W I COOK FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
W I COOK FOUNDATION INC (EIN 75-2051649)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201432279349301333
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T09:41:37-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752051649EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WI COOK FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CORY RHOADESInCareOfName
Name ControlWICONameControl
Phone6828854000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICK MERRILLName
TitleOFFICERTitle
Phone6828854000Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICK W MERRILLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1801 SEVENTH AVEAddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts477419874GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COOKCHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY.ActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members30NbrIndependentVotingMembers
Total Nbr Employees40TotalNbrEmployees
Total Nbr Volunteers94TotalNbrVolunteers
Total Gross UBI-89862TotalGrossUBI
Net Unrelated Business Txbl Income-89862NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16324114ContributionsGrantsPriorYear
Contributions Grants Current Year19840258ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year44186450InvestmentIncomePriorYear
Investment Income Current Year48626376InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year60510564TotalRevenuePriorYear
Total Revenue Current Year68466634TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year51487969GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11287788GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4274478SalariesEtcPriorYear
Salaries Etc Current Year4038309SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year14680TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY16734TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3720031TotalFundrsngExpCurrentYear
Other Expense Prior Year1293316OtherExpensePriorYear
Other Expenses Current Year1546775OtherExpensesCurrentYear
Total Expenses Prior Year57070443TotalExpensesPriorYear
Total Expenses Current Year16889606TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3440121RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51577028RevenuesLessExpensesCY
Total Assets BOY861568111TotalAssetsBOY
Total Assets EOY1102695793TotalAssetsEOY
Total Liabilities BOY2270587TotalLiabilitiesBOY
Total Liabilities EOY2457444TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY859297524NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1100238349NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionKNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12664253Expense
Grants11287788Grants
DescriptionCOOK CHILDREN'S HEALTH FOUNDATION WAS FOUNDED TO HELP DRIVE THE PHILANTHROPIC CULTURE OF COOK CHILDREN'S HEALTH CARE SYSTEM AND SUPPORT ITS PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN ITS REGION. THROUGH FUNDRAISING AND OUTREACH EFFORTS, THE FOUNDATION IS DEDICATED TO MAINTAINING CLINICAL EXCELLENCE, ENHANCING PATIENT AND FAMILY-CENTERED CARE, FOSTERING LEADING-EDGE RESEARCH AND SUPPORTING COOK CHILDREN'S EXPANSION OF SERVICES AND GROWTH INITIATIVES. IN 2013, COOK CHILDREN'S HEALTH FOUNDATION RAISED $19.8 MILLION DOLLARS IN SUPPORT OF PROGRAM DEVELOPMENT, CLINICAL RESEARCH AND THE RECENT EXPANSION OF COOK CHILDREN'S MEDICAL CENTER.Description
Total Program Service Expense12664253TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees40NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members30NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCORY RHOADESNamePerson
Telephone Number6828854480TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsHighest Compensated EmployeeHighestCompensatedEmployee
R JEFFREY ALEXANDER
TRUSTEE-VICE CHAIRMAN2.01.0XX
ROBIN W ARENA
TRUSTEE1.01.0X
G THOMAS BOSWELL
TRUSTEE1.01.0X
JULIA DAVIDSON
TRUSTEE1.01.0X
JAMES R DUNAWAY JR
TRUSTEE1.03.0X
RANDY EISENMAN
TRUSTEE1.00.0X
DAVID G FISCHER
TRUSTEE1.00.0X
RUSSELL L FLEISHER
TRUSTEE1.00.0X
RICHARD F GARVEY
TRUSTEE1.02.0X
RAFAEL G GARZA
TRUSTEE1.01.0X
JOY ANN HAVRAN
TRUSTEE1.00.0X
NANCY KAY HOWARD
TRUSTEE1.01.0X
MASON D KING
TRUSTEE1.00.0X
NICK KYPREOS
TRUSTEE1.00.0X
GEORGE F LEBUS
TRUSTEE1.01.0X
G MALCOLM LOUDEN
TRUSTEE1.02.0X
DAN E LOWRANCE
TRUSTEE1.00.0X
TRACY MCGEHEE
TRUSTEE1.00.0X
SKYLAR P MERRIFIELD
TRUSTEE1.00.0X
WILLIAM E ROSENTHAL
TRUSTEE1.01.0X
LINDA MORRIS ELSEY
TRUSTEE1.00.0X
BRIAN NEWBY
TRUSTEE1.01.0X
MICHAEL R PAVELL
TRUSTEE1.03.0X
WIN RYAN
TRUSTEE1.00.0X
VICKIE V STEVENS
TRUSTEE1.01.0X
GARY G WALSH
TRUSTEE1.01.0X
JAMES E WEBB
TRUSTEE-CHAIRMAN2.02.0XX
GEORGE M YOUNG JR
TRUSTEE1.00.0X
BRIAN D BARNARD
TRUSTEE1.01.0X
MARTIN H ENGLANDER
TRUSTEE1.01.0X
TODD N RITTERBUSCH
TRUSTEE1.00.0X
PETER L PHILPOTT
TRUSTEE-SECRETARY/TREASURER2.05.0XX
KENT HORST
TRUSTEE1.00.0X
RYAN MATTHEWS
TRUSTEE1.00.0X
BECCA STUPFEL
TRUSTEE1.00.0X
ROBERT K FEATHER
SR. VP, PUBLIC POLICY40.00.0X54838636662
RICHARD P GOODE
CFO2.038.0X4307832851818474
CARA MARTZ
SECRETARY1.039.0X7967136284
RICK W MERRILL
PRESIDENT & CEO8.032.0X410544866791642175
GEORGE B MONTAGUE
VP, REAL ESTATE2.038.0X28094373087
PATRICK B O'CONNOR
CHIEF INVESTMENTS OFFICER40.00.0X39088717894
GRANT HARRIS
VP, DEVELOPMENT40.00.0X27004425440
LESLEY ATKINSON
DIRECTOR, DEVELOPMENT40.00.016095210768X
JENNIFER JOHNSON
AVP-DONOR RELATIONS40.00.019959017762X
TIMOTHY PLOCICA
DIRECTOR, DEVELOPMENT40.00.01143733987X
APURVA MEHTA
DIRECTOR, INVESTMENTS40.017287419456X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2310728TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2970020TotalReportableCompFrmRltdOrgs
Total Other Compensation287560TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions19840258AllOtherContributions
Noncash Contributions26208NoncashContributions
Total Contributions19840258TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11020140TotalRevenueColumn
Unrelated Business Revenue-89862UnrelatedBusinessRevenue
Exclusion$11,110,002ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities446559476Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities408953240Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities37606236Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column37606236TotalRevenueColumn
Exclusion$37,606,236ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68466634TotalRevenueColumn
Unrelated Business Revenue-89862UnrelatedBusinessRevenue
Exclusion$48,716,238ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11287788Total
Program Services11287788ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1542898Total
Program Services462287ProgramServices
Management And General339162ManagementAndGeneral
Fundraising741449Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1757147Total
Program Services481796ProgramServices
Fundraising1275351Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total738264Total
Program Services205015ProgramServices
Fundraising533249Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total160838Total
Management And General160838ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45582Total
Program Services36141ProgramServices
Fundraising9441Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total16734Total
Fundraising16734Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total388420Total
Program Services614ProgramServices
Fundraising387806Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total306054Total
Fundraising306054Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total79223Total
Program Services4441ProgramServices
Fundraising74782Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total31148Total
Program Services31148ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total173106Total
Program Services153504ProgramServices
Fundraising19602Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5322Total
Management And General5322ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10416Total
Fundraising10416Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
DUES & SUBSCRIPTIONS222223960221263
FOOD7172555971166
AWARDS & RECOGNITION3698936989
FEES & FINANCE1563415634

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total95Total
Fundraising95Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16889606Total
Program Services12664253ProgramServices
Management And General505322ManagementAndGeneral
Fundraising3720031Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY102214295BOY
EOY142939317EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6443131BOY
EOY9168318EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1669861LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec126900LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1553378BOY
EOY1542961EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY744608145BOY
EOY941508917EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6749162BOY
EOY7536280EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY861568111BOY
EOY1102695793EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1080718BOY
EOY1251889EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1189869BOY
EOY1205555EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2270587BOY
EOY2457444EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY798573903BOY
EOY1030791450EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15334360BOY
EOY20870864EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45389261BOY
EOY48576035EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY859297524BOY
EOY1100238349EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY861568111BOY
EOY1102695793EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51577028ReconcilationRevenueExpenses
Reconciliation Unrealized Invest39523993ReconciliationUnrealizedInvest
Reconcilation Other Changes149839804ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21951839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18346540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16092820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16324114CurrentTaxYearMinus1Year
Current Tax Year19840258CurrentTaxYear
Total92555571Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21951839CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18346540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16092820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16324114CurrentTaxYearMinus1Year
Current Tax Year19840258CurrentTaxYear
Total92555571Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total19911964AmountsSubstContributorsTotal
Public Support Total17072643607PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2050476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2012950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5579085CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7015359CurrentTaxYearMinus1Year
Current Tax Year11020140CurrentTaxYear
Total27678010Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support120233581TotalSupport
Public Support Pertcentage1700.60419PublicSupportPertcentage170
Public Support Pertcent Prior Year0.69252PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance90534565BeginningOfYearBalance
Contributions29553Contributions
Investment Earnings Or Losses9201059InvestmentEarningsOrLosses
Other Expenditures42925787OtherExpenditures
End Of Year Balance56839390EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance82538362BeginningOfYearBalance
Contributions-256157Contributions
Investment Earnings Or Losses8800000InvestmentEarningsOrLosses
Other Expenditures547640OtherExpenditures
End Of Year Balance90534565EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance80357260BeginningOfYearBalance
Contributions18935Contributions
Investment Earnings Or Losses2595270InvestmentEarningsOrLosses
Other Expenditures433103OtherExpenditures
End Of Year Balance82538362EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance70947601BeginningOfYearBalance
Contributions3803664Contributions
Investment Earnings Or Losses5976642InvestmentEarningsOrLosses
Other Expenditures370647OtherExpenditures
End Of Year Balance80357260EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance65867824BeginningOfYearBalance
Contributions7205558Contributions
Investment Earnings Or Losses-1698302InvestmentEarningsOrLosses
Other Expenditures427479OtherExpenditures
End Of Year Balance70947601EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.23000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.74000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1502080OtherCostOrOtherBasis
Book Value1502080BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17562OtherCostOrOtherBasis
Depreciation9132Depreciation
Book Value8430BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis150219OtherCostOrOtherBasis
Depreciation117768Depreciation
Book Value32451BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings1542961TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt90921864TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments39523993NetUnrealizedGainsInvestments
Revenue Not Rptd F99039523993RevenueNotRptdF990
Revenue Subtotal51397871RevenueSubtotal
Other Revenues Not Included17068763OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt17068763RevenueNotRptdOnFinStmt
Total Revenue Per Form99068466634TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4268331TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4268331ExpensesSubtotal
Other Expenses Not Included12621275OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12621275ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016889606TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D PART V QUESTION 4COOK 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 PLACED 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 XI, LINE 4BOTHER CHANGECONTRIBUTIONS RECORDED TO NET ASSETS $ 15,722,577 RECLASSIFICATION OF INVESTMENT DEPT EXPENSES $ 1,346,186 -------------- $17,068,763
SCHEDULE D, PART XII, LINE 4BOTHER CHANGEDONATIONS FROM NET ASSETS $ 11,275,088 RECLASSIFICATION OF INVESTMENT DEPT EXPENSES $ 1,346,187 -------------- $ 12,621,275

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanProgram ServicesINVESTMENTS272771562
Europe (Including Iceland and Greenland)Program ServicesINVESTMENTS49889642
Sub-Saharan AfricaProgram ServicesINVESTMENTS8208664
East Asia and the PacificProgram ServicesINVESTMENTS7036570
FieldValueIRS element (for citing)
Subtotal Amount Spent337906438SubtotalAmountSpent
Total Amount Spent337906438TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividualActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractor
STELTER COMPANYCONSULTATIO Nfalse04000
LEXIS NEXISRESEARCHfalse012734
FieldValueIRS element (for citing)
Total Gross Receipts0TotalGrossReceipts
Total Retained By Contractors16734TotalRetainedByContractors

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVENUEFORT WORTHTX76104752051646501(c)(3)10327541FINANCIAL ASSISTANCE
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUEFORT WORTHTX76104752485366501(c)(3)398797FINANCIAL ASSISTANCE
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVENUEFORT WORTHTX76104752705881501(c)(3)548751FINANCIAL ASSISTANCE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I PART I QUESTION 2ReturnReference
ExplanationFUNDS ARE PLACED IN THE APPROPRIATE DESIGNATED ACCOUNTS WITH NOTIFICATION FROM DEVELOPMENT STAFF TO THE AUTHORIZED SIGNER. AUTHORIZED SIGNERS AND OTHER APPROPRIATE INDIVIDUALS ARE NOTIFIED OF ANY RESTRICTIONS ON THE FUNDS. DEVELOPMENT STAFF FOLLOW UP WITH AUTHORIZED SIGNERS TO OBTAIN INFORMATION ON THE USE OF FUNDS AND THE IMPACT MADE TO THE PROGRAM. IMPACT REPORTS ARE THEN PREPARED BY DEVELOPMENT STAFF AND SENT TO THE DONOR ON AN ANNUAL BASIS OR AS REQUIRED BY THE DONOR AGREEMENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT K FEATHER
SR. VP, PUBLIC POLICY260763213895737281875017912585048
RICHARD P GOODE
CFO18355169407783781861447203487243218671478831484416365849683
RICK W MERRILL
PRESIDENT & CEO1416307870119021314250308642788056652331480376084956999123441711518114680300320
GEORGE B MONTAGUE
VP, REAL ESTATE210560141220213071589312201401181
PATRICK B O'CONNOR
CHIEF INVESTMENTS OFFICER20767014689336324100007894408781
LESLEY ATKINSON
DIRECTOR, DEVELOPMENT133108158031204110768171720
JENNIFER JOHNSON
AVP-DONOR RELATIONS134377634391774150012761217352
GRANT HARRIS
VP, DEVELOPMENT1649359993051791000015440295484
APURVA MEHTA
DIRECTOR, INVESTMENTS148815225011558708412372192330

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, QUESTION 4BPARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL $ 755,000 $ 61,249
ALLOCATION OF CEO AND CFO SALARIESPART IISALARIES 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 PAYMENTSPART I, QUESTION 4ANAME AMOUNT --------------- --------- TIMOTHY PLOCICA $ 32,625
METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTORPART I, QUESTION 3COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LUTHER KING CAPITAL MANAGEMENT
SEE PART V305145INVESTMENT MGMT FEESfalse
LUTHER KING CAPITAL MANAGEMENT
SEE PART V305145INVESTMENT MGMT FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONIdentifier
Return ReferencePART IVReturnReference
ExplanationGARY G. WALSH, BOARD MEMBER, IS A PRINCIPAL AND SHAREHOLDER FOR LUTHER KING CAPITAL MANAGEMENT. MASON D. KING, BOARD MEMEBER, IS A VICE PRESIDENT FOR LUTHER KING CAPITAL MANAGEMENT.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99026208NoncashContribsRptdF990
Method Of Determining RevenuesAVG HIGH/LOW FOR DAYMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW PROCESS FOR FORM 990FORM 990 PART VI QUESTION 11BThe 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.
CONFLICT OF INTERESTFORM 990 PART VI QUESTION 12CEvery 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.
REVIEW & APPROVAL OF COMPENSATIONFORM 990 PART VI, QUESTION 15A & 15BCook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation. The 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 PUBLICFORM 990 PART VI, QUESTION 19The organization does not make its governing documents or conflict of interest policy available to the public, except to the extent they are on file with the Secretary of State of Texas. 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.
OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE FAMILY/BUSINESS RELATIONSHIPSFORM 990 PART VI QUESTION 2Mason D. King and Gary G. Walsh have a business relationship. Mason D. King and Gary G. Walsh are employees of Luther King Capital Management, which provides investment management services to the Foundation pursuant to the firm's standard fee schedule. Win Ryan and George M. Young have a business relationship. Randall Eisenman and Rick Merrill have a business relationship.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9UNRESTRICTED NET ASSETS: TRANSFERS BETWEEN AFFILIATES $145,564,012 TEMPORARILY RESTRICTED NET ASSETS: CHANGE IN BENEFICIAL INTEREST IN LEAD TRUST 12,898 NET ASSETS RELEASED FROM RESTRICTIONS (221,031) INVESTMENT INCOME & UNREALIZED GAIN(LOSSES) 1,326,702 PERMANENTLY RESTRICTED NET ASSETS: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 521,446 INVESTMENT INCOME & UNREALIZED GAIN(LOSSES) 2,635,777 ------------- TOTAL $149,839,804

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVEFORT WORTHTX76104760585240INSURANCETX501(C)(3)11CCCHCStrue
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVEFORT WORTHTX76104752705881HEALTHCARETX501(C)(3)11CCCHFtrue
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVEFORT WORTHTX76104752485366PHYSICIAN SVCTX501(C)(3)3CCHCStrue
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646HOSPITALTX501(C)(3)3CCHCStrue
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVEFORT WORTHTX76104752896983HEALTHCARETX501(C)(3)11CCCHCStrue
ROSEDALE OFFICE BUILDING INC
1500 W ROSEDALEFORT WORTHTX76104461866421TITLE HOLDINGTX501(C)(2)N/ACCHFtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgEINEINShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
SPLIT INTEREST TRUSTS (4)
500 W 7TH ST FLOOR 13FORT WORTHTX761024700SPLIT INT TRUSTTXNATRUSTfalse
COOK CHILDREN'S HEALTH SERVICES
801 7TH AVENUEFORT WORTHTX76104HEALTH SERVICESTXCCHCSC CORPORATIONfalse45402484300
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COOK CHILDREN'S HEALTH CARE SYSTEM
P1404585FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
B548751FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B398797FMV
COOK CHILDREN'S MEDICAL CENTER
B10327540FMV
COOK CHILDREN'S MEDICAL CENTER
R64435988FMV
COOK CHILDREN'S MEDICAL CENTER
S210000000FMV

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