2023-08-15T14:49:58-05:00 2022-09-30 FORVIS LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2021-10-01 760585240 Cook Children's Health Plan % CORY RHOADES COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY R RHOADES CFO, SVP FINANCE 6828854000 2023-08-15 true CORY R RHOADES 999009999 michael j engle P00482834 9727028262 2 2021 2023-04-26 12:10:37Z KAREN LOVE 801 SEVENTH AVE FORT WORTH TX 76104 885605897 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 7 366 7 0 0 22500 2500 710732719 854550174 1426040 3311672 0 0 712181259 857864346 0 0 0 0 36057983 37373206 0 0 0 632620768 802947821 668678751 840321027 43502508 17543319 294581400 451986963 129766937 277879430 164814463 174107533 X 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 816427677 854550174 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). Children 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 170,000 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. Effective Health Management: In FY22, in response to a growing community need for behavioral health care and the management of these services, CCHP brought this previously outsourced service in house. The move fully integrates CCHP's approach to the physical and behavioral health of its members and improves care coordination. Provider contracting, utilization management, care management and claims payment are now managed by an in-house Behavioral Health Director and behavioral-health-trained staff. When Applied Behavioral Analysis (ABA) became a Medicaid-covered service in February 2022, CCHP recruited, credentialed and contracted with ABA providers so that members have access to this therapy. This opened the door for Cook Children's Child Study Center to serve Medicaid patients as a now-covered provider within the CCHP network when it previously was not. This fiscal year, managing transportation to medical appointments became more convenient for CCHP members through the insourcing of Medicaid's Non-Emergency Medical Transportation (NEMT) benefit. This benefit covers mileage reimbursement, bus tokens, specially trained car/van drivers and other travel costs when members need to travel out of the area for care. Until June 2021, the State managed this benefit on behalf of all Medicaid enrollees across Texas. Now, managed care organizations provide this benefit for their enrollees, allowing them to better serve their members. Cook Children's Health Plan and several other managed care organizations partnered with Access2Care for program administration. In FY22, CCHP covered 13,000 completed trips for its members utilizing the NEMT benefit. Collaboration and Prevention: Collaboration with providers and community based organizations is key to CCHP's success in helping members achieve optimal health. CCHP actively collaborates with therapy providers, private duty nursing agencies, pharmacies and home health agencies to facilitate access to these services and enhance the quality of care provided. For example, knowing that high-risk children such as those born prematurely are especially susceptible to hospitalization due to respiratory syncytial virus (RSV), CCHP collaborates with specialty pharmacies and physicians to ensure infants at risk for complications from RSV have the preventive medication Synagis for timely administration in hopes of avoiding a hospital stay. In 2022, Cook Children's Center for Children's Health (C4CH) and CCHP joined forces to create a shared position-Community Liaison Coordinator-to interface with community based organizations on joint initiatives and community events. The result is shared participation in many events focused on serving and providing resources to families in need. In addition, C4CH and CCHP, together with The Tarrant Area Food Bank and The Botanical Research Institute of Texas, formed the Convening for Children's Well-Being Collaborative. This collaborative is composed of 16 community based organizations that have come together to sponsor or host events and activities to help families address food insecurity and other important issues. 816427677 true false false true false 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 22 0 true 366 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 X RICK W MERRILL CEO 2.0 38.0 X 96313 2311519 255556 STEPHEN W KIMMEL Treasurer 4.0 36.0 X 114694 927975 162506 Karen Love President 40.0 0.0 X 698805 0 117899 Kimberly Aaron VP Clinic Affairs 40.0 0.0 X 454752 0 89055 Paul S Thornton MD Trustee 1.0 39.0 X 0 441454 49430 SHERRY VETTER Chief Operating Officer CCHP 40.0 0.0 X 423897 0 55329 Kevin D Wylie DO Trustee End: 05/22 1.0 39.0 X 0 328100 47997 SAIDEEPA MURALI MD Trustee End: 05/22 1.0 39.0 X 0 305676 50778 Richard Lee AVP, Finance & CFO 40.0 0.0 X 313474 0 24137 JULEE S MORROW MD Trustee - Vice Chairman 2.0 43.0 X X 0 295402 17578 Angela N Cabarcas MD Trustee 1.0 39.0 X 0 276523 27167 Catherine Nicholas MD Medical Director 40.0 0.0 X 248075 0 39061 Kathryn M King MD Trustee Start: 06/22 1.0 39.0 X 0 237860 35629 TIMOTHY FANCHER Director Clin Pharmacy Prog 40.0 0.0 X 211003 0 35862 Glen Lemmons DIRECTOR, START KIDS CARE MGMT 40.0 0.0 X 193773 0 52653 Sandy Varghese MD Trustee Start: 06/22 1.0 39.0 X 0 228465 8405 CRYSTAL O'REILLY AVP, Quality & Care Mgmt 40.0 0.0 X 184895 0 49512 ROBERT BURRIGHT Director - Clinical Effective 40.0 0.0 X 200942 0 18459 Kathleen Roman REGULATORY COMPLIANCE DIRECTOR 40.0 0.0 X 175666 0 37620 Mary Cara Martz Secretary 1.0 40.0 X 0 169553 23484 Jerry R Conatser Trustee 1.0 6.0 X 0 0 0 RYAN B DICKERSON Trustee 1.0 2.0 X 0 0 0 Jay L Fierke MD Trustee End: 05/22 1.0 1.0 X 0 0 0 Michael R Pavell Trustee 1.0 1.0 X 0 0 0 Andrew J Rosell Trustee - Chairman 2.0 2.0 X X 0 0 0 RICK SORENSON Trustee 1.0 3.0 X 0 0 0 Rachel R Werner Trustee 1.0 1.0 X 0 0 0 Hadley Woerner Trustee Start: 06/22 1.0 1.0 X 0 0 0 3316289 5522527 1198117 55 false true false BEACON HEALTH STRATEGIES 200 STATE STREET SUITE 302 BOSTON MA 02109 BEHAV. HEALTH MGR 5753196 NAVITUS HEALTH SOLUTIONS 5 INNOVATION COURT APPLETON WI 54914 PHARMACY BENEFIT MGR 3303410 HEALTH MANAGEMENT SYSTEMS PO BOX 166409 IRVING TX 75016 SOFTWARE SERVICES 2394799 JOHN SONS PRESS 3300 SOUTH FREEWAY FORT WORTH TX 76110 PRINTING 1096945 NATIONAL VISION ADMINISTRATORS 1200 ROUTE 46 WEST CLIFTON NJ 07013 VISION MGR 712565 22 2500 2500 CAPITATION REVENUE 900099 854550174 854550174 854550174 3135768 3135768 0 0 0 0 0 27917455 27741551 175904 175904 175904 0 0 0 0 0 0 0 0 0 0 857864346 854550174 3311672 0 0 0 0 2804293 1260250 1544043 0 25997977 23181912 2816065 1370058 1095941 274117 5255473 4737018 518455 1945405 1759161 186244 11957369 11957369 68134 68134 222793 222793 22478 22478 0 106427 106427 16188898 15186398 1002500 607092 601392 5700 1394648 1267364 127284 0 0 1255120 1255120 20897 10491 10406 0 53186 26226 26960 0 0 3164482 3164482 96085 96085 MEDICAL CLAIMS 748439680 748439680 PREMIUM & MAINTENANCE TAX 16885259 16885259 FEES & FINANCING 1293721 1275591 18130 ADMINISTRATION 700994 700994 470558 470558 840321027 816427677 23893350 0 0 0 173841339 309414996 0 0 19798923 24596870 0 0 0 0 0 0 0 0 2695668 305473 13470771 6824669 9052771 6646102 86687505 110085661 0 0 0 0 0 0 2505194 937861 294581400 451986963 53238493 108570946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76528444 169308484 129766937 277879430 X 164814463 174107533 0 0 164814463 174107533 294581400 451986963 17543319 -8250249 X false true X true false X 0 0 0 22500 2500 25000 546078798 564545910 627358834 710732719 854550174 3303266435 0 0 0 546078798 564545910 627358834 710755219 854552674 3303291435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3303291435 1831304 3233378 1695216 1128289 3135768 11023955 0 1831304 3233378 1695216 1128289 3135768 11023955 3507 9905 19176 32588 0 547913609 567789193 629073226 711883508 857688442 3314347978 0.99666 0.99696 0.00333 0.00303 X false false false false false false false false true 22478 22478 false SCHEDULE C, PART II-B, LINE 1I GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: 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. 0 0 0 12767957 6824669 5943288 702814 0 702814 6646102 0 IBNR 152865800 INTERCOMPANY PAYABLES 15467990 LEASE OBLIGATIONS 974694 169308484 949102062 -8250249 -8250249 957352311 106427 -99594392 -99487965 857864346 939808992 99594392 99594392 840214600 106427 106427 840321027 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990: PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) $(99,594,392) SCHEDULE D PART XII, LINE 2D RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO FORM 990: PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) $99,594,392 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. X false true false true false false false false false false false Kimberly Aaron VP Clinic Affairs 341950 0 106316 0 6486 0 58353 0 30702 0 543807 0 0 0 ROBERT BURRIGHT Director - Clinical Effective 166356 0 24341 0 10245 0 8086 0 10373 0 219401 0 0 0 TIMOTHY FANCHER Director Clin Pharmacy Prog 177824 0 26145 0 7034 0 11897 0 23965 0 246865 0 0 0 Angela N Cabarcas MD Trustee 0 222824 0 46559 0 7140 0 11040 0 16127 0 303690 0 0 STEPHEN W KIMMEL Treasurer 69112 559178 32839 265698 12743 103099 14454 116948 3421 27683 132569 1072606 0 82928 Kathryn M King MD Trustee Start: 06/22 0 210996 0 21709 0 5155 0 5205 0 30424 0 273489 0 0 Richard Lee AVP, Finance & CFO 243546 0 53895 0 16033 0 7202 0 16935 0 337611 0 0 0 Glen Lemmons DIRECTOR, START KIDS CARE MGMT 159873 0 25035 0 8865 0 15215 0 37438 0 246426 0 0 0 Karen Love President 466227 0 199983 0 32595 0 86730 0 31169 0 816704 0 5733 0 Mary Cara Martz Secretary 0 131942 0 31642 0 5969 0 7810 0 15674 0 193037 0 0 RICK W MERRILL CEO 51084 1226020 29567 709616 15662 375883 8710 209040 1512 36294 106535 2556853 0 0 JULEE S MORROW MD Trustee - Vice Chairman 0 270899 0 1000 0 23503 0 0 0 17578 0 312980 0 0 SAIDEEPA MURALI MD Trustee End: 05/22 0 275115 0 25170 0 5391 0 16041 0 34737 0 356454 0 0 Catherine Nicholas MD Medical Director 239625 0 1000 0 7450 0 15675 0 23386 0 287136 0 0 0 CRYSTAL O'REILLY AVP, Quality & Care Mgmt 132522 0 42833 0 9540 0 12165 0 37347 0 234407 0 0 0 Kathleen Roman REGULATORY COMPLIANCE DIRECTOR 148472 0 22283 0 4911 0 13434 0 24186 0 213286 0 0 0 Paul S Thornton MD Trustee 0 424578 0 1000 0 15876 0 21750 0 27680 0 490884 0 0 Sandy Varghese MD Trustee Start: 06/22 0 186314 0 35100 0 7051 0 7936 0 469 0 236870 0 0 SHERRY VETTER Chief Operating Officer CCHP 299126 0 90434 0 34337 0 42673 0 12656 0 479226 0 0 0 Kevin D Wylie DO Trustee End: 05/22 0 315732 0 1000 0 11368 0 21607 0 26390 0 376097 0 0 SCHEDULE J, PART I, LINE 1A & 1B GENERAL GROSS UP PAYMENTS DISCLOSURE: 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. GROSS UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: ROBERT J BURRIGHT Paul Thornton, M.D. Sandy Varghese, M.D. Angela Cabarcas, M.D. Kathryn King, M.D. Julee Morrow, M.D. Saideepa Murali, M.D. Kathleen Roman Sherry Vetter Kevin Wylie, M.D. SCHEDULE J, PART I, Line 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------------- --------- ---------- -------- STEPHEN W. KIMMEL 82,928 113,277 SYSTEM KAREN LOVE 5,733 75,323 CCHP Rick W. Merrill NONE 196,000 SYSTEM KIMBERLY AARON NONE 36,603 CCHP SHERRY VETTER NONE 31,073 CCHP SCHEDULE J, PART II ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND TREASURER 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 CHILD STUDY CENTER SCHEDULE J, PART I, LINE 3 METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: VARIOUS OFFICERS AND TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT OR BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM. Peter Philpott and Cara Martz have a business relationship. FORM 990, PART VI, SECTION A, LINE 6 SOLE MEMBER: COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBER ELECTION ABILITIES: 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, SECTION A, LINE 7B MEMBER DECISION ABILITIES: 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, SECTION B, LINE 11B REVIEW PROCESS FOR FORM 990: 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, SECTION B, LINE 12C WRITTEN 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, SECTION B, LINE 15A & 15B REVIEW AND APPROVAL OF COMPENSATION: Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation, which includes the organization's CEO and 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 retained Sullivan Cotter and Associates, Inc. in 2022 to issue a reasonableness opinion covering the physician compensation plan for Cook Children's Physician Network. FORM 990, PART VI, SECTION C, LINE 19 PROCESS OF MAKING GOVERNING 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 SECRETARY OF STATE OF TEXAS. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEB SITE. 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