2019-08-12T21:32:28-05:00 2018-09-30 BKD LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2017-10-01 760585240 COOK CHILDREN'S HEALTH PLAN % CORY RHOADES COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 CORY RHOADES SVP FINANCE 2019-08-15 true Amanda Maya P01067777 7134994600 167.68.126.162 76915820192245000015 2019-08-12 P 9CE27632F8A31BDEDC66663DBA4FDD4224869B4E 40A118951004ACB7D6FC4F8785F06E4FCB5438C7 2017 2019-02-21 02:37:17Z KAREN LOVE 801 SEVENTH AVENUE FORT WORTH TX 76104 570542713 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 THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. 12 7 309 7 5008 59409 0 0 483963527 546078798 813422 1466157 0 0 484776949 547544955 0 0 0 0 23761602 28498817 0 0 0 469846132 514008609 493607734 542507426 -8830785 5037529 131753364 151770418 54742474 70516524 77010890 81253894 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 525599473 546078798 COOK CHILDREN'S HEALTH PLAN PROVIDES HEALTH CARE TO A SPECIAL POPULATION THAT MAY NOT OTHERWISE BE ABLE TO ACCESS OR AFFORD CARE, LOW-INCOME FAMILIES WHO QUALIFY FOR GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID (STAR) AND THE CHILDREN'S HEALTH PLAN (CHIP). CHILDREN ENROLLED IN COOK CHILDREN'S HEALTH PLAN ARE ASSURED TIMELY ACCESS TO NECESSARY MEDICAL CARE, INCLUDING PREVENTIVE SERVICES SUCH AS WELL-CHILD VISITS AND IMMUNIZATIONS. COOK CHILDREN'S HEALTH PLAN'S ROLE IS TO FINANCE, MANAGE AND, IN CONJUNCTION WITH THE ENTIRE COOK CHILDREN'S HEALTH CARE SYSTEM, DELIVER CARE TO THESE MEMBERS OF THE COMMUNITY. SINCE IT WAS ESTABLISHED THE ORGANIZATION HAS SUCCESSFULLY GROWN TO A SUBSTANTIAL OPERATION, WITH 140,000 SUBSCRIBERS PRIMARILY REPRESENTING CHILDREN AND EXPECTANT MOTHERS. IN ADDITION TO THE NEARLY 700 PHYSICIANS IN THE COOK CHILDREN'S PHYSICIAN NETWORK, PATIENTS HAVE ACCESS TO AN ADDITIONAL 900 PRIMARY CARE PHYSICIANS (INCLUDING 266 OB-GYNS), 3,322 SPECIALISTS, 58 HOSPITALS, SURGERY CENTERS AND A VARIETY OF URGENT CARE AND CLINIC LOCATIONS. THIS COMPREHENSIVE COVERAGE ENSURES ACCESS FOR EVERY CHILD IN NEED OF HEALTH CARE. THE VIGOROUS AND EFFECTIVE DISEASE MANAGEMENT PROGRAM IN PLACE FOR MEMBERS WITH CHRONIC CONDITIONS, SUCH AS ASTHMA AND DIABETES, HELPS PREVENT UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS. ALTHOUGH COOK CHILDREN'S DOES NOT DELIVER BABIES, MOTHERS ARE CLOSELY CARED FOR AND MONITORED TO AVOID COMPLICATIONS AND PREMATURE DELIVERIES; WHILE COOK CHILDREN'S MEDICAL CENTER IS OFTEN THE HOSPITAL OF CHOICE FOR INFANTS WHO REQUIRE NEONATAL INTENSIVE CARE. COOK CHILDREN'S HEALTH PLAN WORKS WITH MULTILINGUAL CASE WORKERS AND TRANSLATORS IN THE HEALTH LITERACY PROGRAM WHO EXPLAIN MEDICAL INFORMATION, TREATMENT GUIDELINES AND PRESCRIPTION MEDICATION DIRECTIONS. CARING STAFF MEMBERS ARE AVAILABLE TO TRANSLATE, ANSWER QUESTIONS, RESOLVE ISSUES, PROVIDE NEEDED EDUCATION AND SIMPLY LEND A COMPASSIONATE EAR OR LISTEN TO A DISTRAUGHT PARENT. EFFECTIVE COMMUNICATION WITH THE COMMUNITIES IT SERVES IS ONE OF COOK CHILDREN'S HEALTH PLAN'S STRENGTHS. FULL-TIME OUTREACH STAFF VISIT FAMILIES, SCHOOL NURSES, CHURCHES, AND OTHER FAITH AND/OR CULTURAL ORGANIZATIONS TO SHARE INFORMATION ABOUT MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAMS IN WHICH COOK CHILDREN'S HEALTH PLAN PARTICIPATES. THEY SEEK OUT THOSE WHO NEED HELP FINDING THE RIGHT SERVICES AND ASSIST THOSE WHO QUALIFY TO APPLY FOR GOVERNMENT-FUNDED HEALTH INSURANCE PROGRAMS DELIVERED BY COOK CHILDREN'S HEALTH PLAN. 525599473 true false false true false false false false false false true false false true 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 21 0 true 309 true true true false false false false false false false false false false X 12 7 false false false false true true true true true false false true true true true true true true true false X CORY RHOADES 6828854000 801 SEVENTH AVE FORT WORTH TX 76104 X CATHERINE NICHOLAS MD TRUSTEE 1.0 40.0 X 0 234655 26894 BRIAN D BARNARD TRUSTEE-CHAIRMAN 2.0 2.0 X X 0 0 0 JERRY R CONATSER TRUSTEE 1.0 7.0 X 0 0 0 JAY L FIERKE MD TRUSTEE 1.0 1.0 X 0 0 0 JAMES MARSHALL MD TRUSTEE 1.0 40.0 X 0 600034 44782 JULEE MORROW MD TRUSTEE-VICE CHAIRMAN 2.0 41.0 X X 0 426776 44086 TODD N RITTERBUSCH TRUSTEE 1.0 1.0 X 0 0 0 ANDREW ROSELL TRUSTEE 1.0 2.0 X 0 0 0 PETER PHILPOTT TRUSTEE 1.0 4.0 X 0 0 0 RICK SORENSON TRUSTEE 1.0 1.0 X 0 0 0 PAUL S THORNTON MD TRUSTEE 1.0 40.0 X 0 471473 37267 KEVIN D WYLIE DO TRUSTEE 1.0 40.0 X 0 271302 49070 SAIDEEPA MURALI MD TRUSTEE 1.0 40.0 X 0 246275 41464 BOB WATKINS PRESIDENT THRU 8/3/18 40.0 0.0 X 544944 0 36352 ROB L AUBREY AVP-FINANCE & CFO 40.0 0.0 X 246462 0 20444 STEPHEN W KIMMEL TREASURER 4.0 36.0 X 93229 754309 104515 CARA MARTZ SECRETARY 1.0 39.0 X 0 140312 22833 RICK W MERRILL CEO 2.0 38.0 X 96848 2324355 216152 KIMBERLY AARON MD VP, CLINICAL AFFAIRS 40.0 0.0 X 401423 0 44001 SCOTT ALBOSTA CHIEF OPERATING OFFICER 40.0 0.0 X 331155 0 34924 JANICE SCOTT INTERIM PRESIDENT 40.0 0.0 X 0 0 0 LINDA FARRAR DIRECTOR - CLAIMS 40.0 0.0 X 182721 0 19829 SANDRA FLINN DIRECTOR-STRATEGIC CLIN OPS 40.0 0.0 X 186520 0 10349 BRENDA GARSKE DIRECTOR - FINANCE THRU 8/3/18 40.0 0.0 X 177641 0 13551 TERESA HERBERT DIRECTOR, NETWORK & CMTY MGMT 40.0 0.0 X 170264 0 12417 TIMOTHY MUIRHEID DIRECTOR, HEALTH PLAN ANALYTIC 40.0 0.0 X 150515 22266 41050 2581722 5491757 819980 14 false true false BEACON HEALTH STRATEGIES 200 STATE STREET SUITE 302 BOSTON MA 02109 BEHAVIORAL HLTH MGR 4275448 NAVITUS HEALTH SOLUTIONS 5 INNOVATION COURT APPLETON WI 54914 PHARMACY BENEFIT MGR 2626652 ACCENTCARE HEALTH MANAGEMENT 17855 N DALLAS PARKWAY SUITE 200 DALLAS TX 75287 ASSESSMENT SERVICES 3274175 DST HEALTH SOLUTIONS 13804 COLLECTION CENTER DRIVE CHICAGO IL 606931038 CLAIMS PROCESSING 1864444 Health Management Systems PO Box 166409 IRVING TX 75016 Software Services 1865719 19 0 CAPITATION REVENUE 900099 546078798 546078798 546078798 1836312 5008 1831304 0 0 0 0 0 22627603 22997758 -370155 -370155 -370155 0 0 0 0 0 0 0 0 0 0 547544955 546078798 5008 1461149 0 0 0 0 2276444 2276444 0 19493672 17367433 2126239 0 6728701 5739954 988747 0 5856045 5856045 9474 9474 96102 32863 63239 99953 99953 0 54304 54304 17250921 13665850 3585071 49606 29606 20000 1144352 944759 199593 0 0 690324 690324 279839 238806 41033 0 53520 41283 12237 0 0 1616902 1026738 590164 80044 80044 CONTRACT CLAIMS PAID 469371084 469371084 PREMIUM & MAINTENANCE TAX 9650556 9650556 REINSURANCE EXPENSE 4916259 4916259 LIQUIDATED DAMAGES 738632 618632 120000 2050692 1855697 194995 542507426 525599473 16907953 0 0 0 63189528 85053092 0 0 0 0 0 0 0 0 0 0 0 0 2788920 3318279 4789569 3231655 3174815 1557914 50109038 48160201 0 0 0 0 0 0 12491063 13680932 131753364 151770418 13142305 14750847 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41600169 55765677 54742474 70516524 X 77010890 81253894 0 0 0 0 77010890 81253894 131753364 151770418 5037529 -794525 X false true X true false X 0 0 0 0 0 0 284102021 306672032 317419248 483963527 546078798 1938235626 0 0 0 284102021 306672032 317419248 483963527 546078798 1938235626 0 0 0 1938235626 166569 656074 1078912 1037216 1836312 4775083 0 166569 656074 1078912 1037216 1836312 4775083 0 0 284268590 307328106 318498160 485000743 547915110 1943010709 0.99754 0.99814 0.00246 0.00186 X false false false false false true 99953 false false false 99953 false PART II-B, LINE 1F 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. 146938 120222 26716 4642631 3111433 1531198 0 0 0 1557914 A/R REINSURANCE RECOUPMENT 1247140 INTERCOMPANY RECEIVABLES 4514569 A/R OTHER MISCELLANEOUS 2470992 DSP RECEIVABLE 2908787 INVESTMENT INCOME RECEIVABLE 269449 A/R PREMIUMS 2269995 13680932 0 IBNR - CHIP 2572852 IBNR - STAR 27677740 IBNR - STAR KIDS 20883870 IBNR - UHRIP 4631215 55765677 546690380 -794525 -5746 -800271 547490651 54304 54304 547544955 542447376 -5746 -5746 542453122 54304 54304 542507426 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE FINANCIAL STATEMENTS TO FORM 990: PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) $ (5,746) SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES FINANCIAL STATEMENTS TO FORM 990: PROFIT SHARE (EXPENSE NETTED AGAINST REVENUE) $ (5,746) X X false true false true false false false false false false false CATHERINE NICHOLAS MD TRUSTEE 0 173756 0 52611 0 8288 0 10334 0 16560 0 261549 0 0 BOB WATKINS PRESIDENT THRU 8/3/18 352310 0 133383 0 59251 0 16875 0 19477 0 581296 0 18000 0 JAMES MARSHALL MD TRUSTEE 0 498249 0 93764 0 8021 0 20250 0 24532 0 644816 0 0 JULEE MORROW MD TRUSTEE-VICE CHAIRMAN 0 415843 0 0 0 10933 0 17000 0 27086 0 470862 0 0 ROB L AUBREY AVP-FINANCE & CFO 194824 0 45578 0 6060 0 7327 0 13117 0 266906 0 0 0 STEPHEN W KIMMEL TREASURER 57234 463070 30913 250118 5082 41121 8760 70877 2736 22142 104725 847328 1980 16020 CARA MARTZ SECRETARY 0 100505 0 34068 0 5739 0 7222 0 15611 0 163145 0 0 RICK W MERRILL CEO 42505 1020126 19183 460393 35160 843836 7669 184061 977 23445 105494 2531861 32400 777600 KIMBERLY AARON MD VP, CLINICAL AFFAIRS 302527 0 95578 0 3318 0 20250 0 23751 0 445424 0 0 0 LINDA FARRAR DIRECTOR - CLAIMS 144408 0 34753 0 3560 0 9904 0 9925 0 202550 0 0 0 SANDRA FLINN DIRECTOR-STRATEGIC CLIN OPS 141591 0 35530 0 9399 0 0 0 10349 0 196869 0 0 0 SCOTT ALBOSTA CHIEF OPERATING OFFICER 247810 0 79768 0 3577 0 10800 0 24124 0 366079 0 0 0 PAUL S THORNTON MD TRUSTEE 0 455192 0 0 0 16281 0 20250 0 17017 0 508740 0 0 KEVIN D WYLIE DO TRUSTEE 0 240069 0 23581 0 7652 0 19945 0 29125 0 320372 0 0 BRENDA GARSKE DIRECTOR - FINANCE THRU 8/3/18 139252 0 33859 0 4530 0 0 0 13551 0 191192 0 0 0 TERESA HERBERT DIRECTOR, NETWORK & CMTY MGMT 133784 0 31371 0 5109 0 2799 0 9618 0 182681 0 0 0 TIMOTHY MUIRHEID DIRECTOR, HEALTH PLAN ANALYTIC 128913 16355 19651 0 1951 5911 11616 1719 24124 3591 186255 27576 0 0 SAIDEEPA MURALI MD TRUSTEE 0 219599 0 22458 0 4218 0 9538 0 31926 0 287739 0 0 SCHEDULE J, PART I, LINE 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 TYPE 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. CY 2017 GENERAL GROSS UP AMOUNTS TIMOTHY MUIRHEID $ 25 TERESA HERBERT $ 38 ROBBIE AUBREY $ 263 CY 2017 CME GROSS UP AMOUNTS SAIDEEPA MURALI, MD $3,000 JAMES D. MARSHALL, MD $4,550 JULEE MORROW, MD $5,000 CATHERINE NICHOLAS $6,500 PAUL S. THORNTON, MD $6,500 KEVIN WYLIE $4,084 CME GROSS UPS PAYMENTS DISCLOSURE IN ADDITION TO THE GIFT CARD AND INCENTIVE BONUSES DESCRIBED ABOVE, THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FOR CONTINUING MEDICAL EDUCATION ALLOWANCES PAID TO EMPLOYED PHYSICIANS OF COOK CHILDREN'S PHYSICIAN NETWORK. THESE TYPE OF EXPENSES ARE USUALLY HANDLED AS NON-TAXABLE ACCOUNTABLE PLAN BUSINESS EXPENSES UNDER THE INTERNAL REVENUE CODE, BUT THE COMPANY HAS ELECTED TO TREAT THESE PAYMENTS AND THE GROSS-UP PAYMENTS AS TAXABLE INCOME TO THE AFFECTED INDIVIDUALS. THESE PAYMENTS ARE APPROVED IN ADVANCE BY SENIOR MANAGEMENT AND REVIEWED BY THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. FURTHER, THESE EXPENSES ARE INCLUDED IN THE BENEFITS CALCULATION FOR SUCH PHYSICIANS WHICH ARE REVIEWED BY THE COMPANY'S COMPENSATION COMMITTEE TO VERIFY THAT SUCH PAYMENTS ARE PAID AT FAIR MARKET VALUE AND COMMERCIALLY REASONABLE. CHARTER TRAVEL PROVIDED TO PAUL S. THORNTON, MD FOR TRAVEL TO PERFORM PHYSICIAN DUTIES FOR COOK CHILDREN'S PHYSICIAN NETWORK. SCHEDULE J, PART I, QUESTION 3 METHOD 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 SCHEDULE J, PART I, QUESTION 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------------- --------- ---------- --------- RICK W. MERRILL 828,000 174,855 CCHS STEPHEN KIMMEL 18,000 68,837 CCHS BOB WATKINS 18,000 NONE CCHP PAUL S THORNTON, MD NONE NONE CCPN SCHEDULE J, PART II ALLOCATION OF CEO AND CFO SALARIES SALARIES FOR THE CEO AND CFO 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 FORM 990 PART VI, SECTION A, QUESTION 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, QUESTION 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, QUESTION 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, QUESTION 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 PRESENTED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO 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, QUESTION 12C WRITTEN CONFLICT OF INTEREST POLICY: EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM ("SYSTEM") SENDS OUT A 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 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. 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 HOT-LINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. FORM 990 PART VI, SECTION B, QUESTION 15A & 15B REVIEW AND APPROVAL OF COMPENSATION: COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A 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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION BOTH WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. 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, SECTION C, QUESTION 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") WEBSITE. COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 SUPPORT TX 501(C)(3) 12C CCHF false COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 PHYSICIAN SVC TX 501(C)(3) 3 CCHCS true WI COOK FOUNDATION 801 SEVENTH AVE FORT WORTH TX 76104 752051649 FUNDRAISING TX 501(C)(3) 7 NA false COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 HOSPITAL TX 501(C)(3) 3 CCHCS true COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FORT WORTH TX 76104 752896983 HEALTHCARE TX 501(C)(3) 10 CCHCS true ROSEDALE OFFICE BUILDING INC 1500 W ROSEDALE FT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHF false CHILD STUDY CENTER 1300 WEST LANCASTER FORT WORTH TX 76102 751099536 HLTHCARE SRVC TX 501(C)(3) 7 CCMC true COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION 0 0 true false false false false false false false false false false true false false false true true true true false COOK CHILDREN'S MEDICAL CENTER R 104231430 FMV COOK CHILDREN'S MEDICAL CENTER P 73253 FMV COOK CHILDREN'S PHYSICIAN NETWORK R 18553408 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 1364999 FMV COOK CHILDREN'S HOME HEALTH R 17154358 FMV