2024-08-14T09:25:36+00:00 2023-09-30 440160260 FORVIS MAZARS LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2022-10-01 760585240 Cook Children's Health Plan COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 KAREN LOVE PRESIDENT 6828854000 2024-08-14 true MICHAEL J ENGLE P00482834 9727028262 2023-08-15 2022 2024-08-08 14:25:15Z KAREN LOVE 801 SEVENTH AVENUE FORT WORTH TX 76104 961991683 false X WWW.COOKCHP.ORG X 1998 TX 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. 12 7 373 7 0 0 2500 0 854550174 907371285 3311672 13802897 0 0 857864346 921174182 0 0 0 0 37373206 44186852 0 0 0 802947821 843253504 840321027 887440356 17543319 33733826 451986963 460192841 277879430 250431409 174107533 209761432 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. false false 862746173 907371285 Cook Children's Health Plan (CCHP) Cook Children's Health Plan (CCHP) 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 government-sponsored programs such as 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 140,000 members, primarily representing children and expectant 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. Members with chronic conditions such as asthma and diabetes can participate in the plan's vigorous and effective disease management programs, which help prevent unnecessary and costly emergency department visits and hospitalizations, as well as help prevent further deterioration of members' health. 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. Cook Children's Medical Center is often the hospital of choice for members' newborns who require neonatal intensive care. Medicaid Renewal Much of CCHP's focus for 2023 centered around preparing for and responding to the Request For Proposals (RFP) to win renewal of its Medicaid contract with the State of Texas. Completing and submitting the application is a long and arduous process. The Health Plan submitted its completed application in February and made its oral presentation in October. It will be another year before CCPN is notified of renewal. Effective Health Management In response to a growing community need for behavioral health care and case management, CCHP brought this previously outsourced service in-house in 2022. Provider contracting, utilization management, care management and claims payment are now managed by an in-house Behavioral Health Director and behavioral health trained staff. In FY23, CCHP marked the first full year of managing this service, which has led to improved case management and care coordination for the health of the whole person - mind, body and spirit. Collaboration and Prevention Collaboration with providers and community based organizations is key to CCHP's success in helping members achieve optimal health. The Health Plan actively collaborates with therapy providers, private duty nursing agencies, pharmacies, home health agencies and other community resources to enhance the quality of care provided. In 2023, CCHP created its first Community Advisory Committee, formalizing and expanding partnerships with several community-based organizations. This group was particularly active during the "unwinding" of the COVID Public Health Emergency when it came to an end. They were instrumental in getting the word out to Medicaid families about the potential loss of coverage if they did not take the required action when the State began re-certifying members. The Health Plan is actively working to address food insecurity among its members. In 2023, as a value-added service for members, pregnant women whose care is coordinated by CCHP case management, gained access to the health food delivery service Tangelo. These members can get up to five monthly boxes of prepared food or groceries delivered directly to their door by Tangelo. In 2023, CCHP and ACCLAIM, the physician group that staffs JPS, outlined a formal collaboration agreement to enhance the quality and safety of prenatal and postpartum services received by patients of ACCLAIM, particularly CCHP members of color. When ACCLAIM identifies a pregnant CCHP member under the care of one of its physicians who would benefit from additional support, ACCLAIM notifies CCHP so that it can coordinate additional care and resources during pregnancy and after delivery. Transformative Partnership In April 2023, Cook Children's announced a first-of-its-kind partnership with JPS Health Network, the City of Fort Worth and local non-profit organizations to bring critical health care and social services to the traditionally underserved children and families living in Fort Worth's Las Vegas Trail (LVT) area. The future Las Vegas Trail Neighborhood Health Center, located on 3.7 donated acres of land, will be home to various pediatric and adult medical and social services as well as a Fort Worth Police storefront. The two-story, 40,000-square-foot center will open in late 2025. The addition is another step in the vision of city leaders, local nonprofits and health care partners to transform Fort Worth's struggling LVT neighborhood into a safe, healthy community with vital resources that support residents' ability to live, work and play. Approximately 7,500 CCHP members live in the LVT area, making CCHP a key player in service delivery and care coordination at the center. When complete, CCHP staff will be embedded at the center to help members navigate resources, be they offered there or by another provider. For example, for those without internet service that need to attend a telehealth appointment, there will be private space within the center equipped with internet and video where community members can access this service with the help of an on-site CCHP representative. WestAid Food Bank will relocate to the LVT Neighborhood Health Center. In lock-step with this resource and its mission to fight food insecurity, CCHP will provide an on-site nutritionist to help community members gain access to nutritious food and learn how to prepare healthy meals even if their living space does not have a full kitchen. The Health Plan will support plans to offer a workforce training program at the center where residents can learn customer service, phone management and general office skills, to name a few. This job training initiative will give LVT residents employable skills to gain stable, well-paying jobs within the health industry while also building a new pool of qualified candidates for filling staffing needs at Cook Children's and JPS. Working directly with providers from JPS, CCHP will also support the care of pregnant women with parenting classes, maternity support groups and classes for women preparing for childbirth. All of these collaborations and value-added resources provided by CCHP help improve the health and well-being of their members. 862746173 true false false true false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 25 0 true 373 true false false false false false false false false false false true false X 12 7 true false false false true true true true true false false true true true true true true true true false TX X CORY RHOADES 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 Andrew J Rosell Trustee - Chairman END: 5/31/23 2.0 2.0 X X 0 0 0 Julee S Morrow MD Trustee - Vice chairman 2.0 42.0 X X 0 356943 22294 Rick Sorenson Trustee - Chairman 2.0 5.0 X X 0 0 0 Angela N Cabarcas MD Trustee 1.0 40.0 X 0 313320 35295 Hadley Woerner Trustee 1.0 1.0 X 0 0 0 Jerry R Conatser Trustee 1.0 6.0 X 0 0 0 Kathryn M King MD Trustee 1.0 40.0 X 0 273668 37642 Michael R Pavell Trustee 1.0 1.0 X 0 0 0 Paul S Thornton MD Trustee 1.0 40.0 X 0 452251 51891 Rachel R Werner Trustee 1.0 2.0 X 0 0 0 Ryan B Dickerson Trustee 1.0 4.0 X 0 0 0 Sandy Varghese MD Trustee 1.0 40.0 X 0 285936 10499 Thomas Breckinridge Ray Trustee Start: 6/1/23 1.0 2.0 X 0 0 0 Karen Love President 40.0 0 X 775661 0 120708 Mary Cara Martz Secretary 1.0 40.0 X 0 176919 24465 Richard Lee VP, Finance and CFO 40.0 0 X 390791 0 31366 Rick W Merrill CEO 2.0 38.0 X 140153 3363664 182676 Stephen W Kimmel EVP, SYS FINANCE 4.0 38.0 X 120960 978680 170569 Crystal O'Reilly AVP, QUALITY & CARE MGMT 40.0 0 X 192379 0 49840 Kimberly Aaron VP CLINIC AFFAIRS 40.0 0 X 488797 0 97712 Sherry Vetter CHIEF OPERATING OFFICER CCHP 40.0 0 X 425311 0 60916 Catherine Nicholas MD MEDICAL DIRECTOR 40.0 0 X 308812 0 41949 Glen Lemmons DIRECTOR, START KIDS CARE MGMT 40.0 0 X 207402 0 53356 Kathleen Roman REGULATORY COMPLIANCE DIRECTOR 40.0 0 X 193642 0 37116 Robert Burright DIRECTOR - CLINICAL EFFECTIVE 40.0 0 X 207082 0 17033 Timothy Fancher DIRECTOR CLIN PHARMACY PROG 40.0 0 X 224643 0 36663 3675633 6201381 1081990 76 false true false BEACON HEALTH STRATEGIES 200 STATE STREET SUITE 302 BOSTON MA 02109 BEHAVIORAL HEALTH MANAGER 5753196 NAVITUS HEALTH SOLUTIONS 5 INNOVATION COURT APPLETON WI 54914 PHARMACY BENEFIT MANAGER 3303410 HEALTH MANAGEMENT SYSTEMS PO BOX 166409 IRVING TX 75016 SOFTWARE SERVICES 1784885 JOHN SONS PRESS 3300 SOUTH FREEWAY FORT WORTH TX 76110 PRINTING 1243657 CYPRESS HEALTHCARE CONSULTANTS 2929 N CENTRAL EXPRESSWAY SUITE 205 RICHARDSON TX 75080 CONSULTING SERVICES 828442 20 0 Capitation Revenue 900099 907371285 907371285 0 0 0 0 907371285 15086663 15086663 0 0 39533735 40817501 -1283766 0 -1283766 -1283766 0 0 0 0 0 921174182 907371285 0 13802897 2713924 1241598 1472326 30591507 27534708 3056799 1684112 1337610 346502 6904292 6252734 651558 2293017 2085723 207294 13544964 13544964 91079 91079 217726 217726 24784 24784 120601 120601 12066453 11790026 276427 0 860951 860951 1590288 1324047 266241 918867 918867 61521 56677 4844 36701 27943 8758 3254394 3254394 104839 104839 Medical Claims 790882526 790882526 Premium & Maintenance Tax 17688491 17688491 Fees & Financing 722206 676049 46157 Administration 775009 775009 292104 212081 80023 0 887440356 862746173 24694183 0 309414996 317144975 24596870 19762073 0 0 0 305473 5106693 13490772 10079063 6646102 3411709 110085661 112248151 0 0 937861 2519240 451986963 460192841 108570946 240210758 0 169308484 10220651 277879430 250431409 X 174107533 209761432 174107533 209761432 451986963 460192841 33733826 1920073 0 X false true X true false X 0 0 22500 2500 0 25000 564545910 627358834 710732719 854550174 907371285 3664558922 0 0 0 564545910 627358834 710755219 854552674 907371285 3664583922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3664583922 3233378 1695216 1128289 3135768 15086663 24279314 0 3233378 1695216 1128289 3135768 15086663 24279314 9905 19176 0 0 0 29081 0 0 0 0 0 0 567789193 629073226 711883508 857688442 922457948 3688892317 0.9934 0.9967 0.01 0.0033 X false false false false false false false false true 24784 24784 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE LOBBYING EXPENSES OF THIS ORGANIZATION WERE USED TO PARTICIPATE IN CONSORTIUMS THAT SEEK TO INFLUENCE TEXAS LAWMAKERS, THE HEALTH & HUMAN SERVICES COMMISSION, AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES REGARDING MANAGED CARE AND MEDICAID REGULATIONS AND POLICIES. 13470772 10079063 3391709 20000 20000 3411709 0 INTERCOMPANY PAYABLES 10021074 LEASE OBLIGATIONS 199577 10220651 1013610281 1920073 0 1920073 1011690208 120601 -90636627 -90516026 921174182 977956382 90636627 90636627 887319755 120601 0 120601 887440356 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE: 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. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) - -90636627 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) - 90636627 X false true false true false false false false false false false Julee S Morrow MD Trustee - Vice chairman 0 317865 0 8350 0 30728 0 0 0 22294 0 379237 0 0 Angela N Cabarcas MD Trustee 0 256512 0 48876 0 7932 0 11401 0 23894 0 348615 0 0 Kathryn M King MD Trustee 0 238656 0 29067 0 5945 0 5545 0 32097 0 311310 0 0 Paul S Thornton MD Trustee 0 424449 0 11031 0 16771 0 22875 0 29016 0 504142 0 0 Sandy Varghese MD Trustee 0 237012 0 41405 0 7519 0 9252 0 1247 0 296435 0 0 Stephen W Kimmel EVP, SYS FINANCE 73122 591623 32965 266720 14873 120337 15368 124337 3395 27469 139723 1130486 10967 88735 Mary Cara Martz Secretary 0 136752 0 33892 0 6275 0 8274 0 16191 0 201384 0 0 Rick W Merrill CEO 53905 1293712 31394 753459 54854 1316493 5804 139295 1503 36074 147460 3539033 39200 940800 Richard Lee VP, Finance and CFO 259314 0 62693 0 68784 0 16818 0 14548 0 422157 0 0 0 Karen Love President 481866 0 198826 0 94969 0 90274 0 30434 0 896369 0 66794 0 Kimberly Aaron VP CLINIC AFFAIRS 353659 0 129393 0 5745 0 67617 0 30095 0 586509 0 0 0 Crystal O'Reilly AVP, QUALITY & CARE MGMT 144625 0 43941 0 3813 0 12547 0 37293 0 242219 0 0 0 Sherry Vetter CHIEF OPERATING OFFICER CCHP 308134 0 109363 0 7814 0 49925 0 10991 0 486227 0 0 0 Robert Burright DIRECTOR - CLINICAL EFFECTIVE 170618 0 25102 0 11362 0 11496 0 5537 0 224115 0 0 0 Timothy Fancher DIRECTOR CLIN PHARMACY PROG 188378 0 28571 0 7694 0 13965 0 22698 0 261306 0 0 0 Glen Lemmons DIRECTOR, START KIDS CARE MGMT 170859 0 24868 0 11675 0 16167 0 37189 0 260758 0 0 0 Catherine Nicholas MD MEDICAL DIRECTOR 245065 0 55635 0 8112 0 19063 0 22886 0 350761 0 0 0 Kathleen Roman REGULATORY COMPLIANCE DIRECTOR 164443 0 23774 0 5425 0 14634 0 22482 0 230758 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments GROSS UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: ROBERT J BURRIGHT TIMOTHY FANCHER RICHARD LEE GLEN LEMMONS CATHERINE NICHOLAS, MD CRYSTAL O'REILLY KATHLEEN ROMAN Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN SPECIFIC CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPES OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Rick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Kimberly Aaron - Paid by CCHP - $44,742 Deferred, $0 W-2 Richard Lee - Paid by CCHP - $10,923 Deferred, $0 W-2 Karen Love - Paid by CCHP - $78,524 Deferred, $66,794 W-2 Sherry Vetter - Paid by CCHP - $37,726 Deferred, $0 W-2 Schedule J, Part II ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER Form 990, Part VI, Line 2 Family/business relationships amongst interested persons PETER PHILPOTT & CARA MARTZ - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENT 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. Form 990, Part VI, Line 19 Required documents available to the public 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. 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