2020-08-12T14:06:59-05:00 2019-09-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-10-01 752485366 Cook Children's Physician Network % CORY RHOADES COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 CORY RHOADES SENIOR VP-FINANCE 2020-08-15 true KEVIN ENSMINGER P01310558 9727028262 167.68.126.162 76915820202255000009 2020-08-12 P 21E6481FF4EC5D606F81E380A49442717B3AD96E EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-23 17:36:50Z W BRITT NELSON MD 801 SEVENTH AVE FORT WORTH TX 76104 336407477 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 1662 8 0 62164023 66197090 253532741 269327465 20000 0 561970 882922 316278734 336407477 0 0 0 0 253318095 272600800 0 0 0 63721066 72907943 317039161 345508743 -760427 -9101266 35932793 28765297 33136695 34931799 2796098 -6166502 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 307787425 270207387 COOK CHILDREN'S PHYSICIAN NETWORK (CCPN) IS THE LARGEST PEDIATRIC MULTI-SPECIALTY PHYSICIAN GROUP IN NORTH TEXAS. THE NETWORK INCLUDES MORE THAN 410 PHYSICIANS, INCLUDING 295 EMPLOYED SPECIALISTS, 100 PRIMARY CARE SPECIALISTS AND 22 NEIGHBORHOOD CLINIC DOCTORS. CCPN ALSO EMPLOYS 271 ADVANCED PRACTITIONERS. PATIENT FAMILIES HAVE ACCESS TO 17 SPECIALTIES VIA TELEMEDICINE: - CARDIOLOGY - CARE TEAM - ENDOCRINOLOGY - GASTROENTEROLOGY - GENETICS/METABOLIC GENETICS - HEMATOLOGY/ONCOLOGY - INFECTIOUS DISEASES - NEONATOLOGY - NEPHROLOGY - NEUROLOGY - NEUROPSYCHOLOGY - PAIN MANAGEMENT - PALLIATIVE CARE - PEDIATRIC SURGERY - PSYCHIATRY - PSYCHOLOGY - RHEUMATOLOGY - UROLOGY THESE SPECIALISTS HOSTED APPROXIMATELY 2,000 VISITS VIA TELEMEDICINE IN 2019, OFFERING IMMEDIATE CARE AND PATIENT MONITORING AND SAVING 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, EAST AND CENTRAL TEXAS. EACH MONTH, PHYSICIANS TRAVEL TO PROVIDE SERVICES IN SEVERAL MARKETS THAT ARE NOT LARGE ENOUGH TO SUPPORT FULL-TIME SPECIALTY CARE. COOK CHILDREN'S OFFERS SEVEN NEIGHBORHOOD CLINICS (FIVE IN FORT WORTH, ONE IN ARLINGTON AND ONE IN RICHLAND HILLS) THAT OFFER WELL- AND SICK-CHILD VISITS AND DENTAL CARE AND PROVIDE VACCINES. STAFF SPEAKS BOTH ENGLISH AND SPANISH AND CLINICS ACCEPT MOST CHIP, MEDICAID AND COMMERCIAL INSURANCE PLANS. THE CLINICAL STAFF IS LED BY 23 TOTAL PHYSICIANS, 2 DENTISTS AND 5 ADVANCED PRACTICE PROVIDERS. EVENING HOURS WERE ADDED TO TWO NEIGHBORHOOD CLINICS IN 2019. CCPN TELEMEDICINE SUPPORTS SCHOOL BASED NURSES IN FIVE LOCAL INDEPENDENT SCHOOL DISTRICTS (ISD). CURRENTLY THIS ENCOMPASSES 69 CAMPUSES. OVER 60 PERCENT OF CHILDREN SEEN VIA TELEMEDICINE WERE ABLE TO REMAIN IN SCHOOL. CCPN ANTICIPATES IT WILL SUPPORT SEVERAL MORE ISDS IN THE UPCOMING FISCAL YEAR. PRIOR VISIT SUMMARIES, MEDICATION LISTS, LAB RESULTS AND APPOINTMENT REQUESTS. 307787425 true true false false false false false false false true true false false false 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 true false false true 88 0 1662 true false false false false false false false false false false false false X 13 0 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 AVENUE FORT WORTH TX 76104 X VIDA AMIN MD TRUSTEE 41.0 0.0 X 315893 0 23598 SAMSON CANTU MD TRUSTEE-VICE CHAIR SPEC. CARE 42.0 1.0 X X 486993 0 49421 MATT DZURIK MD TRUSTEE-CHAIRMAN 42.0 2.0 X X 469651 0 34864 SARA GARZA MD TRUSTEE 41.0 0.0 X 190363 0 37397 JOSE IGLESIAS MD TRUSTEE-SECRETARY 42.0 1.0 X 1010328 0 38048 MICHELLE MARCINCUK MD TRUSTEE 41.0 0.0 X 620583 0 27522 BRADLEY MERCER MD TRUSTEE 41.0 0.0 X 381385 0 48316 JULEE S MARROW MD TRUSTEE 41.0 2.0 X 384607 0 40928 LINDSAY NEWTON MD TRUSTEE-TREASURER 42.0 1.0 X X 252941 0 29851 MARIA PEREZ MD TRUSTEE 41.0 0.0 X 322385 0 35382 MICHAEL SCOTT PERRY MD TRUSTEE 41.0 2.0 X 486158 0 32266 ALICE PHILLIPS MD TRUSTEE-VICE CHAIRMAN, PRIMARY 42.0 1.0 X 444214 0 41724 JUSTIN SMITH MD TRUSTEE 41.0 0.0 X 348492 0 29228 DIANE ARNAOUT TRUSTEE 40.0 0.0 X 317376 0 46072 W BRITT NELSON MD PRESIDENT 40.0 0.0 X 777529 0 42113 ROBERT GOODWILL VP PRIMARY CARE & SPECIALTY 40.0 0.0 X 465741 0 83657 STEPHEN W KIMMEL TREASURER 5.0 35.0 X 110115 770808 94313 SHERI KANTER SECRETARY 40.0 0.0 X 61415 0 23611 RICK W MERRILL CEO 4.0 36.0 X 177348 1596131 234191 VINCENT TAM MD MEDICAL DIRECTOR 40.0 0.0 X 2688988 0 47866 JOHNNIE HONEYCUTT MD PHYSICIAN 40.0 0.0 X 1415598 0 41724 JONATHAN KAYE MD PHYSICIAN 40.0 0.0 X 1122046 0 20799 RICHARD ROBERTS MD PHYSICIAN 40.0 0.0 X 1086722 0 34301 JOHN UFFMAN MD MEDICAL DIRECTOR 40.0 0.0 X 1041015 0 43367 14977886 2366939 1180559 598 false true false ATHENAHEALTH 311 ARSENAL ST WATERTOWN MA 02472 CLAIMS PROCESSING 5609404 TARRANT CONSTRUCTION SERVICES 2225 W PETERSMITH ST FORT WORTH TX 76102 CONSTRUCTION SVCS 1042150 CHANGE HEALTHCARE 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 CLAIMS PROCESSING 551075 ECG MANAGEMENT 1111 THIRD AVENUE SUITE 2500 SEATTLE WA 98101 CONSULTING 368261 SKILES GROUP 1810 N GREENVILLE AVE RICHARDSON TX 75081 CONSTRUCTION SVCS 307075 11 66197090 66197090 Net Patient Fees 621110 211904268 211904268 Contracted Fees 621110 4189730 4189730 Management Fees 900099 49209480 49209480 Other Operating Income 621110 3843098 3843098 RESEARCH 900099 180889 180889 269327465 0 0 0 3000 3000 0 3000 3000 0 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 879922 879922 879922 336407477 270207387 3000 0 0 0 0 8566065 5677332 2888733 412132 187114 225018 225098217 214901841 10196376 10892535 10435916 456619 16671599 14122731 2548868 10960252 10269937 690315 16399703 16399703 0 0 0 0 0 3326045 1909678 1416367 53710 41101 12609 1821250 1898871 -77621 0 0 8495040 7936340 558700 420539 375063 45476 0 23322 13286 10036 297177 85135 212042 0 2166913 1389836 777077 2071077 2051490 19587 Medical Supplies 24368291 24354368 13923 Bad Debt Expense 10678449 10678449 Collection Expense 776977 13379 763598 Minor Equipment 1049139 697212 351927 960311 748346 211965 345508743 307787425 37721318 0 11502 12102 1605898 0 0 0 18325411 15315057 0 0 0 0 53974 25125 1676887 1321461 254564 0 22964131 12765667 11806101 10198464 0 0 0 0 0 0 1560000 1560000 638456 333088 35932793 28765297 7035531 3188219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26101164 31743580 33136695 34931799 X 2796098 -6166502 0 0 0 0 2796098 -6166502 35932793 28765297 X -9101266 138666 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100000 1112 101112 0.00000 0.98900 0.01100 false true true 7353576 2186079 5167497 9803983 6418099 3385884 5778265 4161489 1616776 28307 0 28307 10198464 0 DUE TO AFFILIATE 4514570 ACCRUED PAYROLL EXPENSES 27229010 31743580 325729028 -10678449 -10678449 336407477 336407477 334830294 334830294 10678449 10678449 345508743 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. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO RETURN: BAD DEBT EXPENSE $(10,678,449) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO RETURN: BAD DEBT EXPENSE $ 10,678,449 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. X X false true X X X X X false true false false false false false false false VIDA AMIN MD TRUSTEE 255772 0 40500 0 19621 0 6409 0 17189 0 339491 0 SAMSON CANTU MD TRUSTEE-VICE CHAIR SPEC. CARE 479325 0 500 0 7168 0 17188 0 32233 0 536414 0 MATT DZURIK MD TRUSTEE-CHAIRMAN 394440 0 36803 0 38408 0 20625 0 14239 0 504515 0 SARA GARZA MD TRUSTEE 166999 0 500 0 22864 0 11750 0 25647 0 227760 0 JOSE IGLESIAS MD TRUSTEE-SECRETARY 904412 0 43944 0 61972 0 17188 0 20860 0 1048376 0 MICHELLE MARCINCUK MD TRUSTEE 576167 0 500 0 43916 0 1000 0 26522 0 648105 0 BRADLEY MERCER MD TRUSTEE 348429 0 500 0 32456 0 20625 0 27691 0 429701 0 JULEE S MARROW MD TRUSTEE 348729 0 500 0 35378 0 15220 0 25708 0 425535 0 LINDSAY NEWTON MD TRUSTEE-TREASURER 168898 0 46725 0 37318 0 9674 0 20177 0 282792 0 MARIA PEREZ MD TRUSTEE 285358 0 500 0 36527 0 14741 0 20641 0 357767 0 MICHAEL SCOTT PERRY MD TRUSTEE 431896 0 500 0 53762 0 7188 0 25078 0 518424 0 ALICE PHILLIPS MD TRUSTEE-VICE CHAIRMAN, PRIMARY 396577 0 10159 0 37478 0 20625 0 21099 0 485938 0 JUSTIN SMITH MD TRUSTEE 273576 0 51477 0 23439 0 13750 0 15478 0 377720 0 W BRITT NELSON MD PRESIDENT 393748 185183 198598 20625 21488 819642 ROBERT GOODWILL VP PRIMARY CARE & SPECIALTY 273392 0 125146 0 67203 0 53574 0 30083 0 549398 0 0 0 STEPHEN W KIMMEL TREASURER 54883 384184 36506 255539 18726 131085 10150 71052 1639 11472 121904 853332 0 63144 DIANE ARNAOUT TRUSTEE 289216 0 500 0 27660 0 16656 0 29416 0 363448 0 RICK W MERRILL CEO 101097 909872 49024 441213 27227 245046 21319 191869 2100 18903 200767 1806903 VINCENT TAM MD MEDICAL DIRECTOR 2630645 0 500 0 57843 0 20625 0 27241 0 2736854 0 JOHNNIE HONEYCUTT MD PHYSICIAN 1291988 0 63188 0 60422 0 20625 0 21099 0 1457322 0 JONATHAN KAYE MD PHYSICIAN 1083194 500 38352 11000 9799 1142845 RICHARD ROBERTS MD PHYSICIAN 1037125 0 10500 0 39097 0 6610 0 27691 0 1121023 0 JOHN UFFMAN MD MEDICAL DIRECTOR 986286 0 500 0 54229 0 17188 0 26179 0 1084382 0 SCHEDULE J, PART I, LINE 1A GENERAL GROSS UP PAYMENTS: JOHNNIE HONEYCUTT $110 SHERI KANTNER $317 JONATHAN KAYE $110 RICHARD ROBERTS $110 VINCENT TAM $110 JOHN UFFMAN $110 JUSTIN SMITH $110 MARIA PEREZ $110 BRADLEY MERCER $110 SARA GARZA $110 M SCOTT PERRY $110 JULEE MORROW $110 SAMSON CANTU $110 DIANE ARNAOUT $110 VIDA AMIN $110 ALICE PHILLIPS $110 LINDSAY NEWTON $110 JOSE IGLESIAS $110 MATTHEW DZURIK $110 MICHELLE MARCINCUK $110 CME GROSS UP PAYMENTS: JOHNNIE HONEYCUTT $13,000 RICHARD ROBERTS $13,000 VINCENT TAM $13,000 JOHN UFFMAN $14,500 JOHNATHAN KAYE $15,000 JOSE IGLESIAS $14,500 MATTHEW DZURIK $6,500 LINDSAY NEWTON $4,875 VIDA AMIN $6,500 SAMSON CANTU $3,900 M SCOTT PERRY $9,750 MICHELLE MARCINCUK $5,000 MARIA PEREZ $6,500 ALICE PHILLIPS $6,500 DIANE ARNAOUT $6,500 JULEE MORROW $5,000 SARA GARZA $2,925 BRADLEY MERCER $6,500 JUSTIN SMITH $5,000 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. 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 AIR TRAVEL PROVIDED TO MATTHEW DZURIK, MD, VINCENT TAM, MD, JONATHAN KAYE, JOHN UFFMAN, AND M. SCOTT PERRY, MD FOR CLINICAL CARE AND OUTREACH IN THEIR CAPACITY AS PHYSICIANS FOR COOK CHILDREN'S PHYSICIAN NETWORK. SCHEDULE J, PART I, LINE 3 METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE COMPANY'S PRESIDENT: 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 -------------------- -------- -------- -------- W. BRITT NELSON, MD 57,606 NONE CCPN STEPHEN KIMMEL 63,144 70,202 CCHS RICK W. MERRILL $126,903 196,000 CCHS YVETTE DZURIK M. DZURIK SPOUSE 187114 COMPENSATION false KEVIN BRISCOE J. MASON-BRISCOE SPOUSE 225018 COMPENSATION false 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 ABSOLUTE RIGHT TO APPOINT OR APPROVE MEMBERSHIP ON THE BOARD OF DIRECTORS OF THE ORGANIZATION. 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 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. 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 PRESIDENT 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 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 XI, LINE 9 NET ASSETS RELEASED FROM RESTRICTIONS $ 138,666 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) 7 NA false COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVENUE FORT 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 false 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 false CHILD STUDY CENTER 1300 W LANCASTER FORT WORTH TX 76102 751099536 HLTHCARE SRVC TX 501(C)(3) 7 CCMC true COOK CHILREN'S HEALTH ENTERPRISES 801 SEVENTH AVE FORT WORTH TX 76104 842625990 SUPPORT TX 501(C)(3) 12B 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 A 1359986 FMV COOK CHILDREN'S MEDICAL CENTER 30595318 FMV COOK CHILDREN'S HEALTH CARE SYSTEM O 13184230 FMV COOK CHILDREN'S HEALTH PLAN O 1022396 FMV CHILD STUDY CENTER O 831022 FMV COOK CHILDREN'S MEDICAL CENTER P 156765 FMV COOK CHILDREN'S MEDICAL CENTER Q 376001 FMV COOK CHILDREN'S MEDICAL CENTER R 337715 FMV COOK CHILDREN'S HEALTH PLAN S 18158140 FMV COOK CHILDREN'S MEDICAL CENTER C 64689990 FMV