COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349304061
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T15:34:40-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752051646 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cook Children's Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % CORY RHOADES | InCareOfName |
| Name Control | COOK | NameControl |
| Phone | 6828854000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Seventh Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Fort Worth | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CORY RHOADES | Name |
| Title | VP & CHIEF ACCOUNTING OFFICER | Title |
| Phone | 6828854000 | Phone |
| Date Signed | 2014-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NANCY CYCHOL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 830443710 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COOKCHILDRENS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4353 | TotalNbrEmployees |
| Total Nbr Volunteers | 1280 | TotalNbrVolunteers |
| Total Gross UBI | 90628 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 29992 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 52805990 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11605462 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 768719803 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 812298871 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22895 | InvestmentIncomePriorYear |
| Investment Income Current Year | 542569 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6070684 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3739334 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 827619372 | TotalRevenuePriorYear |
| Total Revenue Current Year | 828186236 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 41592542 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 47236427 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 270523068 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 289635935 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 294897149 | OtherExpensePriorYear |
| Other Expenses Current Year | 330831092 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 607012759 | TotalExpensesPriorYear |
| Total Expenses Current Year | 667703454 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 220606613 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 160482782 | RevenuesLessExpensesCY |
| Total Assets BOY | 842018414 | TotalAssetsBOY |
| Total Assets EOY | 854499605 | TotalAssetsEOY |
| Total Liabilities BOY | 389375498 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 383129428 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 452642916 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 471370177 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 493403972 | Expense |
| Grants | 47236427 | Grants |
| Revenue | 814930369 | Revenue |
| Description | Cook Children's Medical Center has nationally respected nursing staff with MAGNET designation by the American Nurses Credentialing Center since 2006 and re-designated in 2011. This recognition of quality patient care and nursing excellence has been achieved by 7 percent of all healthcare organizations nationwide. Cook Children's is known for its nursing excellence and has a distinguished international reputation for providing extraordinary care and achieving positive outcomes in its neurology, neurosurgery, cardiology, cardiothoracic surgery, hematology and oncology, neonatology and pulmonology programs. The medical center accounted for 83 percent of Tarrant County's pediatric admissions in 2011. With the culmination of a historic building initiative that began in 2009, the medical center is now licensed for 457 beds, making it one of the largest children's hospitals in the country. The 530,000 square foot expansion includes a Level IV NICU, more rooms in the Hematology and Oncology unit and the Transitional Care and Rehabilitation Care units, two new helipads, a food court, a patient library with classrooms, a patient business center, an indoor/outdoor playground and 1,300 additional parking spaces. The Dodson Specialty Clinics building houses 18 pediatric subspecialty clinics, including the surgery center, a cancer center, heart center and neurosciences. The Dodson Surgery Center opened in March 2012 and serves pediatric patients needing outpatient procedures such as treating issues with eyes, ear/nose/throat, minor orthopedics and general surgery. It includes: - Six acute beds and 22 prep/recovery beds. - Six state of the art operating suites for outpatient procedures, including two eye surgery suites. - Complimentary valet parking on the day of surgery for the families. In addition to the Dodson Surgery Center, the lower level houses Radiology Outpatient services and the Magnetoencephalography (MEG) technology, which is a noninvasive, state-of-the-art imaging technology. The MEG coupled with Cook Children's MRI and iMRi technology, keeps the medical center at the forefront among the nation's best state-of-the-art facilities. - The first level of the building is the entry point for all clinical services. It includes centralized registration/check-in, Dialysis, Infectious Disease, Nephrology, Orthopedics and Outpatient Lab services. - The second level provides clinic space for patients needing Endocrinology, Gastroenterology and Pulmonology services. - The third level is the home to Cook Children's Heart Center which includes clinics, diagnostics and office space. Pediatric Surgery and NICU offices are on the third floor as well to take advantage of the direct connection to the new NICU space on level 3 of the north tower. - The fourth level is part of the Jane and John Justin Neurosciences Center and includes clinics, diagnostics and office space for Neurology, Neurosurgery, Pain Management, Craniofacial and Cleft Surgery, Rheumatology, Palliative Care and Neuropsychology. - The Neurodiagnostics Center has a dual function as a sleep study center and a direct connection to Transitional Care Unit and Rehabilitation Care Unit beds in the North Tower and North Pavilion. - The fifth level is the Cancer Center. It includes: - An expanded infusion area, dedicated laboratory and dedicated, full-time pharmacy. - Access to Hematology and Oncology inpatient beds through a direct connection to the north tower. - Space for expanded research and participation in more clinical trials. - New, private family spaces for needed breaks. - New meditative garden and family suite for palliative care patients. - Dedicated offices and space to promote collaborative care and comprehensive care. - A telemedicine room for consultations. - State-of-the-art wireless networking infrastructure. Cook Children's is the only pediatric facility in the Southwest to offer I-131 METAIODOBENZYLGUANIDINE (MIBG) therapy. This expansion has positioned Cook Children's to continue to provide the outstanding quality that is the cornerstone of its care, in response to the challenges of an evergrowing population. In addition, Cook Children's Medical Center was selected as a Leapfrog Top Children's Hospital. This distinction is only achieved by an elite group of hospitals that meet the nation's toughest standards for safety and quality. As part of this distinction, Cook Children's was recognized for the implementation of Computerized Provider Order Entry (CPOE) and Bar Coded Medication Administration. The medical center offers advanced technological equipment, leading surgical techniques, rehabilitation facilities and ancillary services designed to meet the special needs of children. Additionally, the campus boasts a professional and highly skilled staff of nurses, technologists, therapists and other clinicians, as well as more than 600 physicians and dentists who provide primary, secondary, tertiary and quaternary levels of pediatric care. Child Life specialists, chaplains, teachers, social services coordinators and translators help patients and families cope with the stresses that accompany a child's hospitalization. The medical center is home to the only EMS-designated, Level II pediatric trauma center in Tarrant County, Texas. In 2012, 127,941 patients were treated in the Emergency Department and Urgent Care Center at Cook Children's. The award-winning Cook Children's Medical Center is supported by one of the largest pediatric transport programs in the nation, Teddy Bear Transport, which brings more than 2,300 children to the medical center annually, primarily for critical care. Services include ambulance, helicopter and fixed-wing airplane transportation. Cook Children's Teddy Bear Transport staff of 52 neonatal/pediatric nurses, respiratory therapists and paramedics is proud to have more than 400 combined years of transport experience. This team is dedicated to getting the most medically fragile children and neonates to our award-winning medical center quickly and safely. Our transport vehicles include a King Air B200 critical care transport airplane, an American Eurocopter 145 helicopter and four ambulances. Each means of transport is equipped to carry critical care patients and features pediatric-oriented technology. Our team of highly specialized nurses, respiratory therapists and paramedics begin giving care to patients immediately upon arrival to their location. Once they arrive at Cook Children's Medical Center, patients are treated by our board certified physicians and nationally recognized nursing staff. Cook Children's is the only Level IV NICU in Tarrant County, the highest qualification for such programs as established by the American Academy of Pediatrics. Level IV NICUs maintain a full range of pediatric medical and surgical subspecialists and pediatric anesthesiologists on-site. The two-level, all-single-room environment is staffed with a team of neonatologists and specialists who combine expertise with the latest technology to provide the highest level of neonatal care available. Studies show that premature and critically ill infants who are cared for in a single room setting have better long-term outcomes. These tiny patients are shown to grow better, get more oxygen, and go home quicker. Cook Children's all-single room NICU was the largest in the nation at the time of completion, and one of the few that can accommodate twins, triplets and even quads in a single room. Cook Children's designated level II Trauma Center is staffed and equipped to provide comprehensive emergency medical services to patients suffering traumatic injuries 24 hours a day, 7 days a week. Cook Children's opened the Child Life Zone in the medical center on May 15, 2012. Country music legend Garth Brooks and former Dallas Cowboys quarterback and NFL Hall of Famer Troy Aikman were on hand to help with the celebration. They represented the Garth Brooks/Troy Aikman Teammates for Kids Foundation that was a driving force behind the project. The new area within Cook Children's Medical Center was designed to be a place where kids can have fun, hang out with each other and forget about being patients for a while. Teens from the Youth Advisory Council- Patients Advocating for Change (YAC-PAC) were instrumental in helping to design the space. The 4,000-square-foot addition houses a teens-only room with arcade games, pool and foosball tables, a juke box, several gaming systems and more. In addition, the Child Life Zone also consists of the Matustik Family Resource Center, Bomar Library, computers for parents and families and Ray's Place snack bar. However, the main attraction is the recording and broadcast studio, offering the most contemporary technology, where patients can experience healing and escape through music and video creation. | Description |
| Total Program Service Expense | 493403972 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 231 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4353 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CORY RHOADES | NamePerson |
| Telephone Number | 6828854480 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JAMES F HERD SR MD | |||||||||
| TRUSTEE | 1.0 | 1.0 | X | ||||||
| MARSHA HILCHER | |||||||||
| TRUSTEE-CHAIRMAN | 2.0 | 1.0 | X | X | |||||
| CHRISTOPHER M HUCKABEE | |||||||||
| TRUSTEE | 1.0 | 1.0 | X | ||||||
| WM MACK LAWHON | |||||||||
| TRUSTEE | 1.0 | 1.0 | X | ||||||
| ROGER NOBER | |||||||||
| TRUSTEE | 1.0 | 0.0 | X | ||||||
| BONNIE PETSCHE | |||||||||
| TRUSTEE | 1.0 | 1.0 | X | ||||||
| PETER L PHILPOTT | |||||||||
| TRUSTEE | 1.0 | 6.0 | X | ||||||
| JERRY R CONATSER | |||||||||
| TRUSTEE-SECRETARY/TREASURER | 2.0 | 1.0 | X | X | |||||
| ANDREW S WAYNE | |||||||||
| TRUSTEE | 1.0 | 0.0 | X | ||||||
| JOHN P BOSWELL | |||||||||
| TRUSTEE/VICE-CHAIRMAN | 2.0 | 3.0 | X | X | |||||
| SHARON S MAYES | |||||||||
| TRUSTEE | 1.0 | 0.0 | X | ||||||
| DANA C KELLY | |||||||||
| TRUSTEE | 1.0 | 1.0 | X | ||||||
| MICHELLE M MARLOW | |||||||||
| TRUSTEE | 1.0 | 0.0 | X | ||||||
| JEFF CONNOR | |||||||||
| TRUSTEE | 1.0 | 0.0 | X | ||||||
| NANCY C CYCHOL | |||||||||
| PRESIDENT | 40.0 | 0.0 | X | 846145 | 28021 | ||||
| STANLEY E DAVIS | |||||||||
| VP, SUPPORT SERVICES | 40.0 | 0.0 | X | 308849 | 30436 | ||||
| RICHARD P GOODE | |||||||||
| CHIEF FINANCIAL OFFICER | 20.0 | 20.0 | X | 422160 | 32851 | 439392 | |||
| CARA MARTZ | |||||||||
| SECRETARY | 1.0 | 39.0 | X | 7967 | 136284 | ||||
| RICK W MERRILL | |||||||||
| CHIEF EXECUTIVE OFFICER | 11.0 | 29.0 | X | 574761 | 86679 | 1477958 | |||
| GEORGE B MONTAGUE | |||||||||
| VP, REAL ESTATE | 2.0 | 38.0 | X | 28094 | 373087 | ||||
| PAULA J WEBB | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 0.0 | X | 368423 | 21847 | ||||
| TERESA J CLARK | |||||||||
| VP, NURSING | 40.0 | 0.0 | X | 271429 | 19494 | ||||
| JACK SOSEBEE | |||||||||
| VP, FAMILY SUPPORT SVCS | 40.0 | 0.0 | X | 170590 | 22005 | ||||
| BARBARA GREER | |||||||||
| DIRECTOR-NICU | 40.0 | 0.0 | 191848 | 18864 | X | ||||
| DONALD K FAISON | |||||||||
| DIRECTOR, NURSING ADMIN | 40.0 | 0.0 | 195982 | 22490 | X | ||||
| BRADLEY HORN | |||||||||
| PHARMACIST | 40.0 | 0.0 | 190035 | 21458 | X | ||||
| CAROLYN PRESNALL | |||||||||
| DIRECTOR, PSYCHIATRY | 40.0 | 0.0 | 227123 | 19268 | X | ||||
| ROSANNE THURMAN | |||||||||
| DIRECTOR, PHARMACY | 40.0 | 0.0 | 201442 | 20173 | X | ||||
| ERIC PRESSON | |||||||||
| VP-CLINICAL/FAMILY SUPPORT SVC | 0.0 | 0.0 | 154971 | 5334 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4123758 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2426721 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 384981 | TotalOtherCompensation |
| Number Individuals GT100 K | 224 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LINBECK GROUP LLC | |||||
| 201 MAIN STREET STE 1801 | FORT WORTH | TX | 76102 | CONSTR CONTRACTOR | 37321903 |
| MEDTRONIC | |||||
| PO BOX 848086 | DALLAS | TX | 752848086 | MED SUPPLY SERVICES | 3064237 |
| PROLACTA BIOSCIENCE | |||||
| 757 BALDWIN PARK BLVD | CITY OF INDUSTRY | CA | 91746 | NUTRITION SERVICES | 735422 |
| PROGRESSIVE PARKING SOLUTIONS | |||||
| 201 W BROADWAY SUITE G-5 | N LITTLE ROCK | AR | 72114 | PARKING SERVICES | 701539 |
| SPECIALTY CARE CARDIOVASCULAR | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352461614 | SURGICAL SERVICES | 685320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 10327541 | RelatedOrganizations |
| Government Grants | 364766 | GovernmentGrants |
| All Other Contributions | 913155 | AllOtherContributions |
| Total Contributions | 11605462 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621110 | 753404869 | 753404869 | |
| OTHER OPERATING REVENUE | 621110 | 46418526 | 46418526 | |
| JOINT VENTURE REVENUE | 621110 | 12384848 | 12384848 | |
| LAB REFERRALS | 621500 | 90628 | 90628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 812298871 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174031 | TotalRevenueColumn |
| Exclusion | $174,031 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2747431 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1639595 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1107836 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1107836 | TotalRevenueColumn |
| Exclusion | $1,107,836 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 986417 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 617879 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 368538 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 368538 | TotalRevenueColumn |
| Exclusion | $368,538 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CCIC RETRO PREMIUM | 900099 | 3204929 | 3204929 |
| LOSS ON DEFEASANCE | 900099 | -573431 | -573431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2631498 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 828186236 | TotalRevenueColumn |
| Related Or Exempt Function Income | 814839741 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 90628 | UnrelatedBusinessRevenue |
| Exclusion | $1,650,405 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47139013 | Total |
| Program Services | 47139013 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97414 | Total |
| Program Services | 97414 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2449775 | Total |
| Management And General | 2449775 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215591401 | Total |
| Program Services | 194602993 | ProgramServices |
| Management And General | 20988408 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71594759 | Total |
| Program Services | 64719575 | ProgramServices |
| Management And General | 6875184 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112259232 | Total |
| Program Services | 3871334 | ProgramServices |
| Management And General | 108387898 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83327 | Total |
| Management And General | 83327 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19756103 | Total |
| Program Services | 14742892 | ProgramServices |
| Management And General | 5013211 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136684 | Total |
| Program Services | 97553 | ProgramServices |
| Management And General | 39131 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78011575 | Total |
| Program Services | 75675675 | ProgramServices |
| Management And General | 2335900 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6065865 | Total |
| Program Services | 4664581 | ProgramServices |
| Management And General | 1401284 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1134475 | Total |
| Program Services | 962708 | ProgramServices |
| Management And General | 171767 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 711473 | Total |
| Program Services | 576416 | ProgramServices |
| Management And General | 135057 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11053767 | Total |
| Program Services | 10964449 | ProgramServices |
| Management And General | 89318 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37110294 | Total |
| Program Services | 26978995 | ProgramServices |
| Management And General | 10131299 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2385471 | Total |
| Program Services | 2385471 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHYSICIAN REMUNERATION | 10336889 | 9054539 | 1282350 |
| BAD DEBT EXPENSE | 23992148 | 23992148 | |
| MINOR EQUIPMENT | 8913623 | 1869117 | 7044506 |
| REPAIRS & MAINTENANCE | 6095937 | 1782142 | 4313795 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12784229 | Total |
| Program Services | 9226957 | ProgramServices |
| Management And General | 3557272 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 667703454 | Total |
| Program Services | 493403972 | ProgramServices |
| Management And General | 174299482 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11899 | BOY |
| EOY | 12260 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278158288 | BOY |
| EOY | 269263512 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86434560 | BOY |
| EOY | 74744066 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 18870960 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6879321 | BOY |
| EOY | 6927758 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1104380 | BOY |
| EOY | 838931 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 694048563 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 257265535 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440570624 | BOY |
| EOY | 436783028 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7270941 | BOY |
| EOY | 8009418 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7424990 | BOY |
| EOY | 7424990 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14163411 | BOY |
| EOY | 31624682 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842018414 | BOY |
| EOY | 854499605 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60728075 | BOY |
| EOY | 63700555 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9529 | BOY |
| EOY | 6832 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303309008 | BOY |
| EOY | 295407851 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25328886 | BOY |
| EOY | 24014190 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389375498 | BOY |
| EOY | 383129428 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452642916 | BOY |
| EOY | 471370177 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452642916 | BOY |
| EOY | 471370177 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842018414 | BOY |
| EOY | 854499605 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 160482782 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -141755521 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 90534565 | BeginningOfYearBalance |
| Contributions | 29553 | Contributions |
| Investment Earnings Or Losses | 9201059 | InvestmentEarningsOrLosses |
| Other Expenditures | 42925787 | OtherExpenditures |
| End Of Year Balance | 56839390 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 82538362 | BeginningOfYearBalance |
| Contributions | -256157 | Contributions |
| Investment Earnings Or Losses | 8800000 | InvestmentEarningsOrLosses |
| Other Expenditures | 547640 | OtherExpenditures |
| End Of Year Balance | 90534565 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 80357260 | BeginningOfYearBalance |
| Contributions | 18935 | Contributions |
| Investment Earnings Or Losses | 2595270 | InvestmentEarningsOrLosses |
| Other Expenditures | 433103 | OtherExpenditures |
| End Of Year Balance | 82538362 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 70947601 | BeginningOfYearBalance |
| Contributions | 3803664 | Contributions |
| Investment Earnings Or Losses | 5976642 | InvestmentEarningsOrLosses |
| Other Expenditures | 370647 | OtherExpenditures |
| End Of Year Balance | 80357260 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 65867824 | BeginningOfYearBalance |
| Contributions | 7205558 | Contributions |
| Investment Earnings Or Losses | -1698302 | InvestmentEarningsOrLosses |
| Other Expenditures | 427479 | OtherExpenditures |
| End Of Year Balance | 70947601 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.23000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.74000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.03000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11234574 | OtherCostOrOtherBasis |
| Book Value | 11234574 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 492559194 | OtherCostOrOtherBasis |
| Depreciation | 143664762 | Depreciation |
| Book Value | 348914432 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3879041 | OtherCostOrOtherBasis |
| Depreciation | 2472587 | Depreciation |
| Book Value | 1406454 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 157156470 | OtherCostOrOtherBasis |
| Depreciation | 106567578 | Depreciation |
| Book Value | 50588892 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29219284 | OtherCostOrOtherBasis |
| Depreciation | 4580608 | Depreciation |
| Book Value | 24638676 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 436783028 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST. PAYABLE (THIRD PARTY) | $24,123,482 |
| DUE TO/FROM AFFILIATES | -$109,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24014190 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 845192419 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 19875036 | OtherRevenues |
| Revenue Not Rptd F990 | 19875036 | RevenueNotRptdF990 |
| Revenue Subtotal | 825317383 | RevenueSubtotal |
| Other Revenues Not Included | 2868853 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2868853 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 828186236 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 674652145 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 31026420 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 31026420 | ExpensesNotRptdF990 |
| Expenses Subtotal | 643625725 | ExpensesSubtotal |
| Other Expenses Not Included | 24077729 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 24077729 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 667703454 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART XI, LINE 2D | OTHER CHANGE | JOINT VENTURE REVENUE NOT INCLUDED ON 990 $40,513,670 INTEREST RATE SWAP ADJUSTMENT $ 3,808,491 WOMEN'S BOARD NEGATIVE REVENUE ($ 85,581) BAD DEBT DEDUCTION FROM REVENUE ($23,992,148) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) $ 7,396 PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 8,254) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 368,538) ------------- TOTAL OTHER CHANGE $19,875,036 |
| SCHEDULE D, PART XI, LINE 4B | OTHER CHANGE | CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 4,508,448 RENT EXPENSE ($ 1,639,595) --------------- TOTAL OTHER CHANGE $ 2,868,853 |
| SCHEDULE D, PART XII, LINE 2D | OTHER CHANGE | JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $40,513,670 MINORITY INTEREST ($10,757,449) RENT EXPENSE $ 1,639,595 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 368,538) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) $ 7,396 PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 8,254) ------------- TOTAL OTHER CHANGE $31,026,420 |
| SCHEDULE D, PART V, QUESTION 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 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. 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 D, PART XII, LINE 4B | OTHER CHANGE | WOMAN'S BOARD NEGATIVE REVENUE $ 85,581 BAD DEBT DEDUCTION FROM REVENUE $23,992,148 ----------- TOTAL OTHER CHANGE $24,077,729 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4835058 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4835058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 345840737 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 310725413 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35115323 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05460 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 350675795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 310725413 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 39950381 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06210 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3468264 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42970 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3425294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 384496 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 142364 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 242132 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 857205 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 857205 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46416839 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 46416839 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51126804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 185334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 50941470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07910 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 401802599 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 310910747 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 90891851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14120 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 30000 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12709 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12709 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17723 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17723 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 135408 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 135408 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36768 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36768 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 232608 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 232608 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $23,992,148 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 2029762 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3999106 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1969344 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CC NORTHEAST HOSP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | FREESTANDING SURGICAL HOSP | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.56350 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.30380 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Childrens HospitalChildrensHospital |
|---|---|---|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | |||||
| 1 | 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | X |
| COOK CHILDREN'S NORTHEAST HOSPITAL | |||||
| 2 | 6316 PRECINCT LINE RD | HURST | TX | 76054 | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Other MethodOtherMethod | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Other FactorsOtherFactors | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Other Actions TakenOtherActionsTaken | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||
| 1 | true | X | X | X | X | X | X | X | X | X | 12 | true | true | true | X | X | X | X | X | X | X | X | X | X | X | true | false | true | true | 400. | true | 500. | true | X | true | false | X | X | true | false | X | true | X | false | false |
| COOK CHILDREN'S NORTHEAST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||
| 2 | true | X | X | X | X | X | X | X | X | X | 12 | true | true | true | X | X | X | X | X | X | X | X | X | X | X | true | false | true | true | 400. | true | 500. | true | X | true | false | X | X | true | false | X | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTER FOR PEDIATRIC SURGERY | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7000 W PLANO PARKWAY STE 100 | AddressLine1 |
| City | PLANO | City |
| State | TX | State |
| ZIP Code | 75093 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | AMBULATORY SURGERY CENTER | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (26 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C | COOK CHILDREN'S USES FPG TO DETERMINE ELIGIBILTY FOR FREE AND DISCOUNTED CARE. | |
| PART I, LINE 6A | THE ANNUAL REPORT AND COMMUNITY BENEFITS ARE LOCATED ON THE COOK CHILDREN'S WEB SITE (WWW.COOKCHILDRENS.ORG). A HARD COPY OF THE REPORT IS ALSO AVAILABLE IN THE PUBLICATION "KEEPING OUR PROMISE". | |
| PART I, LINE 7G | NOT APPLICABLE | |
| PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE OF $23,992,148 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. | |
| PART I, LINE 7 | COSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. | |
| PART III, LINE 2 | WE RECORD SELF PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE. AS PATIENTS ARE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THEY ARE NO LONGER CONSIDERED TO BE BAD DEBT. PART III, LINE 4 FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS LOCATED ON PAGES 16 AND 17 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 3 BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICAL INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICAL INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. | |
| PART III, LINE 8 | THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. | |
| PART III, LINE 9B | THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. | |
| NEEDS ASSESSMENT | THERE ARE NO NEEDS ASSESSMENTS RELEVANT TO THE CHILD POPULATION IN OUR COMMUNITY THAT WOULD BE IN ADDITION TO THE ONE ALREADY REPORTED. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | English and Spanish versions of a one-page document explaining the charity care offered at Cook Children's are posted in each of the patient registration areas, the Emergency Room, night clinic, and Medical Office Building. This document includes information on the following: 1)how one might qualify for financial assistance 2)explains qualification is determined by family size and income, and 3)guides families to contact the Patient Accounting department to apply for financial assistance. In all areas of Patient Registration, registration clerks offer a Medicaid application to all self pay registrations. Patient Registration staff will assist the family with the application for Medicaid, and then Charity if Medicaid is denied. Patient Representatives and Case Management personnel also direct families to the Patient Registration staff when they need financial assistance. In addition, the financial assistance policy, explanation of amounts generally billed and the charity application are posted on the Cook Children's website at www.cookchildrens.org. The charity application is posted in both English and Spanish versions. | |
| COMMUNITY INFORMATION | COOK CHILDREN'S HEALTH CARE SYSTEM IS THE COUNTRY'S LEADING INTEGRATED PEDIATRIC HEALTH CARE DELIVERY NETWORK. BASED IN FORT WORTH, TEXAS, THE NOT-FOR-PROFIT ORGANIZATION INCLUDES A MEDICAL CENTER (430 BEDS), PHYSICIAN NETWORK (297 PEDIATRIC SPECIALISTS), NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, HOME HEALTH COMPANY, HEALTH PLAN (110,046 MEDICAID AND CHIP COVERED LIVES) AND HEALTH FOUNDATION. THE SYSTEM HAS A SIX-COUNTY PRIMARY SERVICE AREA THAT REPRESENTS 86% OF ITS TOTAL VOLUME COVERING 4,711 MILES. IT ALSO PROVIDES TERTIARY AND QUATERNARY PEDIATRIC MEDICAL CARE TO 122 COUNTIES IN WEST AND NORTH CENTRAL TEXAS, COVERING 257,086 MILES AND TO OUT-OF-STATE PATIENTS. THE SYSTEM HAS MORE THAN 1.2 MILLION PATIENT ENCOUNTERS PER YEAR ACROSS THE CONTINUUM OF PEDIATRIC CARE. COOK CHILDREN'S HEALTH PLAN COVERS 110,046 MEDICAID AND CHIP LIVES WITHIN THE TARRANT SERVICE AREA. THE SYSTEM PROVIDED $5.9 MILLION IN TRUE CHARITY CARE IN 2011. 57.4% OF THE SYSTEM'S PATIENT CARE IS PROVIDED TO MEDICAID, MEDICAID MANAGED CARE AND CHIP BENEFICIARIES. DEMOGRAPHICS OF THE COMMUNITY THE SIX-COUNTY PRIMARY SERVICE AREA CONSISTS OF DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES IN TEXAS. THAT AREA IS HOME TO 681,440 CHILDREN AGES BIRTH TO 14 YEARS WHO REPRESENT 22.7% OF THE TOTAL POPULATION AND WHOSE NUMBERS ARE EXPECTED TO GROW TO 722,528 BY 2018 OR A 5-YEAR GROWTH RATE OF 6.0%. THERE ARE 1,090,620 HOUSEHOLDS WITHIN THAT GEOGRAPHY WITH 20.3% HAVING INCOME AT OR BELOW THE FEDERAL POVERTY LEVEL; BUT THERE IS WIDE VARIATION AMONG COMMUNITIES WITHIN THOSE GEOGRAPHIC BOUNDS. SIMILARLY WIDE VARIATION EXISTS IN RACE AND ETHNICITY AMONG DIFFERENT COMMUNITIES; BUT THE ENTIRE AREA'S POPULATION OF 2,999,116 PEOPLE CONSISTS OF 56.8% WHITE NON-HISPANIC, 24.5% HISPANIC, 11.5% BLACK NON-HISPANIC AND 4.9% ASIAN AND PACIFIC ISLANDERS. | |
| PROMOTION OF COMMUNITY HEALTH: | Cook Children's maintains an open medical staff and the governing bodies of the various companies are made up (unless constrained by the Texas Medical Practice Act) of voluntary community members along with physicians. The organization cares for all children regardless of their ability to pay and proactively seeks to enroll all eligible children into appropriate programs to improve access to care. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES | Cook Children's also operates five Neighborhood Clinics providing primary care to underserved populations around the city's perimeter and inner city to help assure care is provided in the most appropriate setting. Both preventive and therapeutic dental health care are provided to underserved populations. Mental and behavioral health is provided in both inpatient and outpatients settings subsidized by Cook Children's. Cook Children's Health Plan is a contracted intermediary for Medicaid Managed Care and sCHIP, providing an open provider panel for all eligible children in the six-county primary service area. Cook Children's offers pediatric specific home care to assure care is provided in the most appropriate and lowest cost setting. | |
| ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT | TX | |
| COMMUNITY BUILDING ACTIVITIES | PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THIS AREA. COMMUNITY SUPPORT: COOK CHILDREN'S STAFF PARTICIPATED IN THE JUNIOR ACHIEVEMENT PROGRAM AS MENTORS AT A NEARBY ELEMENTARY SCHOOL. THESE EMPLOYEES SPENT TIME DURING WORK HOURS TEACHING CLASSES TO HELP INSPIRE THE STUDENTS TO DREAM BIG AND REACH THEIR POTENTIAL. THIS PROGRAM DEVELOPS AND STRENGTHENS THE YOUTHS' ASSETS AS THE STUDENTS LEARN KEY CONCEPTS RELATED TO WORK READINESS, ENTREPRENEURSHIP AND FINANCIAL LITERACY. COALITION BUILDING: COOK CHILDREN'S IS A CO-FOUNDING MEMBER OF THE INFANT MORTALITY NETWORK ORGANIZED TO ADDRESS THE HIGH RATES OF INFANT MORTALITY IN THE COUNTY. THE NETWORK HAS RAISED COMMUNITY AWARENESS OF THE PROBLEM AND WORKED WITH LEGISLATORS TO CREATE PUBLIC POLICY TO HELP ADDRESS THE PROBLEM. COOK CHILDREN'S IS ALSO AN ACTIVE MEMBER OF THE HEALTHY TARRANT COUNTY COLLABORATION - A HEALTH PROMOTION NETWORK OF NON-PROFIT HOSPITALS, PUBLIC HEALTH AND LOCAL UNIVERSITIES. THE COLLABORATION EFFORTS INCLUDE HEALTH EDUCATION AT A SUMMER CAMP FOR UNDERSERVED CHILDREN. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ASSESSMENT OF COMMUNITY NEEDS, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS AND ADVOCACY ON SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES ARE AMONG THE ISSUES ADDRESSED. WORKFORCE DEVELOPMENT: COOK CHILDREN'S HAS REPRESENTATION ON THE TEXAS NURSES' ASSOCIATION BOARD OF DIRECTORS. | PART II |
| PART V, LINE 12, COOK CHILDREN'S MEDICAL CENTER | THE HOSPITAL FACILITY USED FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT TO DETERMINE AMOUNTS DUE DURING THE TAX YEAR. HOUSEHOLD GROSS INCOME AND FAMILY SIZE ARE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. DURING 2013 A REVISED POLICY WAS APPROVED WHICH STATES AND USES THE FOLLOWING DEFINITION TO DETERMINE AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOLLOWING A DETERMINATION OF FINANCIAL-ASSISTANCE ELIGIBILITY, AN INDIVIDUAL WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICAL CARE PROVIDED TO INDIVIDUALS WITH INSURANCE COVERING THAT CARE. AT COOK CHILDREN'S THE AGB IS DETERMINED THROUGH THE "LOOK-BACK METHOD" WHICH IS CALCULATED AS FOLLOWS: 1. THE AGB IS CALCULATED BY REVIEWING ALL PAST CLAIMS THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL FACILITY FOR MEDICALLY NECESSARY CARE BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL IN A PRIOR 12-MONTH PERIOD. THIS AMOUNT CAN INCLUDE COINSURANCE, COPAYMENTS AND DEDUCTIBLES. 2. THE AGB FOR EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED TO A FINANCIAL ASSISTANCE-ELIGIBLE INDIVIDUAL IS DETERMINED BY MULTIPLYING GROSS CHARGES FOR THAT CARE BY ONE OR MORE PERCENTAGES OF GROSS CHARGES (CALLED "AGB PERCENTAGES"). A. THE PERCENTAGES ARE CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF CERTAIN CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. B. MULTIPLE AGB PERCENTAGES MAY BE CALCULATED FOR SEPARATE CATEGORIES OF CARE (FOR EXAMPLE, IN-PATIENT VERSES OUT-PATIENT CARE; OR CARE PROVIDED BY DIFFERENT DEPARTMENTS) OR FOR SEPARATE ITEMS OR SERVICES. 3. THE PERCENTAGES ARE APPLIED BY THE 45TH DAY AFTER THE END OF THE 12-MONTH PERIOD THE HOSPITAL FACILITY USED IN CALCULATING THE AGB PERCENTAGE(S). | BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS |
| PART V, LINE 14, COOK CHILDREN'S MEDICAL CENTER | ALTHOUGH THE POLICY DID NOT SPECIFICALLY STATE HOW THE POLICY WOULD BE PUBLICIZED WITHIN THE COMMUNITY DURING THE TAX YEAR, THE FOLLOWING PROCESS HAS BEEN FOLLOWED. ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, NIGHT CLINIC, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1) HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE 2) EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME, AND 3) GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. IN ALL AREAS OF PATIENT REGISTRATION, REGISTRATION CLERKS OFFER A MEDICAID APPLICATION TO ALL SELF-PAY REGISTRATIONS. PATIENT REGISTRATION STAFF WILL ASSIST THE FAMILY WITH THE APPLICATION FOR MEDICAID, AND THEN CHARITY IF MEDICAID IS DENIED. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE NOW POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS. | MEASURES USED TO PUBLICIZE THE POLICY |
| PART V, LINE 20, COOK CHILDREN'S MEDICAL CENTER | SEE RESPONSE TO SCHEDULE H, PART V, LINE 12. | MAXIMUM AMOUNTS CHARGEABLE TO FAP-ELIGIBLE PATIENTS FOR EMERGENCY CARE |
| PART V, LINE 12, COOK CHILDREN'S NORTHEAST HOSPITAL | THE HOSPITAL FACILITY USED FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT TO DETERMINE AMOUNTS DUE DURING THE TAX YEAR. HOUSEHOLD GROSS INCOME AND FAMILY SIZE ARE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. DURING 2013 A REVISED POLICY WAS APPROVED WHICH STATES AND USES THE FOLLOWING DEFINITION TO DETERMINE AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOLLOWING A DETERMINATION OF FINANCIAL-ASSISTANCE ELIGIBILITY, AN INDIVIDUAL WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICAL CARE PROVIDED TO INDIVIDUALS WITH INSURANCE COVERING THAT CARE. AT COOK CHILDREN'S THE AGB IS DETERMINED THROUGH THE "LOOK-BACK METHOD" WHICH IS CALCULATED AS FOLLOWS: 1. THE AGB IS CALCULATED BY REVIEWING ALL PAST CLAIMS THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL FACILITY FOR MEDICALLY NECESSARY CARE BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL IN A PRIOR 12-MONTH PERIOD. THIS AMOUNT CAN INCLUDE COINSURANCE, COPAYMENTS AND DEDUCTIBLES. 2. THE AGB FOR EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED TO A FINANCIAL ASSISTANCE-ELIGIBLE INDIVIDUAL IS DETERMINED BY MULTIPLYING GROSS CHARGES FOR THAT CARE BY ONE OR MORE PERCENTAGES OF GROSS CHARGES (CALLED "AGB PERCENTAGES"). A. THE PERCENTAGES ARE CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF CERTAIN CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. B. MULTIPLE AGB PERCENTAGES MAY BE CALCULATED FOR SEPARATE CATEGORIES OF CARE (FOR EXAMPLE, IN-PATIENT VERSES OUT-PATIENT CARE; OR CARE PROVIDED BY DIFFERENT DEPARTMENTS) OR FOR SEPARATE ITEMS OR SERVICES. 3. THE PERCENTAGES ARE APPLIED BY THE 45TH DAY AFTER THE END OF THE 12-MONTH PERIOD THE HOSPITAL FACILITY USED IN CALCULATING THE AGB PERCENTAGE(S). | BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS |
| PART V, LINE 14, COOK CHILDREN'S NORTHEAST HOSPITAL | ALTHOUGH THE POLICY DID NOT SPECIFICALLY STATE HOW THE POLICY WOULD BE PUBLICIZED WITHIN THE COMMUNITY DURING THE TAX YEAR, THE FOLLOWING PROCESS HAS BEEN FOLLOWED. ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, NIGHT CLINIC, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1) HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE 2) EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME, AND 3) GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. IN ALL AREAS OF PATIENT REGISTRATION, REGISTRATION CLERKS OFFER A MEDICAID APPLICATION TO ALL SELF-PAY REGISTRATIONS. PATIENT REGISTRATION STAFF WILL ASSIST THE FAMILY WITH THE APPLICATION FOR MEDICAID, AND THEN CHARITY IF MEDICAID IS DENIED. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE NOW POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS. | MEASURES USED TO PUBLICIZE THE POLICY |
| PART V, LINE 20, COOK CHILDREN'S NORTHEAST HOSPITAL | SEE RESPONSE TO SCHEDULE H, PART V, LINE 12. | MAXIMUM AMOUNTS CHARGEABLE TO FAP-ELIGIBLE PATIENTS FOR EMERGENCY CARE |
| IMPLEMENTATION STRATEGY | THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS LOCATED AT THE FOLLOWING WEBSITE: http://www.cookchildrens.org/SiteCollectionDocuments/AboutUs/CHNA-Implemen tation-Strategies.pdf | PART V, LINE 6A |
| PART V, SECTION B, LINE 4 | COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S MEDICAL CENTER HAS A NATIONALLY RECOGNIZED, AWARD WINNING FACILITY. MAGNET DESIGNATED, LICENSED BY THE STATE OF TEXAS IT IS ACCREDITED BY THE JOINT COMMISSION. COOK CHILDREN'S IS KNOWN NATION-WIDE FOR ITS EXCELLENCE IN QUALITY AND SAFETY AND HAS A DISTINGUISHED REPUTATION FOR PROVIDING EXTRAORDINARY CARE AND ACHIEVING POSITIVE OUTCOMES IN ITS NEUROLOGY, NEUROSURGERY, CARDIOLOGY, CARDIOTHORACIC SURGERY, HEMATOLOGY AND ONCOLOGY, NEONATOLOGY, AND PULMONOLOGY PROGRAMS. THE MEDICAL CENTER IS LICENSED FOR 430 BEDS, MAKING IT ONE OF THE LARGEST CHILDREN'S HOSPITALS IN THE COUNTRY. CCMC OFFERS ADVANCED TECHNOLOGICAL EQUIPMENT, LEADING SURGICAL TECHNIQUES, REHABILITATION FACILITIES AND ANCILIARY SERVICES DESIGNED TO MEET THE SPECIAL NEEDS OF CHILDREN INCLUDING A LEVEL IV NICU STAFFED WITH A TEAM OF NEONATOLOGISTS AND SPECIALISTS COMBINING EXPERTISE WITH THE LATEST TECHNOLOGY TO PROVIDE THE HIGHEST LEVEL OF NEONATAL CARE AVAILABLE. ADDITIONALLY, THE CAMPUS BOASTS A PROFESSIONAL AND HIGHLY SKILLED STAFF OF NURSES, TECHNOLOGISTS, THERAPISTS, AND OTHER CLINICIANS, AS WELL AS MORE THAN 600 PHYSICIANS AND DENTISTS WHO PROVIDE PRIMARY, SECONDARY, TERTIARY AND QUATERNARY LEVELS OF PEDIATRIC CARE. CHILD LIFE SPECIALISTS, CHAPLAINS, TEACHERS, SOCIAL SERVICES COORDINATORS AND TRANSLATORS HELP PATIENTS AND FAMILIES COPE WITH THE STRESSORS THAT ACCOMPANY A CHILD'S HOSPITALIZATION. COOK CHILDREN'S DESIGNATED LEVEL II TRAUMA CENTER IS STAFFED AND EQUIPPED TO PROVIDE COMPREHENSIVE EMERGENCY MEDICAL SERVICES TO PATIENTS SUFFERING TRAUMATIC INJURIES 24 HOURS A DAY, 7 DAYS A WEEK. COOK CHILDREN'S NORTHEAST HOSPITAL COOK CHILDREN'S NORTHEAST HOSPITAL IS LOCATED IN NORTHEAST TARRANT COUNTY AND PROVIDES CONVENIENT AND COMPREHENSIVE MEDICAL CARE FOR CHILDREN AND ADOLESCENTS REQUIRING URGENT CARE, DIAGNOSTIC IMAGING (INCLUDING MRI AND CT) AND DAY SURGERY WITH OVERNIGHT STAYS AVAILABLE. IN 2013, THE NORTHEAST HOSPITAL SAW MORE THAN 37,000 PATIENTS COMPARED TO APPROXIMATELY 35,000 ITS FIRST YEAR OPERATING AS A HOSPITAL. THE HOSPITAL HAS A GROWING LIST OF SURGICAL SERVICES THAT MEET BOTH INPATIENT AND OUTPATIENT NEEDS, AND ALL SURGICAL SERVICES ARE PERFORMED BY PEDIATRIC-TRAINED DOCTORS. THIS CHILD-FRIENDLY FACILITY INCLUDES A DEDICATED CHILD LIFE SPECIALIST. COOK CHILDREN'S NORTHEAST HOSPITAL IS LICENSED BY THE STATE OF TEXAS AND ACCREDITED BY THE JOINT COMMISSION. | |
| PART V, SECTION B, LINE 3 | COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) CONDUCTED IN 2008-2009 INCLUDED A HOUSEHOLD SURVEY OF THE STATUS OF CHILDREN'S HEALTH AGES 0-14 (7,439 COMPLETED SURVEYS), A COMMUNITY LEADER SURVEY, SECONDARY DATA REVIEW, AND MULTIPLE FOCUS GROUPS WITH COMMUNITY LEADERS, 20 COMMUNITY GROUP/COALITION MEETINGS, 12 LISTENING SESSIONS AND 7 INTERNAL MEETINGS; ALL TO OBTAIN FEEDBACK FROM APPROXIMATELY 486 EXTERNAL COMMUNITY MEMBERS AND 59 INTERNAL COMMUNITY MEMBERS. FEEDBACK FROM GROUP MEETINGS WAS OBTAINED THROUGH DISCUSSION AND A WRITTEN SURVEY. A SECOND CCHAPS WAS CONDUCTED IN 2011-2012 TO UPDATE THE ORIGINAL DATA AND INCLUDED A PARENT SURVEY (8,394 COMPLETED SURVEYS) AND ONE-ON-ONE SURVEY INTERVIEWS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER. THE RESULTS OF THE SURVEY WERE COMPARED TO THE 2008 DATA TO SEE HOW CHILDREN'S HEALTH IN THE REGION CHANGED. DISCUSSION GROUPS WERE CONDUCTED WITH THE CHILDREN OF PARENTS WHO PARTICIPATED IN THE SURVEY TO PROVIDE FURTHER INFORMATION ABOUT SURVEY FINDINGS IN PARTNERSHIP WITH COOK CHILDREN'S CHILD LIFE SPECIALISTS. A COMMUNITY LEADER SURVEY AND SPECIAL REPORTS ON PARENTING PRACTICES IN HOOD AND WISE COUNTIES BASED ON ADDITIONAL CCHAPS SURVEYS WERE CONDUCTED IN 2012 AND 2013. | |
| PART V, SECTION B, LINE 5C | IN ADDITION TO BEING AVAILABLE ON THE HOSPITALS WEBSITE AT WWW.COOKCHILDRENS.ORG AND UPON REQUEST FROM THE HOSPITAL'S FACILITY, THE CHNA REPORT IS ALSO AVAILABLE AT WWW.CENTERFORCHILDRENSHEALTH.ORG. | |
| PART V, SECTION B, LINE 18 | THE HOSPITAL FACILITY DID NOT TAKE ANY OF THE ACTIONS LISTED ON LINE 17. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S PHYSICIAN NETWORK | ||||||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752485366 | 501(C)(3) | 46108155 | subsidize operations | |||
| MENTAL HEALTH CONNECTION OF TARRANT COUNTY | ||||||||||
| 3131 SANGUINET ST | FORT WORTH | TX | 76107 | 752659610 | 501(C)(3) | 20000 | SPONSOR | |||
| THE WARM PLACE | ||||||||||
| 809 LIPSCOMB ST | FORT WORTH | TX | 76104 | 752220859 | 501(C)(3) | 20000 | SPONSOR | |||
| AMERICAN HEART ASSOCIATION | ||||||||||
| 2630 W FREEWAY 250 | FORT WORTH | TX | 76102 | 135613797 | 501(C)(3) | 25000 | SPONSOR | |||
| CAREITY FOUNDATION | ||||||||||
| PO BOX 126038 | FORT WORTH | TX | 76126 | 061704800 | 501(C)(3) | 10000 | SPONSOR | |||
| JUVENILE DIABETES RESEARCH FUND | ||||||||||
| 3601 HULEN ST STE 102 | FORT WORTH | TX | 76107 | 231907729 | 501(C)(3) | 6000 | SPONSOR | |||
| JUNIOR LEAGUE OF FORT WORTH | ||||||||||
| 255 BAILEY AVE | FORT WORTH | TX | 76107 | 756022377 | 501(C)(3) | 25000 | SPONSOR | |||
| RONALD MCDONALD HOUSE | ||||||||||
| 1001 8TH AVE | FORT WORTH | TX | 76104 | 751754490 | 501(C)(3) | PURSUIT OF MISSION | 880720 | FMV | LAND DONATION | |
| MARCH OF DIMES | ||||||||||
| 6815 MANHATTAN BLVD 102 | FORT WORTH | TX | 76120 | 131846366 | 501(C)(3) | 15000 | SPONSOR | |||
| FOUND NATIONAL STUDENT NURSES ASSOCIATION | ||||||||||
| 45 MAIN ST 606 | BROOKLYN | NY | 11201 | 133123125 | 501(C)(3) | 7500 | SPONSOR | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| MEDICATIONS | 1047 | 84780 |
| TRANSPORTATION | 106 | 24334 |
| UTILITIES | 11 | 3454 |
| LODGING | 69 | 27775 |
| FUNERAL | 6 | 4535 |
| MEDICAL EQUIPMENT | 4 | 4516 |
| LAB WORK | 3 | 3286 |
| BABY ITEMS | 8 | 2351 |
| OTHER | 5 | 1199 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE US | Identifier |
| Return Reference | SCHEDULE I PART I QUESTION 2 | ReturnReference |
| Explanation | THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY C CYCHOL | ||||||||||||||
| PRESIDENT | 377073 | 333529 | 135543 | 18750 | 9271 | 874166 | ||||||||
| STANLEY E DAVIS | ||||||||||||||
| VP, SUPPORT SERVICES | 178110 | 121378 | 9361 | 14415 | 16021 | 339285 | ||||||||
| RICHARD P GOODE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 179869 | 166015 | 76276 | 7656 | 8441 | 438257 | 187210 | 172792 | 79390 | 7969 | 8785 | 456146 | ||
| RICK W MERRILL | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 198283 | 110181 | 266297 | 19950 | 4320 | 599031 | 509870 | 283323 | 684765 | 51299 | 11110 | 1540367 | 116200 | 298800 |
| GEORGE B MONTAGUE | ||||||||||||||
| VP, REAL ESTATE | 210560 | 141220 | 21307 | 15893 | 12201 | 401181 | ||||||||
| PAULA J WEBB | ||||||||||||||
| CHIEF NURSING OFFICER | 218513 | 145842 | 4068 | 12752 | 9095 | 390270 | ||||||||
| TERESA J CLARK | ||||||||||||||
| VP, NURSING | 165664 | 93373 | 12392 | 9930 | 9564 | 290923 | ||||||||
| ERIC PRESSON | ||||||||||||||
| VP-CLINICAL/FAMILY SUPPORT SVC | 90626 | 57752 | 6593 | 2223 | 3111 | 160305 | ||||||||
| BARBARA GREER | ||||||||||||||
| DIRECTOR-NICU | 147389 | 41070 | 3389 | 12773 | 6091 | 210712 | ||||||||
| JACK SOSEBEE | ||||||||||||||
| VP, FAMILY SUPPORT SVCS | 129593 | 39718 | 1279 | 13125 | 8880 | 192595 | ||||||||
| DONALD K FAISON | ||||||||||||||
| DIRECTOR, NURSING ADMIN | 144114 | 37656 | 14212 | 14779 | 7711 | 218472 | ||||||||
| BRADLEY HORN | ||||||||||||||
| PHARMACIST | 178304 | 11731 | 11685 | 9773 | 211493 | |||||||||
| CAROLYN PRESNALL | ||||||||||||||
| DIRECTOR, PSYCHIATRY | 98285 | 18596 | 110242 | 8682 | 10586 | 246391 | ||||||||
| ROSANNE THURMAN | ||||||||||||||
| DIRECTOR, PHARMACY | 145564 | 43137 | 12741 | 8211 | 11962 | 221615 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | PART I, QUESTION 4B | PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL $ 755,000 $ 61,249 |
| ALLOCATION OF CEO AND CFO SALARIES | PART II | 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 PHYSICIAN NETWORK COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN |
| RECEIVED SEVERANCE PAYMENTS | PART I, QUESTION 4A | NAME AMOUNT --------------- --------- CAROLYN PRESNALL $ 65,250 |
| TAX INDEMNIFICATION AND GROSS-UP PAYMENTS | PART I, QUESTIONS 1A & 1B | 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-UPS IN TAX PAYMENTS EXCEPT IN UNUSUAL CIRCUMSTANCES AND ONLY THEN IF APPROVED BY SENIOR MANAGEMENT. IN THIS CASE, $500.00 GIFT CARDS WERE DISTRIBUTED AT CHRISTMAS TO NON-EXECUTIVE EMPLOYEES. THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES APPROVED THE GROSS-UP OF $125.00 PER CARD SO THAT EMPLOYEES WOULD RECEIVE THE FULL STATED BENEFIT OF THE GIFT CARD. |
| METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR | PART I, QUESTION 3 | COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT | ||||||||
| A | 751881060 | 875906MV8 | 2007-06-27 | 52156976 | REFUNDING BONDS 2000 & 2005 | false | false | false |
| BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP | ||||||||
| B | 742218760 | 078027HW2 | 2007-06-27 | 17523594 | REFUNDING BONDS ISSUED 7/19/2000 | false | false | false |
| TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT | ||||||||
| C | 751881060 | 875906NY1 | 2010-02-04 | 231948097 | DEVELOPMENT, CONSTR, EQUIPMENT COS | false | false | false |
| TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINAN | ||||||||
| D | 043833551 | 87638QJC4 | 2013-08-01 | 71222592 | REFUNDING PORTION OF 2010 BOND SER | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 52156976 | 0 | 0 | 50833752 | 672932 | 650292 | 0 | 0 | 0 | 0 | 2007 | true | false | true | true |
| B | 0 | 0 | 17523594 | 0 | 0 | 17116642 | 229475 | 177477 | 0 | 0 | 0 | 0 | 2007 | false | true | true | true |
| C | 70110000 | 0 | 232805916 | 0 | 0 | 0 | 2686446 | 0 | 0 | 230119470 | 0 | 0 | 2011 | false | false | true | true |
| D | 0 | 0 | 71222592 | 0 | 0 | 70145033 | 1077553 | 0 | 0 | 0 | 0 | 0 | 2013 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | true | |||
| B | false | false | false | false | 0 | false | false | true | |||
| C | false | true | false | false | 0.00260 | false | false | true | 0.00260 | true | |
| D | false | false | false | false | 0.00080 | false | false | true | 0.00080 | true | 0.00000 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Rebate Not Due YetRebateNotDueYet |
|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||
| A | false | true | false | false | false | 0 | false | true | |
| 0 | |||||||||
| B | false | true | false | false | false | 0 | false | true | |
| 0 | |||||||||
| C | false | true | true | false | false | 0 | false | true | |
| 0 | |||||||||
| D | false | false | false | false | 0 | false | true | true | |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| TOTAL PROCEEDS OF ISSUE | PART II, COLUMN C, LINE 3 | TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS. |
| NO REBATE DUE | PART IV, COLUMN A & B, LINE 2C | THE REBATE COMPUTATION WAS PERFORMED AS OF 6/27/12. |
| NO REBATE DUE | PART IV, COLUMN C, LINE 2C | THE REBATE COMPUTATION WAS PERFORMED AS OF 2/4/14. |
| PRIVATE SECURITY/PAYMENT TEST | PART III, LINE 7, COLUMNS C & D | FOR PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS." |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SOLE MEMBER | FORM 990 PART VI, QUESTION 6 | COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| MEMBER ELECTION ABILITIES | FORM 990 PART VI, QUESTION 7A | AS THE SOLE MEMBER OF THE ORGANIZATION COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES. |
| MEMBER DECISION ABILITIES | FORM 990 PART VI, QUESTION 7B | As the sole member of the organization, Cook Children's Health Care System has the exclusive power to do any of the following: a. Amend, alter or repeal the bylaws; b. Amend the certificate of formation of the organization; c. Determine the number of members of the Board of Trustees and to elect the members of the Board of Trustees; d. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the organization; e. Approve the sale, gift or other disposition of all or substantially all of the property of the organization; and f. Approve the creation of, or investment in, any subsidiary entity. |
| REVIEW PROCESS FOR FORM 990 | FORM 990 PART VI, QUESTION 11B | The organization engages an outside accounting firm to assist in the preparation of the Form 990 and related filings. All information provided to the outside accounting firm is gathered by key company employees and executives. Once the Form 990 is prepared, it is reviewed by company Finance, Legal and Compliance staff and then provided to the Board of Trustees for review. In addition, it is presented to the Cook Children's Health Care System Audit Committee for review. Subsequent to Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review. |
| REVIEW AND APPROVAL OF COMPENSATION | FORM 990 PART VI, QUESTION 15A & 15B | Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation. The Compensation Committee approves compensation arrangements in advance, which includes a review and approval by independent persons, using comparable market data relating to compensation, which is provided by Sullivan Cotter and Associates, Inc., an independent, nationally recognized compensation consultant. The Compensation Committee documents the basis for its determinations following contemporaneous substantiation of the Compensation Committee's deliberation and decision. 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. |
| PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990 PART VI, QUESTION 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE SECRETARY OF STATE OF TEXAS. 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. |
| DELEGATION OF CONTROL OVER MANAGEMENT | FORM 990 PART VI QUESTION 3 | A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES. |
| WRITTEN CONFLICT OF INTEREST POLICY | FORM 990 PART VI, QUESTION 12C | Every year the Legal Department 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. 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 and follow-up information are 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 in force for 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 hot-line to receive reports of inappropriate activities including activities that might constitute a conflict of interest. Internal Audit and Compliance also conduct random audits of corporate activities such as expense reimbursements and accounts payable to determine if any inappropriate payments are being made to individuals, some of which could be evidence of a conflict of interest. Any corrective action related to conflicts of interest would be reported to the Audit Committee for review, approval, and modification, as necessary. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | TRANSFERS BETWEEN AFFILIATES ($145,564,012) INTEREST RATE SWAP ADJUSTMENT 3,808,491 -------------- ($141,755,521) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S PHYSICIAN NETWORK | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752485366 | PHYSICIAN SVC | TX | 501(C)(3) | 3 | CCHCS | false |
| WI COOK FOUNDATION | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752056149 | FUNDRAISING | TX | 501(C)(3) | 11D | NA | false |
| COOK CHILDREN'S HOME HEALTH | ||||||||||
| 801 SEVENTH AVE | HOUSTON | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(C)(3) | 11C | CCHCS | false |
| COOK CHILDREN'S HEALTH CARE SYSTEM | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752705881 | HLTH CARE SUP | TX | 501(C)(3) | 11C | CCHF | false |
| COOK CHILDREN'S HEALTH PLAN | ||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(C)(3) | 11C | CCHCS | false |
| ROSEDALE OFFICE BUILDING INC | ||||||||||
| 1500 W ROSEDALE | FORT WORTH | TX | 76104 | 460866421 | TITLE HOLDING | TX | 501(C)(2) | N/A | CCHF | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S NORTHEAST HOSPITAL | ||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 205227064 | HOSPITAL | TX | NA | RELATED | 5983072 | 6410818 | false | $0 | true | 0.55135 |
| CENTER FOR PEDIATRIC SURGERY | ||||||||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 470871715 | ASC | TX | NA | RELATED | 7167463 | 13010179 | false | $0 | false | 0.52319 |
| CPS PEDIATRICS LLC | ||||||||||||||
| 11221 ROE AVE SUITE 320 | LEAWOOD | KS | 66211 | 470871718 | ASC | TX | NA | RELATED | 36118 | 105135 | false | $0 | true | 0.52565 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S HEALTH SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 7TH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454024843 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCHCS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | true | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COOK CHILDREN'S NORTHEAST HOSPITAL LLC | ||
| R | 6064864 | FMV |
| CENTER FOR PEDIATRIC SURGERY LTD | ||
| R | 6943285 | FMV |
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