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COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201142289349301689
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)
EIN752705881EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COOK CHILDREN'S HEALTH CARE SYSTEMBusinessNameLine1
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)
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 PersonRICK W MERRILLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts289531173GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.COOKCHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees459TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1293097ContributionsGrantsPriorYear
Contributions Grants Current Year906905ContributionsGrantsCurrentYear
Program Service Revenue Prior Year75196731ProgramServiceRevenuePriorYear
Program Service Revenue CY84566527ProgramServiceRevenueCY
Investment Income Prior Year-2913157InvestmentIncomePriorYear
Investment Income Current Year6727104InvestmentIncomeCurrentYear
Other Revenue Prior Year2267304OtherRevenuePriorYear
Other Revenue Current Year3000329OtherRevenueCurrentYear
Total Revenue Prior Year75843975TotalRevenuePriorYear
Total Revenue Current Year95200865TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year255500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY266650GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29425962SalariesEtcPriorYear
Salaries Etc Current Year33428600SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year47655271OtherExpensePriorYear
Other Expenses Current Year55868974OtherExpensesCurrentYear
Total Expenses Prior Year77336733TotalExpensesPriorYear
Total Expenses Current Year89564224TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1492758RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5636641RevenuesLessExpensesCY
Total Assets BOY401908408TotalAssetsBOY
Total Assets EOY444792606TotalAssetsEOY
Total Liabilities BOY33716961TotalLiabilitiesBOY
Total Liabilities EOY26418834TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY368191447NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY418373772NetAssetsOrFundBalancesEOY
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
Expense66640944Expense
Grants266650Grants
Revenue84566527Revenue
DescriptionCOOK CHILDREN'S HEALTH CARE SYSTEM (CCHCS), BASED IN FORT WORTH, TEXAS, IS A NATIONAL AWARD-WINNING, NOT-FOR-PROFIT, INTEGRATED HEALTH CARE SYSTEM THAT COMPRISES SIX COMPANIES: COOK CHILDREN'S MEDICAL CENTER, PHYSICIAN NETWORK, HOME HEALTH COMPANY, HEALTH PLAN, NORTHEAST HOSPITAL, AND HEALTH FOUNDATION. IN ADDITION, CCHCS OPERATES MORE THAN 35 PEDIATRIC MEDICAL AND SPECIALTY CLINICS THROUGHOUT TEXAS. CONTINUED ON SCHEDULE ODescription
Total Program Service Expense66640944TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees459NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCORY RHOADESNamePerson
Telephone Number6828854480TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KIMBERLY D AARON MD
TRUSTEE1.0X034864521623
R JEFFREY ALEXANDER
TRUSTEE-SECRETARY/TREASURER1.0X000X
G THOMAS BOSWELL
TRUSTEE1.0X000
JOHN P BOSWELL
TRUSTEE1.0X000
MICHAEL J DEITCHMAN MD
TRUSTEE1.0X029315727663
JAMES R DUNAWAY JR
TRUSTEE-CHAIRMAN1.0X000X
RICHARD F GARVEY
TRUSTEE1.0X000
RAFAEL G GARZA
TRUSTEE-SECRETARY/TREASURER1.0X000X
JAMES F HERD SR MD
TRUSTEE1.0X000
NANCY KAY HOWARD
TRUSTEE1.0X000
HOWARD M KELFER MD
TRUSTEE-VICE CHAIRMAN1.0X057812435224X
JEFFREY B KING
TRUSTEE1.0X000
WILLIAM DAVID LACY
TRUSTEE1.0X000
G MALCOLM LOUDEN
TRUSTEE1.0X000
FRANK MCGEHEE MD
TRUSTEE1.0X051132330479
JAMES P MILLER MD
TRUSTEE1.0X0112477731059
MICHAEL R PAVELL
TRUSTEE1.0X000
JOSEPH C PENSHORN
TRUSTEE1.0X000
PETER L PHILPOT
TRUSTEE1.0X000
JASON V TERK MD
TRUSTEE1.0X026380126062
PAUL S THORNTON MD
TRUSTEE1.0X043188636109
GARY G WALSH
TRUSTEE-CHAIRMAN1.0X000X
JAMES E WEBB
TRUSTEE1.0X000
M SUZANNE WHITWORTH MD
TRUSTEE1.0X020076712375
KEVIN D WYLIE DO
TRUSTEE1.0X020653828116
LINDA S CHAPPELL
SR. VP-QUALITY MGMT40.0266048018897X
JAMES C CUNNINGHAM MD
CHIEF MEDICAL OFFICER40.0519304014132X
RICHARD P GOODE
CFO15.010947132841128609X
TIMOTHY M HANNERS
SR. VP-CORP & COMMUNITY AFFAIR40.0170693010009X
BILLY R KENNEDY
SR. VP-AFFILIATE VENTURES40.0306454024404X
DAVID F LANCASTER
VP, INTERNAL AUDIT & COMPLIANC40.0204858028505X
CARA MARTZ
SECRETARY40.08824705933X
JOHN W MCNEY
SR. VP-GENERAL COUNSEL40.0366619036094X
RICK W MERRILL
PRESIDENT & CEO15.0278226834679155959X
GEORGE B MONTAGUE
VP, REAL ESTATE40.0267795026409X
FRANK J ROSSI
SR. VP-HUMAN RESOURCES40.0375608026606X
LARRY L TUBB
SR. VP-PLANNING40.0256993026098X
TRACY T WALLER
SR. VP-CIO, INTERIM40.0217779013419X
CORY RHOADES
VP-FINANCE, CHIEF ACCTG OFFCR40.094922011345X
ERIC H HUBLI
CHIEF SYSTEM EFFECTIVENESS OFF40.0424673023156X
GREGORY K JIMERSON
AVP, REVENUE MANAGEMENT40.0204025019271X
JAMES D MARSHALL
MEDICAL DIRECTOR40.0491450033144X
JOANN M SANDERS MD
PATIENT SAFETY OFFICER40.0301443030850X
JOSEPH GALLAGHER
ASSOCIATE GENERAL COUNSEL40.0218128025412X
RUSSELL K TOLMAN
FORMER SR. ADV TO PRES & CEO0.01757498022845X
JOHN A GRIGSON
FORMER EXECUTIVE VP & CFO0.056388100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7484115TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5122108TotalReportableCompFrmRltdOrgs
Total Other Compensation829807TotalOtherCompensation
Number Individuals GT100 K61NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AETNA INC
ADMIN SERVICES1680565
UNITED MARKETING COMMUNICATIONS INC
MARKETING1591932
DELOITTE CONSULTING LLP
CONSULTING3292200
GARTNER
CONSULTING1638186
LAWSON CAROL
CONSULTING1561736
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Related Organizations336735RelatedOrganizations
All Other Contributions570170AllOtherContributions
Total Contributions906905TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SHARED SERVICES9000997418803074188030
HUMAN RESOURCES90009945103234510323
RENT90009933436223343622
COMMUNITY HEALTH OUTREACH900099934890934890
ANSWERING SVC900099232293232293

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1357369TotalRevenueColumn
Related Or Exempt Function Income1357369RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue84566527TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5017039TotalRevenueColumn
Exclusion$5,017,039ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities196040373Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities192499883Securities
Other1830425Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3540490Securities
Other-1830425Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1710065TotalRevenueColumn
Exclusion$1,710,065ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LEGAL90009918221191822119
REBATE900099643489643489
CONCIERGE900099534721534721
FieldValueIRS element (for citing)
Total Other Revenue3000329TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column95200865TotalRevenueColumn
Related Or Exempt Function Income87566856RelatedOrExemptFunctionIncome
Exclusion$6,727,104ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total216650Total
Program Services216650ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total50000Total
Program Services50000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4473821Total
Program Services562247ProgramServices
Management And General3911574ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21723402Total
Program Services14267706ProgramServices
Management And General7455696ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7231377Total
Program Services5919524ProgramServices
Management And General1311853ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2877233Total
Program Services524676ProgramServices
Management And General2352557ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total329029Total
Program Services64188ProgramServices
Management And General264841ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total221049Total
Program Services221049ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total367743Total
Management And General367743ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3725239Total
Program Services2761536ProgramServices
Management And General963703ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2669829Total
Program Services191037ProgramServices
Management And General2478792ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total818600Total
Program Services493349ProgramServices
Management And General325251ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27761924Total
Program Services27761924ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3935161Total
Program Services3935161ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total685606Total
Program Services483146ProgramServices
Management And General202460ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total233429Total
Program Services215408ProgramServices
Management And General18021ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total54788Total
Program Services54788ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2443734Total
Program Services2443734ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total850648Total
Program Services850648ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MINOR EQUIPMENT3728074370538122693
PHYSICIAN REMUNERATIONS29517732874932664280
DUES & SUBSCRIPTIONS788439249509538930
RECRUITMENT694254693777477
AWARDS & RECOGNITION349558348688870

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total382864Total
Program Services339325ProgramServices
Management And General43539ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89564224Total
Program Services66640944ProgramServices
Management And General22923280ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8200BOY
EOY8400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10436083BOY
EOY3514286EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY361885BOY
EOY599682EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13356BOY
EOY13444EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY69649BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48048473LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7951375LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30525576BOY
EOY40097098EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY347678925BOY
EOY385289538EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12814734BOY
EOY15270158EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY401908408BOY
EOY444792606EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33410548BOY
EOY26132089EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY306413BOY
EOY286745EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33716961BOY
EOY26418834EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY368191447BOY
EOY418373772EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY368191447BOY
EOY418373772EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY401908408BOY
EOY444792606EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CC MED CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN752051646EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals221049FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals221049FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals94358177FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals94579226FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3166920CurrentYearMinus3
Current Year Minus2109914CurrentYearMinus2
Current Year Minus1311106CurrentYearMinus1
Current Year221049CurrentYear
Total808989Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Schedule D IRS990ScheduleD

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15589863OtherCostOrOtherBasis
Depreciation4354369Depreciation
Book Value11235494BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2240638OtherCostOrOtherBasis
Depreciation1113232Depreciation
Book Value1127406BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7792443OtherCostOrOtherBasis
Depreciation2188456Depreciation
Book Value5603987BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7810689OtherCostOrOtherBasis
Depreciation295317Depreciation
Book Value7515372BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40097098TotalOfBookValueLandBuildings
Total Revenue95200865TotalRevenue
Total Expenses89564224TotalExpenses
Excess Or Deficit For Year5636641ExcessOrDeficitForYear
Net Unrealized GL On Investments25594959NetUnrealizedGLOnInvestments
Other$207,055OtherAmount
Total Adjustments25802014TotalAdjustments
Excess Or Deficit Per FS31438655ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt123835036TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments25594959NetUnrealizedGainsInvestments
Other Revenues3406955OtherRevenues
Revenue Not Rptd F99029001914RevenueNotRptdF990
Revenue Subtotal94833122RevenueSubtotal
Investment Expenses Not Included367743InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt367743RevenueNotRptdOnFinStmt
Total Revenue Per Form99095200865TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt92396381TotExpensesEtcAuditedFinclStmt
Other Expenses Included3199900OtherExpensesIncluded
Expenses Not Rptd F9903199900ExpensesNotRptdF990
Expenses Subtotal89196481ExpensesSubtotal
Investment Expenses Not Included2367743InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt367743ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089564224TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART XII, LINE 2DOTHER CHANGELOSS INCLUDED IN EXPENSE ON AUDIT $1,830,425 MANAGEMENT FEE REDUCTION $1,369,475 CCIC PREMIUM $ 207,055 -------------- $3,406,955
SCHEDULE D, PART XIII, LINE 2DOTHER CHANGELOSS INCLUDED IN EXPENSE ON AUDIT $1,830,425 MANAGEMENT FEE REDUCTION $1,369,475 -------------- $3,199,900
UNCERTAIN TAX POSITIONS UNDER FIN 48SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUTATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 8OTHER CHANGES TO NET ASSETSCCIC PREMIUM $ 207,055

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINVESTMENTSpecificServicesProvided
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
IMMUNIZATION COLLABORATION
PO BOX 100192FORT WORTHTX76185752541065501(C)(3)9000IMMUNIZATION
MENTAL HEALTH CONNECTION
3131 SANGUINET STFORT WORTHTX76107752659610501(C)(3)25000SPONSORSHIP
TEXAS HEALTH INSTITUTE
8501 N MOPAC 300AUSTINTX78759742237787501(C)(3)10000FUNDRAISING
MARCH OF DIMES
131846366501(C)(3)30000MARCH FOR BABIES
FORT WORTH CHAMBER OF COMMERCE
777 TAYLOR ST 900FORT WORTHTX76102750275060501(C)(3)9000ECONOMIC DEV.
GOODWILL INDUSTRIES OF FORT WORTH
PO BOX 1408FORT WORTHTX76101750868393501(C)(3)8000PROVIDE JOBS
MAKE A WISH FOUNDATION
6655 DESEOIRVINGTX75039751889666501(C)(3)7500KIDS SPONSOR
EPILEPSY FOUNDATION
3629 WOSLEY DRFORT WORTHTX76133520856660501(C)(3)10000JOB TRAINING
THE WARM PLACE
809 LIPSCOMB STFORT WORTHTX76104752220859501(C)(3)20000GRIEF SUPPORT
WESTLAKE ACADEMY FOUNDATION
2600 OTTINGER RDWESTLAKETX76262200033926501(C)(3)10000SPONSORSHIP
RONALD MCDONALD HOUSE
1004 SEVENTH AVEFORT WORTHTX76104751754490501(C)(3)10000SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS FOR INDIVIDUALSTypeOfGrant
Number Of Recipients12NumberOfRecipients
Amount Of Cash Grant50000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1)BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE 2)BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM & 3)PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000, $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (28 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
KIMBERLY D AARON MD
028188906426102494015313063110370269
MICHAEL J DEITCHMAN MD
029177900013790165320111310320820
HOWARD M KELFER MD
056911905000040060183750168490613348
FRANK MCGEHEE MD
0494150000171730183750121040541802
JAMES P MILLER MD
011062510001852601837501268401155836
JASON V TERK MD
026236900014320153130107490289863
PAUL S THORNTON MD
042339206000024940153130207970467996
M SUZANNE WHITWORTH MD
01991160001652010098022770213142
KEVIN D WYLIE DO
018231902370105180132160149000234654
LINDA S CHAPPELL
175395065505025147099650893102849440
JAMES C CUNNINGHAM MD
40104301029010153600001413205334360
RICHARD P GOODE
668182004602349770492191565745925907771456213686116623349868
TIMOTHY M HANNERS
1604890500005205033730663601807020
BILLY R KENNEDY
262375000440780980001460403308580
DAVID F LANCASTER
14927204478501080201571501279002333630
JOHN W MCNEY
24294908357204009801837501771904027130
RICK W MERRILL
158167474502843752531263568410705135450106350354010619317216951648
GEORGE B MONTAGUE
19672005607001500501531301109702942050
FRANK J ROSSI
23097708224506238601531301129404022150
LARRY L TUBB
188147060514083320182550784302830910
TRACY T WALLER
17319404301801567088420457702311980
ERIC H HUBLI
42247900021940904701410904478290
GREGORY K JIMERSON
162280040004017400827001100002232950
JAMES D MARSHALL
4507900384000226001531301783105245940
JOANN M SANDERS MD
2668280313820323201837501247503322930
JOSEPH GALLAGHER
15916004784801112001403801137402435400
RUSSELL K TOLMAN
20701402167530133373101837504470017803430
JOHN A GRIGSON
001613590402522000005638810

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J PART I LINE 4BRICK W. MERRILL-PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2009. RUSSELL K. TOLMAN-PARTICIPATES AND RECEIVED $1,269,510 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.
SEVERANCE PAYMENTSCHEDULE J, PART I, LINE 4AJOHN A. GRIGSON RECEIVED $402,522 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2009.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACTIVITY CONTINUEDFORM 990 PART III QUESTION 4ATHE SYSTEM HAS 3,700 EMPLOYEES AND SERVES A PRIMARY AREA OF SIX NORTH TEXAS COUNTIES - TARRANT, JOHNSON, HOOD, PARKER, WISE, AND DENTON WITH AN ADDITIONAL 126 COUNTY REFERRAL MARKET - ENCOMPASSING 47 PERCENT OF THE STATE. CCHCS TRACES ITS ROOTS BACK TO 1918, WHEN THE FORT WORTH FREE BABY HOSPITAL WAS FOUNDED. THROUGHOUT ITS CONTINUAL CHANGE AND ROBUST GROWTH OVER THE LAST 91 YEARS, ONE THING HAS REMAINED CONSTANT - THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN ITS REGION. TO LIVE UP TO THIS PROMISE, COOK CHILDREN'S COMBINES THE ART OF CARING WITH STRONG INTERDISCIPLINARY COLLABORATION, A COMMITMENT TO EVIDENCE-BASED PRACTICE, PROVIDING LEADING CLINICAL RESEARCH, AND UTILIZING THE BEST AVAILABLE TECHNOLOGY. THE COMMITMENT AND EXPERTISE OF TRUSTEES, PHYSICIANS AND CCHCS STAFF COMBINED WITH THE SYSTEM'S VAST RESOURCES ENABLE THIS INSTITUTION TO BE RECOGNIZED AS SUSTAINABLE AND AMONG THE BEST FOR CLINICAL OUTCOMES. CCHCS RECORDS APPROXIMATELY ONE MILLION PATIENT ENCOUNTERS EACH YEAR THROUGH ITS MEDICAL CENTER, SPECIALTY CLINICS, NEIGHBORHOOD CLINICS, PHYSICIAN OFFICES, OUTPATIENT SETTINGS AND HOME CARE. IN 2009, COOK CHILDREN'S HEALTH CARE SYSTEM WAS THE ONLY EXCLUSIVELY PEDIATRIC NETWORK TO RANK AMONG THE TOP 100 MOST HIGHLY INTERGRATED HEALTHCARE NETWORKS IN THE UNITED STATES, ACCORDING TO MODERN HEALTHCARE.
SOLE MEMBERFORM 990 PART VI, QUESTION 6W.I. COOK FOUNDATION, INC., A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
MEMBER ELECTION ABILITIESFORM 990 PART VI, QUESTION 7AAS THE SOLE-MEMBER OF THE ORGANIZATION W.I. COOK FOUNDATION HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
MEMBER DECISION ABILITIESFORM 990 PART VI, QUESTION 7BAS THE SOLE-MEMBER OF THE ORGANIZATION W.I. COOK FOUNDATION 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 OF THE FORM 990FORM 990 PART VI, QUESTION 11THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORMS ARE PREPARED, THEY ARE REVIEWED BY COMPANY EXECUTIVES AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THEY ARE PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW. SUBSEQUENT TO AUDIT COMMITTEE REVIEW, THE FORMS ARE FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW.
REVIEW AND APPROVAL OF COMPENSATIONFORM 990 PART VI, QUESTION 15A & 15BCOOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION. THE COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, RELYING UPON COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY MERCER & ASSOCIATES (EXECUTIVE COMPENSATION) AND SULLIVAN COTTER (PHYSICIAN COMPENSATION), 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 HOWARD M. KELFER, MD 40 KEVIN D. WYLIE, DO 40 KIMBERLY D. AARON, MD 40 MICHAEL J. DEITCHMAN, MD 40 RICK W. MERRILL 40 RICHARD P. GOODE 35 FRANK MCGEHEE, MD 40 JAMES P. MILLER, MD 40 JASON V. TERK, MD 40 M. SUZANNE WHITWORTH, MD 40 PAUL S. THORTON, MD 40 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII MAY DEVOTE AN AVERAGE OF 1 TO 4 HOURS PER WEEK TO RELATED ORGANIZATIONS.
CONFLICT OF INTERESTFORM 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)11CNA
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3NA
WI COOK FOUNDATION
801 SEVENTH AVEFORT WORTHTX76104752051649FUNDRAISINGTX501(C)(3)11DNA
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3NA
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983HEALTHCARETX501(C)(3)11CNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
COOK CHILDREN'S HOME HEALTH
A180552
COOK CHILDREN'S HOME HEALTH
O63202
COOK CHILDREN'S HOME HEALTH
P3493886
COOK CHILDREN'S HEALTH PLAN
A210684
COOK CHILDREN'S HEALTH PLAN
O62067
COOK CHILDREN'S HEALTH PLAN
P2734274
COOK CHILDREN'S MEDICAL CENTER
A747522
COOK CHILDREN'S MEDICAL CENTER
B833533
COOK CHILDREN'S MEDICAL CENTER
O130627
COOK CHILDREN'S MEDICAL CENTER
P112616387
COOK CHILDREN'S MEDICAL CENTER
Q1314275
COOK CHILDREN'S MEDICAL CENTER
R196977
COOK CHILDREN'S PHYSICIAN NETWORK
A1492578
COOK CHILDREN'S PHYSICIAN NETWORK
B501295
COOK CHILDREN'S PHYSICIAN NETWORK
O4453613
COOK CHILDREN'S PHYSICIAN NETWORK
P14154932