2023-08-15T14:57:33-05:00 2022-09-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-10-01 842625990 Cook Children's Health Enterprises % CORY RHOADES COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY R RHOADES CFO, SVP FINANCE 6828854000 2023-08-15 true CORY RHOADES 999009999 MICHAEL J ENGLE P00482834 9727028262 2 2021 2023-04-26 12:10:37Z RICK W MERRILL 801 SEVENTH AVENUE FORT WORTH TX 76104 6998755 false X WWW.COOKCHILDRENS.ORG X 2019 TX THROUGH ITS ACQUISITION AND OWNERSHIP OF AIRCRAFT WILL SUPPORT THE PROVISION OF PEDIATRIC HEALTH CARE SERVICES ACROSS THE STATE OF TEXAS 3 2 0 2 0 0 0 0 6620654 6998755 0 0 0 0 6620654 6998755 0 0 0 0 0 0 0 0 0 6740199 7200844 6740199 7200844 -119545 -202089 6566964 6228753 6686509 6550387 -119545 -321634 THE CORPORATION, THROUGH ITS ACQUISITION AND OWNERSHIP OF AIRCRAFT, WILL SUPPORT THE PROVISION OF PEDIATRIC HEALTH CARE SERVICES ACROSS THE STATE OF TEXAS BY HEALTH CARE PROVIDERS AND PERSONNEL ASSOCIATED WITH COOK CHILDREN'S. false false 7199372 6998755 THE PRINCIPAL ACTIVITY OF THE CORPORATION WILL BE TO ACQUIRE AND OWN ONE OR MORE AIRCRAFT FOR THE SOLE PURPOSE OF FURTHERING THE PROVISION OF HEALTH CARE SERVICES BY COOK CHILDREN'S HEALTH CARE SYSTEM, INCLUDING THE PROVISION OF HEALTH CARE SERVICES IN RURAL AREAS OF THE STATE OF TEXAS BY HEALTH CARE PROVIDERS AND PERSONNEL ASSOCIATED WITH COOK CHILDREN'S HEALTH CARE SYSTEM AND IT'S AFFILIATES (COOK CHILDREN'S). 7199372 true false false false false false false false false false true false false false false 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 0 0 0 false false false false false false false false false false false false X 3 2 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 PRESIDENT & CEO 1.0 40.0 X 0 2407832 255556 STEPHEN W KIMMEL EVP, SYS FINANCE/TRUSTEE 1.0 40.0 X X 0 1042669 162506 JACK SOSEBEE VICE PRESIDENT 1.0 40.0 X 0 374615 71818 MARY CARA MARTZ SECRETARY 1.0 40.0 X 0 169553 23484 Michael R Dike END 0522 Trustee - Vice Chairman 2.0 4.0 X X 0 0 0 R RUSSELL MORTON START 622 TRUSTEE - CHAIRMAN 2.0 5.0 X X 0 0 0 RICK SORENSON START 0622 TRUSTEE - VICE CHAIR 2.0 2.0 X X 0 0 0 JAMES E WEBB TRUSTEE - CHAIRMAN END: 05/22 2.0 4.0 X X 0 0 0 0 3994669 513364 0 false true false METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 711377008 MAINTENANCE 5118146 TEXAS JET INC 200 TEXAS WAY FORT WORTH TX 76106 aviation services 486902 MULTI SERVICE AVIATION PO BOX 952875 SAINT LOUIS MO 631952875 aviation services 339250 TEXTRON AVIATION 23260 NETWORK PLACE CHICAGO IL 606731232 MAINTENANCE 273786 ONE CALL MEDICAL TRANSPORTS 3815 E MAIN ST SUITE C ST CHARLES IL 60174 MEDICAL TRANSPORT 268674 5 0 TRANSPORTATION FEES 485000 6998755 6998755 6998755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6998755 6998755 X 0 0 0 0 0 0 0 0 0 0 0 0 940 940 0 0 0 1814097 1814097 0 21325 21325 0 0 0 1188634 1188634 0 0 0 0 299481 299481 0 TEDDY BEAR AIR 3461639 3461639 REPAIRS & MAINTENANCE 395809 395809 FEDERAL TAXES 10452 10452 DUES & SUBSCRIPTIONS 7815 7815 652 120 532 7200844 7199372 1472 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38730 0 17741241 11512488 6528234 6228753 0 0 0 0 0 0 0 0 0 0 6566964 6228753 6686509 6550387 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6686509 6550387 X -119545 -321634 0 0 -119545 -321634 6566964 6228753 -202089 X false true X true false X X X 1 WI COOK FOUNDATION 752051649 7 true 7199372 0 1 7199372 0 true false false false false false false false false false false false false false false true 17741241 11512488 6228753 6228753 6998755 6998755 6998755 7200844 7200844 7200844 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 DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false false false false false STEPHEN W KIMMEL EVP, SYS FINANCE/TRUSTEE 0 628290 0 298537 0 115842 0 131402 0 31104 0 1205175 0 82928 MARY CARA MARTZ SECRETARY 0 131942 0 31642 0 5969 0 7810 0 15674 0 193037 0 0 RICK W MERRILL PRESIDENT & CEO 0 1277104 0 739183 0 391545 0 217750 0 37806 0 2663388 0 0 JACK SOSEBEE VICE PRESIDENT 0 278738 0 92089 0 3788 0 51643 0 20175 0 446433 0 0 SCHEDULE J, PART I, LINE 3 METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY WRITTEN EMPLOYMENT CONTRACT 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 --------------------- ---------- ---------- ------- RICK W. MERRILL NONE 196,000 CCHS STEPHEN W. KIMMEL 82,928 113,277 CCHS JACK SOSEBEE NONE 29,893 CCMC 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. 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; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. 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 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. FORM 990 PART IX LINE 11G DESCRIPTION:AIRCRAFT OPERATION SVCS TOTAL FEES:1814097 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 HOME HEALTH 801 SEVENTH AVE FT WORTH TX 76104 752896983 HEALTHCARE TX 501(C)(3) 10 CCHCS true COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 HLTH CARE SUP TX 501(C)(3) 12C CCHF true COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 10 CCHCS true ROSEDALE OFFICE BUILDING INC 1500 W ROSEDALE FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHF true CHILD STUDY CENTER 1300 W LANCASTER FORT WORTH TX 76102 751099536 HLTHCARE SRVC TX 501(C)(3) 7 CCMC true COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 HOSPITAL TX 501(C)(3) 3 CCHCS true COOK CHILDRENS MEDICAL CENTER PROSPER 801 SEVENTH AVE FORT WORTH TX 76104 852354189 HOSPITAL TX 501(C)(3) 3 CCHCS true COOK CHILDREN'S SURGERY CENTER 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 205227064 ASC TX NA N/A CENTER FOR PEDIATRIC SURGERY 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 470871715 ASC TX NA N/A CPS PEDIATRICS LLC 11221 ROE AVE SUITE 320 LEAWOOD KS 66211 470871718 ASC TX NA N/A COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION true COOK CHILDREN'S INDEMNITY COMPANY 878 WEST BAY RD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980424041 SELF INSURANCE CJ CCHCS C CORPORATION true false false false false false false false false false false false false false true true true true false false COOK CHILDREN'S MEDICAL CENTER N 5998681 FMV COOK CHILDREN'S PHYSICIAN NETWORK N 1000074 FMV