2020-08-12T13:44:43-05:00 2019-09-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2018-10-01 752051649 WI Cook Foundation Inc % CORY RHOADES WICO 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY RHOADES SVP FINANCE 2020-08-17 true Kevin Ensminger P01310558 9727028262 167.68.126.162 76915820202255000006 2020-08-12 P C04110446F027A7EF6CCEE8BF04862AA5191FCC5 EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-22 18:59:49Z RICK W MERRILL 801 SEVENTH AVE FORT WORTH TX 76104 468044113 false X WWW.COOKCHILDRENS.ORG X 1985 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 31 31 47 109 2519069 -3253507 39321057 20451723 0 0 98987170 54640236 17826889 5279930 156135116 80371889 16941002 16106750 0 0 7137194 5878925 5500 0 5322657 23178755 21250461 47262451 43236136 108872665 37135753 1954506001 2013556230 4754291 2643307 1949751710 2010912923 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. false false 37249940 16106750 COOK CHILDREN'S HEALTH FOUNDATION WAS FOUNDED TO HELP DRIVE THE PHILANTHROPIC CULTURE OF COOK CHILDREN'S HEALTH CARE SYSTEM AND SUPPORT ITS PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN ITS REGION. THROUGH FUNDRAISING AND OUTREACH EFFORTS, THE FOUNDATION IS DEDICATED TO MAINTAINING CLINICAL EXCELLENCE, ENHANCING PATIENT AND FAMILY-CENTERED CARE, FOSTERING LEADING-EDGE RESEARCH AND SUPPORTING COOK CHILDREN'S EXPANSION OF SERVICES AND GROWTH INITIATIVES. IN FY2019, COOK CHILDREN'S HEALTH FOUNDATION RAISED $23.3 MILLION DOLLARS IN SUPPORT OF PROGRAM DEVELOPMENT, CLINICAL RESEARCH AND THE RECENT EXPANSION OF COOK CHILDREN'S MEDICAL CENTER. 37249940 true true false false false false false false false true true false false false true false false true false false true false false false false false false true false true false false false false false false false false true false false false false true true true false false true 48 1 true 47 true true true false false false false false false false false false false false X 31 31 true false false false false false false 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 LARRY G AUTREY TRUSTEE 1.0 0.0 X 0 0 0 BRIAN D BARNARD TRUSTEE 1.0 3.0 X 0 0 0 ASHLI BLUMENFELD TRUSTEE 1.0 0.0 X 0 0 0 G THOMAS BOSWELL TRUSTEE-VICE CHAIRMAN 2.0 1.0 X X 0 0 0 TERESA BROWNLIE TRUSTEE 1.0 0.0 X 0 0 0 CARIE BURNETTE TRUSTEE 1.0 0.0 X 0 0 0 JERRY R CONATSER TRUSTEE-CHAIRMAN 2.0 6.0 X X 0 0 0 BRIAN CRUMLEY TRUSTEE SEC/TREASURER 2.0 2.0 X X 0 0 0 LEZLIE P DAVIS TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL DIKE TRUSTEE 1.0 2.0 X 0 0 0 CLARABELE PIT DODSON TRUSTEE-EMERITUS 1.0 0.0 X 0 0 0 JAMES R DUNAWAY JR TRUSTEE 1.0 1.0 X 0 0 0 RICHARD DYESS TRUSTEE 1.0 5.0 X 0 0 0 ROSALIND EVANS TRUSTEE 1.0 1.0 X 0 0 0 KATHRYN M FARMER TRUSTEE 1.0 0.0 X 0 0 0 JAY L FIERKE M D TRUSTEE 1.0 1.0 X 0 0 0 KENT HORST TRUSTEE 1.0 0.0 X 0 0 0 MATT JOHNSON TRUSTEE 1.0 0.0 X 0 0 0 R KYLE KIGHT TRUSTEE 1.0 0.0 X 0 0 0 ANDREW P LOMBARDI TRUSTEE 1.0 0.0 X 0 0 0 G MALCOLM LOUDEN TRUSTEE 1.0 1.0 X 0 0 0 ROGER P MARCINCUK JR TRUSTEE 1.0 0.0 X 0 0 0 RYAN T MATTHEWS TRUSTEE 1.0 2.0 X 0 0 0 RUSSELL MORTON TRUSTEE-V. Chair 2.0 1.0 X 0 0 0 BRIAN NEWBY TRUSTEE 1.0 1.0 X 0 0 0 BONNIE PETSCHE TRUSTEE 1.0 4.0 X 0 0 0 PETER L PHILPOTT TRUSTEE 1.0 4.0 X 0 0 0 CYNTHIA PRINCE TRUSTEE 1.0 0.0 X 0 0 0 JOHN M RICHARDSON MD TRUSTEE EMERITUS 1.0 1.0 X 0 0 0 TODD N RITTERBUSCH TRUSTEE 1.0 1.0 X 0 0 0 ANDREW ROSELL TRUSTEE 1.0 3.0 X 0 0 0 RICK SORENSON TRUSTEE 1.0 0.0 X 0 0 0 REBECCA M STUPFEL TRUSTEE 1.0 0.0 X 0 0 0 JAMES WEBB TRUSTEE 1.0 3.0 X 0 0 0 WILLIAM JACKSON RATTIKIN III TRUSTEE 1.0 1.0 X 0 0 0 WM LAWHON TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL R PAVELL TRUSTEE 1.0 1.0 X 0 0 0 RICK W MERRILL PRESIDENT & CEO 9.0 31.0 X 390165 1383313 234191 STEPHEN KIMMEL CFO 2.0 38.0 X 44047 836876 94312 GRANT W HARRIS SVP CHIEF DEVELOPMENT OFFICER 40.0 0.0 X 410213 0 81385 SPENCER SEALS VP CONSTRUCTION & REAL ESTATE 2.0 38.0 X 0 172845 37774 CARA MARTZ SECRETARY 1.0 39.0 X 0 141294 22922 B ANTHONY BAGWELL CIIO 40.0 0.0 X 0 0 0 KYLE DALEY INVESTMENT MANAGER 40.0 0.0 X 268212 0 32130 CHRISTOPHER TINDELL INVESTMENT MANAGER 40.0 0.0 X 252658 0 31730 JENNIFER JOHNSON AVP DONOR RELATIONS 40.0 0.0 X 204045 0 13769 DAYLE LOWREY INVESTMENT OPERATIONS MANAGER 40.0 0.0 X 143561 0 20050 MARTHA MATTOX DIRECTOR PHILANTHROPY 40.0 0.0 X 119558 0 18358 PATRICK O'CONNOR FORMER CIIO, END: 7/2018 0.0 0.0 X 397618 0 25247 APURVA MEHTA FORMER DEPUTY CIO END: 7/2018 0.0 0.0 X 209163 0 29986 2439240 2534328 641854 12 true true false WCM INVESTMENT MGT 281 BROOKS STREET LAGUNA BEACH CA 92651 INVESTMENT MGMT SVCS 798713 GARDNER RUSSO GARDNER LLC 223 EAST CHESTNUT STREET LANCASTER PA 17602 INVESTMENT MGMT SVCS 770506 BNY MELLON 240 GREENWICH STREET NEW YORK NY 10286 TRUSTEE/CUSTODIAN 766354 SILCHESTER INTERNATIONAL 1 BRUTON STREET 5TH FLOOR LONDON 0 UK W1J6TL INVESTMENT MGMT SVCS 561406 TVM ADVISORS LLC 2200 CHARLIE LANE 121 FORT WORTH TX 76104 INVESTMENT CONSULTAN 535267 20 20451723 1035746 20451723 0 23537789 2519069 21018720 0 1263369 1263369 4016561 4016561 0 4016561 4016561 418774671 387672224 31102447 31102447 31102447 0 0 0 0 0 0 0 0 0 0 80371889 2519069 57401097 16106750 16106750 0 0 0 1830239 844739 491810 493690 0 2953614 497690 2455924 125993 25220 100773 736311 185188 551123 232768 45748 187020 158194 158194 13750 13750 0 0 0 5625559 5625559 2256046 2087584 168462 609958 609958 138054 16650 121404 0 0 71909 71909 163810 124936 38874 0 13822 13535 287 0 0 2883602 2882900 702 0 PHYSICIAN REMUNERATION 8790223 8790223 DUES & SUBSCRIPTIONS 361929 2118 359811 FEDERAL TAX 54977 885 54092 FEES & FINANCE 39569 39569 69059 69059 43236136 37249940 663539 5322657 0 0 89397157 147447834 15835100 12919244 0 0 0 0 0 0 0 0 0 0 0 0 1104282 37154 72831 1067128 1833636169 1836462000 0 0 0 0 0 0 15564744 15660024 1954506001 2013556230 3833673 1393309 0 0 0 316602 0 0 0 0 0 0 0 0 0 0 920618 933396 4754291 2643307 X 1808680705 1868808639 46659829 46051521 94411176 96052763 1949751710 2010912923 1954506001 2013556230 X 37135753 20438116 3587344 X false true X true false X 18498401 28260763 19160053 19321032 20451723 105691972 0 0 18498401 28260763 19160053 19321032 20451723 105691972 9143330 96548642 12495013 10618098 18591817 23990105 28817719 94512752 0 14113042 14113042 214317766 0.45049 0.47610 X SCHEDULE A, PART II UNUSUAL GRANTS THE ORGANIZATION RECEIVED THE FOLLOWING UNUSUAL GRANT IN 2017, WHICH WAS NOT INCLUDED IN THE PUBLIC SUPPORT CALCULATION IN PART II, COLUMN (E). UNUSUAL GRANT #1 $20,000,025 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 134782310 545733 6377720 1542114 140163649 95010517 32237997 9352630 1818834 134782310 76556166 11777744 7575568 898961 95010517 71855341 190488 4883138 372801 76556166 62022698 12820675 -2241266 746766 71855341 0.32000 0.59000 0.09000 false false 58330 58330 17562 13347 4215 28390 23807 4583 1000000 1000000 1067128 0 FUNDS HELD FOR AFFILIATES 518929 GIFT ANNUITIES 414467 933396 77512631 20438116 20438116 57074515 5625559 17671815 23297374 80371889 16891411 16891411 5625559 20719166 26344725 43236136 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACED A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. 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 POSIIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO TAX RETURN: KINDRED BUILDING AMORTIZATION $ 2,877,900 CONTRIBUTIONS RECORDED TO NET ASSETS 13,054,299 RECLASS OF INVESTMENT DEPT EXPENSES 1,739,616 ------------- TOTAL $ 17,671,815 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO TAX RETURN: KINDRED BUILDING AMORTIZATION $ 2,877,900 RECLASS OF INVESTMENT EXPENSES 1,739,616 DONATIONS FROM NET ASSETS 16,101,650 ------------- TOTAL $ 20,719,166 Central America and the Caribbean 0 0 Investments 339211056 Europe (Including Iceland and Greenland) 0 0 Investments 108432383 Sub-Saharan Africa 0 0 Investments 42727874 South Asia 0 0 Investments 9580490 0 0 0 0 499951803 499951803 true false true true true false true COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 501(C)(3) 11638476 FINANCIAL ASSISTANCE COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 501(C)(3) 1302671 FINANCIAL ASSISTANCE COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752575366 501(C)(3) 1237618 FINANCIAL ASSISTANCE COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FORT WORTH TX 76104 752896983 501(C)(3) 17973 FINANCIAL ASSISTANCE CHILD STUDY CENTER 1300 W LANCASTER FORT WORTH TX 76102 751099536 501(C)(3) 1904911 FINANCIAL ASSISTANCE 5 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUNDS ARE PLACED IN THE APPROPRIATE DESIGNATED ACCOUNTS WITH NOTIFICATION FROM DEVELOPMENT STAFF TO THE AUTHORIZED SIGNER. AUTHORIZED SIGNERS AND OTHER APPROPRIATE INDIVIDUALS ARE NOTIFIED OF ANY RESTRICTIONS ON THE FUNDS. DEVELOPMENT STAFF FOLLOW UP WITH AUTHORIZED SIGNERS TO OBTAIN INFORMATION ON THE USE OF FUNDS AND THE IMPACT MADE TO THE PROGRAM. IMPACT REPORTS ARE THEN PREPARED BY DEVELOPMENT STAFF AND SENT TO THE DONOR ON AN ANNUAL BASIS OR AS REQUIRED BY THE DONOR AGREEMENT. X false true false true false false false false false false false RICK W MERRILL PRESIDENT & CEO 222412 788555 107852 382385 59901 212373 46901 166286 4621 16383 441687 1565982 0 0 STEPHEN KIMMEL CFO 21953 417114 14603 277442 7491 142320 4060 77142 655 12455 48762 926473 0 63144 GRANT W HARRIS SVP CHIEF DEVELOPMENT OFFICER 238182 0 104817 0 67214 0 52380 0 29005 0 491598 0 0 0 SPENCER SEALS VP CONSTRUCTION & REAL ESTATE 0 126845 0 26187 0 19813 0 11173 0 26601 0 210619 0 0 CARA MARTZ SECRETARY 0 95694 0 24526 0 21074 0 7553 0 15369 0 164216 0 0 KYLE DALEY INVESTMENT MANAGER 145567 0 102697 0 19948 0 10876 0 21254 0 300342 0 0 0 CHRISTOPHER TINDELL INVESTMENT MANAGER 144528 0 96363 0 11767 0 10464 0 21266 0 284388 0 0 0 JENNIFER JOHNSON AVP DONOR RELATIONS 145835 0 33865 0 24345 0 10805 0 2964 0 217814 0 0 0 DAYLE LOWREY INVESTMENT OPERATIONS MANAGER 87693 0 34889 0 20979 0 8782 0 11268 0 163611 0 0 0 PATRICK O'CONNOR FORMER CIIO, END: 7/2018 286438 0 0 0 111180 0 17188 0 8059 0 422865 0 0 0 APURVA MEHTA FORMER DEPUTY CIO END: 7/2018 170797 0 0 0 38366 0 11848 0 18138 0 239149 0 0 0 SCHEDULE J, PART I, LINE 1A 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 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 2018 GROSS UP PAYMENTS KYLE DALEY $220 CHRISTOPHER TINDELL $220 DAYLE LOWRY $220 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 126,903 196,000 CCHS STEPHEN KIMMEL 63,144 70,202 CCHS PATRICK O'CONNOR 54,090 NONE CCHF GRANT W. HARRIS NONE 35,618 CCHS 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 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 CHILDRENS'S PHYSICIAN NETWORK CHILD STUDY CENETER X 5 35746 AVG HIGH/LOW FOR DAY X 1 1000000 FMV 1 false true false SCHEDULE M, PART 1, COLUMN B NUMBER OF CONTRIBUTIONS OR NUMBER OF ITEMS RECEIVED: THE AMOUNTS REPORTED IN THIS COLUMN REFLECT THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 2 OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE FAMILY/BUSINESS RELATIONSHIPS: KENT HORST AND BONNIE PETSCHE HAVE A BUSINESS RELATIONSHIP. RICK SORENSON AND JAMES WEBB HAVE A BUSINESS RELATIONSHIP. 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 CONFLICT OF INTEREST: 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 IS 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, LINES 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 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 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 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 TO NET ASSETS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS $ (27,192) TRANSFERS TO RELATED ORGANIZATIONS $(1,493,286) NET ASSETS RELEASED FROM RESTRICTIONS $ (264,679) INVESTMENT INCOME & UNREALIZED GAIN/LOSS $ 4,372,501 DONATED PROPERTY, PLANT & EQUIPMENT $ 1,000,000 ------------- TOTAL $ 3,587,344 COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE 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 PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 PHYSICIAN SVC TX 501(C)(3) 3 CCHCS true 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 461866421 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 HEALTH ENTERPRISES 801 SEVENTH AVE FORT WORTH TX 76104 842625990 SUPPORT TX 501(C)(3) 11B CCHF true SPLIT INTEREST TRUSTS (2) PO BOX 830269 DALLAS TX 75283 SPLIT INT TRUST TX NA TRUST false COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTH SERVICE TX CCHCS C CORPORATION true SPLIT INTEREST TRUST 270 PARK AVE NEW YORK NY 100172014 SPLIT INT TRUST TX NA TRUST false false true false false false false false false false false false false false false true true false true false COOK CHILDREN'S MEDICAL CENTER B 11638476 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 1237618 FMV COOK CHILDREN'S HEALTH CARE SYSTEM B 1302671 FMV CHILD STUDY CENTER B 1904911 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 8790223 FMV COOK CHILDREN'S HEALTHCARE SYSTEM P 3520932 FMV COOK CHILDREN'S MEDICAL CENTER R 1398700 FMV COOK CHILDREN'S HEALTH CARE SYSTEM R 94586 FMV