Civic Intelligence

Cook Children'S Home Health

EIN 75-2896983 • 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

73rd percentile

0.53x

Higher debt load relative to assets than 73% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

40th percentile

0.23x

Higher debt load relative to revenue than 40% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

37th percentile

0.9%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$3,305,517

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 4.3% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

27th percentile

0.1%

Faster asset growth than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

8.5%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$34,134,027

Up $29,276 (+0.1%) from 2023

Liabilities

Down

$18,065,158

Down $662,765 (-3.5%) from 2023

Net Assets

Up

$16,068,869

Up $692,041 (+4.5%) from 2023

Revenue

Up

$77,517,537

Up $6,048,187 (+8.5%) from 2023

Expenses

Up

$76,825,496

Up $3,310,374 (+4.5%) from 2023

Net Income

Up

$692,041

Up $2,737,813 (+134%) from 2023

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2010: $10,747,681Liabilities 2010: $2,592,485Net Assets 2010: $8,155,1962010Assets 2011: $11,923,141Liabilities 2011: $1,651,258Net Assets 2011: $10,271,8832011Assets 2012: $15,334,030Liabilities 2012: $2,231,362Net Assets 2012: $13,102,6682012Assets 2013: $18,949,179Liabilities 2013: $2,147,385Net Assets 2013: $16,801,7942013Assets 2014: $20,281,625Liabilities 2014: $3,174,683Net Assets 2014: $17,106,9422014Assets 2015: $13,735,668Liabilities 2015: $3,638,226Net Assets 2015: $10,097,4422015Assets 2016: $12,433,275Liabilities 2016: $2,790,379Net Assets 2016: $9,642,8962016Assets 2017: $13,964,431Liabilities 2017: $2,982,232Net Assets 2017: $10,982,1992017Assets 2018: $14,517,007Liabilities 2018: $3,333,973Net Assets 2018: $11,183,0342018Assets 2019: $14,721,772Liabilities 2019: $3,311,488Net Assets 2019: $11,410,2842019Assets 2020: $22,356,314Liabilities 2020: $8,190,751Net Assets 2020: $14,165,5632020Assets 2021: $25,340,426Liabilities 2021: $8,352,890Net Assets 2021: $16,987,5362021Assets 2022: $24,403,572Liabilities 2022: $6,980,972Net Assets 2022: $17,422,6002022Assets 2023: $34,104,751Liabilities 2023: $18,727,923Net Assets 2023: $15,376,8282023Assets 2024: $34,134,027Liabilities 2024: $18,065,158Net Assets 2024: $16,068,8692024

Highlighted filing

2024

Assets$34,134,027
Liabilities$18,065,158
Net Assets$16,068,869

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $34,474,7032010Expenses 2011: $36,753,5072011Expenses 2012: $40,703,7102012Expenses 2013: $36,878,0492013Revenue 2014: $43,475,834Expenses 2014: $43,170,686Net Income 2014: $305,1482014Revenue 2015: $51,285,840Expenses 2015: $52,020,805Net Income 2015: -$734,9652015Revenue 2016: $61,092,320Expenses 2016: $61,546,866Net Income 2016: -$454,5462016Revenue 2017: $49,082,575Expenses 2017: $47,743,272Net Income 2017: $1,339,3032017Revenue 2018: $48,672,965Expenses 2018: $48,472,130Net Income 2018: $200,8352018Revenue 2019: $50,335,499Expenses 2019: $50,108,249Net Income 2019: $227,2502019Revenue 2020: $57,611,434Expenses 2020: $54,856,154Net Income 2020: $2,755,2802020Revenue 2021: $62,380,126Expenses 2021: $59,558,153Net Income 2021: $2,821,9732021Revenue 2022: $68,459,443Expenses 2022: $68,024,379Net Income 2022: $435,0642022Revenue 2023: $71,469,350Expenses 2023: $73,515,122Net Income 2023: -$2,045,7722023Revenue 2024: $77,517,537Expenses 2024: $76,825,496Net Income 2024: $692,0412024

Highlighted filing

2024

Revenue$77,517,537
Expenses$76,825,496
Net Income$692,041

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$34.1$18.1$16.1$77.5$76.8$0.69
2023Detailed filing. Detailed filing data is available for this year.$34.1$18.7$15.4$71.5$73.5$2.05
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.4$6.98$17.4$68.5$68.0$0.44
2021Detailed filing. Detailed filing data is available for this year.$25.3$8.35$17.0$62.4$59.6$2.82
2020Detailed filing. Detailed filing data is available for this year.$22.4$8.19$14.2$57.6$54.9$2.76
2019Detailed filing. Detailed filing data is available for this year.$14.7$3.31$11.4$50.3$50.1$0.23
2018Detailed filing. Detailed filing data is available for this year.$14.5$3.33$11.2$48.7$48.5$0.20
2017Detailed filing. Detailed filing data is available for this year.$14.0$2.98$11.0$49.1$47.7$1.34
2016Detailed filing. Detailed filing data is available for this year.$12.4$2.79$9.64$61.1$61.5$0.45
2015Detailed filing. Detailed filing data is available for this year.$13.7$3.64$10.1$51.3$52.0$0.73
2014Detailed filing. Detailed filing data is available for this year.$20.3$3.17$17.1$43.5$43.2$0.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$2.15$16.8$36.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.3$2.23$13.1$40.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$1.65$10.3$36.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$2.59$8.16$34.5
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
$77,517,537
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.

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
Savings and Temporary Cash Investments$14,260,809$15,395,245▲ $1,134,436
Accounts Receivable$6,123,575$6,078,077▼ $45,498
Land, Buildings, and Equipment, Net$2,479,362$3,246,831▲ $767,469
Inventories for Sale or Use$4,001,955$3,231,951▼ $770,004
Prepaid Expenses and Deferred Charges$32,150$32,150→ $0
Cash and Non-Interest-Bearing Accounts$500$500→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$34,104,751$34,134,027▲ $29,276
Other Assets Total$7,206,400$6,149,273▼ $1,057,127
Liabilities
Other Liabilities$14,514,125$13,734,556▼ $779,569
Accounts Payable and Accrued Expenses$4,213,798$4,330,602▲ $116,804
Total Liabilities$18,727,923$18,065,158▼ $662,765
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,376,828$16,068,869▲ $692,041
Total Net Assets Fund Balance$15,376,828$16,068,869▲ $692,041
Total Liabilities and Net Assets / Fund Balance$34,104,751$34,134,027▲ $29,276

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,938,395$4,376,554$6,314,949
Leasehold Improvements$844,898$537,987$1,382,885
Other Land Buildings$420,178$230,931$651,109
Buildings$43,360$12,002$55,362
Other Assets Org$2,164,831--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael R SimmonsPresident & CFOFT$315,002$272,485$587,487
Michael E GendkeVP, OperationsFT$230,524$175,299$405,823
Dionne CriglerDirector - PharmacyFT$198,753$81,050$279,803
Sandra ManningAVP Clinical & Pharmacy OpsFT$179,783$90,523$270,306
Jon JohnsonDirector - Clinical Outcomes O&PFT$148,106$118,188$266,294
Shannon RogersSupervisor, PharmacyFT$169,727$64,677$234,404
Colby CorbettVP, Finance, CCHHFT$147,888$73,780$221,668
Donya BensonHH Rehab ServicesFT$137,425$68,036$205,461
Vinh PhanPharmacistFT$168,694$35,446$204,140
Rick W MerrillCEO-$29,281$36,830$66,111
Stephen W KimmelTreasurer-$21,724$20,067$41,791

Board Members and Trustees

NameTitle
Michael R DikeTrustee - Chairman
M Scott Perry MdFormer Vice Chair
Stephanie Acord MDTrustee - Vice Chair
Jason Kennedy MDTrustee
Kristen Taylor MDTrustee
Richard W DyessTrustee
Victoria Puente-PetersTrustee
William Jackson Rattikin IIITrustee
Anne M CarvalhoTrustee END 5/31/24
Frost R PrioleauTrustee END 5/31/24
Leah M KingTrustee Start 6/1/2024
Mary Cara MartzSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cornerstone StaffingStaffing ServicesPO BOX 226724, Dallas, TX 75222-6724$132,706
Revenue and Support

Revenue Composition

Contributions and Grants
$29,462
Program Service Revenue
$77,393,700
Investment Income
$94,375
Other Revenue
$0
Change in Net Assets
$692,041

Audited Revenue Reconciliation

Revenue per Audited Statements
$77,423,162
Revenue Not Reported on Financial Statements
$94,375
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$94,375
Total Revenue per Audited Statements
$77,423,162
Total Revenue per Form 990
$77,517,537
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$48,782,265
Salaries, Compensation, and Employee Benefits$28,043,231
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,832,572$8,598,954-$19,431,526
Other Employee Benefits$2,444,266$2,380,610-$4,824,876
Fees for Services Management-$3,961,567-$3,961,567
Occupancy$731,310$914,614-$1,645,924
Payroll Taxes$790,601$686,141-$1,476,742
Current Officers, Directors, Trustees, and Key Employees-$1,449,104-$1,449,104
Office Expenses$966,058$169,706-$1,135,764
Depreciation Depletion$954,543$83,370-$1,037,913
Fees for Services Other$224,966$667,255$0$892,221
Pension Plan Contributions$418,814$442,169-$860,983
Travel$549,635$67,544-$617,179
All Other Expenses$53,145$187,242$0$240,387
Other Expenses$37,213$105,897-$143,110
Conferences and Meetings$17,287$11,996-$29,283
Advertising$2,988$17,011-$19,999
Insurance-$500-$500
Total Functional Expenses$56,969,868$19,855,628$0$76,825,496

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$76,825,496
Total Expenses per Form 990$76,825,496
Total Expenses per Audited Statements$76,731,121
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Expenses Not Reported on Form 990$-94,375
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

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
Intercompany Payables$9,699,334
Operating Lease Liability$4,035,222
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
Yes
Management duties delegated
No

Governance Explanations

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

VARIOUS OFFICERS & TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT OR BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM - Business relationship, MICHAEL R. DIKE & WILLIAM JACKSON RATTIKIN III - 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.

Filing and Contact Details

Filer

Filer Name
Cook Children's Home Health
EIN
75-2896983
Phone
6828854000
Address
801 Seventh Avenue, Fort Worth, TX 76104

Signing Officer

Name
Cory Rhoades
Title
CFO, SVP Finance
Signed
2025-08-13
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
TX
Voting Board Members
8
Independent Board Members
5
Employees
300
Volunteers
7

Preparer

Firm
Forvis Mazars LLP
Address
211 N Broadway Suite 600, St Louis, MO 63102-2733
Preparer
Kristen Hankins
Phone
3142315544
Supplemental Narrative

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

Gain on disposal of assets - 94375

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

Gain on disposal of assets - -94375

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IRS990/Desc0Cook Children's Home Health (CCHH) Children and families throughout Texas rely on Cook Children's Home Health for in-home medical care and supplies including skilled nursing, respiratory therapy, physical therapy, occupational therapy, speech therapy, orthotics and prosthetics, custom mobility equipment, and pharmaceutical infusion and specialty drug therapy. In FY24, CCHH's five locations in Fort Worth, Dallas, Austin, Houston and San Antonio served more than 85,776 patients. Looking to the future, CCHH continues to utilize EV and hybrid vehicles with the intent to environmentally balance its fleet. With this growing fleet of vehicles, CCHH's warehouse delivery team traveled more than 972,946 miles to complete over 70,326 deliveries and shipments in FY24. Home Health's nursing and rehabilitation services logged more than 2,333 skilled nursing visits and more than 20,468 rehabilitative visits, either virtually or in person, in FY24. Home Health's nursing and rehabilitation services provide virtual visits when necessary to safely provide care for its home-based patients. Similarly, CCHH continues to deliver life-enhancing and life-sustaining durable medical equipment to patients' homes. More than 76,500 patients received durable medical equipment products and services in FY24. In addition, respiratory care services were provided to 147 homebound patients on ventilators. Home Health continued to experience rapid growth in the custom mobility equipment sector. As a result, CCHH has grown its program to five assistive technology professionals with two more expected to be hired in FY25. Recently a mechanical arm was placed on a custom wheelchair enabling a young patient the ability to do more activities of daily school life on her own like simply opening a door or grabbing a book. It's successes like this that encourage our team to do everything for the child. The Houston office continues to experience rapid growth out pacing the growth rates of similar expansion sites. In FY24, the team members from the Houston office have traveled over 91,838 miles and made 1874 patient visits and shipment to deliver care and equipment. This is double what was accomplished last year.
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IRS990/Form990PartVIISectionAGrp/PersonNm8Victoria Puente-Peters
IRS990/Form990PartVIISectionAGrp/PersonNm9William Jackson Rattikin III
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