Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
EIN 76-0585240 • 501(c)3 • Fort Worth, TX
Profile
Knowing that every child's life is sacred, our promise is to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
41st percentile
Higher net margin than 41% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
17th percentile
Faster revenue growth than 17% of similar nonprofits.
Assets
Down$334,740,150
Down $125,452,691 (-27%) from 2023
Liabilities
Down$153,607,628
Down $96,823,781 (-39%) from 2023
Net Assets
Down$181,132,522
Down $28,628,910 (-14%) from 2023
Revenue
Down$892,594,015
Down $28,580,167 (-3.1%) from 2023
Expenses
Down$878,325,485
Down $9,114,871 (-1.0%) from 2023
Net Income
Down$14,268,530
Down $19,465,296 (-58%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Knowing that every child's life is sacred, our promise is to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
Knowing that every child's life is sacred, our promise is to improve the health of every child in our region through prevention and treatment of illness, disease and injury.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $112,248,151 | $146,501,592 | ▲ $34,253,441 |
| Savings and Temporary Cash Investments | $317,144,975 | $101,693,583 | ▼ $215,451,392 |
| Accounts Receivable | $19,762,073 | $79,089,664 | ▲ $59,327,591 |
| Prepaid Expenses and Deferred Charges | $5,106,693 | $3,883,108 | ▼ $1,223,585 |
| Land, Buildings, and Equipment, Net | $3,411,709 | $367,999 | ▼ $3,043,710 |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | - | $0 | - |
| Total Assets | $460,192,841 | $334,740,150 | ▼ $125,452,691 |
| Other Assets Total | $2,519,240 | $3,204,204 | ▲ $684,964 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $240,210,758 | $143,876,818 | ▼ $96,333,940 |
| Other Liabilities | $10,220,651 | $9,730,810 | ▼ $489,841 |
| Total Liabilities | $250,431,409 | $153,607,628 | ▼ $96,823,781 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $209,761,432 | $181,132,522 | ▼ $28,628,910 |
| Total Net Assets Fund Balance | $209,761,432 | $181,132,522 | ▼ $28,628,910 |
| Total Liabilities and Net Assets / Fund Balance | $460,192,841 | $334,740,150 | ▼ $125,452,691 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $367,999 | $12,593,906 | $12,961,905 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Karen Love | President | FT | $509,524 | $447,733 | $957,257 |
| Kimberly Aaron | VP Clinic Affairs | FT | $368,561 | $214,303 | $582,864 |
| Sherry Vetter | COO, Cchp | FT | $319,092 | $173,715 | $492,807 |
| Richard Lee | AVP, Finance and CFO | FT | $290,438 | $154,122 | $444,560 |
| Angela N Cabarcas MD | Trustee | FT | $312,127 | $77,904 | $390,031 |
| Catherine Nicholas MD | Medical Director | FT | $264,959 | $83,404 | $348,363 |
| Glen Lemmons | Director, Start Kids Care Mgmt | FT | $187,686 | $90,906 | $278,592 |
| Timothy Fancher | Director Clin Pharmacy Pgm | FT | $198,483 | $71,327 | $269,810 |
| Kathleen Roman | Regulatory Compliance Director | FT | $185,907 | $70,709 | $256,616 |
| Robert Burright | Director, Clinical Effective | FT | $186,408 | $63,583 | $249,991 |
| Crystal O'Reilly | AVP, Quality & Care Mgmt | FT | $151,913 | $91,155 | $243,068 |
| Stephen W Kimmel | Treasurer | PT | $86,899 | $80,269 | $167,168 |
| Rick W Merrill | CEO | - | $73,202 | $92,074 | $165,276 |
| Name | Title |
|---|---|
| Rick Sorenson | Trustee - Chairman |
| Julee S Morrow MD | Trustee - Vice Chairman |
| Hadley Woerner | Trustee |
| Kathryn M King MD | Trustee |
| Michael R Pavell | Trustee |
| Paul S Thornton MD | Trustee |
| Rachel R Werner | Trustee |
| Ryan B Dickerson | Trustee |
| Sandy Varghese MD | Trustee |
| Thomas Breckinridge Ray | Trustee |
| Jerry R Conatser | Trustee END 5/31/24 |
| Mary Cara Martz | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Navitus Health Solutions LLC | Pharmacy Benefit Manager | 5 Innovation Court, Appleton, WI 54914 | $3,155,502 |
| Health Management Systems | Software Services | PO Box 166409, Irving, TX 75016 | $2,140,561 |
| John Sons Press | Printing | 3300 South Freeway, Fort Worth, TX 76110 | $1,371,446 |
| Bailit Health Purchasing | Consulting Services | 56 Pickering St, Needham, MA 02492 | $947,319 |
| National Vision Administrators | Vision Manager | 1200 Route 46 West, Clifton, NJ 07013 | $747,236 |
| Line Item | Amount |
|---|---|
| Other Expenses | $832,165,374 |
| Salaries, Compensation, and Employee Benefits | $46,160,111 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $28,096,912 | $2,495,701 | - | $30,592,613 |
| Fees for Services Management | - | $11,897,207 | - | $11,897,207 |
| Fees for Services Other | $10,269,600 | $295,455 | $0 | $10,565,055 |
| Other Employee Benefits | $7,645,509 | $754,758 | - | $8,400,267 |
| Current Officers, Directors, Trustees, and Key Employees | $1,365,613 | $1,701,432 | - | $3,067,045 |
| Depreciation Depletion | - | $3,043,710 | - | $3,043,710 |
| Payroll Taxes | $2,126,255 | $197,549 | - | $2,323,804 |
| Insurance | $1,966,977 | $110,312 | - | $2,077,289 |
| Pension Plan Contributions | $1,370,562 | $405,820 | - | $1,776,382 |
| Office Expenses | $1,568,835 | $113,903 | - | $1,682,738 |
| Occupancy | - | $1,010,510 | - | $1,010,510 |
| All Other Expenses | $330,459 | $299,276 | $0 | $629,735 |
| Other Expenses | $602,057 | $86,769 | - | $602,057 |
| Advertising | $525,797 | $3,000 | - | $528,797 |
| Travel | $194,296 | $9,156 | - | $203,452 |
| Fees for Services Accounting | - | $160,456 | - | $160,456 |
| Fees for Service Investment Mgmnt Fees | - | $129,410 | - | $129,410 |
| Fees for Services Legal | - | $49,932 | - | $49,932 |
| Conferences and Meetings | $28,013 | $10,587 | - | $38,600 |
| Fees for Services Lobbying | - | $26,723 | - | $26,723 |
| Total Functional Expenses | $855,523,819 | $22,801,666 | $0 | $878,325,485 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $878,325,485 |
| Expenses per Audited Statements | $878,196,075 |
| Total Expenses per Audited Statements | $859,845,099 |
| Expenses Not Reported on Financial Statements | $129,410 |
| Other Expense Adjustments | $0 |
| Expenses Not Reported on Form 990 | $-18,350,976 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Intercompany Payables | $8,752,553 |
| Lease Obligations | $978,257 |
“VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship”
“Cook children's health care system, a texas non-profit corporation, is the sole member of the organization.”
“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.”
“As the sole member of the organization, cook children's health care system has the exclusive power and reserved power to do any of the following: a. Amend, alter or repeal the bylaws; b. Amend the certificate of formation of the organization; c. Determine the number of members of the board of trustees and to elect the members of the board of trustees; d. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the organization; e. Approve the sale, gift or other disposition of all or substantially all of the property of the organization; f. Approve the creation of, or investment in, any subsidiary entity; g. Approve capital and operating budgets of the organization; h. Approve debt to be incurred by the organization which would exceed such limits as established by the sole member; and, i. Approve the long-range financial and strategic plans for the organization.”
“The organization engages an outside independent accounting firm to assist in the preparation of the form 990 and related filings. All information provided to the outside accounting firm is gathered by key company employees and executives. Once the form 990 is prepared, it is reviewed by company finance, legal and compliance staff and then provided to the board of trustees for review and comment. In addition, it is provided to the cook children's health care system audit committee for review and comment. Subsequent to the board and audit committee review, the form 990 is filed with the internal revenue service and made available to the public for review.”
“Every year the legal department of the cook children's health care system (system) sends out a form 990 questionnaire/conflict of interest disclosure statement to officers, directors, trustees and key employees of all system companies, as well as certain other employees, including physicians, who are determined to be employed in positions that might be subject to the system's conflict of interest policy. The responses are reviewed by the legal, finance, and compliance departments. Follow up and/or corrective action is taken as needed with respect to responses that indicate the existence of actual or potential conflicts of interest. A summary of the responses to the questionnaires and follow-up information 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 that is applicable to all affiliated companies of the cook children's health care system. The audit committee is also responsible for oversight of the compliance department of cook children's health care system. The compliance department maintains a hotline to receive reports of inappropriate activities including activities that might constitute a conflict of interest. Internal audit and compliance also conduct random audits of corporate activities such as expense reimbursements and accounts payable to determine if any inappropriate payments are being made to individuals, some of which could be evidence of a conflict of interest. Any corrective action related to conflicts of interest would be reported to the audit committee for review, approval, and modification, as necessary, with further reporting to the system board of trustees as appropriate.”
“Cook children's health care system has established a compensation committee with oversight of the ceo. The compensation committee approves compensation arrangements in advance, which includes a review and approval by independent committee members, using comparable market data relating to compensation, which is provided by sullivan cotter and associates, inc., which is an independent, nationally recognized compensation consultant. The compensation committee documents the basis for its determinations following contemporaneous substantiation of the compensation committee's deliberations and decisions. The compensation committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed.”
“Cook children's health care system has established a compensation committee with oversight of the compensation of the other officers and key employees of the organization. The compensation committee approves compensation arrangements in advance, which includes a review and approval by independent committee members, using comparable market data relating to compensation, which is provided by sullivan cotter and associates, inc. For executive compensation and physician compensation, which is an independent, nationally recognized compensation consultant. The compensation committee documents the basis for its determinations following contemporaneous substantiation of the compensation committee's deliberations and decisions. The compensation committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the compensation committee also retains the law firm of mcdermott, will & emery of chicago, illinois, to issue a reasonableness opinion covering the physician compensation plan for cook children's physician network.”
“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 Texas Secretary of State. 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.”
“Transfers to affiliates - -50000000;”
“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 dislosed in the financial statements.”
“Profit share netted with revenue - 18350976”
“Profit share netted with revenue - -18350976”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 240210758 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 143876818 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 19762073 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 79089664 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 3000 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 525797 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 528797 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 299276 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 330459 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 629735 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Cory Rhoades |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6828854000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 801 Seventh Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Fort Worth |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 76104 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 22 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1701432 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1365613 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3067045 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 10587 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 28013 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 38600 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3155502 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2140561 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1371446 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 947319 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 747236 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5 Innovation Court |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 166409 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 3300 South Freeway |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 56 Pickering St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1200 Route 46 West |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Appleton |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Irving |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Fort Worth |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Needham |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Clifton |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54914 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75016 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 76110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 02492 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 07013 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Navitus Health Solutions LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Health Management Systems |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | John Sons Press |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Bailit Health Purchasing |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | National Vision Administrators |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Pharmacy Benefit Manager |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Software Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Printing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Consulting Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Vision Manager |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 12403560 |
| IRS990/CYOtherExpensesAmt | 0 | 832165374 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 880190455 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 14268530 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 46160111 |
| IRS990/CYTotalExpensesAmt | 0 | 878325485 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 892594015 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 3043710 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3043710 |
| IRS990/Desc | 0 | Cook Children's Health Plan (CCHP) Cook Children's Health Plan provides health care coverage to a vulnerable population that may not otherwise be able to access or afford care - low-income families who qualify for Medicaid and the Children's Health Insurance Program (CHIP). Members enrolled in CCHP are assured timely access to necessary medical care, including preventive services such as well-child visits, immunizations and prenatal/postpartum care. Cook Children's Health Plan's role is to manage and, in conjunction with Cook Children's and other network providers, deliver care to its members. Since it was established in 1999, the organization has successfully grown to a substantial operation, currently covering more than 120,000 members, primarily comprised of children and expectant and postpartum mothers. In addition to the nearly 2,900 providers in the Cook Children's Physician Network, members have access to approximately 1,400 additional primary care physicians, 240 OB-Gyns, 2,300 specialists, 680 behavioral health providers, and numerous hospitals, surgery centers and a variety of urgent care and clinic locations. This comprehensive network ensures access to quality health care providers for all CCHP members. Although Cook Children's Medical Center does not provide maternity services, pregnant members are closely cared for and monitored to avoid complications and premature deliveries. Texas expanded Medicaid coverage to 12 months postpartum in 2024 enabling CCHP to monitor and assist these members for a longer period of time. Cook Children's Medical Center is often the hospital of choice for members' newborns who require neonatal intensive care. Medicaid Renewal After spending much of 2023 preparing its renewal application for its Medicaid and CHIP contract with the State of Texas, CCHP learned in March 2024 that the Texas Health and Human Services Commission (HHSC) intended to exclude CCHP and two additional large pediatric hospital-based health plans from the new Medicaid and CHIP Managed Care Contracts. The state's decision, the result of a flawed process, ignored Cook Children's 20+ year track record of success in administering these programs to local families. In response, Cook Children's formally protested that the scoring process lacked transparency, ignored legislatively mandated considerations and preferences, and put non-profit community plans at an unfair disadvantage. In June 2024, Cook Children's filed a lawsuit to stop HHSC from finalizing its procurement results. A webpage called Save Cook Children's Health Plan was created to keep CCHP members, network providers and the general public informed about the plight of member families who faced the prospect of starting over with new physicians, providers and therapists if CCHP were no longer available to them. A series of articles featured families worried about losing the relationships with their medical teams. In the midst of uncertainty CCHP worked to reassure its members that their coverage remains active until a final decision is made, they may continue seeing their current physicians and providers, and that their child's health is top priority. A Travis County court in October 2024 granted a temporary injunction preventing HHSC from awarding or implementing any new contracts for the Medicaid and CHIP managed care programs. HHSC has since agreed to postpone moving forward with the new awards until after the 89th Texas Legislature has had the opportunity to address the situation in Spring 2025. Collaboration and Prevention Partnership is key to CCHP's mission to help members achieve their optimal health. The Health Plan collaborates with numerous community agencies to address members' non-medical drivers of health. Food insecurity has become an increasing barrier to optimal health among CCHP's members. During FY24, CCHP screened 1,258 unique families of which 341 (27%) screened positive for food insecurity. Eligible CCHP families received Tangelo, a food be |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 381 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 855523819 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 160456 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 160456 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 49932 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 49932 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 26723 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 26723 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 11897207 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 11897207 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 295455 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 10269600 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 10565055 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 129410 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 129410 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 41.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 37.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 23755 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 37004 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 30115 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 49313 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 16828 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 118126 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 21095 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 53157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 550074 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 175382 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 37741 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 86774 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 64158 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 38087 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 43357 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 34492 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 15165 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 33283 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Julee S Morrow MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Rick Sorenson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Angela N Cabarcas MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Hadley Woerner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Jerry R Conatser |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Kathryn M King MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Michael R Pavell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Paul S Thornton MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Rachel R Werner |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Ryan B Dickerson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Sandy Varghese MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Thomas Breckinridge Ray |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Karen Love |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Mary Cara Martz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Richard Lee |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Rick W Merrill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Stephen W Kimmel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Crystal O'Reilly |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Kimberly Aaron |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Sherry Vetter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Catherine Nicholas MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Glen Lemmons |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Kathleen Roman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Robert Burright |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Timothy Fancher |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 353027 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 839131 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 391403 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 137772 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 146122 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 205327 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 496090 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 428649 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 310276 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 235235 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 222124 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 234826 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 236527 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 340621 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 295522 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 444242 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 258412 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 183907 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 2617671 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1071558 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Trustee - Vice Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Trustee - Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee END 5/31/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | AVP, Finance and CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | AVP, Quality & Care Mgmt |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP Clinic Affairs |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | COO, CCHP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Director, Start Kids Care Mgmt |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Regulatory Compliance Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Director, Clinical Effective |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Director Clin Pharmacy Pgm |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -782018 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 35825334 |
| IRS990/GrossReceiptsAmt | 0 | 929201367 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 100 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 110312 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1966977 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2077289 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 13185578 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 13185578 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 112248151 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 146501592 |
| IRS990/IRPDocumentCnt | 0 | 17 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 12593906 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3411709 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 367999 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 12961905 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 36607352 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 209761432 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 181132522 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -782018 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -782018 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 7102560 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 209761432 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 181132522 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1010510 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1010510 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 113903 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1568835 |
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