Civic Intelligence

Cook Children'S Health Care System

EIN 75-2705881 • 501(c)3 • Fort Worth, TX

Profile

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.

801 Seventh AvenueFort Worth, TX 76104

www.cookchildrens.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

81st percentile

0.62x

Higher debt load relative to assets than 81% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

2.31x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

72nd percentile

15%

Higher net margin than 72% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

71st percentile

$3,305,517

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

89th percentile

21%

Faster asset growth than 89% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

82nd percentile

27%

Faster revenue growth than 82% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,670,408,998

Up $295,409,832 (+21%) from 2023

Liabilities

Up

$1,043,463,771

Up $415,720,190 (+66%) from 2023

Net Assets

Down

$626,945,227

Down $120,310,358 (-16%) from 2023

Revenue

Up

$451,884,730

Up $96,014,677 (+27%) from 2023

Expenses

Up

$385,781,639

Up $52,023,956 (+16%) from 2023

Net Income

Up

$66,103,091

Up $43,990,721 (+199%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $444,792,606Liabilities 2010: $26,418,834Net Assets 2010: $418,373,7722010Assets 2011: $76,398,015Liabilities 2011: $26,477,289Net Assets 2011: $49,920,7262011Assets 2012: $90,956,423Liabilities 2012: $33,769,969Net Assets 2012: $57,186,4542012Assets 2013: $108,528,577Liabilities 2013: $40,961,542Net Assets 2013: $67,567,0352013Assets 2014: $117,298,603Liabilities 2014: $45,929,225Net Assets 2014: $71,369,3782014Assets 2015: $191,607,529Liabilities 2015: $38,725,643Net Assets 2015: $152,881,8862015Assets 2016: $334,995,116Liabilities 2016: $48,642,797Net Assets 2016: $286,352,3192016Assets 2017: $346,897,985Liabilities 2017: $53,286,182Net Assets 2017: $293,611,8032017Assets 2018: $436,259,628Liabilities 2018: $170,284,587Net Assets 2018: $265,975,0412018Assets 2019: $470,709,212Liabilities 2019: $193,616,133Net Assets 2019: $277,093,0792019Assets 2020: $566,258,574Liabilities 2020: $292,976,426Net Assets 2020: $273,282,1482020Assets 2021: $553,188,226Liabilities 2021: $272,042,541Net Assets 2021: $281,145,6852021Assets 2022: $900,758,978Liabilities 2022: $204,925,892Net Assets 2022: $695,833,0862022Assets 2023: $1,374,999,166Liabilities 2023: $627,743,581Net Assets 2023: $747,255,5852023Assets 2024: $1,670,408,998Liabilities 2024: $1,043,463,771Net Assets 2024: $626,945,2272024

Highlighted filing

2024

Assets$1,670,408,998
Liabilities$1,043,463,771
Net Assets$626,945,227

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $89,564,2242010Expenses 2011: $95,457,2852011Expenses 2012: $109,136,2112012Expenses 2013: $121,236,5042013Revenue 2014: $138,241,558Expenses 2014: $121,313,847Net Income 2014: $16,927,7112014Revenue 2015: $140,554,738Expenses 2015: $138,552,909Net Income 2015: $2,001,8292015Revenue 2016: $166,250,148Expenses 2016: $148,305,679Net Income 2016: $17,944,4692016Revenue 2017: $177,821,417Expenses 2017: $169,549,214Net Income 2017: $8,272,2032017Revenue 2018: $194,594,753Expenses 2018: $222,153,798Net Income 2018: -$27,559,0452018Revenue 2019: $230,554,722Expenses 2019: $227,555,675Net Income 2019: $2,999,0472019Revenue 2020: $256,780,292Expenses 2020: $266,874,615Net Income 2020: -$10,094,3232020Revenue 2021: $282,162,573Expenses 2021: $269,251,745Net Income 2021: $12,910,8282021Revenue 2022: $321,528,471Expenses 2022: $287,902,910Net Income 2022: $33,625,5612022Revenue 2023: $355,870,053Expenses 2023: $333,757,683Net Income 2023: $22,112,3702023Revenue 2024: $451,884,730Expenses 2024: $385,781,639Net Income 2024: $66,103,0912024

Highlighted filing

2024

Revenue$451,884,730
Expenses$385,781,639
Net Income$66,103,091

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,670$1,043$627$452$386$66.1
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,375$628$747$356$334$22.1
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$901$205$696$322$288$33.6
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$553$272$281$282$269$12.9
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$566$293$273$257$267$10.1
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$471$194$277$231$228$3.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$436$170$266$195$222$27.6
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$347$53.3$294$178$170$8.27
2016Detailed filing. Detailed filing data is available for this year.$335$48.6$286$166$148$17.9
2015Detailed filing. Detailed filing data is available for this year.$192$38.7$153$141$139$2.00
2014Detailed filing. Detailed filing data is available for this year.$117$45.9$71.4$138$121$16.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$109$41.0$67.6$121
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$91.0$33.8$57.2$109
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.4$26.5$49.9$95.5
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$445$26.4$418$89.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$1,036,186,667
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 the prevention and treatment of illness, disease and injury.

We strive to be an extension of your family, growing with your child from baby steps to adulthood. We keep our Promise - to improve the well-being of every child in our communities - by instilling kindness, imagination and respect into everything we do. We make it our mission to connect the dots. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 10,000+ dedicated team members strong, passionately caring for over 2 million patient encounters each year. Our integrated, not-for-profit organization spans two 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$36,324,620$800,165,531▲ $763,840,911
Land, Buildings, and Equipment, Net$206,881,568$213,879,838▲ $6,998,270
Investments in Publicly Traded Securities$655,758,978$190,286,507▼ $465,472,471
Investments Other Securities$110,684,402$124,209,973▲ $13,525,571
Cash and Non-Interest-Bearing Accounts$92,286,167$21,623,485▼ $70,662,682
Accounts Receivable$9,977,835$13,115,367▲ $3,137,532
Prepaid Expenses and Deferred Charges$6,760,353$10,158,524▲ $3,398,171
Pledges and Grants Receivable$885,362$3,153,741▲ $2,268,379
Inventories for Sale or Use$7,490$10,057▲ $2,567
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$1,374,999,166$1,670,408,998▲ $295,409,832
Other Assets Total$255,432,391$293,805,975▲ $38,373,584
Liabilities
Accounts Payable and Accrued Expenses$536,227,160$932,601,453▲ $396,374,293
Other Liabilities$91,150,344$110,075,769▲ $18,925,425
Deferred Revenue$366,077$786,549▲ $420,472
Total Liabilities$627,743,581$1,043,463,771▲ $415,720,190
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$747,255,585$626,945,227▼ $120,310,358
Total Net Assets Fund Balance$747,255,585$626,945,227▼ $120,310,358
Total Liabilities and Net Assets / Fund Balance$1,374,999,166$1,670,408,998▲ $295,409,832

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$24,949,619$148,907,922$173,857,541
Buildings$63,839,259$56,330,493$120,169,752
Land$83,972,108-$83,972,108
Other Land Buildings$41,084,122$3,477,241$44,561,363
Leasehold Improvements$34,730$919,926$954,656
Other Assets Org$21,666,191--
Other Securities$99,089,973--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$19,054,984-▲ $2,159,019$1,216,619$19,997,384
2022$19,729,642$37,175▲ $434,679$1,146,512$19,054,984
2021$20,111,028$0▲ $589,856$971,242$19,729,642
2020$15,942,167$3,150▲ $5,035,721$870,010$20,111,028
2019$7,590,729$8,002,000▲ $620,002$270,564$15,942,167
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Keith HoltzChief Administration OfficerFT$582,560$782,937$1,365,497
James C Cunningham MDEvp, CMOFT$716,709$611,814$1,328,523
Joseph M GallagherSVP, Chief Legal OfficerFT$550,082$472,799$1,022,881
Cory R RhoadesChief Financial OfficerFT$534,312$468,137$1,002,449
Rick W MerrillPresident & CEOPT$439,215$552,440$991,655
Eric HubliChief Effectiveness OfficerFT$570,301$419,428$989,729
Theresa Z MeadowsSVP, Chief Information OfficerFT$521,469$412,184$933,653
Joann SandersChief Quality OfficerFT$480,626$451,492$932,118
Anish RayMedical DirectorFT$506,121$234,593$740,714
Jonathan Nedrelow MDAssociate Chief Medical OfficerFT$462,464$275,587$738,051
Christian PedigoVP, Sys Planning & Health AnalyticsFT$383,704$353,504$737,208
Robert FeatherSVP, Public PolicyFT$376,351$340,381$716,732
Winifred KingSVP Chief Comm & DEI OfficerFT$340,533$321,784$662,317
Karen WardellAssociate General CounselFT$391,484$219,477$610,961
Matthew Carroll MDVP, Assoc Chief Quality OfficerFT$366,330$226,111$592,441
Stephen EckertVP, Info Systems/CTOFT$318,065$185,792$503,857
Megan ChavezVP Patient & Family ExperienceFT$308,516$185,281$493,797
Beth SchmidtVP, Human ResourcesFT$307,282$181,541$488,823
Spencer D SealsVP Construction & Real EstateFT$298,612$189,637$488,249
Kent SmithVP, ComplianceFT$300,241$187,130$487,371
Gregory JimersonVP, Payor RelationsFT$291,462$191,350$482,812
Ashley AntipoloChief Medical Info OfficerFT$304,782$172,097$476,879
Aaron WishonVP, Chief Info Security OfficerFT$308,688$167,060$475,748
Laura CopelandAssociate General CounselFT$271,877$190,973$462,850
Kathy McLeanVP, Brand & Team ExperienceFT$281,011$170,452$451,463
David LancasterVP, Internal AuditFT$227,383$194,098$421,481
Lorrainea WilliamsPat/medication Safety OfficerFT$225,478$164,530$390,008
Myranda MillerVP, Corporate ControllerFT$228,427$147,866$376,293
Lakami BryantVP, Revenue Cylce & Ent AppsFT$224,957$144,019$368,976
George MorrisVP, Chief Data and Analytics OfficerFT$227,963$138,674$366,637
Stephen W KimmelEvp, Sys FinancePT$181,038$167,227$348,265
Anu PartapDirector, Phys Health EquityFT$265,321$82,619$347,940
Christos PapadelisDirector of ResearchFT$255,181$74,558$329,739
Mary Cara MartzSecretaryFT$142,535$62,467$205,002

Board Members and Trustees

NameTitle
Peter L PhilpottTrustee - Chairman
Deborah Schutte MDTrustee - Vice Chairman
Andrew P LombardiTrustee
Anthony Anani MDTrustee
Brian C CrumleyTrustee
Brian C NewbyTrustee
Chandra Reynolds MDTrustee
Daphne Shaw MDTrustee
Jason V Terk MDTrustee
John P BoswellTrustee
Kara Starnes DOTrustee
Karl BiggsTrustee
Lane Lanier MDTrustee
Michael R DikeTrustee
R Russell MortonTrustee
Rachel R WernerTrustee
Rick SorensonTrustee
Robert Gillespie MDTrustee
Smita Ranade MDTrustee
Belen M GarrenTrustee - Sec/Treasurer
Anne M CarvalhoTrustee END 5/31/24
Frost R PrioleauTrustee END 5/31/24
Jerry R ConatserTrustee END 5/31/24
Robert J BattonTrustee END 5/31/24
Laura BirdTrustee START 6/1/24
Peggy L CassidyTrustee START 6/1/24
B Anthony BagwellSVP, Ciio

Highest Paid Contractors

ContractorServicesLocationCompensation
Workday IncHardware/Software Services1 Microsoft Way, Ste 100, Redmond, WA 78052-6399$4,066,996
Three Link SolutionsContract Services409 Majestic Court, Ste 202, Keller, TX 76248$3,662,069
Resourcing HQ LLCContract Services9720 Executive Center Dr N, Ste 450, St Petersburg, FL 33702$2,552,842
Linbeck Group LLCProject Related Professional Services1263 W Rosedale, Fort Worth, TX 76104$2,315,120
Kudelski SecurityHardware/Software Services5090 North 40th St, Phoenix, AZ 85018$1,965,418
Revenue and Support

Revenue Composition

Contributions and Grants
$5,599,608
Program Service Revenue
$404,535,442
Investment Income
$41,440,998
Other Revenue
$308,682
Change in Net Assets
$66,103,091

Audited Revenue Reconciliation

Revenue per Audited Statements
$449,135,275
Revenue Not Reported on Financial Statements
$2,749,455
Revenue Not Reported on Form 990
$13,551,738
Other Revenue Adjustments
$2,603,614
Total Revenue per Audited Statements
$462,687,013
Total Revenue per Form 990
$451,884,730
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$272,808,452
Salaries, Compensation, and Employee Benefits$112,088,993
Grants and Similar Amounts Paid$884,194
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$160,763,655--$160,763,655
Other Salaries and Wages$52,191,801$14,454,690-$66,646,491
Fees for Services Other$18,189,071$5,061,297$0$23,250,368
Depreciation Depletion$22,255,523--$22,255,523
Other Employee Benefits$14,120,906$4,629,350-$18,750,256
Current Officers, Directors, Trustees, and Key Employees$1,746,016$14,753,589-$16,499,605
Advertising$1,696,148$7,010,777-$8,706,925
All Other Expenses$4,553,050$1,476,631$0$6,029,681
Insurance$5,237,566--$5,237,566
Pension Plan Contributions$3,410,644$1,719,709-$5,130,353
Payroll Taxes$3,747,853$1,109,138-$4,856,991
Fees for Services Legal-$4,624,646-$4,624,646
Office Expenses$3,911,315$439,175-$4,350,490
Occupancy$2,304,360$448,616-$2,752,976
Other Expenses$1,979,611$423,341-$2,402,952
Travel$1,215,402$320,134-$1,535,536
Grants to Domestic Orgs$824,194--$824,194
Fees for Services Accounting$587,454$13,139-$600,593
Conferences and Meetings$483,955$84,286-$568,241
Fees for Services Lobbying-$218,773-$218,773
Comp Disqual Persons-$205,297-$205,297
Grants to Domestic Individuals$60,000--$60,000
Interest$979$35-$1,014
Total Functional Expenses$326,914,517$58,867,122$0$385,781,639

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$388,843,801
Total Expenses per Form 990$385,781,639
Expenses per Audited Statements$385,635,798
Expenses Not Reported on Form 990$3,208,003
Expenses Not Reported on Financial Statements$145,841
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cook Children's Physican NetworkFort Worth, TX501(c)(3)General Support$417,880
Cook Children's Medical CenterFort Worth, TX501(c)(3)General Support$257,448
All Saints Episcopal SchoolFort Worth, TX501(c)(3)General Support$100,000
Leukemia TexasDallas, TX501(c)(3)General Support$10,000
Covenant Health FoundationLubbock, TX501(c)(3)General Support$7,500
Crohn's & Colitis FoundationNew York, NY501(c)(3)General Support$6,500

International Summary

Offices
0
Employees
0
Spending
$145,081,536

International Compliance

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

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$145,081,536
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family Member of Rick Sorenson, TrusteeWages/salariesNo$205,297

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$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
Intercompany Payables$87,488,367
Right of Use Liability$22,587,402
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

CARA MARTZ & PETER PHILPOTT - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

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, Line 7A Members or stockholders electing members of governing body

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, Line 7B Decisions requiring approval by members or stockholders

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; (6) Cook Children's Medical Center - Prosper, (7) Cook Children's Health Enterprises, (8) Child Study Center, and (9) 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, 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 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 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 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.

Filing and Contact Details

Filer

Filer Name
Cook Children's Health Care System
EIN
75-2705881
Phone
6828854000
Address
801 Seventh Avenue, Fort Worth, TX 76104

Signing Officer

Name
Rick W Merrill
Title
CEO
Signed
2025-08-13
Discuss with paid preparer
Yes

Organization Details

Formed
1996
Legal Domicile
TX
Voting Board Members
22
Independent Board Members
16
Employees
1,003
Volunteers
25

Preparer

Firm
Forvis Mazars LLP
Address
1201 Walnut Street Suite 1700, Kansas City, MO 64106-2246
Preparer
Michael Engle
Phone
8162216300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4B Part III, Line 4A Continued

New Horizons Cook Children's Female Athlete program opened in Summer 2024 at the Multi-Specialty Clinic in Hurst to help keep girls at the top of their game. The program focuses on nutrition, mental health, injury prevention and injury treatment. Preteen and teenage athletes can receive individualized nutrition counseling based on their sport. Clinical evaluations look for stress fractures or other concerns. Also in FY24, Cook Children's Orthopedics and Sports Medicine Walsh Ranch opened an outdoor complex designed to help young athletes train for peak performance. The complex includes a 30-yard football field, quarter-mile track, pitching mound and an agility training area. The new facilities supplement a comprehensive array of orthopedic, rehabilitation and sports medicine offerings at the location. Education is a major focus -- teaching the connection between nutrition, conditioning, preparation, form and recovery to prevent injuries. Another sports-related event made headlines in 2024 when Cook Children's and professional golfer Tom Hoge announced a sponsorship agreement. Thanks to this multi-year partnership, fans can see the Cook Children's logo on Hoge's shirtsleeve as he competes on the PGA Tour. A new horizon in communication rolled out in September 2024 with the launch of a podcast called "Untold: The Stories of Cook Children's." The series focuses on tales of resilience and hope. The debut episode featured oncologist Chelsee Greer, D.O., who was treated for childhood cancer at Cook Children's and now leads the Neuroblastoma Program.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfer between affiliates - -xxx-xx-xxxx; other transfers/adjustments - -6238;

Financial Statement Notes

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

Related organization w.i. Cook foundation inc. Holds and administers the endowment for the needs related to the program(s) as specified in the donation documents.

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

Management fee reduction - 3362075

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Donated capital - 2449542 gain on sale of property - 154072

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Management fee reduction - 3362075 gain on sale of property - -154072

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IRS990/Desc0About Cook Children's Health Care System Cook Children's strives to be an extension of your family, growing with your child from baby steps to adulthood. We keep our Promise - to improve the well-being of every child in our communities - by instilling kindness, imagination and respect into everything we do. We make it our mission to connect the dots. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 10,000+ dedicated team members strong, passionately caring for over 2 million patient encounters each year. Our integrated, not-for-profit organization spans two 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. Ninety-four primary, specialty and urgent care locations provide access to lifesaving pediatric care that's family-centered and built on leading technology, collaboration, safety and a best-in-class patient experience. And our impact extends beyond the borders of Texas. We're proud to treat children from every state in the nation and 32 countries. By seeing the world through the eyes of children and their families from all backgrounds, we're able to shape health care suited to them ... with an extra dose of magical wonder. Keeping our Promise Cook Children's has strived since its beginnings in 1918 to combine the art of caring with leading-edge technology and practices. The System has earned a strong and wide reputation for outstanding efforts and outcomes in pediatric health care. Six core values form the bedrock for Cook Children's culture platform: kindness, collaboration, imagination, generosity, respect and safety. Those values inspire our Promise to do everything for the child. Decisions and action at every level of the organization integrate our culture platform and core values. As a result, employees and visitors alike feel like family. Employees in all of Cook Children's companies connect the dots to create moments of magic and the best patient experience possible during treatment for injury and illness. With an 87% patient experience rating of lihood to recommend" in FY24, eligible employees were awarded a CareShare bonus. Expanding to Meet Community Needs As the population of North Texas increases, Cook Children's continues to widen its reach. Cook Children's Medical Center - Prosper opened in 2023 to serve children and families on the northeast side of the Metroplex and beyond. Also, the recently expanded Dodson Specialty Clinics building on the Fort Worth campus created a centralized location for patients who receive care from multiple specialties. The Dodson expansion brought 40 clinics under one roof to provide easily accessible and comprehensive care, along with a new retail pharmacy and a sibling support center. Construction was underway throughout 2024 on a first-of-its-kind collaboration to bring critical health care and other resources to the Las Vegas Trail area of west Fort Worth. The future Las Vegas Trail Neighborhood Health Center will include medical services, social services and a police storefront. Cook Children's and the other partners aim to transform the struggling neighborhood into a safe and healthy community. Cook Children's will provide pediatric health care at the center when it opens in late 2025. In West Texas, a new partnership in FY24 boosted the options for pediatric neurology thanks to an innovative approach to medical education. Two Cook Children's neurologists in Amarillo serve as teaching physicians at the Texas Tech University Health Sciences Center in an arrangement that educates future physicians while bringing specialty care closer to home for patients in the region. Four years of collaborative planning went into implementing this unique model, which can be adapted to other specialties. Supporting a Workplace of Excelle
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