATION | 212 | 6392 |
| RENT/MORTGAGE | 8 | 4331 |
| UTILITIES | 5 | 997 |
| OTHER | 24 | 6362 |
| FUNERAL HOME | 1 | 1000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE US | Identifier |
| Return Reference | SCHEDULE I PART I QUESTION 2 | ReturnReference |
| Explanation | THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H CRAIG | |||||||||||
| 179733 | 0 | 52922 | 0 | 1584 | 0 | 9515 | 0 | 11051 | 0 | 254804 | 0 |
| JAMES C CUNNINGHAM MD | |||||||||||
| 0 | 401043 | 0 | 102901 | 0 | 15360 | 0 | 0 | 0 | 14132 | 0 | 533436 |
| NANCY C CYCHOL | |||||||||||
| 349221 | 0 | 142672 | 0 | 117002 | 0 | 18375 | 0 | 8449 | 0 | 635719 | 0 |
| STANLEY E DAVIS | |||||||||||
| 152840 | 0 | 67370 | 0 | 1694 | 0 | 5742 | 0 | 16907 | 0 | 244554 | 0 |
| RICHARD P GOODE | |||||||||||
| 130964 | 136312 | 46055 | 47934 | 37543 | 39074 | 5077 | 5284 | 8942 | 9306 | 228581 | 237910 |
| RICK W MERRILL | |||||||||||
| 177147 | 455522 | 94500 | 243001 | 39966 | 102769 | 39704 | 102096 | 3965 | 10194 | 355282 | 913582 |
| GEORGE B MONTAGUE | |||||||||||
| 0 | 196720 | 0 | 56070 | 0 | 15005 | 0 | 15313 | 0 | 11097 | 0 | 294205 |
| PAULA J WEBB | |||||||||||
| 194286 | 0 | 54382 | 0 | 2956 | 0 | 12393 | 0 | 5615 | 0 | 269632 | 0 |
| TERESA J CLARK | |||||||||||
| 144976 | 0 | 19328 | 0 | 9496 | 0 | 8615 | 0 | 2582 | 0 | 184998 | 0 |
| KEVIN L DAHLE | |||||||||||
| 161598 | 0 | 0 | 0 | 7563 | 0 | 10484 | 0 | 13899 | 0 | 193544 | 0 |
| EDWIN VIRGIL EASON | |||||||||||
| 152380 | 0 | 0 | 0 | 19292 | 0 | 11792 | 0 | 12177 | 0 | 195641 | 0 |
| MIKE SMITH | |||||||||||
| 173259 | 0 | 0 | 0 | 19145 | 0 | 14147 | 0 | 7776 | 0 | 214328 | 0 |
| MARK W THOMAS | |||||||||||
| 98189 | 0 | 15496 | 0 | 84248 | 0 | 2630 | 0 | 6574 | 0 | 207137 | 0 |
| JOHN A GRIGSON | |||||||||||
| 0 | 0 | 0 | 161359 | 0 | 402522 | 0 | 0 | 0 | 0 | 0 | 563881 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J PART I QUESTION 4B | RICK W. MERRILL - PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2009 |
| ALLOCATION OF CEO AND CFO SALARIES | SCHEDULE J PART II | COOK 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. |
| SEVERANCE PAYMENT | SCHEDULE J, PART I, LINE 4A | JOHN A. GRIGSON RECEIVED $402,522 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2009. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT CORP | ||||||
| 751881060 | 875906MV8 | 2007-06-27 | 52156976 | REFUNDING OF BONDS ISSUED 00 & 05 | false | false |
| BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP | ||||||
| 742218760 | 078027HW2 | 2007-06-27 | 17523594 | REFUNDING OF BONDS ISSUED 7/19/00 | false | false |
| TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT CORP | ||||||
| 751881060 | 875906NY1 | 2010-02-04 | 231948097 | DEVELOPMENT, CONSTR, & EQUIP COST | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 52156976 | 0 | 50861913 | 0 | 1295063 | 0 | 0 | 2007 | true | false | true | true |
| 17523594 | 0 | 17088481 | 0 | 435113 | 0 | 0 | 2007 | false | true | true | true |
| 232504399 | 0 | 0 | 137722802 | 2691188 | 0 | 92090409 | false | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested |
|---|---|---|---|---|
| false | false | false | false | false |
| false | false | false | false | false |
| false | true | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SOLE MEMBER | FORM 990 PART VI, QUESTION 6 | COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| MEMBER ELECTION ABILITIES | FORM 990 PART VI, QUESTION 7A | AS THE SOLE MEMBER OF THE ORGANIZATION COOK CHILDREN'S HEALTH 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 ABILITIES | FORM 990 PART VI, QUESTION 7B | AS THE SOLE MEMBER OF THE ORGANIZATION COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO APPROVE ANY MERGER, ACQUISITION, LIGUIDATION, DISSOLUTION OR CONSOLIDATION OF THE CORPORATION; THE POWER TO APPROVE THE SALE, GIFT, OR OTEHR DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OF THE CORPORATION; AND THE POWER TO APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. |
| REVIEW PROCESS FOR 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), 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 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. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE. |
| EXEMPT PURPOSE ACHIEVEMENTS CONTINUED | 990 PART III QUESTION 4A | THE 302-BED MEDICAL CENTER IS THE CORNERSTONE OF COOK CHILDREN'S HEALTH CARE SYSTEM. IT OFFERS TOP MEDICAL MINDS, ADVANCED TECHNOLOGICAL EQUIPMENT, LEADING SURGICAL TECHNIQUES, REHABILITATION FACILITIES, AND ANCILLARY SERVICES DESIGNED TO MEET THE UNIQUE NEEDS OF CHILDREN. THE CENTER HAS A PROFESSIONAL STAFF OF NURSES, TECHNOLOGISTS, THERAPISTS, AND OTHER CLINICIANS, AS WELL AS MORE THAN 500 PHYSICIANS AND DENTISTS WHO PROVIDE PRIMARY, SECONDARY, TERTIARY, AND QUATERNARY LEVELS OF PEDIATRIC CARE. CHILD LIFE STAFF, CHAPLAINS, TEACHERS, SOCIAL SERVICES COORDINATORS, AND TRANSLATORS HELP PATIENTS AND FAMILIES COPE WITH THE STRESS THAT ACCOMPANIES A CHILD'S HOSPITALIZATION. THE MEDICAL CENTER IS HOME TO THE COOK CHILDREN'S EMERGENCY DEPARTMENT, THE ONLY EMS-DESIGNATED PEDIATRIC TRAUMA CENTER IN TARRANT COUNTY, TEXAS. MORE THAN 100,000 PATIENTS PRESENT TO THE EMERGENCY DEPARTMENT AND URGENT CARE CENTER FOR TREATMENT EACH YEAR. COOK CHILDREN'S MEDICAL CENTER IS SUPPORTED BY ONE OF THE COUNTRY'S LARGEST PEDIATRIC TRANSPORT PROGRAMS, WHICH BRINGS MORE THAN 2,000 CHILDREN TO THE MEDICAL CENTER ANNUALLY, PRIMARILY FOR CRITICAL CARE. SERVICES INCLUDE AMBULANCE, HELICOPTER, AND FIXED-WING AIRPLANE TRANSPORTATION. DURING HURRICANE IKE, IN 2008, COOK CHILDREN'S TRANSPORT TEAM HELPED TO EVACUATE INTENSIVE CARE PATIENTS FROM CORPUS CHRISTI, TEXAS. |
| DELEGATION OF CONTROL OVER MANAGEMENT | FORM 990 PART VI QUESTION 3 | A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES. |
| WRITTEN CONFLICT OF INTEREST POLICY | FORM 990 PART VI, QUESTION 12C | EVERY 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. |
| RELATED COMPENSATION HOURS WORKED | FORM 990 PART VII | AVG HOURS WORKED FOR RELATED ORG CARA MARTZ 43 GEORGE B. MONTAGUE 42 JAMES C. CUNNINGHAM 40 RICHARD P. GOODE 35 RICK W. MERRILL 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/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 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 | 752056149 | FUNDRAISING | TX | 501(C)(3) | 11D | NA |
| COOK CHILDREN'S HOME HEALTH | |||||||||
| 801 SEVENTH AVE | HOUSTON | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 11C | NA |
| COOK CHILDREN'S HEALTH CARE SYSTEM | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752705881 | HLTH CARE SUP | TX | 501(C)(3) | 11C | NA |
| COOK CHILDREN'S HEALTH PLAN | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 11C | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S NORTHEAST HOSPITAL | |||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 205227064 | HOSPITAL | TX | NA | RELATED | 5116362 | 5082362 | false | $0 | true |
| CENTER FOR PEDIATRIC SURGERY | |||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 470871715 | ASC | TX | NA | RELATED | 4374401 | 13552448 | false | $0 | false |
| CPS PEDIATRICS LLC | |||||||||||||
| 11221 ROE AVE SUITE 320 | LEAWOOD | KS | 66211 | 470871718 | ASC | TX | NA | RELATED | 23654 | 109268 | false | $0 | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | 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 | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COOK CHILDREN'S NORTHEAST HOSPITAL LLC | |
| R | 2923479 |
| CENTER FOR PEDIATRIC SURGERY LTD | |
| R | 3503149 |