2016-08-14T22:20:56-05:00 2015-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2014-10-01 752485366 COOK CHILDREN'S PHYSICIAN NETWORK % CORY RHOADES COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 CORY RHOADES VP & CHIEF ACCOUNTING OFFICER 6828854000 2016-08-15 true Amanda Maya P01067777 7134994600 2014 2016-12-15 16:53:06Z W BRITT NELSON MD 801 SEVENTH AVE FORT WORTH TX 76104 250466633 false X WWW.COOKCHILDRENS.ORG X 1992 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. 13 0 1128 5 0 0 52353709 52791690 178040964 197526634 -30871 4200 42501 121344 230406303 250443868 0 3000 0 0 184529652 197720633 0 0 0 46250628 52542093 230780280 250265726 -373977 178142 40529114 35891473 32033467 27217684 8495647 8673789 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 222704401 197647978 COOK CHILDREN'S PHYSICIAN NETWORK (CCPN) IS THE LARGEST PEDIATRIC MULTI-SPECIALTY PHYSICIAN GROUP IN NORTH TEXAS. THE NETWORK INCLUDES MORE THAN 360 PHYSICIANS AND 200 MID-LEVEL PROVIDERS IN ADDITION TO THOUSANDS OF OTHER CARING EMPLOYEES. DURING 2015, THE PROVIDER COUNT GREW BY 36, INCLUDING 20 NET NEW PHYSICIANS AND 17 NET NEW MIDLEVEL PROVIDERS. PATIENT FAMILIES HAVE ACCESS TO THE FOLLOWING SPECIALTIES VIA TELEMEDICINE: CARDIOLOGY, CARE TEAM, ENDOCRINOLOGY, GENETICS/METABOLIC GENETICS, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASES, NEONATOLOGY, NEPHROLOGY, NEUROLOGY, NEUROPSYCHOLOGY, PEDIATRIC INTENSIVISTS, PSYCHOLOGY AND RHEUMATOLOGY. THESE SPECIALISTS HOSTED 1,423 VISITS VIA TELEMEDICINE IN 2014 OFFERING IMMEDIATE CARE AND PATIENT MONITORING AND SAVING MANY HOURS OF TRAVEL FOR PATIENT FAMILIES. THE NETWORK'S PHYSICIANS AND SPECIALISTS HAVE OFFICES IN TARRANT, DENTON AND HOOD COUNTIES AND PROVIDE A PRIMARY CARE HOME IN ECONOMICALLY DISADVANTAGED AREAS WHERE ACCESS TO PEDIATRIC HEALTH CARE IS DIFFICULT TO OBTAIN. THE PHYSICIAN NETWORK HAS INCREASED ACCESS TO PEDIATRIC SPECIALTY CARE THROUGH OUTREACH CLINICS IN MANY COMMUNITIES IN NORTH, WEST AND CENTRAL TEXAS. EACH MONTH, PHYSICIANS TRAVEL TO PROVIDE SERVICES IN SEVERAL AREAS THAT ARE NOT LARGE ENOUGH TO SUPPORT FULL-TIME SPECIALTY CARE. COOK CHILDREN'S OFFERS SIX NEIGHBORHOOD CLINICS (FIVE IN FORT WORTH AND ONE IN ARLINGTON). THAT OFFER WELL- AND SICK-CHILD VISITS AND DENTAL CARE AND PROVIDE VACCINES. STAFF SPEAK BOTH ENGLISH AND SPANISH AND CLINICS ACCEPT MOST CHIP, MEDICAID AND COMMERCIAL INSURANCE PLANS. THE CLINICAL STAFF IS LED BY 19 TOTAL PHYSICIANS, TWO DENTISTS, AND SIX NURSE PRACTITIONERS. AN ADDITIONAL NEIGHBORHOOD CLINIC IS SCHEDULED TO OPEN IN 2016. PATIENT FAMILIES CONTINUE TO BENEFIT FROM THE AFTER-HOURS CLINIC TIMES AND THE PATIENT PORTAL, MYCOOKCHILDRENS.ORG, WHICH PROVIDES FAMILIES ON-DEMAND ACCESS TO PRIOR VISIT SUMMARIES, MEDICATION LISTS, VACCINE RECORDS, LAB RESULTS AND APPOINTMENT REQUESTS. 222704401 true true false false 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 true false false false false false false true true false false false true 66 0 true 1128 true false false false false false false false false false false X 13 0 false false true false true true true true true false false true true true true true true true true false X CORY RHOADES 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 X JAMES P MILLER MD TRUSTEE 41.0 0.0 X 913379 0 37287 DEBORAH SCHUTTE MD TRUSTEE-VICE CHAIR SPLTY CARE 42.0 1.0 X X 514355 0 35787 BARRY BZOSTEK MD TRUSTEE 41.0 0.0 X 212481 0 10766 MARK MAZADE MD TRUSTEE 41.0 0.0 X 285770 0 33588 SANDRA ARCA MD TRUSTEE-TREASURER 42.0 1.0 X X 284259 0 40045 LINDA M THOMPSON MD TRUSTEE-CHAIRMAN 42.0 2.0 X X 313659 0 16834 TODD WOLF MD TRUSTEE-SECRETARY 42.0 1.0 X X 405579 0 34037 VANESSA CHARETTE MD TRUSTEE-VICE CHAIRMAN, PRIMARY 42.0 1.0 X X 419926 0 17133 BRYAN STEINMANN MD TRUSTEE 41.0 0.0 X 273898 0 33616 DEBORAH VERT DO TRUSTEE 41.0 0.0 X 398519 0 25562 KENNETH HEYM MD TRUSTEE 41.0 0.0 X 305413 0 33862 SANDRA PEAK MD TRUSTEE 41.0 0.0 X 309369 0 28674 WILFRED L RAINE MD TRUSTEE 41.0 0.0 X 400848 0 31629 SAM CANTU MD TRUSTEE 41.0 1.0 X 372539 0 31470 MATTHEW DZURIK MD TRUSTEE 41.0 1.0 X 452834 0 26218 BRADLEY MERCER MD TRUSTEE 41.0 0.0 X 467577 0 37287 JANELL MASON-BRISCOE ASST VP, PRIM CARE & SPLTY SVC 40.0 0.0 X 233937 0 14101 W BRITT NELSON MD PRESIDENT 40.0 0.0 X 724313 0 39825 ROBERT GOODWILL VP, OPNS PRIM CARE & SPLTY SVC 40.0 0.0 X 394048 0 28138 SHERI KANTNER SECRETARY 40.0 0.0 X 71938 0 20807 STEPHEN W KIMMEL TREASURER 4.0 36.0 X 65793 532322 25307 VINCENT TAM MD MEDICAL DIRECTOR 40.0 0.0 X 1636532 0 37287 JOSE L IGLESIAS MD PHYSICIAN 40.0 1.0 X 937262 0 25547 MARK PALMER MD PHYSICIAN 40.0 0.0 X 1557229 0 27343 JOHN UFFMAN MD MEDICAL DIRECTOR 40.0 0.0 X 959877 0 31594 JOHNNIE HONEYCUTT MD PHYSICIAN 40.0 0.0 X 995073 0 34037 13906407 532322 757781 480 false true false ATHENAHEALTH 311 ARSENAL ST WATERTOWN MA 02472 CLAIMS PROCESSING 10222517 TARRANT CONSTRUCTION SERVICES 2225 W PETERSMITH ST FORT WORTH TX 76102 CONSTRUCTION 1013439 MUCKLEROY FALLS 5801 EDWARDS RANCH RD 100 FORT WORTH TX 76104 CONSTRUCTION 617787 ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 CONSULTING 217327 CREDIT SYSTEMS INTERNATIONAL PO BOX 1088 ARLINGTON TX 76004 COLLECTIONS 206633 7 52613045 176145 2500 52791690 NET PATIENT FEES 621110 167259374 167259374 CONTRACTED FEES 621110 3543336 3543336 MANAGEMENT FEES 900099 25271593 25271593 OTHER INCOME 621110 1373480 1373480 RESEARCH 900099 78851 78851 197526634 0 0 0 0 0 0 26965 22765 4200 4200 4200 0 0 0 OTHER INCOME 900099 121344 121344 121344 250443868 197647978 4200 3000 3000 0 0 0 8675652 6946534 1729118 0 112318 112318 163962139 158994757 4967382 0 24970524 23609414 1361110 0 4417856 4417856 0 0 0 0 0 1950530 1013692 936838 112453 58099 54354 497731 572259 -74528 0 0 6087213 5910449 176764 258004 240950 17054 0 150447 5453 144994 1918 1918 0 0 1165980 955797 210183 1722292 1721313 979 MEDICAL SUPPLIES 14381426 14381505 -79 COLLECTION EXPENSE 12913003 183113 12729890 BAD DEBT EXPENSE 5972386 5972386 0 MINOR EQUIPMENT EXPENSE 1593226 1008818 584408 1317628 1012626 305002 250265726 222704401 27561325 0 8832 10686 11046459 10916858 0 0 9051258 9613513 0 0 0 0 0 0 1089879 1179125 1022371 172050 15701100 5852970 8981293 9848130 0 0 0 0 0 0 0 1560000 9329022 2591111 40529114 35891473 9194021 6954131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22839446 20263553 32033467 27217684 X 8495647 8673789 0 0 0 0 8495647 8673789 40529114 35891473 178142 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6838647 1289998 5548649 4388958 2616901 1772057 3597027 1905704 1691323 876468 40367 836101 9848130 OTHER ASSETS 281495 FWPED'S MEDICAL RECORDS 1448611 FWPED'S PHYSICIAN RETEN. BONUS 729167 FWPED'S NOTE RECEIVABLE 131838 2591111 0 ACCRUED PAYROLL 1782296 ACCRUED PHYSICIAN RECONS 9306599 DUE TO AFFILIATES 4514570 ACCRUED PTO LIABILITY 2496236 ACCRUED EXECUTIVE BONUS 593846 CAPITAL LEASE OBLIGATION 22653 ACCRUED COMP BONUS-CARE SHARE 746437 ACCRUED PHYSICIAN BONUS-PERC 800916 20263553 243123073 -5972386 -5972386 249095459 1348409 1348409 250443868 244289140 -4200 -4200 244293340 5972386 5972386 250265726 PART XI, LINES 2D & 4B RECONCILIATION OF REVENUE FINANCIAL STATEMENTS TO FORM 990 BAD DEBT EXPENSE: ($ 5,972,386) GAIN ON DISPOSAL OF ASSETS: $ 4,200 CONTRIBUTIONS FROM CCHF RECORDED TO NET ASSETS: 1,344,209 -------------- TOTAL $ 1,348,409 PART XII, LINES 2D & 4B RECONCILIATION OF EXPENSES FINANCIAL STATEMENTS TO FORM 990 GAIN ON DISPOSAL OF ASSETS: ( $ 4,200 ) BAD DEBT EXPENSE: $ 5,972,386 X false true false true false false false false false false false JAMES P MILLER MD TRUSTEE 870693 0 0 0 42686 0 19500 0 17787 0 950666 0 0 0 DEBORAH SCHUTTE MD TRUSTEE-VICE CHAIR SPLTY CARE 494461 0 10000 0 9894 0 19500 0 16287 0 550142 0 0 0 JANELL MASON-BRISCOE ASST VP, PRIM CARE & SPLTY SVC 180620 0 45349 0 7968 0 8098 0 6003 0 248038 0 0 0 BARRY BZOSTEK MD TRUSTEE 186545 0 15000 0 10936 0 0 0 10766 0 223247 0 0 0 MARK MAZADE MD TRUSTEE 274124 0 0 0 11646 0 16140 0 17448 0 319358 0 0 0 SANDRA ARCA MD TRUSTEE-TREASURER 275540 0 0 0 8719 0 18276 0 21769 0 324304 0 0 0 LINDA M THOMPSON MD TRUSTEE-CHAIRMAN 284332 0 18750 0 10577 0 16250 0 584 0 330493 0 0 0 TODD WOLF MD TRUSTEE-SECRETARY 272626 0 125313 0 7640 0 16250 0 17787 0 439616 0 0 0 W BRITT NELSON MD PRESIDENT 404791 0 176358 0 143164 0 19500 0 20325 0 764138 0 0 0 VANESSA CHARETTE MD TRUSTEE-VICE CHAIRMAN, PRIMARY 413756 0 0 0 6170 0 16531 0 602 0 437059 0 0 0 BRYAN STEINMANN MD TRUSTEE 264550 0 0 0 9348 0 18982 0 14634 0 307514 0 0 0 DEBORAH VERT DO TRUSTEE 392150 0 0 0 6369 0 18772 0 6790 0 424081 0 0 0 ROBERT GOODWILL VP, OPNS PRIM CARE & SPLTY SVC 288736 0 101924 0 3388 0 10400 0 17738 0 422186 0 0 0 KENNETH HEYM MD TRUSTEE 283673 0 11000 0 10740 0 16250 0 17612 0 339275 0 0 0 SANDRA PEAK MD TRUSTEE 303358 0 0 0 6011 0 16250 0 12424 0 338043 0 0 0 WILFRED L RAINE MD TRUSTEE 385140 0 0 0 15708 0 19500 0 12129 0 432477 0 0 0 SAM CANTU MD TRUSTEE 366361 0 0 0 6178 0 10400 0 21070 0 404009 0 0 0 MATTHEW DZURIK MD TRUSTEE 426310 0 0 0 26524 0 16250 0 9968 0 479052 0 0 0 STEPHEN W KIMMEL TREASURER 43941 355520 19825 160401 2027 16401 1144 9256 1640 13267 68577 554845 0 0 BRADLEY MERCER MD TRUSTEE 458217 0 0 0 9360 0 19500 0 17787 0 504864 0 0 0 VINCENT TAM MD MEDICAL DIRECTOR 1617730 0 0 0 18802 0 19500 0 17787 0 1673819 0 0 0 JOSE L IGLESIAS MD PHYSICIAN 896868 0 0 0 40394 0 10400 0 15147 0 962809 0 0 0 MARK PALMER MD PHYSICIAN 1546727 0 0 0 10502 0 16250 0 11093 0 1584572 0 0 0 JOHN UFFMAN MD MEDICAL DIRECTOR 921851 0 0 0 38026 0 10400 0 21194 0 991471 0 0 0 JOHNNIE HONEYCUTT MD PHYSICIAN 770860 0 191219 0 32994 0 16250 0 17787 0 1029110 0 0 0 SCHEDULE J, PART I, LINE 1A SHERI KANTNER $125.00 LINDA THOMPSON, MD $125.00 SCHEDULE J, PART I, LINE 1B 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-UPS IN TAX PAYMENTS EXCEPT IN UNUSUAL CIRCUMSTANCES AND ONLY THEN IF APPROVED BY SENIOR MANAGEMENT. IN THIS CASE, $500.00 GIFT CARDS WERE DISTRIBUTED AT CHRISTMAS TO NON-EXECUTIVE EMPLOYEES. THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES APPROVED THE GROSS-UP OF $125.00 PER CARD SO EMPLOYEES RECEIVE THE FULL STATED BENEFIT OF THE GIFT CARD. PART I, QUESTION 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 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- -------- -------- MATTHEW DZURIK, MD 17,500 NONE CCPN JOHNNIE HONEYCUTT, MD 17,500 NONE CCPN JOSE L. IGLESIAS, MD 17,500 NONE CCPN JAMES P. MILLER, MD 17,500 NONE CCPN W. BRITT NELSON, MD 67,350 NONE CCPN JOHN UFFMAN, MD 17,500 NONE CCPN TOM ROGERS JR MD A. ROGERS FATHER-IN-LAW 112318 COMPENSATION false YVETTE DZURIK MD M.DZURIK SPOUSE 126757 COMPENSATION false FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION RESTATED THE BYLAWS EFFECTIVE 10/27/2015. FORM 990, PART VI, QUESTION 7A MEMBER ELECTION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE ABSOLUTE RIGHT TO APPOINT OR APPROVE MEMBERSHIP ON THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, QUESTION 7B MEMBER DECISION ABILITIES: AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION AND THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE CORPORATION; B. APPROVE DEVIATIONS FROM ANNUAL OPERATING AND CAPITAL BUDGETS IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; C. APPROVE THE PURCHASE OR ACQUISITION OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, BY THE ORGANIZATION IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; D. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; E. APPROVE THE MORTGAGE OR OTHER ENCUMBRANCE OF ANY PROPERTY, REAL, PERSONAL, OR MIXED, OF THE ORGANIZATION IN EXCESS OF SUCH LIMITS AS ESTABLISHED BY THE MEMBER; F. APPROVE THE ACQUISITION, LIQUIDATION, MERGER, WINDING UP, TERMINATION, OR CONSOLIDATION OF THE ORGANIZATION; G. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, JOINT VENTURE, ACCOUNTABLE CARE ORGANIZATION OR SIMILAR ENTITIES; H. APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CERTIFICATE OF FORMATION OF THE ORGANIZATION AND THESE BYLAWS; I. APPROVE INCURRING DEBT WHICH WOULD EXCEED SUCH LIMITS ESTABLISHED BY THE MEMBER; J. APPROVE THE SETTLEMENT OF CLAIMS AND LITIGATION OF THE ORGANIZATION; AND K. SUBSEQUENT TO THE ORGANIZING AND INCORPORATING PHYSICIAN'S SELECTION OF THE INITIAL BOARD OF DIRECTORS, APPROVE THE APPOINTMENT OR ELECTION OF DIRECTORS IN ACCORDANCE WITH SECTION 3.2 OF THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS FOR REVIEW OF THE 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE 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, 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. 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, QUESTION 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., 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, QUESTION 19 MAKING GOVERNING DOCUMENTS 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. FORM 990 PART VI, QUESTION 6 SOLE MEMBER: COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 HOSPITAL TX 501(C)(3) 3 CCHCS true WI COOK FOUNDATION 801 SEVENTH AVENUE FORT WORTH TX 76104 752051649 FUNDRAISING TX 501(C)(3) 11D NA false COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVENUE FORT WORTH TX 76104 752896983 HEALTHCARE TX 501(C)(3) 9 CCHCS true COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 HLTH CARE SUP TX 501(C)(3) 11C CCHF false COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 9 CCHCS true ROSEDALE OFFICE BUILDING INC 1500 W ROSEDALE FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHF false COOK CHILDREN'S HEALTH SERVICES 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION true true true true false false false false false true true true false false false true true true true true COOK CHILDREN'S MEDICAL CENTER O 63342092 FMV COOK CHILDREN'S MEDICAL CENTER A 1054998 FMV COOK CHILDREN'S MEDICAL CENTER R 2541676 FMV COOK CHILDREN'S MEDICAL CENTER Q 412565 FMV COOK CHILDREN'S HEALTH PLAN B 13279683 FMV