2026-08-14T09:27:56+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 641062246 990 2024-10-01 751099536 CHILD STUDY CENTER CHIL 8173368611 1300 W LANCASTER FORT WORTH TX 76104 NANCY CYCHOL PRESIDENT 8173368611 2026-08-14 true true MICHAEL ENGLE P00482834 8162216300 2026-08-14 2024 2025-03-06 01:10:19Z NANCY CYCHOL 1300 W LANCASTER FORT WORTH TX 76104 6887694 false X HTTPS://WWW.COOKCHILDRENS.ORG/SERVICES/CHILD-STUDY-CENTER X 1962 TX THE CENTER PROVIDES CHILDREN WITH COMPLEX DEVELOPMENTAL & BEHAVIORAL DISABILITIES THE HIGHEST QUALITY DIAGNOSIS, TREATMENT AND EDUCATION TO HELP THEM ACHIEVE THEIR FULL POTENTIAL. 4 4 74 123 0 0 1770375 2532378 4130674 4355316 0 0 0 0 5901049 6887694 319725 327904 0 6052207 7000329 0 0 0 2029049 2473901 8400981 9802134 -2499932 -2914440 14265534 13952031 12329778 14930715 1935756 -978684 X THE CHILD STUDY CENTER (CSC) PROVIDES CHILDREN WITH COMPLEX DEVELOPMENTAL AND BEHAVIORAL DISABILITIES THE HIGHEST QUALITY DIAGNOSIS, TREATMENT AND EDUCATION TO HELP THEM ACHIEVE THEIR FULL POTENTIAL. false true 3840424 0 2530571 COOK CHILDREN'S CONTINUES TO SERVE THIS UNDER-SERVED COMMUNITY AS A BEACON OF HOPE FOR EVERY PATIENT WHO WALKS THROUGH OUR DOORS EACH DAY. GUIDED BY OUR PROMISE TO IMPROVE THE WELL-BEING OF EVERY CHILD IN OUR COMMUNITIES, THE COMMITMENT TO INSTILL KINDNESS, IMAGINATION AND RESPECT IN OUR CARE IS UNWAVERING. BASED IN FORT WORTH, TEXAS, WE ARE SUPPORTED BY MORE THAN 10,000 DEDICATED TEAM MEMBERS, PASSIONATELY CARING FOR MORE THAN TWO MILLION PATIENT ENCOUNTERS EACH YEAR. OUR INTEGRATED, NOT-FOR-PROFIT ORGANIZATION SPANS THREE MEDICAL CENTERS, THREE SURGERY CENTERS, A PHYSICIAN NETWORK, HOME HEALTH SERVICES AND A HEALTH PLAN. IT ALSO INCLUDES THE CHILD STUDY CENTER, COOK CHILDREN'S HEALTH SERVICES INC., AND COOK CHILDREN'S HEALTH FOUNDATION. (SEE ON SCHEDULE O) 3197921 327904 1824745 JANE JUSTIN SCHOOL CHILD STUDY CENTER PROVIDES STRUCTURED SPECIAL EDUCATIONAL SERVICES, COMPREHENSIVE EVALUATION AND DIAGNOSIS FOR CHILDREN WITH DEVELOPMENTAL AND/OR LEARNING DISABILITIES. THESE SERVICES ARE DESIGNED TO MAXIMIZE POTENTIAL FOR OPTIMUM ACADEMIC AND SOCIAL DEVELOPMENT. A TOTAL OF 112 UNDUPLICATED CHILDREN RECEIVED EDUCATIONAL SERVICES IN FY25. CSC CONTINUES TO GROW SERVICES IN THE UPPER SCHOOL PROGRAM OF JANE JUSTIN SCHOOL WITH THE AIM OF PREPARING THESE STUDENTS TO SUCCESSFULLY TRANSITION TO ADULTHOOD WITH NECESSARY SKILLS TO LIVE INDEPENDENTLY AND SECURE MEANINGFUL EMPLOYMENT. THE SCHOOL HAS HIRED ADDITIONAL STAFF TO SERVE MORE STUDENTS AND BEGAN THE ACADEMIC CALENDAR YEAR WITH ITS LARGEST ENROLLMENT IN ITS HISTORY. WE ARE NOW PARTNERING WITH OTHER COOK CHILDREN'S DEPARTMENTS TO PROVIDE JOB TRAINING AND EMPLOYMENT OPPORTUNITIES IN THOSE DEPARTMENTS. IN ADDITION, JANE JUSTIN SCHOOL OPENED A NEW MIDDLE SCHOOL CLASSROOM TO SERVE ADDITIONAL STUDENTS IN OUR UPPER SCHOOL PROGRAM. FOR THIS CALENDAR YEAR THIS NEW CLASSROOM INCREASES OUR TOTAL ENROLLMENT SIZE TO 98 STUDENTS WITH ADDITIONAL GROWTH PLANNED IN THE FUTURE. 7038345 true true false false false false false false false true true false false true true false false true false false false false false false false false false false true true false false false false false false false false false false false false false false false true true true false false true 4 0 true 74 true false false false false false false false false false false true false X 4 4 true false false false true true true true true false false false true true true true true true true true false false TX X CORY RHOADES 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 EDWIN S WIN RYAN TRUSTEE - VICE CHAIRMAN 2.0 2.0 X X 0 0 0 J HEATH COFFMAN TRUSTEE - SECRETARY/TREASURER 2.0 0 X X 0 0 0 MICHAEL M GONZALEZ SR TRUSTEE - CHAIRMAN 2.0 1.0 X X 0 0 0 R RUSSELL MORTON TRUSTEE - CHAIRMAN - END 5/31/25 2.0 6.0 X X 0 0 0 ANDY J BROADUS TRUSTEE 1.0 0 X 0 0 0 PAUL COULTER TRUSTEE - END 5/31/25 1.0 0 X 0 0 0 CORY R RHOADES CHIEF FINANCIAL OFFICER 1.0 43.0 X 0 973129 160463 JACK SOSEBEE SENIOR VICE PRESIDENT 1.0 41.0 X 0 628404 107739 MARY CARA MARTZ SECRETARY 1.0 40.0 X 0 193688 26567 NANCY C CYCHOL PRESIDENT/CHIEF HOSPITAL SERVICES 1.0 40.0 X 0 1315909 369282 RICK W MERRILL CEO 1.0 41.0 X 63406 3106888 427841 STEPHEN W KIMMEL EVP, SYSTEM FINANCE 1.0 42.0 X 27579 1351361 517619 SHIRLEY GRAHAM DIRECTOR, FINANCE - END 1/31/25 40.0 0 X 192007 0 32903 WILLIAM ROBISON AVP, EXEC DIRECTOR OF CSC 40.0 0 X 200032 0 30436 DUY LE MANAGER, ABA/BDC 40.0 0 X 121195 0 43396 JESSE ANDERSON SUPERVISOR, AUTISM SERVICES 40.0 0 X 104213 0 40698 KIMBERLY KELLY ASSISTANT PRINCIPAL 40.0 0 X 103291 0 8667 LEE MASON APPLIED BEHAVIOR ANALYST 40.0 0 X 104203 0 28010 TRACIE MANN HEADMASTER, JANE JUSTIN SCHOOL 40.0 0 X 125077 0 24298 1041003 7569379 1817919 7 false true false 0 2532378 2532378 OUTPATIENT CLINICAL SERVICES 621498 2525091 2525091 JANE JUSTIN SCHOOL 611110 1782123 1782123 OTHER OPERATING REVENUE 900099 48102 48102 0 0 0 0 4355316 0 0 0 0 0 0 0 0 0 6887694 4355316 0 0 327904 327904 244871 244871 4869071 4059181 809890 247738 200462 47276 1277704 1080657 197047 360945 299782 61163 1027489 1027489 119692 4508 115184 0 4525 4525 154170 95109 59061 370127 327423 42704 15658 15412 246 24378 24268 110 874 874 568004 528244 39760 MINOR EQUIPMENT 102650 1238 101412 REPAIRS & MAINTENANCE 45664 42468 3196 FOOD/LINENS 20326 10816 9510 DUES & SUBSCRIPTIONS 5763 5051 712 14581 11297 3284 0 9802134 7038345 2763789 0 872 30273 361048 268017 0 0 0 0 16325365 4379832 12474193 11945533 0 0 1429421 1708208 14265534 13952031 11162090 13561579 391315 255099 0 0 776373 1114037 12329778 14930715 X 1935756 -978684 1935756 -978684 14265534 13952031 -2914440 0 X false true true false X 3531624 4794880 3184732 1770375 2532378 15813989 0 0 3531624 4794880 3184732 1770375 2532378 15813989 0 15813989 44 44 0 0 0 0 0 0 0 15814033 21556278 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25455538 2697494 1819346 26333686 23861846 2799516 1205824 25455538 25789696 563481 2491331 23861846 28933637 853835 3997776 25789696 24056422 7432049 2554834 28933637 0.0 0.6078 0.3922 false true true 5500000 5500000 9817243 3652570 6164673 699167 546591 152576 308955 180671 128284 11945533 INTERCOMPANY RECEIVABLES 1708208 ASSETS WITH LIMITED USE 1708208 FEDERAL INCOME TAXES INTERCOMPANY PAYABLES 1114037 1114037 6559790 0 0 6559790 327904 327904 6887694 9474230 0 0 9474230 327904 327904 9802134 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 V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS A RELATED ORGANIZATION, W.I. COOK FOUNDATION HOLDS AND ADMINISTERS THE ENDOWMENT TO HELP FUND THE CHILD STUDY CENTER'S OPERATIONS AND CAPITAL REPLACEMENT NEEDS. SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS SCHOLARSHIPS - 327904 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS SCHOLARSHIPS - 327904 true SCHOLARSHIPS FOR SERVICES 39 327904 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS FAMILIES MUST COMPLETE A FINANCIAL NEEDS APPLICATION TO APPLY FOR SCHOLARSHIP. THESE APPLICATIONS ARE SUBMITTED TO AN OUTSIDE FIRM, FACTS GRANT & AID ASSESSMENT, AN INDEPENDENT THIRD PARTY, WHICH CONDUCTS FINANCIAL ANALYSIS ON THE APPLICATION AND THEN MAKES A RECOMMENDATION OF SCHOLARSHIP AMOUNT. THIS INFORMATION IS ANALYZED BY THE SCHOOL SCHOLARSHIP COMMITTEE CONSISTING OF STAFF AND BOARD MEMBERS, WHERE THE SCHOLARSHIP AWARD IS DETERMINED FOR ALL FAMILIES THAT HAVE APPLIED FOR FINANCIAL ASSISTANCE. FAMILIES CAN ACCEPT, DECLINE OR APPEAL THE SCHOLARSHIP AWARD DECISION IN WRITING. ADDITIONAL WRITTEN FINANCIAL DOCUMENTATION MUST BE PROVIDED TO THE COMMITTEE FOR ANY APPEALS. FINAL SCHOLARSHIP AWARDS ARE DETERMINED BY THE COMMITTEE FOR ACCEPTANCE OR REJECTION BY THE FAMILY. X false true false true false false false false false false false NANCY C CYCHOL PRESIDENT/CHIEF HOSPITAL SERVICES 0 763113 0 377668 0 175128 0 330040 0 39242 0 1685191 0 0 STEPHEN W KIMMEL EVP, SYSTEM FINANCE 15843 776294 7839 384108 3897 190959 9699 475248 653 32019 37931 1858628 3084 151133 MARY CARA MARTZ SECRETARY 0 149106 0 38234 0 6348 0 9339 0 17228 0 220255 0 0 RICK W MERRILL CEO 32785 1606451 21509 1053926 9112 446511 7851 384693 706 34591 71963 3526172 0 0 CORY R RHOADES CHIEF FINANCIAL OFFICER 0 586487 0 261581 0 125061 0 122610 0 37853 0 1133592 0 103601 JACK SOSEBEE SENIOR VICE PRESIDENT 0 391630 0 174255 0 62519 0 89608 0 18131 0 736143 0 44974 SHIRLEY GRAHAM DIRECTOR, FINANCE - END 1/31/25 159964 0 23774 0 8269 0 14225 0 18678 0 224910 0 0 0 WILLIAM ROBISON AVP, EXEC DIRECTOR OF CSC 158883 0 38015 0 3134 0 14926 0 15510 0 230468 0 0 0 DUY LE MANAGER, ABA/BDC 117101 0 0 0 4094 0 9869 0 33527 0 164591 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS GROSS-UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: JESSE ANDERSON, TRACIE MANN, DUY LE, KIMBERLY KELLY 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 - $366,668 DEFERRED, $NONE W-2 STEPHEN W. KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 W-2 CORY R. RHOADES - PAID BY SYSTEM - $96,735 DEFERRED, $103,601 W-2 JACK SOSEBEE - PAID BY CCMC - $63,733 DEFERRED, $44,974 W-2 NANCY C. CYCHOL - PAID BY CCMC - $304,165 DEFERRED, $NONE W-2 SCHEDULE J, PART II ALLOCATION OF CEO AND 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 PHYSICIAN NETWORK COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION ACROSS 94 PRIMARY, SPECIALTY AND URGENT CARE LOCATIONS, COOK CHILDREN'S PROVIDES LIFESAVING, FAMILY-CENTERED PEDIATRIC CARE GROUNDED IN ADVANCED TECHNOLOGY, TEAMWORK, SAFETY AND AN EXCEPTIONAL EXPERIENCE. OUR REACH EXTENDS FAR BEYOND TEXAS AS WE TREAT CHILDREN FROM ALL 50 STATES AND MORE THAN 30 COUNTRIES. BY SEEING THE WORLD THROUGH THE EYES OF CHILDREN AND THEIR FAMILIES FROM ALL BACKGROUNDS, WE PROVIDE CARE THOUGHTFULLY DESIGNED JUST FOR THEM. ABOUT CHILD STUDY CENTER COOK CHILDREN'S (CSC) CHILD STUDY CENTER COOK CHILDREN'S PROVIDES CHILDREN WHO HAVE COMPLEX DEVELOPMENTAL AND BEHAVIORAL DISABILITIES WITH THE HIGHEST QUALITY TREATMENT AND EDUCATION TO HELP THEM ACHIEVE THEIR FULL POTENTIAL. AS OF NOVEMBER 2023, OUR MISSION SHIFTED TO FOCUS ON TREATMENT AND EDUCATION AS OUR DIAGNOSTIC SERVICES WERE RELOCATED TO THE DODSON SPECIALTY CLINICS ON THE COOK CHILDREN'S MEDICAL CENTER CAMPUS. AT CSC, WE UNDERSTAND THAT DEVELOPMENTAL AND BEHAVIORAL CHALLENGES ARE FREQUENTLY MULTI-DIMENSIONAL. THE WIDE APPROACH WE EMBRACE OFFERS A RANGE OF SERVICES INCLUDING DEVELOPMENTAL PEDIATRICS, APPLIED BEHAVIOR ANALYSIS, PSYCHOLOGICAL CARE AND EDUCATIONAL SERVICES THROUGH CSC'S JANE JUSTIN SCHOOL. APPLIED BEHAVIOR ANALYSIS CHILD STUDY CENTER PROVIDES BEHAVIOR ANALYTIC SERVICES TO CHILDREN WITH DEVELOPMENTAL DISABILITIES WHO EITHER DISPLAY DIFFICULT BEHAVIORS, SUCH AS NONCOMPLIANCE, TANTRUMS, PROPERTY DESTRUCTION, SELF-INJURY AND AGGRESSION, OR LACK DESIRABLE SKILLS SUCH AS SELF-HELP, SOCIAL, PLAY, ACADEMIC AND LANGUAGE. USING APPLIED BEHAVIOR ANALYSIS METHODS, THIS PROGRAM ALSO PROVIDES EDUCATIONAL OPPORTUNITIES FOR CHILDREN WITH DIAGNOSES OF AUTISM SPECTRUM DISORDER. THESE CHILDREN MAY ATTEND UP TO 35 HOURS PER WEEK WITH ONE-ON-ONE INSTRUCTION FROM PROGRAM SPECIALISTS UNDER THE SUPERVISION OF BOARD-CERTIFIED BEHAVIOR ANALYSTS. ADDITIONAL SUPPORT IS PROVIDED BY THE DEVELOPMENTAL PEDIATRIC DEPARTMENT FOR DIAGNOSIS AND TREATMENT SERVICES. IN FY25, VISITS TOTALED 6,020 AND TREATMENT SERVICES WERE PROVIDED TO A TOTAL OF 127 UNDUPLICATED PATIENTS. NATIONAL RECOGNITION IN OCTOBER 2025, U.S. NEWS & WORLD REPORT RANKED PEDIATRIC BEHAVIORAL HEALTH AT COOK CHILDREN'S IN THE TOP 50 IN THE NATION. THIS RANKING UNDERSCORES THE HOSPITAL'S COMMITMENT TO COMPASSIONATE, PATIENT-CENTERED CARE - ENSURING CHILDREN AND FAMILIES RECEIVE HIGH-QUALITY BEHAVIORAL HEALTH SERVICES THAT ADDRESS THEIR UNIQUE NEEDS. FORM 990, PART III, LINE 3 SIGNIFICANT CHANGES IN PROGRAM SERVICES THE ORGANIZATION CEASED PROVIDING DEVELOPMENTAL PEDIATRIC EVALUATION SERVICES ON OCTOBER 20, 2023. THESE SERVICES WERE TRANSITIONED TO THE NEWLY EXPANDED DODSON SPECIALTY CLINICS FACILITY LOCATED ON THE COOK CHILDREN'S MEDICAL CENTER CAMPUS. 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 MEDICAL CENTER, 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 MEDICAL CENTER 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 MEDICAL CENTER 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 THE FILING OF ANY LAWSUITS, OR ANY SETTLEMENT OF CLAIMS OR LITIGATION TO WHICH THE CORPORATION IS A PARTY. 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 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 ARRANGEMENT 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 JONES DAY 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. 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 COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 10 CCHCS true ROSEDALE OFFICE BUILDING 1500 W ROSEDALE FORT WORTH TX 76102 751099536 TITLE HOLDING TX 501(C)(2) CCHF 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 CAFFEINATED CAPITAL PLAYGROUND SPV LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN CO 81611 992725317 INVESTMENTS CO 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 CAZ PARTNERS FUND LP- LIQUID INCOME PORTFOLIO ONE RIVERWAY STE 2000 HOUSTON TX 77056 800969684 INVESTMENTS TX NA N/A GOFF FOCUSED ENERGY STRATEGIES LP 3230 CAMP BOWIE BLVD STE 800 FORT WORTH TX 76107 822764240 INVESTMENTS TX NA N/A HT STORK LP 120 STATE ROUTE 28 UNIT 9 CRYSTAL BAY NV 89402 881770748 INVESTMENTS NV NA N/A OBERWEIS INTERNATIONAL SELECT FUND LLC 3333 WARRENVILLE ROAD STE 500 LISLE IL 60532 842094004 INVESTMENTS IL NA N/A STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262423493 INVESTMENTS MD NA N/A SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262821679 INVESTMENTS MD NA N/A SCP OPPORTUNITY FUND LLC 190 ELGIN AVENUE GEORGE TOWN CJ KY19008 981647424 INVESTMENTS CJ 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 SPLIT INTEREST TRUSTS (2) SPLIT INTEREST TRUST TX NA TRUST true LIVE LEARN URBAN FEEDER FUND LLC 801 7TH AVENUE FORT WORTH TX 76104 352597171 REAL ESTATE TX CCHF C CORPORATION true false false true false false false false false false false false false true false true true true true true COOK CHILDREN'S HEALTH CARE SYSTEM P 2450196 CASH - FMV