2021-08-12T09:17:25-05:00 2020-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-10-01 752705881 Cook Children's Health Care System % CORY RHOADES COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY R RHOADES CFO 1111111111 2021-08-16 true Kevin Ensminger P01310558 9727028262 2019 2022-09-23 18:48:47Z RICK W MERRILL 801 SEVENTH AVE FORT WORTH TX 76104 356674481 false X WWW.COOKCHILDRENS.ORG X 1996 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED IT IS OUR PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INjury 22 15 855 27 0 0 2602327 7637971 213162135 237325020 11676557 11162446 3113703 654855 230554722 256780292 608450 139458 0 0 59281044 64708437 0 0 0 167666181 202026720 227555675 266874615 2999047 -10094323 470709212 566258574 193616133 292976426 277093079 273282148 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 222313320 139458 237979875 Cook Children's Health Care System (System) embraces an inspiring Promise-to improve the health of every child through the prevention and treatment of illness, disease and injury. As a not-for-profit, nationally-recognized and integrated pediatric health care organization based in Fort Worth, Texas, Cook Children's is comprised of 14 entities. They include a medical center, physician network, health plan, home health company, health foundation, a child study center and three surgery centers located in Fort Worth, Hurst and Prosper. It also includes Cook Children's Health Services Inc., and Cook Children's Health Foundation. Cook Children's Health Care System's growing reputation draws patients from near and far. Families travel from across Texas and the United States, as well as internationally, to receive life-saving pediatric care and benefit from the collaboration and vast resources the system offers. In addition to the medical center, a network of more than 60 primary, specialty and urgent care locations provide numerous access points for families. Community Needs Spur System Growth As the communities grow, the system continues to expand its services to meet the needs of children and families living in those areas. In 2019, the system added facilities near Walsh in Fort Worth, in Prosper and in Carrollton with primary care, urgent care and orthopedics services. In 2020, the Prosper campus grew to include an outpatient surgery center, outpatient imaging and lab services, and a number of specialty care services. Expansion of the Prosper campus continues with plans to add an inpatient medical center with an emergency department, operating rooms, medical/surgical unit and pediatric intensive care unit. Cook Children's pediatric surgery centers are home to specialty clinics and surgical teams specializing in many conditions, from simple to the most complex, and many of the procedures in these centers are done using minimally invasive techniques. The Dodson Surgery Center is one of three Cook Children's surgery centers in the Dallas/Fort Worth metroplex. It is undergoing an expansion to centralize 40 specialty clinics into one location in order to support a more seamless experience for children who receive care from multiple specialties. The expansion calls for 240,000 square-feet of new building and 75,000 square-feet of renovated space. Much of the planning and preparation for this endeavor took place in FY2020 to ready for the start of construction in February 2021. Award Winning Performance For more than 100 years, the system has worked to combine the art of caring with life-saving pediatric interventions that are family-centered and built on leading technology, collaboration and a best-in-class patient experience. This has earned the system a strong, far-reaching reputation - one for which it continually receives recognition for outstanding efforts and outcomes in pediatric health care. Cook Children's commitment to comply with the highest national standards for safety and quality of care repeatedly earns the system the Joint Commission's Gold Seal of Approval. Cook Children's Medical Center has been named numerous times to the elite Leapfrog Top Hospitals list based on a national quality and safety survey. A number of CCHCS physicians, nurses, clinicians and programs received recognitions and awards in 2020, including CCHCS President and CEO Rick W. Merrill who was named one of the 400 most influential people in Fort Worth by Fort Worth, Inc. magazine. Protecting Your Tomorrows Like all organizations, the COVID-19 pandemic presented the System with many challenges, but also shed light on opportunities to identify, assess and plan for current and future needs for system-wide operational coordination, crisis management and infectious disease control. In response, Cook Children's announced plans to construct a year-round solutions center that will coordinate daily operational needs for the entire system and will house dedicated space for an incident command center. Plans also include converting an existing 20-bed medical/surgical unit into an infectious disease unit, constructing a 6-bed infectious disease critical care unit and creating new space for the medical center's internationally recognized simulation lab. A Cook Children's Health Foundation capital campaign, called Protecting Your Tomorrows, will provide funding for the project. In spite of the many challenges of FY2020, SYSTEM continued to lead with fiscal responsibility, service to its community and commitment to its employees. As a result, the system emerged from the year with a stronger workforce, a more nimble organization and better positioned to meet the health needs of the community no matter the circumstance. 222313320 true true false true false false false false false true true false false true true false false true false false true false false false false false false true true true false false false false false false false false false false false false false true true true false false true 202 0 855 true false true CJ false false false false false false false false true false X 22 15 false false false false true true true true true false false true true true true true true true true false X CORY RHOADES 6828854480 801 SEVENTH AVENUE FORT WORTH TX 76104 X RICK W MERRILL PRESIDENT & CEO 12.0 28.0 X 633947 1479210 248553 ANTHONY BAGWELL SVP, CIIO 1.0 40.0 X 0 1189038 99630 JOSE IGLESIAS MD TRUSTEE 1.0 41.0 X 0 1013904 51156 STEPHEN W KIMMEL Executive VP 10.0 30.0 X 235928 707781 119654 JAMES C CUNNINGHAM EXEC VP, CHIEF MEDICAL OFFICER 40.0 0.0 X 912730 0 51166 KEITH M HOLTZ CAO 40.0 0.0 X 741646 0 108193 JOANN M SANDERS MD CHIEF QUALITY OFFICER 40.0 0.0 X 714916 0 94015 JAMES D MARSHALL CHIEF RESEARCH OFFICER 40.0 0.0 X 694483 0 58579 THERESA MEADOWS SR V PRESIDENT - CIO 40.0 0.0 X 671899 0 52491 JOSEPH GALLAGHER SVP, CHIEF LEGAL OFFICER 40.0 0.0 X 541508 0 101328 ERIC H HUBLI MD CHIEF SYS EFFECTIVENESS OFFCR 40.0 0.0 X 578035 0 59024 GAVIN FINE MD TRUSTEE 1.0 40.0 X 0 569897 55810 MAtTHEW DZURIK MD TRUSTEE-VICE CHAIRMAN 2.0 40.0 X X 0 573046 45883 CORY R RHOADES SVP, FINANCE & CFO 40.0 0.0 X 502809 0 95712 JOHN MCNEY SR V PRESIDENT-GEN COUNSEL 40.0 0.0 X 527636 0 52725 ROBERT K FEATHER SR. 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SCHEDULE A, PART IV, SECTION E, LINE 3B SUBSTANTIAL DEGREE OF DIRECTION OVER POLICIES, PROGRAMS, AND ACTIVITIES: THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATION, COOK CHILDREN'S MEDICAL CENTER, AND AS SUCH HAS THE EXCLUSIVE 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. THE ORGANIZATION IS ALSO RESPONSIBLE FOR IMPLEMENTATION AND ENFORCEMENT OF VARIOUS POLICIES AND PROCEDURES OF THE SUPPORTED ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY AND COMPENSATION ARRANGEMENTS. 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SCHEDULE D, PART XI, LINE 2d RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $ 2,346,554 SCHEDULE D, PART XI, LINE 4b RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: GAIN ON DISPOSITION OF ASSETS $ 7,452 donated capital 148,274 --------------- total $ 155,726 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $ 2,346,554 GAIN ON DISPOSITION OF ASSET $ (7,452) ----------------------- TOTAL $ 2,339,102 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. Central America and the Caribbean 0 0 Investments 10192446 0 0 0 0 10192446 10192446 true false true false false false true JUVENILE DIABETES 930 W 1ST STREET 203 FORT WORTH TX 76102 752541065 501(C)(3) 10000 SPONSORSHIP TEXAS MEDICAL ASSOCIATION FOUNDATION 401 W 15TH STREET AUSTIN TX 787011680 752022128 501(c)(3) 10000 ASSISTANCE 2 scholarships for individuals 11 50281 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES: THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1) BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE, 2) BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM AND 3) PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000 FOR FIRST TIME RECIPIENTS AND $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES. X X false true X X X X X false true false false false false false false false MATTHEW CARROLL MD TRUSTEE 0 262938 0 46345 0 9537 0 12875 0 44092 0 375787 0 0 SAMSON CANTU MD TRUSTEE 0 461863 0 500 0 5460 0 17500 0 41504 0 526827 0 0 MAtTHEW DZURIK MD TRUSTEE-VICE CHAIRMAN 0 527433 0 36803 0 8810 0 21000 0 24883 0 618929 0 0 JOSE IGLESIAS MD TRUSTEE 0 951938 0 43944 0 18022 0 17500 0 33656 0 1065060 0 0 SALEEM MALIK MD TRUSTEE 0 452367 0 500 0 13611 0 20646 0 36440 0 523564 0 0 LINDSAY NEWTON MD TRUSTEE 0 209208 0 39225 0 5859 0 9878 0 28300 0 292470 0 0 ALICE W PHILIPS MD TRUSTEE 0 317133 0 24058 0 10022 0 21000 0 37089 0 409302 0 0 GAVIN FINE MD TRUSTEE 0 557855 0 500 0 11542 0 21000 0 34810 0 625707 0 0 JAMES C CUNNINGHAM EXEC VP, CHIEF MEDICAL OFFICER 588541 0 212564 0 111625 0 21000 0 30166 0 963896 0 0 0 STEPHEN W KIMMEL Executive VP 142471 427412 64325 192974 29132 87395 22322 66965 7592 22775 265842 797521 66071 0 CARA MARTZ SECRETARY 121670 0 31749 0 4433 0 7704 0 23759 0 189315 0 0 0 RICK W MERRILL PRESIDENT & CEO 362282 845325 192239 448558 79426 185327 65100 151900 9466 22087 708513 1653197 0 0 CORY R RHOADES SVP, FINANCE & CFO 330835 0 123165 0 48809 0 58126 0 37586 0 598521 0 34905 0 SPENCER D SEALS VP REAL ESTATE & CONSTRUCTION 181402 0 53900 0 12638 0 15880 0 36537 0 300357 0 0 0 JAMES D MARSHALL CHIEF RESEARCH OFFICER 555065 0 131936 0 7482 0 21000 0 37579 0 753062 0 0 0 ANTHONY BAGWELL SVP, CIIO 0 397616 0 740226 0 51196 0 76122 0 23508 0 1288668 0 0 JOHN MCNEY SR V PRESIDENT-GEN COUNSEL 288763 0 152196 0 86677 0 21000 0 31725 0 580361 0 0 0 JOANN M SANDERS MD CHIEF QUALITY OFFICER 393220 0 159119 0 162577 0 70413 0 23602 0 808931 0 125935 0 ERIC H HUBLI MD CHIEF SYS EFFECTIVENESS OFFCR 539611 0 15000 0 23424 0 17500 0 41524 0 637059 0 0 0 THERESA MEADOWS SR V PRESIDENT - CIO 427055 0 173531 0 71313 0 17500 0 34991 0 724390 0 0 0 ROBERT K FEATHER SR. VP PUBLIC POLICY 313167 0 128371 0 70761 0 21000 0 29333 0 562632 0 0 0 SCOTT LEDDY CHIEF MEDICAL INFO OFFICER 342369 0 107594 0 5202 0 14000 0 26154 0 495319 0 0 0 JOSE GONZALEZ MD VP COMMUNITY HEALTH End: 2020 6753 0 0 0 157573 0 1126 0 0 0 165452 0 0 0 JOSEPH GALLAGHER SVP, CHIEF LEGAL OFFICER 367809 0 143090 0 30609 0 66392 0 34936 0 642836 0 0 0 JAMES STALDER VP - INFO SYSTEMS End: 2020 241514 0 154342 0 14455 0 13196 0 38707 0 462214 0 0 0 KENT SMITH VICE PRESIDENT - COMPLIANCE 237642 0 77135 0 10941 0 15041 0 30825 0 371584 0 0 0 NATALIE WILKINS CHIEF OF STAFF 232896 0 69787 0 3363 0 8972 0 13520 0 328538 0 0 0 CHRISTIAN PEDIGO VP SYS PLANNING & HEALTH ANALY 267102 0 114407 0 23715 0 49634 0 39335 0 494193 0 0 0 DAVID LANCASTER VP-INTERNAL AUDIT 196227 0 64371 0 7123 0 20057 0 31179 0 318957 0 0 0 LORRAINEA WILLIAMS PAT/MEDICATION SAFETY OFFICER 193394 0 45845 0 11392 0 13706 0 41782 0 306119 0 0 0 AARON WISHON VP-CHIEF INFO SECURITY OFFICER 239295 0 69090 0 3790 0 9682 0 14797 0 336654 0 0 0 KEITH M HOLTZ CAO 457414 0 206816 0 77416 0 73497 0 34696 0 849839 0 47577 0 MAYNARD DYSON MEDICAL DIRECTOR 238194 0 77043 0 19802 0 20453 0 37146 0 392638 0 0 0 KAREN WARDELL ASSOCIATE GENERAL COUNSEL 241586 0 78321 0 9518 0 15253 0 30917 0 375595 0 0 0 BETH SCHMIDT AVP-HUMAN RESOURCES 209739 0 46787 0 11516 0 15841 0 17113 0 300996 0 0 0 ANU N PARTAP Medical Diretor Health Equity 221452 0 31128 0 3544 0 10483 0 34308 0 300915 0 0 0 SARA Y GARZA TRUSTEE 0 179734 0 500 0 4191 0 12025 0 37101 0 233551 0 0 jean turpin AVP, Business Intel 192676 0 40259 0 3189 0 12945 0 36968 0 286037 0 0 0 M scott perry MD TRUSTEE 0 463296 0 500 0 11790 0 17500 0 34274 0 527360 0 0 gregory jimerson VP-PAYOR RELATIONS 249597 0 80892 0 5121 0 20256 0 39853 0 395719 0 0 0 NICOLAE L ANDREI AVP Supply Chain 174328 0 38949 0 3308 0 6029 0 14941 0 237555 0 0 0 Lakaimi J Bryant AVP, Enterprise Applications 156471 0 31439 0 4318 0 14539 0 24078 0 230845 0 0 0 Laura E Copeland Assistant General Counsel 191288 0 53184 0 3473 0 6987 0 16262 0 271194 0 0 0 Charity N Darnell Director, Inpatient Clinic 151015 0 26386 0 2723 0 7547 0 38387 0 226058 0 0 0 Cynthia W Guess AVP Accreditation Compliance 167652 0 41277 0 6619 0 9635 0 26957 0 252140 0 0 0 Winifred J King avp pub relation & social med 172270 0 37959 0 6128 0 15878 0 13452 0 245687 0 0 0 Nicholas W Markham AVP Facilities/Campus Svcs 149763 0 34192 0 8733 0 14626 0 23264 0 230578 0 0 0 Kathy R McLean AVP Marketing 176427 0 38762 0 5050 0 15667 0 13750 0 249656 0 0 0 Myranda Miller AVP, Corporate Controller 168520 0 40106 0 5412 0 6503 0 36574 0 257115 0 0 0 Amit Patel ASSISTANT CHIEF MED INFO OFFCR 210607 0 28043 0 11291 0 9905 0 12995 0 272841 0 0 0 deborah a rubinson avp, org & prof development 173503 0 39333 0 9867 0 11926 0 15160 0 249789 0 0 0 SCHEDULE J, PART I, LINE 1A & 1B GENERAL GROSS UP PAYMENTS: MAYNARD DYSON $110 GROSS UP ANU N PARTAP $110 GROSS UP CARA MARTZ $220 GROSS UP B. ANTHONY BAGWELL $7,960 GROSS UP 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 EXTREMELY UNUSUAL 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 2019 CME GROSS UP PAYMENTS: GAVIN FINE, MD $6,500 SARA Y GARZA MD 2,925 SALEEM MALIK MD 9,750 SAMSON CANTU MD 3,900 MATTHEW DZURIK MD 6,500 JOSE IGLESIAS MD 14,500 LINDSAY NEWTON MD 4,875 ALICE W PHILIPS MD 6,500 M. SCOTT PERRY MD 9,750 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. Air Travel: Matthew Dzurik, MD had charter air travel provided in his capacity as a physician for Cook Childrens Physician Network. M. Scott Perry, MD had charter air travel provided in his capacity as a physician for Cook Childrens Physician Network. 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 $ 140,060 $ 196,000 CCHCS STEPHEN W. KIMMEL 66,071 75,286 CCHCS KEITH M. HOLTZ 47,577 59,299 CCHCS JOANN M. SANDERS, MD 125,935 49,413 CCHCS CORY R. RHOADES 34,905 40,626 CCHCS JOHN MCNEY 47,439 NONE CCHCS THERESA MEADOWS 44,521 NONE CCHCS ROBERT K. FEATHER 39,634 NONE CCHCS JAMES C. CUNNINGHAM 68,250 NONE CCHCS JOSEPH GALLAGHER NONE 45,994 CCHCS CHRISTIAN PEDIGO NONE 28,634 CCHCS B. ANTHONY BAGWELL NONE 64,922 CCHCS 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 CHILD STUDY CENTER COOK CHILDREN'S PHYSICIAN NETWORK FORM 990, PART VI, SECTION A, LINE 6 SOLE MEMBER: W. I. COOK FOUNDATION, INC., D/B/A COOK CHILDREN'S HEALTH FOUNDATION, 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, W.I. COOK FOUNDATION, INC., 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, W.I. COOK FOUNDATION, INC., HAS THE EXCLUSIVE 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 THE REMOVAL OF A MEMBER OF THE BOARD OF TRUSTEES OF THE ORGANIZATION; AND H. APPROVE THE PERSONS WHO ARE TO BE ELECTED BY THE ORGANIZATION TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES OR BOARD OF DIRECTORS, AS APPLICABLE, OF (1) COOK CHILDREN'S MEDICAL CENTER, (2) COOK CHILDREN'S PHYSICIAN NETWORK, (3) COOK CHILDREN'S HOME HEALTH, (4) COOK CHILDREN'S HEALTH PLAN, (5) COOK CHILDREN'S INDEMNITY COMPANY (6) COOK CHILDREN'S HEALTH ENTERPRISES; AND (7) ANY OTHER SUBSIDIARY CORPORATION AFFILIATED WITH OR CONTROLLED BY THE ORGANIZATION (INCLUDING ANY VACANCIES ARISING FROM THE EXPIRATION OF THE TERMS OF ANY OF THE TRUSTEES OR DIRECTORS). 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 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. 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 CHILDRENS 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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, THE INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL AND 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, 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. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFERS FROM CCMC $ 2,473,533 COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 10 CCHCS true 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 FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHF true CHILD STUDY CENTER 1300 WEST LANCASTER AVE FORT WORTH TX 76102 751099536 HEALTHCARE TX 501(C)3 7 CCMC true COOK CHILDREN'S HEALTH ENTERPRISES 801 7TH AVE FORT WORTH TX 76104 842625990 SUPPORT TX 501(C)(3) 12B CCHF true cook children's medical center PROSPER 801 SEVENTH AVE FORT WORTH TX 76087 852354189 HEALTHCARE SV TX 501(C)(3) 3 CCHCS true COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION 1553136 7326949 1.00000 true true false true false true false false false false false true true false false true true true true true COOK CHILDREN'S MEDICAL CENTER A 1838492 FMV COOK CHILDREN'S MEDICAL CENTER R 4603221 FMV COOK CHILDREN'S MEDICAL CENTER O 594434 FMV COOK CHILDREN'S MEDICAL CENTER O 359561 FMV COOK CHILDREN'S MEDICAL CENTER P 172570 FMV COOK CHILDREN'S MEDICAL CENTER P 580420 FMV COOK CHILDREN'S MEDICAL CENTER S 400097 FMV COOK CHILDREN'S MEDICAL CENTER Q 240989211 FMV COOK CHILDREN'S PHYSICIAN NETWORK A 4659443 FMV COOK CHILDREN'S PHYSICIAN NETWORK R 6740335 FMV COOK CHILDREN'S PHYSICIAN NETWORK O 26372288 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 328278 FMV COOK CHILDREN'S PHYSICIAN NETWORK Q 32728090 FMV COOK CHILDREN'S PHYSICIAN NETWORK N 902489 FMV Cook Children's Home Health A 885109 FMV Cook Children's Home Health Q 5220297 FMV Cook Children's Health Plan A 1357876 FMV Cook Children's Health Plan Q 18104646 FMV Cook Children's Health Services Q 170239 FMV ROSEDALE OFFICE BUILDING K 1712998 FMV ROSEDALE OFFICE BUILDING O 87564 FMV ROSEDALE OFFICE BUILDING P 1131301 FMV Child Study Center Q 1693714 FMV