COOK CHILDRENS PHYSICIAN NETWORK: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS PHYSICIAN NETWORK (EIN 75-2485366)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-05
- IRS object ID
- 202222179349301417
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-05T16:52:11-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752485366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cook Children's Physician Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CORY RHOADES | InCareOfNm |
| Business Name Control | COOK | BusinessNameControlTxt |
| Phone | 6828854000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1Txt |
| City | Fort Worth | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY R RHOADES | PersonNm |
| Person Title | CFO AND SVP, FINANCE | PersonTitleTxt |
| Phone | 6828854000 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CORY R | PersonFirstNm |
| Person Last | RHOADES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 9727028262 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW DZURIK MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $377,747,766 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COOKCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | KNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1779 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $77,555,748 | PYContributionsGrantsAmt |
| CY Contributions Grants | $74,099,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $281,038,830 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $303,602,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,413 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,500 | CYInvestmentIncomeAmt |
| PY Other Revenue | $68,187 | PYOtherRevenueAmt |
| CY Other Revenue | $43,522 | CYOtherRevenueAmt |
| PY Total Revenue | $358,666,178 | PYTotalRevenueAmt |
| CY Total Revenue | $377,747,766 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $286,693,444 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $299,298,636 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $75,852,722 | PYOtherExpensesAmt |
| CY Other Expenses | $87,376,269 | CYOtherExpensesAmt |
| PY Total Expenses | $362,546,166 | PYTotalExpensesAmt |
| CY Total Expenses | $386,674,905 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,879,988 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,927,139 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,062,651 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,106,288 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,109,141 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $83,079,917 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$10,046,490 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$18,973,629 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $339,206,384 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $303,602,017 | RevenueAmt |
| Desc | Cook Children's Physician Network is the largest pediatric multi-specialty physician network in North Texas which includes more than 70 practice locations. The Network employs 469 physicians and surgeons, including 329 pediatric specialists and 113 primary care pediatricians. The Network also employs 303 advanced practice providers such as nurse practitioners, physician assistants and certified registered nurse anesthetists. These professionals are an integral part of the Cook Children's Health Care System and help support the system's approximately 1.5 million patient encounters annually. Twenty-six board-certified CCPN pediatricians provide care in seven Neighborhood Clinics located in economically disadvantaged areas within Tarrant County. Clinic staff also includes two dentists and nine advanced practice providers. Neighborhood Clinics provide primary care services and serve as medical homes predominantly for children insured under government programs such as the Children's Health Insurance Program (CHIP), Medicaid and Medicaid Managed Care plans. In addition to numerous provider locations in Tarrant, Denton, Hood and Collin counties, CCPN has increased access to pediatric sub-specialty care through outreach in areas such as West Texas where specialty care is limited. Each month, numerous CCPN specialty physicians and surgeons travel to markets that lack the full spectrum of pediatric specialty care to serve patients close to their homes. The need for these outreach services in underserved markets is expected to grow as the physician shortage worsens over time. Virtual Health The pandemic rapidly accelerated the growth of virtual health services, which continue to be an important part of how physicians and providers care for patients. The Network has been developing and implementing telemedicine capabilities for several years, and defines this service as a live video and audio encounter with a patient/parent who is either in a remote CCPN clinic or simply accessing care from home. Patient families have access to 30 pediatric specialties via telemedicine: Cardiology Craniofacial Endocrinology Gastroenterology Clinical Genetics Metabolic Genetics Hematology/Oncology Infectious Disease Neonatology Nephrology Neurology Epileptology Pain Management Palliative Care Pediatric Surgery Psychiatry Physical Medicine (PM&R) Pulmonary Psychology/ Rheumatology Urology Neuropsychology CT surgery Developmental Pediatrics Dermatology ENT Immunology Neurosurgery Orthopedics Sleep Woundcare Network providers hosted more than 80,000 visits via telemedicine in 2021. Telemedicine offers immediate care and patient monitoring, saving hours of travel for patient families. Cook Children's Physician Network telemedicine also supports school-based nurses in 19 local Independent School Districts (ISD), which includes 114 campuses. That number is expected to grow by several ISDs in FY22. COVID-19 Coordination As primary and specialty care providers, CCPN physicians, advanced practice providers and neighborhood clinics are often the first line of defense when it comes to protecting the health of the communities they serve. During the pandemic, they played an even more significant and invaluable role in educating the public and keeping families safe and healthy while working tirelessly to adapt and adjust to the ever-changing environment for the benefit of providers and patients. Throughout 2021, CCPN continually modified location-specific safety plans and workflows that allowed them to serve patients efficiently while also protecting patients, families and personnel. Such measures included establishing protocols for testing staff and implementing strategies for protecting at-risk staff members and providers. Initially, CCPN providers offered COVID vaccinations to eligible patients at several drive-thru vaccination clinic sites. A total of 3,511 children received one or both of their vaccine doses through these clinic events in 2021. As eligibility expanded, CCPN providers began administering COVID shots at seven Neighborhood Clinics and 28 primary care locations, vaccinating a total of 3,567 patients at these locations in 2021. Network providers continue to administer vaccines as part of the patient care services they routinely offer. | Desc |
| Total Program Service Expenses | $339,206,384 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1779 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY RHOADES | PersonNm |
| Phone | 6828854000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Rick W Merrill | |||||||||
| CEO | 4.0 | 36.0 | Yes (X) | $262,283 | $2,122,105 | $255,387 | |||
| VINCENT K TAM MD | |||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $2,113,075 | $0 | $58,131 | Yes (X) | |||
| JOHNNIE H HONEYCUTT MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,341,309 | $0 | $55,221 | Yes (X) | |||
| JOSE IGLESIAS MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,153,036 | $0 | $52,420 | Yes (X) | |||
| BLAKE PALMER MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,138,762 | $0 | $41,371 | Yes (X) | |||
| DANIEL HANSEN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,124,403 | $0 | $46,880 | Yes (X) | |||
| STEPHEN W KIMMEL | |||||||||
| TREASURER | 4.0 | 36.0 | Yes (X) | $111,390 | $901,249 | $129,999 | |||
| W BRITT NELSON MD | |||||||||
| PRESIDENT END: 06/2021 | 40.0 | 0.0 | Yes (X) | $884,294 | $0 | $56,650 | |||
| JUSTIN SMITH MD | |||||||||
| TRUSTEE | 41.0 | 0.0 | $829,959 | $0 | $38,797 | Yes (X) | |||
| ROBERT C GOODWILL | |||||||||
| VP PRIMARY CARE & SPLTY SVCS | 40.0 | 0.0 | Yes (X) | $574,340 | $0 | $96,733 | |||
| MICHELLE MARCINCUK MD | |||||||||
| TRUSTEE - SECRETARY | 42.0 | 0.0 | Yes (X) | $587,925 | $0 | $55,932 | Yes (X) | ||
| DEBORAH SCHUTTE MD | |||||||||
| TRUSTEE/VC SPC CARE STRT:06/21 | 42.0 | 1.0 | Yes (X) | $573,400 | $0 | $57,896 | Yes (X) | ||
| MATTHEW DZURIK MD | |||||||||
| PRESIDENT START: 06/21 | 42.0 | 2.0 | Yes (X) | $548,148 | $0 | $45,493 | Yes (X) | ||
| DIANE ARNAOUT MD | |||||||||
| TRUSTEE | 41.0 | 0.0 | $530,869 | $0 | $53,228 | Yes (X) | |||
| BRADLEY S MERCER MD | |||||||||
| TRUSTEE end: 06/21 | 41.0 | 0.0 | $489,101 | $0 | $58,896 | Yes (X) | |||
| SAMSON CANTU MD | |||||||||
| TRUSTEE/VC SPC. CARE END:06/21 | 42.0 | 1.0 | Yes (X) | $480,559 | $0 | $58,274 | Yes (X) | ||
| M SCOTT PERRY MD | |||||||||
| TRUSTEE | 41.0 | 3.0 | $478,891 | $0 | $53,931 | Yes (X) | |||
| CORWIN WARMINK MD | |||||||||
| TRUSTEE | 41.0 | 0.0 | $462,363 | $0 | $52,566 | Yes (X) | |||
| LINDA THOMPSON MD | |||||||||
| TRUSTEE START: 06/2021 | 41.0 | 0.0 | $452,925 | $0 | $24,105 | Yes (X) | |||
| ALICE W PHILLIPS MD | |||||||||
| TRUSTEE - CHAIR | 42.0 | 2.0 | Yes (X) | $394,894 | $0 | $50,576 | Yes (X) | ||
| ERIK TEMPLETON MD | |||||||||
| TRUSTEE START: 06/2021 | 41.0 | 0.0 | $361,858 | $0 | $57,331 | Yes (X) | |||
| MARIA PEREZ MD | |||||||||
| TRUSTEE END: 06/2021 | 41.0 | 0.0 | $363,210 | $0 | $50,592 | Yes (X) | |||
| JULEE S MORROW MD | |||||||||
| TRUSTEE - VC/PRIMARY CARE | 42.0 | 3.0 | Yes (X) | $305,857 | $0 | $45,224 | Yes (X) | ||
| LINDSAY NEWTON MD | |||||||||
| TRUSTEE | 42.0 | 1.0 | $299,448 | $0 | $39,190 | Yes (X) | |||
| WHITNEY JOHANNESSEN | |||||||||
| AVP ADVANCE PRACTICE | 40.0 | 0.0 | $251,376 | $0 | $56,525 | Yes (X) | |||
| ALMA V TOLLEY | |||||||||
| AVP PRIMARY CARE & SPECIALTY | 40.0 | 0.0 | $235,816 | $0 | $45,123 | Yes (X) | |||
| KEVIN L BRISCOE | |||||||||
| ASSISTANT VP | 41.0 | 0.0 | $261,913 | $0 | $13,726 | Yes (X) | |||
| DAPHNE SHAW MD | |||||||||
| TRUSTEE | 41.0 | 0.0 | $250,151 | $0 | $7,829 | Yes (X) | |||
| BIANKA SORIA-OLMOS DO | |||||||||
| TRUSTEE-TREASURER START:06/21 | 42.0 | 1.0 | Yes (X) | $201,205 | $0 | $45,029 | Yes (X) | ||
| SHERI K KANTNER | |||||||||
| SECRETARY | 40.0 | 0.0 | Yes (X) | $71,820 | $0 | $30,527 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,113,675 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,023,354 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,591,348 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 662 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TARRANT CONSTRUCTION SERVICES | |||||
| 2225 W PETERSMITH ST | FORT WORTH | TX | 76102 | CONSTRUCTION | $965,271 |
| CREDIT SYSTEMS INTERNATIONAL | |||||
| PO BOX 1088 | ARLINGTON | TX | 76004 | CLAIM COLLECTION | $516,101 |
| REGIONAL ADJUSTMENT BUREAU INC | |||||
| 7130 GOODLETT FARMS PKWY 100W | CORDOVA | TN | 38016 | CLAIM COLLECTION | $405,991 |
| SUNDOWN JANITORIAL MAINTENANCE | |||||
| 1413 HEIDI CT | FORT WORTH | TX | 76108 | JANITORIAL SERVICES | $261,713 |
| SMITH PROTECTIVE SERVICES INC | |||||
| 501 HEMPHILL ST | FORT WORTH | TX | 76104 | SECURITY SERVICES | $222,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $74,099,727 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| Total Contributions | $74,099,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT FEES | 621110 | $236,373,222 | $236,373,222 |
| CONTRACTED FEES | 621110 | $4,855,586 | $4,855,586 |
| MANAGEMENT FEES | 900099 | $58,633,831 | $58,633,831 |
| OTHER OPERATING INCOME | 621110 | $3,570,974 | $3,570,974 |
| RESEARCH | 900099 | $168,404 | $168,404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $303,602,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,522 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,522 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,522 | TotalRevenueColumnAmt |
| Exclusion | $43,522 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,500 | TotalRevenueColumnAmt |
| Exclusion | $2,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $377,747,766 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $303,602,017 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $46,022 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,612,456 | TotalAmt |
| Program Services | $7,182,161 | ProgramServicesAmt |
| Management And General | $3,430,295 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,028 | TotalAmt |
| Program Services | $165,028 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,484,888 | TotalAmt |
| Program Services | $231,851,058 | ProgramServicesAmt |
| Management And General | $13,633,830 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,410,591 | TotalAmt |
| Program Services | $10,634,958 | ProgramServicesAmt |
| Management And General | $775,633 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,210,768 | TotalAmt |
| Program Services | $16,800,937 | ProgramServicesAmt |
| Management And General | $2,409,831 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,414,905 | TotalAmt |
| Program Services | $11,602,780 | ProgramServicesAmt |
| Management And General | $812,125 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,608,515 | TotalAmt |
| Management And General | $18,608,515 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,751,705 | TotalAmt |
| Program Services | $2,725,987 | ProgramServicesAmt |
| Management And General | $1,025,718 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,513 | TotalAmt |
| Program Services | $26,774 | ProgramServicesAmt |
| Management And General | $739 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,362 | TotalAmt |
| Program Services | $618,362 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,000,703 | TotalAmt |
| Program Services | $9,658,066 | ProgramServicesAmt |
| Management And General | $3,342,637 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,488 | TotalAmt |
| Program Services | $338,591 | ProgramServicesAmt |
| Management And General | $39,897 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,981 | TotalAmt |
| Program Services | $4,910 | ProgramServicesAmt |
| Management And General | $100,071 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,760,909 | TotalAmt |
| Program Services | $1,505,376 | ProgramServicesAmt |
| Management And General | $1,255,533 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,472,954 | TotalAmt |
| Program Services | $2,472,454 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $31,351,497 | $30,758,904 | $592,593 |
| COLLECTION EXPENSE | $1,060,860 | $0 | $1,060,860 |
| BAD DEBT EXPENSE | $11,738,943 | $11,738,943 | $0 |
| MINOR EQUIPMENT EXPENSE | $370,024 | $361,083 | $8,941 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,130,815 | TotalAmt |
| Program Services | $760,012 | ProgramServicesAmt |
| Management And General | $370,803 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,674,905 | TotalAmt |
| Program Services | $339,206,384 | ProgramServicesAmt |
| Management And General | $47,468,521 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,001 | BOYAmt |
| EOY | $13,501 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,163,669 | BOYAmt |
| EOY | $15,446,491 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,697,027 | BOYAmt |
| EOY | $2,633,504 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,132 | BOYAmt |
| EOY | $30,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,775,130 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,272,713 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,772,584 | BOYAmt |
| EOY | $10,502,417 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,560,000 | BOYAmt |
| EOY | $1,404,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,824,238 | BOYAmt |
| EOY | $34,076,038 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,062,651 | BOYAmt |
| EOY | $64,106,288 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,238,825 | BOYAmt |
| EOY | $9,542,195 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,870,316 | BOYAmt |
| EOY | $73,537,722 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,109,141 | BOYAmt |
| EOY | $83,079,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,046,490 | BOYAmt |
| EOY | -$18,973,629 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,046,490 | BOYAmt |
| EOY | -$18,973,629 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,062,651 | BOYAmt |
| EOY | $64,106,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,927,139 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $298,322 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $298,322 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $386,674,905 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,601,131,028 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $386,674,905 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,601,429,350 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $7,362,790 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,840,698 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,500,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $250,000 | CurrentYearAmt |
| Total | $250,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $375,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $102,871 | BeginningYearBalanceAmt |
| Contributions | $190,213 | ContributionsAmt |
| Investment Earnings Or Losses | $92,180 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,430 | OtherExpendituresAmt |
| End Year Balance | $369,834 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $101,112 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,206 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,447 | OtherExpendituresAmt |
| End Year Balance | $102,871 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $100,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,112 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $101,112 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Prmnnt Endowment Balance EOY | 0.61020 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.38980 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,363,015 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,886,401 | DepreciationAmt |
| Book Value | $4,476,614 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,483,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,796,160 | DepreciationAmt |
| Book Value | $2,687,684 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,448,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,590,152 | DepreciationAmt |
| Book Value | $2,858,825 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $479,294 | OtherCostOrOtherBasisAmt |
| Book Value | $479,294 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,502,417 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $605,646 |
| RIGHT OF USE ASSET | $33,470,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $34,076,038 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $4,533,170 |
| ACCRUED LIABILITIES | $35,311,909 |
| RIGHT OF USE LIABILITIES | $33,692,643 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,537,722 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $365,836,888 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$11,738,943 | OtherRevenueAmt |
| Revenue Not Reported | -$11,738,943 | RevenueNotReportedAmt |
| Revenue Subtotal | $377,575,831 | RevenueSubtotalAmt |
| Other Revenues Not Included | $171,935 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $171,935 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $377,747,766 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $374,933,462 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$2,500 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$2,500 | ExpensesNotReportedAmt |
| Expenses Subtotal | $374,935,962 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $11,738,943 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $11,738,943 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $386,674,905 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, Line 2 | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO RETURN: BAD DEBT EXPENSE $(11,738,943) |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO RETURN: GAIN ON DISPOSITION OF ASSETS $2,500 NET ASSETS RELEASED FROM RESTRICTIONS $169,435 -------- TOTAL $171,935 |
| Schedule D, Part XII, Line 2D | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO RETURN: Gain on Disposition of assets $(2,500) |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO RETURN: BAD DEBT EXPENSE $11,738,943 |
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENT FUNDS: COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN Hurdle. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADLEY S MERCER MD | ||||||||||||||
| TRUSTEE end: 06/21 | $476,079 | $0 | $500 | $0 | $12,522 | $0 | $21,375 | $0 | $37,521 | $0 | $547,997 | $0 | $0 | $0 |
| JOHNNIE H HONEYCUTT MD | ||||||||||||||
| PHYSICIAN | $1,253,200 | $0 | $71,667 | $0 | $16,442 | $0 | $21,375 | $0 | $33,846 | $0 | $1,396,530 | $0 | $0 | $0 |
| SAMSON CANTU MD | ||||||||||||||
| TRUSTEE/VC SPC. CARE END:06/21 | $453,609 | $0 | $500 | $0 | $26,450 | $0 | $17,813 | $0 | $40,461 | $0 | $538,833 | $0 | $0 | $0 |
| MATTHEW DZURIK MD | ||||||||||||||
| PRESIDENT START: 06/21 | $502,314 | $0 | $500 | $0 | $45,334 | $0 | $21,375 | $0 | $24,118 | $0 | $593,641 | $0 | $0 | $0 |
| JUSTIN SMITH MD | ||||||||||||||
| TRUSTEE | $772,911 | $0 | $50,500 | $0 | $6,548 | $0 | $17,813 | $0 | $20,984 | $0 | $868,756 | $0 | $0 | $0 |
| LINDA THOMPSON MD | ||||||||||||||
| TRUSTEE START: 06/2021 | $441,227 | $0 | $500 | $0 | $11,198 | $0 | $21,375 | $0 | $2,730 | $0 | $477,030 | $0 | $0 | $0 |
| ROBERT C GOODWILL | ||||||||||||||
| VP PRIMARY CARE & SPLTY SVCS | $341,220 | $0 | $158,062 | $0 | $75,058 | $0 | $58,804 | $0 | $37,929 | $0 | $671,073 | $0 | $39,249 | $0 |
| STEPHEN W KIMMEL | ||||||||||||||
| TREASURER | $64,813 | $524,394 | $32,914 | $266,304 | $13,663 | $110,551 | $10,863 | $87,893 | $3,437 | $27,806 | $125,690 | $1,016,948 | $0 | $68,837 |
| MICHELLE MARCINCUK MD | ||||||||||||||
| TRUSTEE - SECRETARY | $565,404 | $0 | $500 | $0 | $22,021 | $0 | $17,813 | $0 | $38,119 | $0 | $643,857 | $0 | $0 | $0 |
| W BRITT NELSON MD | ||||||||||||||
| PRESIDENT END: 06/2021 | $513,541 | $0 | $233,888 | $0 | $136,865 | $0 | $21,375 | $0 | $35,275 | $0 | $940,944 | $0 | $0 | $0 |
| MARIA PEREZ MD | ||||||||||||||
| TRUSTEE END: 06/2021 | $350,734 | $0 | $500 | $0 | $11,976 | $0 | $15,503 | $0 | $35,089 | $0 | $413,802 | $0 | $0 | $0 |
| VINCENT K TAM MD | ||||||||||||||
| MEDICAL DIRECTOR | $2,090,931 | $0 | $500 | $0 | $21,644 | $0 | $21,375 | $0 | $36,756 | $0 | $2,171,206 | $0 | $0 | $0 |
| ALICE W PHILLIPS MD | ||||||||||||||
| TRUSTEE - CHAIR | $362,158 | $0 | $500 | $0 | $32,236 | $0 | $18,394 | $0 | $32,182 | $0 | $445,470 | $0 | $0 | $0 |
| DIANE ARNAOUT MD | ||||||||||||||
| TRUSTEE | $522,304 | $0 | $500 | $0 | $8,065 | $0 | $14,423 | $0 | $38,805 | $0 | $584,097 | $0 | $0 | $0 |
| KEVIN L BRISCOE | ||||||||||||||
| ASSISTANT VP | $200,145 | $0 | $50,227 | $0 | $11,541 | $0 | $7,840 | $0 | $5,886 | $0 | $275,639 | $0 | $0 | $0 |
| DANIEL HANSEN MD | ||||||||||||||
| PHYSICIAN | $1,086,830 | $0 | $25,613 | $0 | $11,960 | $0 | $11,400 | $0 | $35,480 | $0 | $1,171,283 | $0 | $0 | $0 |
| WHITNEY JOHANNESSEN | ||||||||||||||
| AVP ADVANCE PRACTICE | $192,642 | $0 | $52,848 | $0 | $5,886 | $0 | $19,928 | $0 | $36,597 | $0 | $307,901 | $0 | $0 | $0 |
| JULEE S MORROW MD | ||||||||||||||
| TRUSTEE - VC/PRIMARY CARE | $292,013 | $0 | $500 | $0 | $13,344 | $0 | $9,593 | $0 | $35,631 | $0 | $351,081 | $0 | $0 | $0 |
| LINDSAY NEWTON MD | ||||||||||||||
| TRUSTEE | $262,809 | $0 | $15,500 | $0 | $21,139 | $0 | $8,627 | $0 | $30,563 | $0 | $338,638 | $0 | $0 | $0 |
| BLAKE PALMER MD | ||||||||||||||
| PHYSICIAN | $909,019 | $0 | $500 | $0 | $229,243 | $0 | $11,400 | $0 | $29,971 | $0 | $1,180,133 | $0 | $0 | $0 |
| M SCOTT PERRY MD | ||||||||||||||
| TRUSTEE | $465,811 | $0 | $500 | $0 | $12,580 | $0 | $19,500 | $0 | $34,431 | $0 | $532,822 | $0 | $0 | $0 |
| DEBORAH SCHUTTE MD | ||||||||||||||
| TRUSTEE/VC SPC CARE STRT:06/21 | $560,378 | $0 | $500 | $0 | $12,522 | $0 | $21,375 | $0 | $36,521 | $0 | $631,296 | $0 | $0 | $0 |
| DAPHNE SHAW MD | ||||||||||||||
| TRUSTEE | $246,386 | $0 | $500 | $0 | $3,265 | $0 | $7,829 | $0 | $0 | $0 | $257,980 | $0 | $0 | $0 |
| BIANKA SORIA-OLMOS DO | ||||||||||||||
| TRUSTEE-TREASURER START:06/21 | $179,355 | $0 | $15,500 | $0 | $6,350 | $0 | $11,094 | $0 | $33,935 | $0 | $246,234 | $0 | $0 | $0 |
| ERIK TEMPLETON MD | ||||||||||||||
| TRUSTEE START: 06/2021 | $325,280 | $0 | $31,068 | $0 | $5,510 | $0 | $21,375 | $0 | $35,956 | $0 | $419,189 | $0 | $0 | $0 |
| ALMA V TOLLEY | ||||||||||||||
| AVP PRIMARY CARE & SPECIALTY | $161,752 | $0 | $67,533 | $0 | $6,531 | $0 | $18,066 | $0 | $27,057 | $0 | $280,939 | $0 | $0 | $0 |
| CORWIN WARMINK MD | ||||||||||||||
| TRUSTEE | $400,747 | $0 | $52,576 | $0 | $9,040 | $0 | $20,334 | $0 | $32,232 | $0 | $514,929 | $0 | $0 | $0 |
| JOSE IGLESIAS MD | ||||||||||||||
| PHYSICIAN | $1,114,020 | $0 | $500 | $0 | $38,516 | $0 | $17,813 | $0 | $34,607 | $0 | $1,205,456 | $0 | $0 | $0 |
| Rick W Merrill | ||||||||||||||
| CEO | $136,532 | $1,104,667 | $84,430 | $683,115 | $41,321 | $334,323 | $23,911 | $193,464 | $4,181 | $33,831 | $290,375 | $2,349,400 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE COMPANY'S PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| SCHEDULE J, PART I, LINE 4B | PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- -------- -------- ROBERT C. GOODWILL 39,249 46,126 CCPN STEPHEN W. KIMMEL 68,837 80,943 SYSTEM BLAKE PALMER 212,283 NONE CCPN Rick W. Merrill 167,069 196,000 SYSTEM WILLIAM B. NELSON 62,094 NONE CCPN |
| Schedule J, Part I, Line 1a | THE FOLLOWING INDIVIDUALS RECEIVED CME and other GROSS UP PAYMENTS IN THEIR W-2 AS TAXABLE WAGES: Jose Iglesias MD Maria Perez Diane Arnaout MD Michelle Marcincuk MD M Scott Perry MD Samson Cantu MD Bradley Mercer MD Deborah Schutte MD Matthew Dzurik MD Julee S Morrow MD Daphne Shaw MD Daniel Hansen MD Lindsay Newton MD Justin Smith MD Johnnie Honeycutt MD Blake Palmer BiankA Soria-Olmos DO Vincent Tam MD Erik Templeton MD Corwin Warmink MD Whitney Johannessen Alice Phillips MD |
| Schedule J, Part I, Line 1b | GENERAL GROSS UP PAYMENTS DISCLOSURE: THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS. CME GROSS UPS PAYMENTS DISCLOSURE: IN ADDITION TO THE GIFT CARD AND INCENTIVE BONUSES DESCRIBED ABOVE, THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FOR CONTINUING MEDICAL EDUCATION ALLOWANCES PAID TO EMPLOYED PHYSICIANS OF COOK CHILDREN'S PHYSICIAN NETWORK. THESE TYPE OF EXPENSES ARE USUALLY HANDLED AS NON TAXABLE ACCOUNTABLE PLAN BUSINESS EXPENSES UNDER THE INTERNAL REVENUE CODE, BUT THE COMPANY HAS ELECTED TO TREAT THESE PAYMENTS AND THE GROSS-UP PAYMENTS AS TAXABLE INCOME TO THE AFFECTED INDIVIDUALS. THESE PAYMENTS ARE APPROVED IN ADVANCE BY SENIOR MANAGEMENT AND REVIEWED BY THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. FURTHER, THESE EXPENSES ARE INCLUDED IN THE BENEFITS CALCULATION FOR SUCH PHYSICIANS WHICH ARE REVIEWED BY THE COMPANY'S COMPENSATION COMMITTEE TO VERIFY THAT SUCH PAYMENTS ARE PAID AT FAIR MARKET VALUE AND COMMERCIALLY REASONABLE. Air Travel: Air Travel for Matthew Dzurik MD, Daniel Hansen MD, Blake Palmer MD, M. Scott Perry MD, and Deborah Schutte MD was provided to provide medical services in their capacities as physicians for Cook Children's Physician Network. THIS IS NOT INCLUDED IN THEIR W-2 TAXABLE COMPENSATION AS IT IS 100% BUSINESS RELATED. |
| SCHEDULE J, PART II | ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN CHILD STUDY CENTER |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YVETTE DZURIK | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | M. DZURIK SPOUSE | RelationshipDescriptionTxt |
| Transaction | $151,348 | TransactionAmt |
| Transaction | COMPENSATION FOR SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SOLE MEMBER: COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBER ELECTION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE ABSOLUTE RIGHT TO APPOINT OR APPROVE MEMBERSHIP ON THE BOARD OF DIRECTORS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBER DECISION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION AND THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE CORPORATION; B. APPROVE DEVIATIONS FROM ANNUAL OPERATING AND CAPITAL BUDGETS IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; C. APPROVE THE PURCHASE OR ACQUISITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, BY THE ORGANIZATION IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; D. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; E. APPROVE THE MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE ORGANIZATION IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; F. APPROVE THE ACQUISITION, LIQUIDATION, MERGER, WINDING UP, TERMINATION, OR CONSOLIDATION OF THE ORGANIZATION; G. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, JOINT VENTURE, ACCOUNTABLE CARE ORGANIZATION OR SIMILAR ENTITIES; H. APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CERTIFICATE OF FORMATION OF THE ORGANIZATION AND THESE BYLAWS; I. APPROVE INCURRING DEBT WHICH WOULD EXCEED SUCH LIMITS ESTABLISHED BY THE MEMBER; J. APPROVE THE SETTLEMENT OF CLAIMS AND LITIGATION OF THE ORGANIZATION; AND K. SUBSEQUENT TO THE ORGANIZING AND INCORPORATING PHYSICIAN'S SELECTION OF THE INITIAL BOARD OF DIRECTORS, APPROVE THE APPOINTMENT OR ELECTION OF DIRECTORS IN ACCORDANCE WITH SECTION 3.2 OF THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS FOR REVIEW OF THE 990: The organization engages an outside independent 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 Form 990 is prepared, it is reviewed by company Finance, Legal and Compliance staff and then provided to the Board of Trustees for review and comment. In addition, it is provided to the Cook Children's Health Care System Audit Committee for review and comment. Subsequent to the Board and Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review. |
| FORM 990, PART VI, SECTION B, LINE 12C | WRITTEN CONFLICT OF INTEREST POLICY: EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. 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. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION IS PROVIDED TO THE SYSTEM 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 THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES 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. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15b | REVIEW AND APPROVAL OF COMPENSATION: Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation, which includes the organization's CEO and other officers and key employees of the organization. The Compensation Committee approves compensation arrangements in advance, which includes a review and approval by independent committee members, using comparable market data relating to compensation, which is provided by Sullivan Cotter and Associates, Inc. for executive compensation and physician compensation, which is an independent, nationally recognized compensation consultant. The Compensation Committee documents the basis for its determinations following contemporaneous substantiation of the Compensation Committee's deliberations and decisions. The Compensation Committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the Compensation 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | MAKING GOVERNING DOCUMENTS PUBLIC: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE SECRETARY OF STATE OF TEXAS. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEB SITE. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: VARIOUS OFFICERS AND TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT OR BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | HOSPITAL | TX | 501(C)(3) | 3 | CCHCS | Yes (true) |
| COOK CHILDREN'S HOME HEALTH | ||||||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 10 | CCHCS | Yes (true) |
| WI COOK FOUNDATION | ||||||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752051649 | FUNDRAISING | TX | 501(C)(3) | 7 | NA | false |
| COOK CHILDREN'S HEALTH CARE SYSTEM | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752705881 | HLTH CARE SUP | TX | 501(C)(3) | 12C | CCHF | Yes (true) |
| COOK CHILDREN'S HEALTH PLAN | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 10 | CCHCS | Yes (true) |
| ROSEDALE OFFICE BUILDING INC | ||||||||||
| 1500 W ROSEDALE | FORT WORTH | TX | 76104 | 460866421 | TITLE HOLDING | TX | 501(C)(2) | N/A | CCHF | Yes (true) |
| CHILD STUDY CENTER | ||||||||||
| 1300 W LANCASTER | FORT WORTH | TX | 76102 | 751099536 | HLTHCARE SRVC | TX | 501(C)(3) | 7 | CCMC | Yes (true) |
| COOK CHILREN'S HEALTH ENTERPRISES | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 842625990 | SUPPORT | TX | 501(C)(3) | 12B | cchcs | Yes (true) |
| COOK CHILDRENS MEDICAL CENTER PROSPER | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 852354189 | HEALTHCARE SV | TX | 501(C)(3) | 3 | CCHCS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| CPS PEDIATRICS LLC | ||||||||
| 11221 ROE AVE SUITE 320 | LEAWOOD | KS | 66211 | 470871718 | ASC | TX | NA | N/A |
| COOK CHILDREN'S SURGERY CENTER | ||||||||
| 11221 ROE AVE SUITE 320 | LEAWOOD | KS | 66211 | 205227064 | asc | TX | na | n/a |
| CENTER FOR PEDIATRIC SURGERY | ||||||||
| 11221 ROE AVE SUITE 320 | LEAWOOD | KS | 66211 | 470871715 | ASC | TX | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S HEALTH SERVICES | |||||||||||||||
| 801 7TH AVENUE | FORT WORTH | TX | 76104 | 454024843 | HEALTHCARE | TX | CCHCS | C CORPORATION | Yes (true) | ||||||
| COOK CHILDREN'S INDEMNITY COMPANY | |||||||||||||||
| 980424041 | SELF INSURANCE | C-CORPORATION | Yes (true) | PO BOX 1159 CARIBBEAN PLAZA 2ND FL | GRAND CAYMAN | CJ | KY1-1103 | CJ | N/A | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | ||
| O | $31,643,596 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| C | $72,732,849 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| R | $133,493 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| Q | $360,360 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| P | $222,230 | FMV |
| COOK CHILDREN'S MEDICAL CENTER | ||
| K | $1,714,872 | FMV |
| COOK CHILDREN'S HEALTH CARE SYSTEM | ||
| O | $22,260,549 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| O | $20,845,828 | FMV |
| COOK CHILDREN'S HEALTH PLAN | ||
| S | $178,163 | FMV |
| CHILD STUDY CENTER | ||
| O | $580,072 | FMV |
| COOK CHILDREN'S HEALTH ENTERPRISE | ||
| N | $1,069,365 | FMV |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S PHYSICIAN NE | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752485366 | Yes (X) | $0 | $0 | $0 | $386,674,905 | $386,674,905 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| COOK CHILDREN'S HEALTH PLAN | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | $0 | $16,367 | $16,367 | $668,662,384 | $668,678,751 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COOK CHILDREN'S HEALTH CARE | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752705881 | Yes (X) | $0 | $281,955 | $281,955 | $268,969,790 | $269,251,745 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| WI COOK FOUNDATION | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051649 | $0 | $0 | $0 | $44,044,793 | $44,044,793 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| COOK CHILDREN'S MEDICAL CENT | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | Yes (X) | $0 | $0 | $0 | $1,155,105,021 | $1,155,105,021 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| COOK CHILDREN'S HOME HEALTH | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752896983 | Yes (X) | $0 | $0 | $0 | $59,558,153 | $59,558,153 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| CHILD STUDY CENTER | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 751099536 | $0 | $0 | $0 | $8,995,731 | $8,995,731 | $599,787 | $149,947 | $0 | $0 | $0 | |
| ROSEDALE OFFICE BUILDING | |||||||||||||||
| 1500 W ROSEDALE | FORT WORTH | TX | 76104 | 460866421 | $0 | $0 | $0 | $2,333,451 | $2,333,451 | $266,673 | $66,668 | $0 | $0 | $0 | |
| COOK CHILDREN'S HEALTH ENTER | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 842625990 | $0 | $0 | $0 | $6,740,199 | $6,740,199 | $487,010 | $121,753 | $0 | $0 | $0 | |
| COOK CHILDREN'S MEDICAL CENT | |||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 852354189 | $0 | $0 | $0 | $46,601 | $46,601 | $9,320 | $2,330 | $0 | $0 | $0 | |
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