2025-08-13T15:28:02+00:00 2024-09-30 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2023-10-01 760585240 Cook Children's Health Plan COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 Rick W Merrill CEO 2025-08-13 true Kristen Hankins P01256574 3142315544 2025-08-13 2023 2025-03-06 01:10:19Z Karen Love 801 Seventh Avenue Fort Worth TX 76104 929201367 false X WWW.COOKCHILDRENS.ORG X 1998 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. 11 6 381 7 0 0 0 0 907371285 880190455 13802897 12403560 0 0 921174182 892594015 0 0 0 0 44186852 46160111 0 0 0 843253504 832165374 887440356 878325485 33733826 14268530 460192841 334740150 250431409 153607628 209761432 181132522 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 855523819 0 880190455 Cook Children's Health Plan (CCHP) Cook Children's Health Plan provides health care coverage to a vulnerable population that may not otherwise be able to access or afford care - low-income families who qualify for Medicaid and the Children's Health Insurance Program (CHIP). Members enrolled in CCHP are assured timely access to necessary medical care, including preventive services such as well-child visits, immunizations and prenatal/postpartum care. Cook Children's Health Plan's role is to manage and, in conjunction with Cook Children's and other network providers, deliver care to its members. Since it was established in 1999, the organization has successfully grown to a substantial operation, currently covering more than 120,000 members, primarily comprised of children and expectant and postpartum mothers. In addition to the nearly 2,900 providers in the Cook Children's Physician Network, members have access to approximately 1,400 additional primary care physicians, 240 OB-Gyns, 2,300 specialists, 680 behavioral health providers, and numerous hospitals, surgery centers and a variety of urgent care and clinic locations. This comprehensive network ensures access to quality health care providers for all CCHP members. Although Cook Children's Medical Center does not provide maternity services, pregnant members are closely cared for and monitored to avoid complications and premature deliveries. Texas expanded Medicaid coverage to 12 months postpartum in 2024 enabling CCHP to monitor and assist these members for a longer period of time. Cook Children's Medical Center is often the hospital of choice for members' newborns who require neonatal intensive care. Medicaid Renewal After spending much of 2023 preparing its renewal application for its Medicaid and CHIP contract with the State of Texas, CCHP learned in March 2024 that the Texas Health and Human Services Commission (HHSC) intended to exclude CCHP and two additional large pediatric hospital-based health plans from the new Medicaid and CHIP Managed Care Contracts. The state's decision, the result of a flawed process, ignored Cook Children's 20+ year track record of success in administering these programs to local families. In response, Cook Children's formally protested that the scoring process lacked transparency, ignored legislatively mandated considerations and preferences, and put non-profit community plans at an unfair disadvantage. In June 2024, Cook Children's filed a lawsuit to stop HHSC from finalizing its procurement results. A webpage called Save Cook Children's Health Plan was created to keep CCHP members, network providers and the general public informed about the plight of member families who faced the prospect of starting over with new physicians, providers and therapists if CCHP were no longer available to them. A series of articles featured families worried about losing the relationships with their medical teams. In the midst of uncertainty CCHP worked to reassure its members that their coverage remains active until a final decision is made, they may continue seeing their current physicians and providers, and that their child's health is top priority. A Travis County court in October 2024 granted a temporary injunction preventing HHSC from awarding or implementing any new contracts for the Medicaid and CHIP managed care programs. HHSC has since agreed to postpone moving forward with the new awards until after the 89th Texas Legislature has had the opportunity to address the situation in Spring 2025. Collaboration and Prevention Partnership is key to CCHP's mission to help members achieve their optimal health. The Health Plan collaborates with numerous community agencies to address members' non-medical drivers of health. Food insecurity has become an increasing barrier to optimal health among CCHP's members. During FY24, CCHP screened 1,258 unique families of which 341 (27%) screened positive for food insecurity. Eligible CCHP families received Tangelo, a food benefits program, that makes it easier and more affordable to access healthy food. Tangelo distributed nearly 21,000 pounds of food to these families. Additionally, a partnership was established between CCHP, Cook Children's Center for Community Health and the Tarrant Area Food Bank to increase food access for families and support Medicaid, CHIP and Supplemental Nutrition Assistance Program (SNAP) application assistance through a mobile market. The mobile market served more than 2,800 families, distributed 298,987 pounds of food, and provided SNAP, Medicaid and other application assistance to families. National Accreditation The National Committee for Quality Assurance (NCQA) reaccredited CCHP in 2024. The NCQA's rigorous standards for health plans relate to key performance factors such as care coordination, availability of health-related resources, and member tools for self-management of chronic disease. The reaccreditation report gave CCHP high marks for member experience, follow-up care after hospitalization for mental illness, and support to members managing blood pressure with diabetes. Maternal Health Partnership Cook Children's joined more than a dozen other health care and community groups to form the Tarrant County Maternal & Infant Health Coalition dedicated to improving the area's relatively high rates of maternal mortality, especially high among Black women in the county, and infant mortality. The Coalition is working to identify maternal and infant health resources across the community and to improve awareness of these resources and facilitate timely access to them by Tarrant Area families. In conjunction with the work of the Coalition, two CCHP employees earned their doula credentials through the United Way of Tarrant County's Doula Training program, created in partnership with Cook Children's. The program aims to help pregnant women access information, resources and care for a healthy pregnancy and safe labor and delivery. CCHP's certified doulas work one-on-one to provide education and help create members' plans for birthing and recovery. One of the most important aspects of doula care is following up after the birth. CCHP members reported how much the doulas' support helped them through their pregnancy journey. Transformative Partnership Construction continued during FY24 on the Las Vegas Trail Neighborhood Health Center, a first-of-its-kind partnership to bring critical health services to an underserved area of Fort Worth. The center, scheduled to open in 2025, will be home to various pediatric and adult medical and social services. Cook Children's is teaming up with JPS Health Network, the City of Fort Worth and local non-profit organizations in this innovative plan to transform Fort Worth's struggling LVT neighborhood into a safe and thriving community. Approximately 7,500 CCHP members live in the LVT area, making CCHP a key player in service delivery and care coordination at the new center. CCHP staff will be embedded at the location to help members navigate the health care system and access resources. For example, for those without internet service who need to attend a telehealth appointment, there will be private space equipped with internet and video where community residents can access this service with the help of an on-site CCHP representative. CCHP community health workers will also assist in the Health Education Center, where LVT plans to offer instruction in nutrition, pregnancy, English as a second language, high school diploma equivalency and more. A unique Workforce Initiative has been finalized with Tarrant County Community College and will be offered to the first cohort in fall 2025. The training will equip residents with skills in customer service, phone management, data entry and other entry-level health care administrative tasks. CCHP's support for this initiative will give LVT residents employable skills to access well-paying jobs within the health industry while also building a new pool of qualified candidates for filling staffing needs at Cook Children's and JPS. All of these collaborations and value-added resources provided by CCHP help improve the health and well-being of members. 855523819 true false false true false false false false false 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 false false false false false false false true true true false false true 17 0 true 381 true false false false false false false false false false false true false X 11 6 true false false false true true true true true false false true true true true true true true true false TX X Cory Rhoades 6828854000 801 Seventh Avenue Fort Worth TX 76104 Julee S Morrow MD Trustee - Vice Chairman 2.0 41.0 X X 0 340621 23755 Rick Sorenson Trustee - Chairman 2.0 5.0 X X 0 0 0 Angela N Cabarcas MD Trustee 40.0 0 X 353027 0 37004 Hadley Woerner Trustee 1.0 1.0 X 0 0 0 Jerry R Conatser Trustee END 5/31/24 1.0 6.0 X 0 0 0 Kathryn M King MD Trustee 1.0 40.0 X 0 295522 30115 Michael R Pavell Trustee 1.0 1.0 X 0 0 0 Paul S Thornton MD Trustee 1.0 40.0 X 0 444242 49313 Rachel R Werner Trustee 1.0 2.0 X 0 0 0 Ryan B Dickerson Trustee 1.0 4.0 X 0 0 0 Sandy Varghese MD Trustee 1.0 40.0 X 0 258412 16828 Thomas Breckinridge Ray Trustee 1.0 2.0 X 0 0 0 Karen Love President 40.0 0 X 839131 0 118126 Mary Cara Martz Secretary 1.0 40.0 X 0 183907 21095 Richard Lee AVP, Finance and CFO 40.0 0 X 391403 0 53157 Rick W Merrill CEO 2.0 40.0 X 137772 2617671 550074 Stephen W Kimmel Treasurer 5.0 37.0 X 146122 1071558 175382 Crystal O'Reilly AVP, Quality & Care Mgmt 40.0 0 X 205327 0 37741 Kimberly Aaron VP Clinic Affairs 40.0 0 X 496090 0 86774 Sherry Vetter COO, CCHP 40.0 0 X 428649 0 64158 Catherine Nicholas MD Medical Director 40.0 0 X 310276 0 38087 Glen Lemmons Director, Start Kids Care Mgmt 40.0 0 X 235235 0 43357 Kathleen Roman Regulatory Compliance Director 40.0 0 X 222124 0 34492 Robert Burright Director, Clinical Effective 40.0 0 X 234826 0 15165 Timothy Fancher Director Clin Pharmacy Pgm 40.0 0 X 236527 0 33283 4236509 5211933 1427906 100 false true false Navitus Health Solutions LLC 5 Innovation Court Appleton WI 54914 Pharmacy Benefit Manager 3155502 Health Management Systems PO Box 166409 Irving TX 75016 Software Services 2140561 John Sons Press 3300 South Freeway Fort Worth TX 76110 Printing 1371446 Bailit Health Purchasing 56 Pickering St Needham MA 02492 Consulting Services 947319 National Vision Administrators 1200 Route 46 West Clifton NJ 07013 Vision Manager 747236 22 0 CAPITATION REVENUE 900099 880190455 880190455 0 0 0 0 880190455 13185578 13185578 0 0 35825334 36607352 -782018 0 -782018 -782018 0 0 0 0 0 892594015 880190455 0 12403560 3067045 1365613 1701432 30592613 28096912 2495701 1776382 1370562 405820 8400267 7645509 754758 2323804 2126255 197549 11897207 11897207 49932 49932 160456 160456 26723 26723 129410 129410 10565055 10269600 295455 0 528797 525797 3000 1682738 1568835 113903 1010510 1010510 203452 194296 9156 38600 28013 10587 3043710 3043710 2077289 1966977 110312 MEDICAL CLAIMS 783840032 783840032 PREMIUM & MAINTENANCE TAX 15118397 15118397 FEES & FINANCING 561274 474505 86769 ADMINISTRATION 602057 602057 629735 330459 299276 0 878325485 855523819 22801666 0 317144975 101693583 19762073 79089664 0 0 0 5106693 3883108 12961905 12593906 3411709 367999 112248151 146501592 0 0 2519240 3204204 460192841 334740150 240210758 143876818 0 10220651 9730810 250431409 153607628 X 209761432 181132522 209761432 181132522 460192841 334740150 X 14268530 7102560 -50000000 X false true X true false X 0 22500 2500 0 0 25000 627358834 710732719 854550174 907371285 880190455 3980203467 0 0 0 627358834 710755219 854552674 907371285 880190455 3980228467 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3980228467 1695216 1128289 3135768 15086663 13185578 34231514 0 1695216 1128289 3135768 15086663 13185578 34231514 19176 0 0 0 19176 0 0 0 0 0 0 629073226 711883508 857688442 922457948 893376033 4014479157 0.9915 0.9934 0.01 0.01 X false false false false false false false false true 26723 26723 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE LOBBYING EXPENSES OF THIS ORGANIZATION WERE USED TO PARTICIPATE IN CONSORTIUMS THAT SEEK TO INFLUENCE TEXAS LAWMAKERS, THE HEALTH & HUMAN SERVICES COMMISSION, AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES REGARDING MANAGED CARE AND MEDICAID REGULATIONS AND POLICIES. 12961905 12593906 367999 367999 INTERCOMPANY PAYABLES 8752553 LEASE OBLIGATIONS 978257 9730810 881216189 7102560 0 7102560 874113629 129410 18350976 18480386 892594015 859845099 -18350976 -18350976 878196075 129410 0 129410 878325485 Schedule D, Part XI, 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 DISLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PROFIT SHARE NETTED WITH REVENUE - 18350976 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 PROFIT SHARE NETTED WITH REVENUE - -18350976 X false true false true false false false false false false false Julee S Morrow MD Trustee - Vice Chairman 0 309948 0 0 0 30673 0 0 0 23755 0 364376 0 0 Angela N Cabarcas MD Trustee 312127 0 30000 0 10900 0 18335 0 18669 0 390031 0 0 0 Kathryn M King MD Trustee 0 263765 0 22832 0 8925 0 6002 0 24113 0 325637 0 0 Paul S Thornton MD Trustee 0 424337 0 0 0 19905 0 24750 0 24563 0 493555 0 0 Sandy Varghese MD Trustee 0 223979 0 25425 0 9008 0 12579 0 4249 0 275240 0 0 Stephen W Kimmel Treasurer 86899 637254 41849 306892 17374 127412 18550 136031 2496 18305 167168 1225894 12828 94069 Richard Lee AVP, Finance and CFO 290438 0 93502 0 7463 0 40500 0 12657 0 444560 0 0 0 Karen Love President 509524 0 222070 0 107537 0 97325 0 20801 0 957257 0 78283 0 Mary Cara Martz Secretary 0 142535 0 35260 0 6112 0 8934 0 12161 0 205002 0 0 Rick W Merrill CEO 73202 1390847 43830 832770 20740 394054 26220 498177 1284 24393 165276 3140241 0 0 Kimberly Aaron VP Clinic Affairs 368561 0 121784 0 5745 0 70067 0 16707 0 582864 0 0 0 Crystal O'Reilly AVP, Quality & Care Mgmt 151913 0 50057 0 3357 0 13265 0 24476 0 243068 0 0 0 Sherry Vetter COO, CCHP 319092 0 101490 0 8067 0 51203 0 12955 0 492807 0 0 0 Robert Burright Director, Clinical Effective 186408 0 34162 0 14256 0 11161 0 4004 0 249991 0 0 0 Timothy Fancher Director Clin Pharmacy Pgm 198483 0 30612 0 7432 0 14724 0 18559 0 269810 0 0 0 Glen Lemmons Director, Start Kids Care Mgmt 187686 0 35803 0 11746 0 18285 0 25072 0 278592 0 0 0 Catherine Nicholas MD Medical Director 264959 0 37085 0 8232 0 21377 0 16710 0 348363 0 0 0 Kathleen Roman Regulatory Compliance Director 185907 0 29104 0 7113 0 16796 0 17696 0 256616 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments GROSS UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: ROBERT J BURRIGHT PAUL THORNTON ANGELA CABARCAS Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses 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 TYPES 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. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: 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 Supplemental nonqualified retirement plan Rick W Merrill - Paid by System - $366,372 Deferred, $0 W-2 Stephen W Kimmel - Paid by System - $133,956 Deferred, $106,897 W-2 Kimberly Aaron - Paid by CCHP - $45,317 Deferred, $0 W-2 Richard Lee - Paid by CCHP - $34,724 Deferred, $0 W-2 Karen Love - Paid by CCHP - $84,165 Deferred, $78,283 W-2 Sherry Vetter - Paid by CCHP - $38,003 Deferred, $0 W-2 Schedule J, Part II Allocation of CEO & CFO Salaries SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE 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 CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER Form 990, Part VI, Line 2 Family/business relationships amongst interested persons VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY; G. APPROVE CAPITAL AND OPERATING BUDGETS OF THE ORGANIZATION; H. APPROVE DEBT TO BE INCURRED BY THE ORGANIZATION WHICH WOULD EXCEED SUCH LIMITS AS ESTABLISHED BY THE SOLE MEMBER; AND, I. APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. Form 990, Part VI, Line 12c 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, Line 15a Process to establish compensation of top management official COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. 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., WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. Form 990, Part VI, Line 15b Process to establish compensation of other employees COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO 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, Line 19 Required documents available to the public The organization does not make its governing documents or conflict of interest policy available to the public, except to the extent they are on file with the Texas Secretary of State. The conflict-of-interest policy is posted on the organization's internal website and available to all employees and board members of Cook Children's Health Care System entities. Consolidated financial statements are reported electronically for all Cook Children's Health Care System entities via the Electronic Municipal Market Access ("EMMA") web site. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -50000000; Cook Children's Health Care System 801 Seventh Ave Fort Worth TX 76104 752705881 Health Care Support TX 501(c)(3) Type III-FI CCHF true COOK CHILDREN'S PHYSICIAN NETWORK 801 Seventh Ave Fort Worth TX 76104 752485366 Physician SERVICES TX 501(c)(3) 3 CCHCS true WI COOK FOUNDATION dba Cook Children's Health 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 1500 W ROSEDALE Fort Worth TX 76104 460866421 TITLE HOLDING TX 501(c)(2) CCHF true CHILD STUDY CENTER 1300 W LANCASTER Fort Worth TX 76102 751099536 Healthcare SERVICES TX 501(c)(3) 7 CCMC true COOK CHILDREN'S HEALTH ENTERPRISES 801 Seventh Ave Fort Worth TX 76104 842625990 Healthcare SERVICES TX 501(c)(3) Type II CCHCS true COOK CHILDREN'S MEDICAL CENTER - PROSPER 801 Seventh Ave Fort Worth TX 76104 852354189 Hospital TX 501(c)(3) 3 CCHCS true CPS Pediatrics LLC 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871718 ASC TX NA N/A COOK CHILDREN'S SURGERY CENTER 340 Seven Springs Way Ste 600 Brentwood TN 37027 205227064 ASC TX NA N/A CENTER FOR PEDIATRIC SURGERY 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871715 ASC TX NA N/A Sandia Crest LP 201 Washington Street Boston MA 02108 871831241 Investments MA NA N/A SCP OPPORTUNITY FUND 56A Boat Quay SN 049845 981647424 Investments SN NA N/A SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262821679 Investments MD NA N/A Oberweis International Select Fund LLC 3333 Warrenville Road Ste 500 Lisle IL 60532 842094004 Investments IL NA N/A HT STORK LP 120 STATE ROUTE 28 UNIT 9 Crystal Bay NV 89402 881770748 Investments NV NA N/A CC TRUEACCORD SPV II LLC 520 E COOPER AVE 2ND FL STE C-7 Aspen CO 81611 822997101 Investments CO NA N/A STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262423493 Investments MD NA N/A GOFF FOCUSED ENERGY STRATEGIES LP 500 COMMERCE ST SUITE 700 FORT WORTH TX 76102 822764240 INVESTMENTS TX NA N/A Cook Children's Health Services 801 Seventh Ave Fort Worth TX 76104 454024843 Healthcare TX CCHCS C Corporation true Cook Children's Indemnity Company 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY1110 980424041 Self Insurance CJ CCHCS C Corporation true CHARITABLE REMAINDER TRUSTS (2) SPLIT INT TRUST TX NA Trust true false false false false false false false false false false true false false false true true false true true COOK CHILDREN'S HEALTH CARE SYSTEM R 50000000 FMV COOK CHILDREN'S HEALTH CARE SYSTEM K 963140 FMV COOK CHILDREN'S HEALTH CARE SYSTEM P 20786492 FMV COOK CHILDREN'S MEDICAL CENTER R 254394982 FMV COOK CHILDREN'S MEDICAL CENTER P 63244 FMV COOK CHILDREN'S MEDICAL CENTER P 230361 FMV COOK CHILDREN'S PHYSICIAN NETWORK R 24317557 FMV COOK CHILDREN'S PHYSICIAN NETWORK O 148366 FMV COOK CHILDREN'S HOME HEALTH R 23416790 FMV