2011-08-12T12:52:16-04:00 2010-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-10-01 752485366 COOK CHILDREN'S PHYSICIAN NETWORK COOK 6828854480 801 SEVENTH AVENUE FORT WORTH TX 76104 CORY RHOADES 2011-08-15 true 7134994600 2009 2016-02-24 21:20:13Z W BRITT NELSON MD 801 SEVENTH AVE FORT WORTH TX 76104 182130464 false X WWW.COOKCHILDRENS.ORG X 1992 TX 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. 13 0 981 9 1195673 794082 40678045 36923232 129453468 144011559 -1154 -842 847227 1195673 170977586 182129622 0 0 0 0 134927049 139963262 0 0 0 33774802 41386606 168701851 181349868 2275735 779754 28902978 29725077 17520411 17562758 11382567 12162319 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. false false 163413557 144011559 COOK CHILDREN'S PHYSICIAN NETWORK IS THE LARGEST PEDIATRIC MULTI-SPECIALTY PHYSICIAN GROUP IN NORTH TEXAS. THE NETWORK COMPRISES MORE THAN 265 PHYSICIANS WHO PROVIDE MEDICAL CARE IN 55 PRIMARY CARE PEDIATRIC SUBSPECIALTY PRACTICES LOCATED MAINLY IN THE GREATER FORT WORTH METROPOLITAN AREA. CONTINUED ON SCHEDULE O 163413557 true true false false false false false false false true false true false false false false false false false false false false false true false false false false false false true false false false false false false true false false false true 65 0 true 981 true true true false false false false false false false false 13 0 false false false false true true true true true false false true true true true true true true true false X CORY RHOADES 6828854480 801 SEVENTH AVENUE FORT WORTH TX 76104 KIMBERLY D AARON MD 40.0 X X 348645 0 21623 NANCY N DAMBRO MD 40.0 X 328416 0 24331 CLIVE G DANIELS MD 40.0 X X 475786 0 20544 MICHAEL J DEITCHMAN MD 40.0 X X 293157 0 27663 HOWARD M KELFER MD 40.0 X X 578124 0 35224 M PILAR LEVY MD 40.0 X 238374 0 9613 FRANK MCGEHEE MD 40.0 X 511323 0 30479 JAMES P MILLER MD 40.0 X 1124777 0 31059 TOM T ROGERS JR MD 40.0 X 105626 0 8226 DEBORAH SCHUTTE MD 40.0 X 527554 0 26662 VANITA SHORI MD 40.0 X 438999 0 15455 JASON V TERK MD 40.0 X 263801 0 26062 JAMES C WHEELER MD 40.0 X 446244 0 38459 M SUZANNE WHITWORTH MD 40.0 X 200767 0 12375 KEVIN D WYLIE DO 40.0 X X 206538 0 28116 RYAN CHAMPLIN 40.0 X 344128 0 30588 JANELL MASON-BRISCOE 40.0 X 0 83050 5779 THEODORE MATTHEWS 40.0 X 203250 0 29645 W BRITT NELSON MD 40.0 X 401187 0 32960 MITCHELL WILLIAMS 40.0 X 144143 0 10646 RICHARD P GOODE 5.0 X 48167 389715 28609 RICK W MERRILL 5.0 X 122420 990485 155959 ELDAD EREZ 40.0 X 842034 0 25997 DAVID H GOFF MD 40.0 X 734720 0 25346 NICHOLAS A OGUNMOLA MD 40.0 X 741377 0 21159 LYNNE M REYNOLDS 40.0 X 714384 0 21025 VINCENT TAM MD 40.0 X 1253766 0 30147 SAMUEL L LANEY MD 40.0 X 429799 0 27251 12067506 1463250 801002 318 true true false ABEO MED ANESTH BILLING SVCS 648325 STONEBRIDGE HEALTHCARE CONSULTING PHYSICIAN CONSULTING 410707 RICHARD'S LABORATORIES LAB SERVICES 107266 3 36580729 281339 61164 36923232 NET PATIENT FEES 621110 122096649 122096649 CONTRACTED FEES 621110 2615637 2615637 MANAGEMENT FEES 900099 19148046 19148046 OTHER INCOME 621110 151227 151227 144011559 0 0 0 842 -842 -842 -842 0 0 0 GROUP PURCH SALES 561439 1195673 1195673 1195673 182129622 144011559 1195673 -842 0 0 0 0 7598042 6330323 1267719 0 117007491 112559870 4447621 0 15357729 14134684 1223045 0 0 52801 1995 50806 0 0 0 0 2847753 1486944 1360809 146765 70327 76438 11267007 10758577 508430 0 0 5136967 4511829 625138 318267 259355 58912 0 137287 124056 13231 0 7807961 7807961 456517 381859 74658 2246292 2222839 23453 BAD DEBT 7344576 7344576 0 PHYSICIAN EXPENSES 993277 989417 3860 COLLECTION EXPENSE 690991 597579 93412 MINOR EQUIPMENT 646513 554741 91772 TELEPHONE TRIAGE 423999 423999 0 869633 660587 209046 181349868 163413557 17936311 0 9141 10011 15641454 17965415 9878375 8010373 623106 848725 1499377 1555199 4117872 2870018 1205670 1247854 45855 87500 28902978 29725077 2979247 2891332 14541164 14671426 17520411 17562758 X 11382567 12162319 11382567 12162319 28902978 29725077 X false true true X false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1127557 1089447 38110 870208 429702 440506 2088831 1350869 737962 31276 0 31276 1247854 0 ACCRUED PAYROLL 1985462 ACCRUED PHYSICIAN RECONS 5591436 DUE TO AFFILIATES 1378486 ACCRUED PTO LIABILITY 2485032 ACCRUED EXECUTIVE BONUS 191825 ACCRUED EIB LIABILITY 3039185 14671426 182129622 181349868 779754 779754 182126084 842 842 182125242 4380 4380 182129622 181350710 842 842 181349868 181349868 SCHEDULE D, PART XII OTHER CHANGES LINE 2D: REVENUE ON BOOKS NOT ON RETURN LOSS REPORTED AS EXPENSE IN AUDIT REPORT $ 842 LINE 4B: REVENUE ON RETURN NOT ON BOOKS NET ASSETS RELEASED FROM RESTRICTIONS $ 4,380 SCHEDULE D, PART XIII OTHER CHANGES LINE 2D: EXPENSES ON BOOKS NOT ON RETURN LOSS REPORTED AS EXPENSE IN AUDIT REPORT $842 UNCERTAIN TAX POSITION UNDER FIN 48 SCHEDULE D, PART X, LINE 2 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. X X X X X X false true false false false false false false false KIMBERLY D AARON MD 281889 0 64261 0 2494 0 15313 0 6311 0 370269 0 NANCY N DAMBRO MD 325787 0 0 0 2629 0 18375 0 5956 0 352747 0 CLIVE G DANIELS MD 473326 0 0 0 2460 0 9800 0 10744 0 496330 0 MICHAEL J DEITCHMAN MD 291779 0 0 0 1379 0 16532 0 11131 0 320820 0 HOWARD M KELFER MD 569119 0 5000 0 4006 0 18375 0 16849 0 613348 0 M PILAR LEVY MD 234600 0 3616 0 158 0 9529 0 84 0 247987 0 FRANK MCGEHEE MD 494150 0 0 0 17173 0 18375 0 12104 0 541802 0 JAMES P MILLER MD 1106251 0 0 0 18526 0 18375 0 12684 0 1155836 0 DEBORAH SCHUTTE MD 525330 0 0 0 2224 0 14652 0 12010 0 554216 0 VANITA SHORI MD 438663 0 0 0 336 0 15313 0 142 0 454454 0 JASON V TERK MD 262369 0 0 0 1432 0 15313 0 10749 0 289863 0 JAMES C WHEELER MD 444020 0 0 0 2224 0 18375 0 20084 0 484703 0 M SUZANNE WHITWORTH MD 199116 0 0 0 1652 0 10098 0 2277 0 213142 0 KEVIN D WYLIE DO 182319 0 23701 0 518 0 13216 0 14900 0 234654 0 RYAN CHAMPLIN 243783 0 83852 0 16493 0 15313 0 15275 0 374716 0 THEODORE MATTHEWS 155049 0 46507 0 1694 0 15676 0 13969 0 232895 0 W BRITT NELSON MD 383279 0 12500 0 5408 0 18630 0 14330 0 434147 0 MITCHELL WILLIAMS 114149 0 28594 0 1401 0 0 0 10646 0 154789 0 RICHARD P GOODE 29400 237876 10339 83650 8428 68189 1140 9221 2007 16241 51314 415177 RICK W MERRILL 69594 563075 37125 300376 15701 127034 15598 126202 1558 12601 139576 1129288 ELDAD EREZ 839540 0 0 0 2494 0 9800 0 16197 0 868031 0 DAVID H GOFF MD 732496 0 0 0 2224 0 18375 0 6971 0 760066 0 NICHOLAS A OGUNMOLA MD 722653 0 0 0 18724 0 9800 0 11359 0 762536 0 LYNNE M REYNOLDS 622145 0 90529 0 1710 0 15313 0 5713 0 735410 0 VINCENT TAM MD 1241624 0 10000 0 2142 0 15313 0 14834 0 1283913 0 SAMUEL L LANEY MD 182869 0 128226 0 118704 0 18375 0 8876 0 457050 0 NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS PART 1, QUESTION 4 RICK W. MERRILL PARTICIPATES, BUT RECEIVED 0 PAYMENT DURING CALENDAR YEAR 2009 ALLOCATION OF CEO AND CFO SALARIES SCHEDULE J, PART II COOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 7 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH, INDEMNITY COMPANY, FOUNDATION, AND HEALTH CARE SYSTEM COMPANY. THE CEO AND CFO ARE RESPONSIBLE FOR THE OVERSIGHT OF ALL AFOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY. JEFF ROGERS MD TOM ROGERS' SON 113349 COMPENSATION false AUDREY ROGERS MD TOM ROGERS' DAUGTER-IN-LA 208522 COMPENSATION false 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 POWER TO APPROVE CHANGES TO ORGANIZATION DOCUMENTS, APPROVE SIGNIFICANT CHANGES IN THE STRUCTURE OF THE ORGANIZATION, APPROVE SALE, GIFT, OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION, APPROVE CREATION OF OR INVESTMENT IN ANY SUBSIDIARY ENTITY, APPROVE BUDGETS, APPROVE DEBT THAT WOULD EXCEED LIMITS THE MEMBER HAS SET, AND APPROVE LONG-RANGE FINANCIAL AND STRATEGIC PLANS." 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. 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), INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS, AND REQUIRES THE COMPENSATION CONSULTANTS TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK. 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. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE. RELATED COMPENSATION HOURS WORKED FORM 990 PART VII AVG HOURS WORKED FOR RELATED ORG RICHARD P. GOODE 45 RICK W. MERRILL 50 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII MAY DEVOTE AN AVERAGE OF 1 HOUR PER WEEK TO RELATED ORGANIZATIONS. PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED FORM 990 PART III QUESTION 4A THE NETWORK INCLUDES PRIMARY CARE PHYSICIANS AND PEDIATRIC SPECIALISTS WITH OFFICES IN TARRANT, DENTON, AND HOOD COUNTIES. THROUGH THE NETWORK, COOK CHILDREN'S HAS ESTABLISHED PHYSICIAN OFFICES IN SEVERAL MEDICALLY UNDERSERVED, ECONOMICALLY DISADVANTAGED NEIGHBORHOODS. THE NETWORK HAS ALSO INCREASED ACCESS TO PEDIATRIC SPECIALTY CARE THROUGH OUTREACH CLINICS IN MANY COMMUNITIES IN NORTH AND WEST TEXAS. EACH MONTH, PHYSICIANS PROVIDE SERVICES IN SEVERAL AREAS NOT LARGE ENOUGH TO SUPPORT FULL-TIME SPECIALTY CARE. 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 false false true false false false false false true true false false false false true true true true