Civic Intelligence

W I Cook Foundation Inc.

990 • Fiscal year 2021 • EIN 75-2051649

Oct 01, 2020 to Sep 30, 2021 • Filed on Aug 15, 2022

801 Seventh AvenueFort Worth, TX 76104

(682) 885-4000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

4th percentile

0.00x

Higher debt load relative to assets than 4% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Liabilities / Revenue

5th percentile

0.01x

Higher debt load relative to revenue than 5% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Net Margin

97th percentile

83%

Higher net margin than 97% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Top Officer Pay

68th percentile

$2,639,774

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Asset Growth

95th percentile

47%

Faster asset growth than 95% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Revenue Growth

97th percentile

195%

Faster revenue growth than 97% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Assets

Up

$3,246,012,284

Up $1,032,920,729 (+47%) from 2020

Net Assets

Up

$3,243,333,265

Up $1,032,926,147 (+47%) from 2020

Liabilities

Down

$2,679,019

Down $5,418 (-0.2%) from 2020

Revenue

Up

$259,660,047

Up $171,609,165 (+195%) from 2020

Expenses

Down

$44,044,793

Down $3,248,136 (-6.9%) from 2020

Net Income

Up

$215,615,254

Up $174,857,301 (+429%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0B$4.0B$2.0B$0Assets 2011: $744,952,888Liabilities 2011: $2,199,967Net Assets 2011: $742,752,9212011Assets 2012: $861,568,111Liabilities 2012: $2,270,587Net Assets 2012: $859,297,5242012Assets 2013: $1,102,695,793Liabilities 2013: $2,457,444Net Assets 2013: $1,100,238,3492013Assets 2014: $1,197,735,955Liabilities 2014: $2,849,163Net Assets 2014: $1,194,886,7922014Assets 2015: $1,382,280,715Liabilities 2015: $2,602,739Net Assets 2015: $1,379,677,9762015Assets 2016: $1,496,244,106Liabilities 2016: $3,097,890Net Assets 2016: $1,493,146,2162016Assets 2017: $1,707,547,562Liabilities 2017: $3,193,106Net Assets 2017: $1,704,354,4562017Assets 2018: $1,954,506,001Liabilities 2018: $4,754,291Net Assets 2018: $1,949,751,7102018Assets 2019: $2,013,556,230Liabilities 2019: $2,643,307Net Assets 2019: $2,010,912,9232019Assets 2020: $2,213,091,555Liabilities 2020: $2,684,437Net Assets 2020: $2,210,407,1182020Assets 2021: $3,246,012,284Liabilities 2021: $2,679,019Net Assets 2021: $3,243,333,2652021Assets 2022: $3,401,810,693Liabilities 2022: $4,211,378Net Assets 2022: $3,397,599,3152022Assets 2023: $3,797,083,708Liabilities 2023: $9,473,082Net Assets 2023: $3,787,610,6262023Assets 2024: $4,613,436,734Liabilities 2024: $108,568,439Net Assets 2024: $4,504,868,2952024

Highlighted filing

2021

Assets$3,246,012,284
Liabilities$2,679,019
Net Assets$3,243,333,265

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0Expenses 2011: $10,794,0132011Expenses 2012: $57,070,4432012Expenses 2013: $16,889,6062013Revenue 2014: $50,213,339Expenses 2014: $17,391,959Net Income 2014: $32,821,3802014Revenue 2015: $66,523,027Expenses 2015: $19,177,153Net Income 2015: $47,345,8742015Revenue 2016: $52,570,144Expenses 2016: $29,820,544Net Income 2016: $22,749,6002016Revenue 2017: $76,552,959Expenses 2017: $45,251,560Net Income 2017: $31,301,3992017Revenue 2018: $156,135,116Expenses 2018: $47,262,451Net Income 2018: $108,872,6652018Revenue 2019: $80,371,889Expenses 2019: $43,236,136Net Income 2019: $37,135,7532019Revenue 2020: $88,050,882Expenses 2020: $47,292,929Net Income 2020: $40,757,9532020Revenue 2021: $259,660,047Expenses 2021: $44,044,793Net Income 2021: $215,615,2542021Revenue 2022: $189,117,182Expenses 2022: $46,656,091Net Income 2022: $142,461,0912022Revenue 2023: $151,454,642Expenses 2023: $44,775,655Net Income 2023: $106,678,9872023Revenue 2024: $95,102,171Expenses 2024: $65,381,749Net Income 2024: $29,720,4222024

Highlighted filing

2021

Revenue$259,660,047
Expenses$44,044,793
Net Income$215,615,254
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 15, 2022
Return Version
2020v4.1
Gross Receipts
$762,699,093
Mission and Program Overview

Mission

Knowing that every child's life is sacred, our promise is to improve the health of every child in our region through prevention & treatment of illness, disease, and injury.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$571,664,669$2,647,623,000▲ $2,075,958,331
Investments in Publicly Traded Securities$1,448,768,218$459,807,570▼ $988,960,648
Savings and Temporary Cash Investments$175,707,064$118,585,672▼ $57,121,392
Pledges and Grants Receivable$1,051,685$2,631,590▲ $1,579,905
Land, Buildings, and Equipment, Net$1,208,072$23,926▼ $1,184,146
Accounts Receivable$9,089$28▼ $9,061
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$2,213,091,555$3,246,012,284▲ $1,032,920,729
Other Assets Total$14,682,758$17,340,498▲ $2,657,740
Liabilities
Accounts Payable and Accrued Expenses$1,809,976$1,895,056▲ $85,080
Other Liabilities$874,461$783,963▼ $90,498
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,684,437$2,679,019▼ $5,418
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,072,850,841$3,071,156,598▲ $998,305,757
Net Assets With Donor Restrictions$137,556,277$172,176,667▲ $34,620,390
Total Net Assets Fund Balance$2,210,407,118$3,243,333,265▲ $1,032,926,147
Total Liabilities and Net Assets / Fund Balance$2,213,091,555$3,246,012,284▲ $1,032,920,729

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$28,390$28,390
Other Land Buildings$21,116-$21,116
Buildings$2,810$14,752$17,562
Other Securities$2,647,623,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$151,358,685$506,299▲ $48,438,782$5,882,878$194,420,888
2019$140,163,649$9,193,123▲ $5,976,208$3,974,295$151,358,685
2018$134,782,310$545,733▲ $6,377,720$1,542,114$140,163,649
2017$95,010,517$32,237,997▲ $9,352,630$1,818,834$134,782,310
2016$76,556,166$11,777,744▲ $7,575,568$898,961$95,010,517
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
B Anthony BagwellSVP CiioFT$584,795$939,367$1,524,162
Rick W MerrillPresident & CEOPT$273,064$307,688$580,752
Grant W HarrisSVP Chief Development OfficerFT$307,978$272,554$580,532
Eli BloshteinInvestment ManagerFT$422,054-$422,054
Kyle DaleyInvestment ManagerFT$173,384$105,093$278,477
Christopher TindellInvestment ManagerFT$166,839$108,815$275,654
Jennifer JohnsonAvp Donor RelationsFT$169,667$61,488$231,155
Kimberly a McginnisAssistant Vice PresidentFT$140,253$83,885$224,138
Amanda K LewisDirectorFT$118,682$67,862$186,544
Dayle LowryInvestment Operations ManagerFT$115,367$50,467$165,834
Stephen W KimmelEvp Sys Finance-$29,460$27,672$57,132

Board Members and Trustees

NameTitle
R Russell MortonTrustee - Chair
Richard W DyessTrustee - Vice Chair
Andrew J RosellTrustee
Andrew P LombardiTrustee
Ashli BlumenfeldTrustee
Belen M GarrenTrustee
Brian C NewbyTrustee
Frost R PrioleauTrustee
James E WebbTrustee
James Matthew JohnsonTrustee
James R Dunaway JrTrustee
Jay L Fierke MdTrustee
Jerry R ConatserTrustee
Jon S Johnny BrumleyTrustee
Lezlie P DavisTrustee
Lisa H JamiesonTrustee
Michael M Gonzalez SrTrustee
Michael R DikeTrustee
Michael R PavellTrustee
Peter L PhilpottTrustee
R Kyle KightTrustee
Rachel R WernerTrustee
Rick SorensonTrustee
Roger P Marcincuk JrTrustee
Rosalind EvansTrustee
Teresa BrownlieTrustee
W M Mack LawhonTrustee
William Jackson Rattikin IiiTrustee
Willie Houston IiiTrustee
Clarabele Pit DodsonTrustee - Emeritus
Carie BurnetteTRUSTEE - END: 06/2021
G Malcolm LoudenTRUSTEE - END: 06/2021
Kent HorstTRUSTEE - END: 06/2021
Ryan T MatthewsTRUSTEE - END: 06/2021
Brian C CrumleyTRUSTEE - SEC/Treasurer
Karl BiggsTRUSTEE - START: 06/2021
Laura BirdTRUSTEE - START: 06/2021
Cory R RhoadesChief Financial Officer
Mary Cara MartzSecretary
Joseph M GallagherSVP Chief Legal Officer
Spencer D SealsVP Construction & Real Estate

Highest Paid Contractors

ContractorServicesLocationCompensation
Wcm Investment MgtInvestment Mgmt Svcs281 BROOKS STREET, Laguna Beach, CA 92651, Uk$797,894
Lazard Asset Management LLCInvestment Mgmt Svcs-$579,529
Oberweis Asset Management INCInvestment Mgmt Svcs3333 WARRENVILLE ROAD SUITE 500, Lisle, IL 60532$551,522
Silchester InternationalInvestment Mgmt Svcs30 ROCKEFELLER PLAZA, New York, NY 10112$544,303
gardner russo gardner llcInvestment Mgmt Svcs223 EAST CHESTNUT STREET, Lancaster, PA 17602$436,783
Revenue and Support

Revenue Composition

Contributions and Grants
$17,994,140
Program Service Revenue
$0
Investment Income
$241,101,049
Other Revenue
$564,858
All Other Contributions
$17,898,787
Change in Net Assets
$215,615,254

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded6$731,728Avg High/low for Day
Total Noncash Contributions6$731,728-

Audited Revenue Reconciliation

Revenue per Audited Statements
$236,343,721
Revenue Not Reported on Financial Statements
$23,316,326
Revenue Not Reported on Form 990
$540,601,048
Other Revenue Adjustments
$12,797,112
Total Revenue per Audited Statements
$776,944,769
Total Revenue per Form 990
$259,660,047
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$21,042,734
Grants and Similar Amounts Paid$15,994,115
Salaries, Compensation, and Employee Benefits$7,007,944
Total Fundraising Expense$5,407,123
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$15,994,115--$15,994,115
Fees for Service Investment Mgmnt Fees-$6,097,752-$6,097,752
Current Officers, Directors, Trustees, and Key Employees$1,424,265$631,059$1,103,363$3,158,687
Other Salaries and Wages$313,530-$2,202,079$2,515,609
Fees for Services Other$2,175,795-$125,949$2,301,744
Other Employee Benefits$272,664-$583,954$856,618
Advertising--$423,694$423,694
Payroll Taxes$66,024-$198,854$264,878
Pension Plan Contributions$57,789-$154,363$212,152
Occupancy--$85,477$85,477
Office Expenses$4,425-$57,370$61,795
All Other Expenses$6,703-$32,909$39,612
Other Expenses$2,594-$33,552$33,552
Fees for Services Management-$18,945-$18,945
Fees for Services Legal$13,788--$13,788
Travel$2,806-$7,377$10,183
Conferences and Meetings$182$1,501-$1,683
Depreciation Depletion--$702$702
Total Functional Expenses$31,888,413$6,749,257$5,407,123$44,044,793

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$44,044,793
Expenses Not Reported on Financial Statements$26,506,331
Total Expenses per Audited Statements$17,562,108
Expenses per Audited Statements$17,538,462
Other Expense Adjustments$15,987,115
Expenses Not Reported on Form 990$23,646
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
COOK CHILDREN'S MEDICAL CENTERFort Worth, TX501(c)(3)Financial Assistance$8,133,848
Child Study CenterFort Worth, TX501(c)(3)Financial Assistance$4,594,620
COOK CHILDREN'S HEALTH CARE SYSTEMFort Worth, TX501(c)(3)Financial Assistance$1,992,952
COOK CHILDREN'S PHYSICIAN NETWORKFort Worth, TX501(c)(3)Financial Assistance$1,153,229
COOK CHILDREN'S HEALTH PLANFort Worth, TX501(c)(3)Financial Assistance$22,500

International Summary

Spending
$2,962,129,067

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
North AmericaInvestments---$2,006,299,306
East Asia and the PacificInvestments---$379,844,184
Europe (Including Iceland and Greenland)Investments---$337,640,084
South AmericaInvestments---$110,661,459
Sub-Saharan AfricaInvestments---$96,479,335
Middle East and North AfricaInvestments---$27,617,368
Central America and the CaribbeanInvestments---$3,587,331
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$23,646
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
The Blast$95,353-$23,646-
Total Events$95,353-$23,646$-23,646
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Funds Held for Affiliates$714,083
Gift Annuities$69,880
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Officer, director, trustee, or key employee family/business relationships: rick sorenson and james webb have a business relationship. R. Kyle kight and jon brumley have a business relationship. Lisa jamieson and jerry conatser have a business relationship. Willie houston iii and rick w. Merrill have a business relationship. Mary cara martz and peter l. Philpott have a business relationship. Various officers and trustees have a business relationship with each other due to their employment or board service with other organizations within the system.

Form 990, Part VI, Section B, Line 11B

REVIEW PROCESS FOR FORM 990: The organization engages an outside independent accounting firm to assist in the preparation of the Form 990 and related filings. All information provided to the outside accounting firm is gathered by key company employees and executives. Once the Form 990 is prepared, it is reviewed by company Finance, Legal and Compliance staff and then provided to the Board of Trustees for review and comment. In addition, it is 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, Section B, Line 12C

Conflict of interest: every year the legal department of the cook children's health care system (system) sends out a form 990 questionnaire/conflict of interest disclosure statement to officers, directors, trustees and key employees of all system companies, as well as certain other employees, including physicians, who are determined to be employed in positions that might be subject to the system's conflict of interest policy. The responses are reviewed by the legal, finance, and compliance departments. Follow up and/or corrective action is taken as needed with respect to responses that indicate the existence of actual or potential conflicts of interest. A summary of the responses to the questionnaires and follow-up information is provided to the system audit committee for review and follow-up. Further, the audit committee of cook children's health care system is responsible for monitoring the implementation and enforcement of the conflict of interest policy that is applicable to all affiliated companies of the cook children's health care system. The audit committee is also responsible for oversight of the compliance department of cook children's health care system. The compliance department maintains a hotline to receive reports of inappropriate activities including activities that might constitute a conflict of interest. Internal audit and compliance also conduct random audits of corporate activities such as expense reimbursements and accounts payable to determine if any inappropriate payments are being made to individuals, some of which could be evidence of a conflict of interest. Any corrective action related to conflicts of interest would be reported to the audit committee for review, approval, and modification, as necessary, with further reporting to the system board of trustees as appropriate.

Form 990, Part VI, Section B, Line 15A

Review and approval of compensation: cook children's health care system has established a compensation committee with oversight of executive and physician compensation, which includes the organization's ceo and other officers and key employees of the organization. The compensation committee approves compensation arrangements in advance, which includes a review and approval by independent committee members, using comparable market data relating to compensation, which is provided by sullivan cotter and associates, inc. For executive compensation and by ecg management consultants for physician compensation, both of which are independent, nationally recognized compensation consultants. The compensation committee documents the basis for its determinations following contemporaneous substantiation of the compensation committee's deliberations and decisions. The compensation committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the compensation committee also retains the law firm of mcdermott, will and emery of chicago, illinois, to issue a reasonableness opinion covering the physician compensation plan for cook children's physician network.

Form 990, Part VI, Section C, Line 19

Process of making governing documents available to the public: the organization does not make its governing documents or conflict of interest policy available to the public, except to the extent they are on file with the secretary of state of texas. The conflict of interest policy is posted on the organization's internal website and available to all employees and board members of cook children's health care system entities. Consolidated financial statements are reported electronically for all cook children's health care system entities via the electronic municipal market access (emma) web site.

Filing and Contact Details

Filer

Filer Name
WI Cook Foundation Inc
EIN
75-2051649
In Care Of
% CORY RHOADES
Phone
6828854000
Address
801 Seventh Avenue, Fort Worth, TX 76104
Doing Business As
Cook Children's Health Foundation

Signing Officer

Name
Cory R Rhoades
Title
CFO & SVP, Finance
Phone
6828854000
Signed
2022-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rick W Merrill
Formed
1985
Legal Domicile
TX
Voting Board Members
33
Independent Board Members
33
Employees
43
Volunteers
58

Preparer

Firm
Forvis Llp
Address
14241 DALLAS PARKWAY SUITE 1100, DALLAS, TX 75254
Preparer
michael j engle
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Other changes to net assets: change in beneficial interest in trusts $ 2,757,690 transfer from ccmc $240,000,000 transfer to cchs $ (82,901) other changes to net assets $ 6,000 ------------- total $242,680,789

Financial Statement Notes

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 places a greater emphasis on equity-based investments to achieve its long-term return objectives within prudent risk constraints. Cook children's has a policy (the spending policy) of appropriating for expenditure each year of up to 5% of the foundation's investments average fair value over the prior 5 years ended june 30 preceding the year in which expenditure is planned and/or according to the donor requirements as set forth in each endowment document. In establishing this policy, cook children's considered the long-term expected return on its endowment. Accordingly, over the long term, cook children's expects the current spending policy to allow its endowment to grow at the return hurdle. This is consistent with cook children's objective to maintain the purchasing power of endowment assets held in perpetuity or for a specified term, as well as to provide additional real growth through new gifts and investment return.

Schedule D, Part X, Line 2

Asc 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4B

Reconciliation of revenue per audited financials to tax return: contributions in restricted to net assets $12,820,758 direct fundraising expenses (23,646) ------------- total $12,797,112

Schedule D, Part XII, Line 2D

Reconciliation of expenses per audited financials to tax return: direct fundraising expenses $23,646

Schedule D, Part XII, Line 4B

Reconciliation of expenses per audited financials to tax return: donations from net assets 15,987,115

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IRS990/Desc0About Cook Children's Health Care System For more than 100 years Cook Children's Health Care System has worked to fulfill its Promise to improve the health of every child through the prevention and treatment of illness, disease and injury. As a not-for-profit, nationally-recognized and integrated pediatric health care organization based in Fort Worth, Texas, Cook Children's comprises 14 entities. They include a medical center, physician network, health plan, home health company, health foundation, a child study center, two surgery centers and more. Cook Children's reputation for excellence draws patients from near and far. Families travel from across Texas and the United States, as well as internationally, to receive life-saving pediatric care and benefit from the collaboration and vast resources the system offers. In addition to the medical center, a network of more than 60 primary, specialty and urgent care locations provide numerous access points to life-saving pediatric care that's family-centered and built on leading technology, collaboration and a best-in-class patient experience. Cook Children's Health Foundation Dollars gifted through Cook Children's Health Foundation (CCHF) impact almost every Cook Children's program and patient. From technology upgrades to research to facility expansions to new services and charity care, running a health system that records more than 1 million patient encounters a year requires a robust philanthropic arm. It cannot be done without the support of generous donors. A safety net for uncompensated care The Cook Children's Health Foundation provides a critical financial safety net for the health system and those it serves. Because of the pandemic, that safety net required a much wider cast in both 2020 and 2021. A devastating example of the critical need for a safety net is the escalation of acuity among patients seeking help from Cook Children's Behavioral Health services. The Cook Children's Health Foundation has always provided a hefty amount of funding for this service, as the majority of its patients are typically uninsured or underinsured. In 2021, the rate at which children presented with severe anxiety and depression soared. In March 2021, Cook Children's Medical Center reported record numbers of suicides and attempted suicides with patients as young as 7, and it marked the first time suicide became the leading cause of trauma death, surpassing child abuse and car wrecks. Thanks in large part to gifts made through CCHF, children needing mental and emotional care are provided behavioral health services even when their own financial resources are limited. Uncompensated care is more than just charity care. Donations to CCHF help fund a number of non-revenue producing healing programs at Cook Children's that otherwise would not exist. The Sit...Stay...Play facility dog program is a favorite. After all, nothing can calm an anxious child reeling from a medical crisis like the comfort of a cuddly canine. Similar Child Life programs such as music therapy, art, camps and the Child Life Zone offer a different kind of "medicine" that allows kids to do what kids do best...imagine, create, play and have fun! Meeting the mental, emotional and spiritual needs of patients and their families is just as critical as treating their medical condition, and these services do just that free-of-charge to patients. The Cook Children's Health Foundation also funds scholarships to Child Study Center at Cook Children's. This center provides children who have complex developmental and behavioral disabilities the care and education they need to achieve their full potential. Innovation Fuels Capital Growth None of these services would be possible without capital growth. Advanced equipment must be purchased and maintained. Facilities must be built to house these technologies and services where children can access them closer to their homes. Without capital funds children would be deprived of life-changing, life-ad
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IRS990/Form990PartVIISectionAGrp/PersonNm15BRIAN C NEWBY
IRS990/Form990PartVIISectionAGrp/PersonNm16ANDREW J ROSELL
IRS990/Form990PartVIISectionAGrp/PersonNm17ASHLI BLUMENFELD
IRS990/Form990PartVIISectionAGrp/PersonNm18TERESA BROWNLIE
IRS990/Form990PartVIISectionAGrp/PersonNm19JERRY R CONATSER
IRS990/Form990PartVIISectionAGrp/PersonNm20BRIAN C CRUMLEY
IRS990/Form990PartVIISectionAGrp/PersonNm21MICHAEL R DIKE
IRS990/Form990PartVIISectionAGrp/PersonNm22JAMES R DUNAWAY JR
IRS990/Form990PartVIISectionAGrp/PersonNm23RICHARD W DYESS
IRS990/Form990PartVIISectionAGrp/PersonNm24ROSALIND EVANS
IRS990/Form990PartVIISectionAGrp/PersonNm25JAY L FIERKE MD
IRS990/Form990PartVIISectionAGrp/PersonNm26KENT HORST
IRS990/Form990PartVIISectionAGrp/PersonNm27JAMES MATTHEW JOHNSON
IRS990/Form990PartVIISectionAGrp/PersonNm28G MALCOLM LOUDEN
IRS990/Form990PartVIISectionAGrp/PersonNm29RYAN T MATTHEWS
IRS990/Form990PartVIISectionAGrp/PersonNm30MICHAEL R PAVELL
IRS990/Form990PartVIISectionAGrp/PersonNm31PETER L PHILPOTT
IRS990/Form990PartVIISectionAGrp/PersonNm32JAMES E WEBB
IRS990/Form990PartVIISectionAGrp/PersonNm33KARL BIGGS
IRS990/Form990PartVIISectionAGrp/PersonNm34LAURA BIRD
IRS990/Form990PartVIISectionAGrp/PersonNm35JON S JOHNNY BRUMLEY
IRS990/Form990PartVIISectionAGrp/PersonNm36CARIE BURNETTE
IRS990/Form990PartVIISectionAGrp/PersonNm37LEZLIE P DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm38CLARABELE PIT DODSON
IRS990/Form990PartVIISectionAGrp/PersonNm39BELEN M GARREN
IRS990/Form990PartVIISectionAGrp/PersonNm40MICHAEL M GONZALEZ SR
IRS990/Form990PartVIISectionAGrp/PersonNm41WILLIE HOUSTON III
IRS990/Form990PartVIISectionAGrp/PersonNm42LISA H JAMIESON
IRS990/Form990PartVIISectionAGrp/PersonNm43R KYLE KIGHT
IRS990/Form990PartVIISectionAGrp/PersonNm44W M MACK LAWHON
IRS990/Form990PartVIISectionAGrp/PersonNm45ANDREW P LOMBARDI

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Summary only. Only limited summary data is available for this year.$4,613$109$4,505$95.1$65.4$29.7
2023Summary only. Only limited summary data is available for this year.$3,797$9.47$3,788$151$44.8$107
2022Summary only. Only limited summary data is available for this year.$3,402$4.21$3,398$189$46.7$142
2021Detailed filing. Detailed filing data is available for this year.$3,246$2.68$3,243$260$44.0$216
2020Summary only. Only limited summary data is available for this year.$2,213$2.68$2,210$88.1$47.3$40.8
2019Summary only. Only limited summary data is available for this year.$2,014$2.64$2,011$80.4$43.2$37.1
2018Summary only. Only limited summary data is available for this year.$1,955$4.75$1,950$156$47.3$109
2017Summary only. Only limited summary data is available for this year.$1,708$3.19$1,704$76.6$45.3$31.3
2016Summary only. Only limited summary data is available for this year.$1,496$3.10$1,493$52.6$29.8$22.7
2015Summary only. Only limited summary data is available for this year.$1,382$2.60$1,380$66.5$19.2$47.3
2014Summary only. Only limited summary data is available for this year.$1,198$2.85$1,195$50.2$17.4$32.8
2013Summary only. Only limited summary data is available for this year.$1,103$2.46$1,100$16.9
2012Summary only. Only limited summary data is available for this year.$862$2.27$859$57.1
2011Summary only. Only limited summary data is available for this year.$745$2.20$743$10.8