COOK CHILDRENS PHYSICIAN NETWORK: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COOK CHILDRENS PHYSICIAN NETWORK (EIN 75-2485366)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201232279349304153
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T18:39:06-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | 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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752485366 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK CHILDREN'S PHYSICIAN NETWORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COOK | NameControl |
| Phone | 6828854000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVENUE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Cory Rhoades | Name |
| Title | VP & Chief Accounting Officer | Title |
| Date Signed | 2012-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | W BRITT NELSON MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SEVENTH AVE | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76104 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 187896083 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COOKCHILDRENS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1009 | TotalNbrEmployees |
| Total Nbr Volunteers | 7 | TotalNbrVolunteers |
| Total Gross UBI | 1328048 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 926339 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 36923232 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 42965376 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 144011559 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 143331135 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -842 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1195673 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1599572 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 182129622 | TotalRevenuePriorYear |
| Total Revenue Current Year | 187896083 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 139963262 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 145972094 | 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 | 41386606 | OtherExpensePriorYear |
| Other Expenses Current Year | 41801348 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 181349868 | TotalExpensesPriorYear |
| Total Expenses Current Year | 187773442 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 779754 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 122641 | RevenuesLessExpensesCY |
| Total Assets BOY | 29725077 | TotalAssetsBOY |
| Total Assets EOY | 34104541 | TotalAssetsEOY |
| Total Liabilities BOY | 17562758 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21819581 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12162319 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12284960 | NetAssetsOrFundBalancesEOY |
| Mission Description | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 166298030 | Expense |
| Revenue | 143602659 | Revenue |
| Description | Cook Children's Physician Network is the largest pediatric multi-specialty physician group in North Texas. The network includes more than 300 physicians and thousands of other caring employees who provide medical care in 60 locations to more than 30 primary care and subspecialty practices. Continued on Schedule O. | Description |
| Total Program Service Expense | 166298030 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | 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 | true | 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 | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | true | 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 |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 82 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1009 | 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 | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | 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 | false | InvestmentInJointVenture |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| NANCY N DAMBRO MD | |||||||
| TRUSTEE | 41.0 | X | 331290 | 0 | 20814 | ||
| CLIVE G DANIELS MD | |||||||
| TRUSTEE | 41.0 | X | 521313 | 0 | 22886 | ||
| MICHAEL J DEITCHMAN MD | |||||||
| TRUSTEE-VICE CHAIRMAN | 42.0 | X | 276938 | 0 | 11026 | X | |
| HOWARD M KELFER MD | |||||||
| TRUSTEE | 41.0 | X | 518629 | 0 | 34075 | ||
| M PILAR LEVY MD | |||||||
| TRUSTEE | 41.0 | X | 228604 | 0 | 9138 | ||
| FRANK MCGEHEE MD | |||||||
| TRUSTEE-TREASURER | 41.0 | X | 582973 | 0 | 30848 | X | |
| JAMES P MILLER MD | |||||||
| TRUSTEE | 41.0 | X | 901864 | 0 | 31511 | ||
| TOM T ROGERS JR MD | |||||||
| TRUSTEE | 41.0 | X | 105456 | 0 | 8171 | ||
| DEBORAH SCHUTTE MD | |||||||
| TRUSTEE-VICE CHAIRMAN | 42.0 | X | 454764 | 0 | 27149 | X | |
| JASON V TERK MD | |||||||
| TRUSTEE | 41.0 | X | 328221 | 0 | 29011 | ||
| JAMES C WHEELER MD | |||||||
| TRUSTEE | 41.0 | X | 463827 | 0 | 37805 | ||
| M SUZANNE WHITWORTH MD | |||||||
| TRUSTEE-CHAIRMAN | 42.0 | X | 147956 | 0 | 11045 | X | |
| KEVIN D WYLIE DO | |||||||
| TRUSTEE-SECRETARY | 42.0 | X | 224015 | 0 | 30834 | X | |
| SANDRA ARCA MD | |||||||
| TRUSTEE | 41.0 | X | 218507 | 0 | 40367 | ||
| VANESSA CHARETTE MD | |||||||
| TRUSTEE | 41.0 | X | 222508 | 0 | 17845 | ||
| LINDA M THOMPSON MD | |||||||
| TRUSTEE | 41.0 | X | 301787 | 0 | 14975 | ||
| TODD WOLF MD | |||||||
| TRUSTEE | 41.0 | X | 411612 | 0 | 31886 | ||
| RYAN CHAMPLIN | |||||||
| VP, OPERATIONS | 40.0 | 353143 | 0 | 30928 | X | ||
| JANELL MASON-BRISCOE | |||||||
| VP, OPERATIONS | 2.0 | 0 | 167751 | 11196 | X | ||
| THEODORE MATTHEWS | |||||||
| VP, FINANCE | 40.0 | 205533 | 0 | 32803 | X | ||
| W BRITT NELSON MD | |||||||
| PRESIDENT | 40.0 | 458085 | 0 | 33271 | X | ||
| MITCHELL WILLIAMS | |||||||
| AVP-BUSINESS SERVICES | 40.0 | 149641 | 0 | 9339 | X | ||
| RICHARD P GOODE | |||||||
| CHIEF FINANCIAL OFFICER | 4.0 | 61092 | 494292 | 30985 | X | ||
| RICK W MERRILL | |||||||
| CHIEF EXECUTIVE OFFICER | 4.0 | 135472 | 1096095 | 156115 | X | ||
| CONNIE EDWARDS | |||||||
| SR. DIRECTOR-FINANCE | 40.0 | 0 | 0 | 0 | X | ||
| ELDAD EREZ | |||||||
| PHYSICIAN | 40.0 | 839737 | 0 | 27329 | X | ||
| DAVID H GOFF MD | |||||||
| PHYSICIAN | 40.0 | 738438 | 0 | 26247 | X | ||
| NICHOLAS A OGUNMOLA MD | |||||||
| PHYSICIAN | 40.0 | 763261 | 0 | 30349 | X | ||
| VINCENT TAM MD | |||||||
| MEDICAL DIRECTOR | 40.0 | 1264746 | 0 | 31886 | X | ||
| JOSE L IGLESIAS MD | |||||||
| PHYSICIAN | 40.0 | 710405 | 0 | 20713 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 11919817 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1758138 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 850547 | TotalOtherCompensation |
| Number Individuals GT100 K | 351 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| TARRANT CONSTRUCTION SERVICES | |
| CONSTRUCTION SERVICE | 676560 |
| FORT CONSTRUCTION LP | |
| CONSTRUCTION SERVICE | 546986 |
| ABEO | |
| ANESTHESIA BILLING | 313500 |
| RECALL TOTAL INFORMATION | |
| PATIENT RECORD SVCS | 234642 |
| SUNDOWN JANITORIAL | |
| JANITORIAL SERVICES | 133575 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 42697005 | RelatedOrganizations |
| Government Grants | 223915 | GovernmentGrants |
| All Other Contributions | 44456 | AllOtherContributions |
| Total Contributions | 42965376 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT FEES | 621110 | 129737938 | 129737938 |
| CONTRACTED FEES | 621110 | 2626913 | 2626913 |
| MANAGEMENT FEES | 900099 | 9878323 | 9878323 |
| OTHER INCOME | 621110 | 869638 | 869638 |
| RESEARCH | 900099 | 218323 | 218323 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 143331135 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| GROUP PURCH SALES | 561439 | 1328048 | 1328048 | |
| OTHER INCOME | 900099 | 271524 | 271524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1599572 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187896083 | TotalRevenueColumn |
| Related Or Exempt Function Income | 143602659 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1328048 | UnrelatedBusinessRevenue |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 8300429 | Total |
| Program Services | 6543342 | ProgramServices |
| Management And General | 1757087 | 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 | 121016925 | Total |
| Program Services | 117331751 | ProgramServices |
| Management And General | 3685174 | 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 | 16654740 | Total |
| Program Services | 15495898 | ProgramServices |
| Management And General | 1158842 | 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 | 11726685 | Total |
| Management And General | 11726685 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122219 | Total |
| Program Services | 400 | ProgramServices |
| Management And General | 121819 | 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 | 1989886 | Total |
| Program Services | 1488193 | ProgramServices |
| Management And General | 501693 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135373 | Total |
| Program Services | 56412 | ProgramServices |
| Management And General | 78961 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12388114 | Total |
| Program Services | 11676618 | ProgramServices |
| Management And General | 711496 | 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 | 5656060 | Total |
| Program Services | 4943456 | ProgramServices |
| Management And General | 712604 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312204 | Total |
| Program Services | 264316 | ProgramServices |
| Management And General | 47888 | 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 | 113313 | Total |
| Program Services | 96447 | ProgramServices |
| Management And General | 16866 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431882 | Total |
| Program Services | 388083 | ProgramServices |
| Management And General | 43799 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1970858 | Total |
| Program Services | 1970224 | ProgramServices |
| Management And General | 634 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 3075499 | 3075499 | |
| PHYSICIAN EXPENSES | 980499 | 977843 | 2656 |
| COLLECTION EXPENSE | 1180438 | 527834 | 652604 |
| MINOR EQUIPMENT | 424796 | 291828 | 132968 |
| TELEPHONE TRIAGE | 378230 | 378230 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 915292 | Total |
| Program Services | 791656 | ProgramServices |
| Management And General | 123636 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187773442 | Total |
| Program Services | 166298030 | ProgramServices |
| Management And General | 21475412 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10011 | BOY |
| EOY | 10012 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17965415 | BOY |
| EOY | 19724374 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8010373 | BOY |
| EOY | 10231799 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 848725 | BOY |
| EOY | 846566 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1555199 | BOY |
| EOY | 1223540 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5111096 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3285877 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1247854 | BOY |
| EOY | 1825219 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87500 | BOY |
| EOY | 243031 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29725077 | BOY |
| EOY | 34104541 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2891332 | BOY |
| EOY | 3276455 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14671426 | BOY |
| EOY | 18543126 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17562758 | BOY |
| EOY | 21819581 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12162319 | BOY |
| EOY | 12284960 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12162319 | BOY |
| EOY | 12284960 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29725077 | BOY |
| EOY | 34104541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 122641 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
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 | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1127557 | OtherCostOrOtherBasis |
| Depreciation | 1104508 | Depreciation |
| Book Value | 23049 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1602771 | OtherCostOrOtherBasis |
| Depreciation | 567166 | Depreciation |
| Book Value | 1035605 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2368605 | OtherCostOrOtherBasis |
| Depreciation | 1614203 | Depreciation |
| Book Value | 754402 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12163 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 12163 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1825219 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PAYROLL | $947,699 |
| ACCRUED PHYSICIAN RECONS | $6,864,898 |
| DUE TO AFFILIATES | $4,207,047 |
| ACCRUED PTO LIABILITY | $2,539,983 |
| ACCRUED EXECUTIVE BONUS | $218,642 |
| ACCRUED EIB LIABILITY | $3,459,172 |
| OTHER ACCRUED LIABILITIES | $305,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 18543126 | TotalOfAmounts |
| Total Revenue | 187896083 | TotalRevenue |
| Total Expenses | 187773442 | TotalExpenses |
| Excess Or Deficit For Year | 122641 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 122641 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 187896083 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 187896083 | RevenueSubtotal |
| Total Revenue Per Form990 | 187896083 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 187773442 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 187773442 | ExpensesSubtotal |
| Total Expenses Per Form990 | 187773442 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | UNCERTAIN TAX POSITION UNDER FIN 48 | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | 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 (28 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY N DAMBRO MD | |||||||||||||
| 328661 | 0 | 0 | 0 | 2629 | 0 | 18375 | 0 | 2439 | 0 | 352104 | 0 | 0 | 0 |
| CLIVE G DANIELS MD | |||||||||||||
| 520470 | 0 | -833 | 0 | 1676 | 0 | 12250 | 0 | 10636 | 0 | 544199 | 0 | 0 | 0 |
| MICHAEL J DEITCHMAN MD | |||||||||||||
| 275578 | 0 | 0 | 0 | 1360 | 0 | 0 | 0 | 11026 | 0 | 287964 | 0 | 0 | 0 |
| HOWARD M KELFER MD | |||||||||||||
| 514165 | 0 | 0 | 0 | 4464 | 0 | 18375 | 0 | 15700 | 0 | 552704 | 0 | 0 | 0 |
| M PILAR LEVY MD | |||||||||||||
| 228451 | 0 | 0 | 0 | 153 | 0 | 9138 | 0 | 0 | 0 | 237742 | 0 | 0 | 0 |
| FRANK MCGEHEE MD | |||||||||||||
| 572961 | 0 | 2000 | 0 | 8012 | 0 | 18375 | 0 | 12473 | 0 | 613821 | 0 | 0 | 0 |
| JAMES P MILLER MD | |||||||||||||
| 884122 | 0 | 0 | 0 | 17742 | 0 | 18375 | 0 | 13136 | 0 | 933375 | 0 | 0 | 0 |
| DEBORAH SCHUTTE MD | |||||||||||||
| 453054 | 0 | 0 | 0 | 1710 | 0 | 15313 | 0 | 11836 | 0 | 481913 | 0 | 0 | 0 |
| JASON V TERK MD | |||||||||||||
| 326781 | 0 | 0 | 0 | 1440 | 0 | 18375 | 0 | 10636 | 0 | 357232 | 0 | 0 | 0 |
| JAMES C WHEELER MD | |||||||||||||
| 462387 | 0 | 0 | 0 | 1440 | 0 | 18375 | 0 | 19430 | 0 | 501632 | 0 | 0 | 0 |
| M SUZANNE WHITWORTH MD | |||||||||||||
| 146512 | 0 | 200 | 0 | 1244 | 0 | 9303 | 0 | 1742 | 0 | 159001 | 0 | 0 | 0 |
| KEVIN D WYLIE DO | |||||||||||||
| 184767 | 0 | 38453 | 0 | 795 | 0 | 15970 | 0 | 14864 | 0 | 254849 | 0 | 0 | 0 |
| RYAN CHAMPLIN | |||||||||||||
| 253325 | 0 | 76178 | 0 | 23640 | 0 | 15313 | 0 | 15615 | 0 | 384071 | 0 | 0 | 0 |
| JANELL MASON-BRISCOE | |||||||||||||
| 0 | 166210 | 0 | 0 | 0 | 1541 | 0 | 6679 | 0 | 4517 | 0 | 178947 | 0 | 0 |
| THEODORE MATTHEWS | |||||||||||||
| 156888 | 0 | 40347 | 0 | 8298 | 0 | 15580 | 0 | 17223 | 0 | 238336 | 0 | 0 | 0 |
| W BRITT NELSON MD | |||||||||||||
| 389091 | 0 | 14097 | 0 | 54897 | 0 | 18375 | 0 | 14896 | 0 | 491356 | 0 | 0 | 0 |
| MITCHELL WILLIAMS | |||||||||||||
| 118417 | 0 | 29786 | 0 | 1438 | 0 | 0 | 0 | 9339 | 0 | 158980 | 0 | 0 | 0 |
| RICHARD P GOODE | |||||||||||||
| 38315 | 310003 | 12180 | 98551 | 10597 | 85738 | 1451 | 11742 | 1956 | 15836 | 64499 | 521870 | 0 | 0 |
| RICK W MERRILL | |||||||||||||
| 73382 | 593737 | 41761 | 337886 | 20329 | 164472 | 15598 | 126202 | 1574 | 12741 | 152644 | 1235038 | 14520 | 117480 |
| ELDAD EREZ | |||||||||||||
| 838027 | 0 | 0 | 0 | 1710 | 0 | 9800 | 0 | 17529 | 0 | 867066 | 0 | 0 | 0 |
| DAVID H GOFF MD | |||||||||||||
| 720498 | 0 | 0 | 0 | 17940 | 0 | 18375 | 0 | 7872 | 0 | 764685 | 0 | 0 | 0 |
| NICHOLAS A OGUNMOLA MD | |||||||||||||
| 745001 | 0 | 320 | 0 | 17940 | 0 | 15313 | 0 | 15036 | 0 | 793610 | 0 | 0 | 0 |
| VINCENT TAM MD | |||||||||||||
| 1242604 | 0 | 20000 | 0 | 2142 | 0 | 18375 | 0 | 13511 | 0 | 1296632 | 0 | 0 | 0 |
| SANDRA ARCA MD | |||||||||||||
| 215933 | 0 | 1200 | 0 | 1374 | 0 | 17637 | 0 | 22730 | 0 | 258874 | 0 | 0 | 0 |
| VANESSA CHARETTE MD | |||||||||||||
| 222286 | 0 | 0 | 0 | 222 | 0 | 12875 | 0 | 4970 | 0 | 240353 | 0 | 0 | 0 |
| LINDA M THOMPSON MD | |||||||||||||
| 301581 | 0 | 0 | 0 | 206 | 0 | 9800 | 0 | 5175 | 0 | 316762 | 0 | 0 | 0 |
| TODD WOLF MD | |||||||||||||
| 186479 | 0 | 224754 | 0 | 379 | 0 | 12250 | 0 | 19636 | 0 | 443498 | 0 | 0 | 0 |
| JOSE L IGLESIAS MD | |||||||||||||
| 692510 | 0 | 0 | 0 | 17895 | 0 | 9800 | 0 | 10913 | 0 | 731118 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS | PART I, QUESTION 4B | RICK W. MERRILL PARTICIPATES, BUT RECEIVED 0 PAYMENT DURING CALENDAR YEAR 2010. |
| ALLOCATION OF CEO AND CFO SALARIES | SCHEDULE J, PART II | COOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 9 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH COMPANY, INDEMNITY COMPANY, HEALTH FOUNDATION, NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, AND HEALTH CARE SYSTEM COMPANY. THE CEO AND CFO ARE RESPONSIBLE FOR THE OVERSIGHT OF ALL AFOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | AUDREY ROGERS MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | TOM ROGERS' DAUGTER-IN-LA | Relationship |
| Amount Of Transaction | 272151 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (23 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| ELECTION OF MEMBERS | 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. |
| DECISIONS OF GOVERNING BODY | 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 corporation; c, Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the corporation; d. Approve the persons who are to be elected by the corporation to fill any vacancies on the board of trustees; e. Approve the sale, gift or other disposition of all or substantially all of the property of the corporation; f. Approve the creation of, or investment in, any subsidiary entity; and g. Approve the removal of a member of the board of trustees. |
| PROCESS FOR REVIEW OF THE 990 | FORM 990, PART VI, QUESTION 11 | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORMS ARE PREPARED, THEY ARE REVIEWED BY COMPANY EXECUTIVES AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THEY ARE PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW. SUBSEQUENT TO AUDIT COMMITTEE REVIEW, THE FORMS ARE FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. |
| WRITTEN CONFLICT OF INTEREST POLICY | FORM 990, PART VI, QUESTION 12C | EVERY YEAR THE LEGAL DEPARTMENT SENDS OUT A FORM 990 QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE RESPONSES TO THE QUESTIONNAIRES ARE PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. Further, the Audit Committee of Cook Children's Health Care System is responsible for monitoring the implementation and enforcement of the Conflict of Interest Policy in force for all affiliated entities of the Cook Children's Health Care System. The Audit Committee is also responsible for oversight of the Compliance Department of Cook Children's Health Care System. 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 AND APPROVAL OF COMPENSATION | FORM 990, PART VI, QUESTION 15A & 15B | Cook Children's Health Care System has established a compensation committee with oversight of executive and physician compensation. The committee approves compensation arrangements in advance, relying upon comparable market data relating to compensation, which is provided by Mercer & Associates (executive compensation) and Sullivan Cotter (physician compensation), both independent, nationally recognized compensation consultants. The committee documents the basis for its determinations, and requires the compensation consultants to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the committee also retains the law firm of McDermott, Will & Emery of Chicago, Illinois, to issue a reasonableness opinion covering the physician compensation plan for Cook Children's Physician Network. |
| MAKING GOVERNING DOCUMENTS 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 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. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | The network includes primary care physicians and pediatric specialists with offices in Tarrant, Denton, and Hood counties and established physician offices in several medically underserved, economically disadvantaged neighborhoods. The physician network has increased access to pediatric specialty care through outreach clinics in many communities in North and West Texas. Each month, physicians travel to provide services in several areas not large enough to support full-time specialty care. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL J. DEITCHMAN, MD TITLE:TRUSTEE-VICE CHAIRMAN HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD M. KELFER, MD TITLE:TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:M. PILAR LEVY, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK MCGEHEE, MD TITLE:TRUSTEE-TREASURER HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES P. MILLER, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEBORAH SCHUTTE, MD TITLE:TRUSTEE-VICE CHAIRMAN HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JASON V. TERK, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:M. SUZANNE WHITWORTH, MD TITLE:TRUSTEE-CHAIRMAN HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEVIN D. WYLIE, DO TITLE:TRUSTEE-SECRETARY HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:VANESSA CHARETTE, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LINDA M. THOMPSON, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TODD WOLF, MD TITLE:TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JANELL MASON-BRISCOE TITLE:VP, OPERATIONS HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD P. GOODE TITLE:CHIEF FINANCIAL OFFICER HOURS:36 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICK W. MERRILL TITLE:CHIEF EXECUTIVE OFFICER HOURS:36 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| COOK CHILDREN'S MEDICAL CENTER | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752051646 | HOSPITAL | TX | 501(c)(3) | 3 | NA |
| WI COOK FOUNDATION | |||||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752051649 | FUNDRAISING | TX | 501(c)(3) | 11D | NA |
| COOK CHILDREN'S HOME HEALTH | |||||||||
| 801 SEVENTH AVENUE | FORT WORTH | TX | 76104 | 752896983 | HEALTHCARE | TX | 501(c)(3) | 11C | NA |
| COOK CHILDREN'S HEALTH CARE SYSTEM | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 752705881 | SUPPORT | TX | 501(c)(3) | 11C | NA |
| COOK CHILDREN'S HEALTH PLAN | |||||||||
| 801 SEVENTH AVE | FORT WORTH | TX | 76104 | 760585240 | INSURANCE | TX | 501(c)(3) | 11C | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | 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 | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | 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 |
Comments