2015-08-13T19:01:00-05:00 2014-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2013-10-01 752705881 COOK CHILDREN'S HEALTH CARE SYSTEM % CORY RHOADES COOK 6828854480 801 SEVENTH AVENUE Suite FORT WORTH TX 76104 CORY RHOADES VP & CHIEF ACCOUNTING OFFICER 6828854480 2015-08-15 true M P Gerich P00226776 6828854480 2013 2016-02-25 16:41:14Z RICK W MERRILL 801 SEVENTH AVE FORT WORTH TX 76104 204097891 false X WWW.COOKCHILDRENS.ORG X 1996 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY. 22 13 552 54 0 0 989230 915681 126103734 132184977 1623797 -748000 4285932 5888900 133002693 138241558 161120 162850 0 0 35848302 40781306 0 0 0 85227082 80369691 121236504 121313847 11766189 16927711 108528577 117298603 40961542 45929225 67567035 71369378 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 92709390 162850 138073877 COOK CHILDREN'S HEALTH CARE SYSTEM IS ONE OF THE COUNTRY'S LEADING VERTICALLY INTEGRATED PEDIATRIC HEALTHCARE ORGANIZATIONS. COOK CHILDREN'S REPRESENTS AN AWARD-WINNING, NOT-FOR-PROFIT SYSTEM OF SEAMLESS HEALTHCARE DESIGNED TO FULFILL OUR PROMISE; KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. COOK CHILDREN'S HEALTH CARE SYSTEM INCLUDES EIGHT COMPANIES DESIGNED TO MEET CHILDREN'S HEALTH CARE NEEDS ACROSS THE CONTINUUM OF CARE - THE MEDICAL CENTER, PHYSICIAN NETWORK, HOME HEALTH COMPANY, NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, HEALTH PLAN, HEALTH SERVICES, INC. AND HEALTH FOUNDATION. BASED IN FORT WORTH, TEXAS, COOK CHILDREN'S HAS SIGNIFICANT REACH WITH MORE THAN 60 PRIMARY AND SPECIALTY CARE OFFICES AND CLINICS THROUGHOUT NORTH TEXAS. ITS SERVICE REGION INCLUDES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES, WITH AN ADDITIONAL REFERRAL AREA ENCOMPASSING APPROXIMATELY HALF OF THE STATE. COOK CHILDREN'S SUSTAINABLE HERITAGE DATES BACK TO 1918, AND THROUGHOUT THE DECADES SINCE, IT HAS BEEN A LEADER IN PEDIATRIC HEALTHCARE BY FOSTERING CONTINUAL CHANGE AND ROBUST GROWTH WHILE ALWAYS EMBRACING ITS ABIDING PROMISE- THAT ALL 5,872 EMPLOYEES COMMIT TO KEEP EVERY DAY. COOK CHILDREN'S LIVES UP TO THAT PLEDGE BY COMBINING THE ART OF CARING WITH INTEGRITY-LED, INTERDISCIPLINARY COLLABORATION, A COMMITMENT TO EVIDENCE-BASED PRACTICE, ENSURING THE HIGHEST LEVELS OF SAFETY AND SECURITY, LEADING CLINICAL RESEARCH, UTILIZING THE BEST AVAILABLE TECHNOLOGY, EFFECTIVE FINANCIAL STEWARDSHIP AND THE RE-INVESTMENT OF HUNDREDS OF MILLIONS OF DOLLARS IN COMMUNITY BENEFITS. THE COMMITMENT AND EXPERTISE OF THE SYSTEM'S TRUSTEES, PHYSICIANS AND STAFF, COMBINED WITH COOK CHILDREN'S VAST RESOURCES, ENABLE THIS INSTITUTION TO BE RECOGNIZED AS SUSTAINABLE AND AMONG THE BEST FOR POSITIVE CLINICAL OUTCOMES. AS SUCH, RATING AGENCIES HAVE CITED COOK CHILDREN'S MARKET LEADERSHIP IN TARRANT COUNTY BECAUSE OF ITS SUCCESSFUL EXPANSION EFFORTS, ROBUST GROWTH IN REVENUE AND LIQUIDITY, AND STELLAR OPERATING MARGINS. AT COOK CHILDREN'S, WE BELIEVE IT'S NOT JUST ABOUT THE BOTTOM LINE. IT'S ABOUT KEEPING OUR PROMISE. AS MUCH AS WE TAKE PRIDE IN THE REWARDS AND RECOGNITION WE RECEIVE FOR OUR WORK, WE MEASURE OUR SUCCESS BY THE IMPROVED HEALTH OF CHILDREN IN OUR REGION. THAT IS WHY OUR COOK CHILDREN'S TEAM CONTINUES TO WORK COLLABORATIVELY WITH OUR COMMUNITY PARTNERS TO ADDRESS IDENTIFIED PEDIATRIC HEALTH NEEDS IN OUR AREA. 92709390 true true false true false false false false false false true false false false false 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 195 0 true 552 true false true CJ false false false false false false false false false X 22 13 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 KIMBERLY D AARON MD TRUSTEE 1.0 40.0 X 312777 36700 R JEFFREY ALEXANDER TRUSTEE 1.0 1.0 X G THOMAS BOSWELL TRUSTEE 1.0 1.0 X JOHN P BOSWELL TRUSTEE-SECR/TREASURER 2.0 4.0 X X JAMES R DUNAWAY JR TRUSTEE 1.0 2.0 X NANCY KAY HOWARD TRUSTEE 1.0 1.0 X MICHAEL R PAVELL TRUSTEE 1.0 3.0 X PETER L PHILPOTT TRUSTEE 1.0 4.0 X JASON V TERK MD TRUSTEE 1.0 41.0 X 374593 31364 JAMES E WEBB TRUSTEE-CHAIRMAN 2.0 2.0 X X KEVIN D WYLIE DO TRUSTEE 1.0 41.0 X 290005 38669 GRETCHEN EAMES MD TRUSTEE 1.0 40.0 X 312920 19705 MARSHA A HILCHER TRUSTEE 1.0 2.0 X CHRISTOPHER M HUCKABEE TRUSTEE 1.0 1.0 X SAMUEL E KLEINMAN MD TRUSTEE 1.0 40.0 X 637566 34470 LINDA THOMPSON MD TRUSTEE-VICE CHAIRMAN 2.0 42.0 X X 346699 16572 DEBORAH A SCHUTTE MD TRUSTEE 1.0 42.0 X 533351 13389 VANESSA CHARETTE MD TRUSTEE 1.0 42.0 X 261906 18794 MATT MAYFIELD MD TRUSTEE 1.0 40.0 X 504198 22814 JULIA DAVIDSON TRUSTEE 1.0 1.0 X WM MACK LAWHON TRUSTEE 1.0 1.0 X G MALCOLM LOUDEN TRUSTEE 1.0 2.0 X SANDRA ARCA MD TRUSTEE 1.0 42.0 X 267075 37426 NICHOLAS M KYPREOS TRUSTEE 1.0 1.0 X BRIAN C NEWBY TRUSTEE 1.0 3.0 X TODD WOLF MD TRUSTEE 1.0 42.0 X 393997 35552 LINDA S CHAPPELL SR. VP-QUALITY MGMT 40.0 0.0 X 320161 28044 RICHARD P GOODE CFO 11.0 29.0 X 183912 484859 29091 BILLY R KENNEDY SR. VP-CHIEF ADMIN OFFICER 40.0 0.0 X 473430 146183 DAVID F LANCASTER VP, INTERNAL AUDIT & COMPLIANC 40.0 0.0 X 233240 27820 CARA MARTZ SECRETARY 35.0 5.0 X 111349 8771 JOHN W MCNEY SR. VP-GENERAL COUNSEL 40.0 0.0 X 491846 30964 RICK W MERRILL PRESIDENT & CEO 16.5 23.5 X 551944 786102 190582 GEORGE B MONTAGUE VP, REAL ESTATE 40.0 0.0 X 307293 31571 FRANK J ROSSI SR. VP-HUMAN RESOURCES 40.0 0.0 X 552643 33281 LARRY L TUBB SR. VP-SYSTEM PLANNING 40.0 0.0 X 367129 25769 CORY RHOADES VP-FINANCE, CHIEF ACCTG OFFCR 40.0 0.0 X 261526 28216 JAMES R STALDER VP-INFO SYS, CHIEF TECH OFFCR 40.0 0.0 X 243218 26780 THERESA ZAK MEADOWS SR VP-CIO 40.0 0.0 X 364559 26816 HARRY I SHUMAN CHIEF MEDICAL INFO OFFICER 40.0 0.0 X 318389 17880 COLEMAN D SKINNER VP-REVENUE CYCLE 40.0 0.0 X 205585 28106 ROBERT K FEATHER SR. VP-DEVELOPMENT 40.0 0.0 X 451320 34538 JUDITH HERSHMAN SR. VP-CORP & COMM AFFAIRS 40.0 0.0 X 595 STEPHEN W KIMMEL CFO 11.0 29.0 X KEITH HOLTZ SR. VP-HR & CORP & COMM AFFRS 40.0 0.0 X 37450 JAMES C CUNNINGHAM MD CHIEF MEDICAL OFFICER 40.0 0.0 X 622428 34274 ERIC H HUBLI CHIEF SYSTEM EFFECTIVENESS OFF 40.0 0.0 X 580374 26032 JAMES D MARSHALL MD MEDICAL DIRECTOR 40.0 0.0 X 545704 31437 JOANN M SANDERS MD PATIENT SAFETY OFFICER 40.0 0.0 X 396269 33352 JOSEPH GALLAGHER DEPUTY GENERAL COUNSEL 40.0 0.0 X 264433 24788 KAREN WARDELL ASSOCIATE GENERAL COUNSEL 40.0 0.0 X 231205 28937 8115407 5506048 1199282 99 false true false LINBECK GROUP LLC 201 MAIN STREET STE 1801 FORT WORTH TX 76102 CONSTRUCTION 24211972 GENERAL DATATECH PO BOX 650002 DALLAS TX 752650002 SOFTWARE SERVICES 3391418 FORD AUDIO-VIDEO SYSTEMS 4800 WEST I-40 SERVICE ROAD OKLAHOMA CITY OK 73128 A/V SERVICES 652334 BKD LLP 910 E SAINT LOUIS ST STE 400 SPRINGFIELD MO 65806 ACCOUNTING SERVICES 354936 JUDITH HERSHMAN 200 HENDERSON ST APT 1135 FORT WORTH TX 76102 CONSULTING 313181 19 632173 84627 198881 915681 SHARED SERVICES 900099 122726983 122726983 HUMAN RESOURCES 900099 4574152 4574152 RENT 900099 2159795 2159795 COMMUNITY HEALTH OUTREACH 900099 1399159 1399159 RESEARCH 900099 671790 671790 653098 653098 132184977 1082148 1082148 0 0 0 0 0 63109239 916946 65529411 326922 -2420172 590024 -1830148 -1830148 0 0 0 LEGAL 900099 5701559 5701559 REBATE 900099 185989 185989 OTHER REVENUE 900099 1352 1352 5888900 138241558 138073877 -748000 122850 122850 40000 40000 0 0 7410664 608797 6801867 0 27189598 18704590 8485008 0 6181044 3469331 2711713 0 266779 266779 475637 41294 434343 324386 324386 143972 143972 0 0 8634056 5735311 2898745 2440342 211124 2229218 1928996 1459682 469314 42607997 42607997 0 2549908 2549908 766757 532734 234023 0 242991 217044 25947 204700 204700 0 7719715 7719715 1126457 1126457 MINOR EQUIPMENT 4930482 4927148 3334 PHYSICIAN REMUNERATION 2981523 -149857 3131380 DUES & SUBSCRIPTIONS 1041023 398520 642503 RECRUITMENT 893452 681615 211837 1090518 1032072 58446 121313847 92709390 28604457 0 X 8950 9350 51928406 48607895 508744 207036 3241428 10671505 0 0 0 0 0 0 7833 3644 1089060 1064162 86912969 32539995 49787327 54372974 0 0 0 0 0 0 0 0 1956829 2362037 108528577 117298603 40739078 45367399 0 0 222464 561826 0 0 0 0 0 0 0 0 0 0 0 0 40961542 45929225 X 67567035 71369378 0 0 0 0 67567035 71369378 108528577 117298603 X 16927711 2001606 -15126974 X false true X true true true X X X false false false CC MED CENTER 752051646 03 true true true 92709390 1 92709390 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 143972 143972 121169875 121313847 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 131000 130918 131959 143972 537849 250000 250000 250000 250000 1000000 1500000 21713666 21713666 18799630 6586651 12212979 741964 728633 13331 45175954 24807991 20367963 481755 416720 65035 54372974 141191259 2001606 1538119 3539725 137651534 590024 590024 138241558 122080086 1356263 1356263 120723823 590024 590024 121313847 SCHEDULE D, PART XI, LINE 2D OTHER CHANGE: MANAGEMENT FEE REDUCTION $1,356,263 CCIC PREMIUM $ 181,856 -------------- $1,538,119 SCHEDULE D, PART XI, LINE 4B OTHER CHANGE: GAIN ON SALE OF ASSET $ 590,024 SCHEDULE D, PART XII, LINE 2D OTHER CHANGE: MANAGEMENT FEE REDUCTION $1,356,263 SCHEDULE D, PART XII, LINE 4B OTHER CHANGE: GAIN ON SALE OF ASSET $ 590,024 Central America and the Caribbean Investments 2510962 2510962 2510962 true false true false false false true COWTOWN MARATHON INC PO BOX 100192 FORT WORTH TX 76185 752541065 501(C)(3) 20000 SPONSORSHIP N TEXAS HEALTHY COMMUNITY 612 E LAMAR STE 300 ARLINGTON TX 76011 464513182 501(C)(3) 50000 SPONSORSHIP JUVENILE DIABETES RESEARCH 3601 HULEN ST 102 FT WORTH TX 76107 231907729 501(C)(3) 6000 SPONSORSHIP 3 0 SCHOLARSHIPS FOR INDIVIDUALS 8 40000 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 & 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 false true X X X X X false true false false false false false false false KIMBERLY D AARON MD TRUSTEE 280808 20000 11969 19125 17575 349477 JASON V TERK MD TRUSTEE 361691 4167 8735 19125 12239 405957 KEVIN D WYLIE DO TRUSTEE 234811 49689 5505 19125 19544 328674 LINDA S CHAPPELL SR. VP-QUALITY MGMT 184315 83659 52187 15653 12391 348205 JAMES C CUNNINGHAM MD CHIEF MEDICAL OFFICER 407068 149671 65689 19125 15149 656702 RICHARD P GOODE CFO 85669 225855 49001 129183 49242 129821 4383 11555 3617 9536 191912 505950 BILLY R KENNEDY SR. VP-CHIEF ADMIN OFFICER 280456 127405 65569 127500 18683 619613 DAVID F LANCASTER VP, INTERNAL AUDIT & COMPLIANC 168529 53975 10736 13712 14108 261060 JOHN W MCNEY SR. VP-GENERAL COUNSEL 278551 127987 85308 19125 11839 522810 RICK W MERRILL PRESIDENT & CEO 301048 439805 177025 252127 73871 94170 72084 102666 6531 9301 630559 898069 66825 95175 GEORGE B MONTAGUE VP, REAL ESTATE 216368 69281 21644 19125 12446 338864 FRANK J ROSSI SR. VP-HUMAN RESOURCES 284644 129148 138851 19125 14156 585924 LARRY L TUBB SR. VP-SYSTEM PLANNING 211218 92950 62961 17709 8060 392898 CORY RHOADES VP-FINANCE, CHIEF ACCTG OFFCR 198546 61694 1286 10126 18090 289742 ERIC H HUBLI CHIEF SYSTEM EFFECTIVENESS OFF 503699 15000 61675 10200 15832 606406 JAMES D MARSHALL MD MEDICAL DIRECTOR 477766 53975 13963 15938 15499 577141 JOANN M SANDERS MD PATIENT SAFETY OFFICER 304784 75672 15813 19125 14227 429621 JOSEPH GALLAGHER DEPUTY GENERAL COUNSEL 196781 61926 5726 12513 12275 289221 GRETCHEN EAMES MD TRUSTEE 295000 5500 12420 19125 580 332625 SAMUEL E KLEINMAN MD TRUSTEE 625639 11927 19125 15345 672036 LINDA THOMPSON MD TRUSTEE-VICE CHAIRMAN 325667 10750 10282 15938 634 363271 DEBORAH A SCHUTTE MD TRUSTEE 513832 10000 9519 13389 546740 JAMES R STALDER VP-INFO SYS, CHIEF TECH OFFCR 178041 63682 1495 10043 16737 269998 THERESA ZAK MEADOWS SR VP-CIO 221115 99538 43906 10200 16616 391375 HARRY I SHUMAN CHIEF MEDICAL INFO OFFICER 235197 77937 5255 10200 7680 336269 COLEMAN D SKINNER VP-REVENUE CYCLE 153977 50247 1361 13238 14868 233691 VANESSA CHARETTE MD TRUSTEE 187865 68280 5761 14663 4131 280700 MATT MAYFIELD MD TRUSTEE 493697 10501 10200 12614 527012 KAREN WARDELL ASSOCIATE GENERAL COUNSEL 169502 56255 5448 11167 17770 260142 SANDRA ARCA MD TRUSTEE 258731 8344 14097 23329 304501 TODD WOLF MD TRUSTEE 266683 120049 7265 15938 19614 429549 ROBERT K FEATHER SR. VP-DEVELOPMENT 249191 112494 89635 19125 15413 485858 PART I, QUESTION 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL 136,311 162,000 LINDA S. CHAPPELL 37,145 NONE ROBERT K. FEATHER 52,979 NONE RICHARD P. GOODE 71,371 NONE BILLY R. KENNEDY 45,608 NONE JOHN W. MCNEY 57,177 NONE THERESA ZAK MEADOWS 35,619 NONE FRANK J. ROSSI 63,778 NONE LARRY L. TUBB 41,941 NONE JAMES C. CUNNINGHAM 38,343 NONE ERIC H. HUBLI 17,500 NONE 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 FORM 990 PART VI, QUESTION 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, QUESTION 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, QUESTION 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; AND (6) 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, QUESTION 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, 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 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 VI QUESTION 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OF FUND BALANCES: TRANSFER FROM ROB ($24,219,660) TRANSFER FROM CCIC 8,910,830 CCIC RETRO PREMIUM 181,856 --------------- ($15,126,974) COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 9 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) 11D 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) 9 CCHCS true ROSEDALE OFFICE BUILDING INC 801 SEVENTH AVE FORT WORTH TX 76104 460866421 TITLE HOLDING TX 501(C)(2) N/A CCHCS true COOK CHILDREN'S HEALTH SERVICES INC 801 7TH AVENUE FORT WORTH TX 76104 454024843 HEALTHCARE TX CCHCS C CORPORATION 539086 1716724 1.00000 true true true true false false false false false false false false false false false true true true true true COOK CHILDREN'S MEDICAL CENTER B 1263843 FMV COOK CHILDREN'S MEDICAL CENTER O 22190 FMV COOK CHILDREN'S MEDICAL CENTER P 163497127 FMV COOK CHILDREN'S PHYSICIANS NETWORK A 1467872 FMV COOK CHILDREN'S PHYSICIANS NETWORK B 232155 FMV COOK CHILDREN'S PHYSICIANS NETWORK O 3050372 FMV COOK CHILDREN'S PHYSICIANS NETWORK P 9793103 FMV COOK CHILDREN'S HEALTH FOUNDATION C 632173 FMV COOK CHILDREN'S HEALTH FOUNDATION P 1095549 FMV COOK CHILDREN'S HOME HEALTH A 180000 FMV COOK CHILDREN'S HOME HEALTH P 3829740 FMV COOK CHILDREN'S HOME HEALTH A 292008 FMV COOK CHILDREN'S HEALTH PLAN P 3604803 FMV COOK CHILDREN'S HEALTH SERVICES P 167623 FMV ROSEDALE OFFICE BUILDING A 1202000 FMV ROSEDALE OFFICE BUILDING P 2388986 FMV