Civic Intelligence

Cook Children'S Medical Center - Prosper

EIN 85-2354189 • 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

97th percentile

1.28x

Higher debt load relative to assets than 97% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

90th percentile

3.53x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

7th percentile

-24%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

91st percentile

$3,305,517

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 3.2% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

86th percentile

19%

Faster asset growth than 86% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

95th percentile

109%

Faster revenue growth than 95% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$288,609,811

Up $45,599,088 (+19%) from 2023

Liabilities

Up

$369,760,086

Up $70,339,825 (+23%) from 2023

Net Assets

Down

-$81,150,275

Down $24,740,737 (-44%) from 2023

Revenue

Up

$104,690,685

Up $54,549,605 (+109%) from 2023

Expenses

Up

$129,431,422

Up $36,454,793 (+39%) from 2023

Net Income

Up

-$24,740,737

Up $18,094,812 (+42%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400M$200M$0-$200MAssets 2021: $59,107,939Liabilities 2021: $59,154,540Net Assets 2021: -$46,6012021Assets 2022: $170,694,010Liabilities 2022: $184,267,999Net Assets 2022: -$13,573,9892022Assets 2023: $243,010,723Liabilities 2023: $299,420,261Net Assets 2023: -$56,409,5382023Assets 2024: $288,609,811Liabilities 2024: $369,760,086Net Assets 2024: -$81,150,2752024

Highlighted filing

2024

Assets$288,609,811
Liabilities$369,760,086
Net Assets-$81,150,275

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2021: $0Expenses 2021: $46,601Net Income 2021: -$46,6012021Revenue 2022: $25,344Expenses 2022: $13,552,732Net Income 2022: -$13,527,3882022Revenue 2023: $50,141,080Expenses 2023: $92,976,629Net Income 2023: -$42,835,5492023Revenue 2024: $104,690,685Expenses 2024: $129,431,422Net Income 2024: -$24,740,7372024

Highlighted filing

2024

Revenue$104,690,685
Expenses$129,431,422
Net Income-$24,740,737

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$104,690,685
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 the prevention and treatment of illness, disease, and injury.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$200,293,725$212,834,019▲ $12,540,294
Accounts Receivable$11,196,725$14,233,553▲ $3,036,828
Inventories for Sale or Use$1,616,040$1,435,457▼ $180,583
Cash and Non-Interest-Bearing Accounts$9,771$119,263▲ $109,492
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$243,010,723$288,609,811▲ $45,599,088
Other Assets Total$29,894,462$59,987,519▲ $30,093,057
Liabilities
Accounts Payable and Accrued Expenses$261,791,009$299,690,310▲ $37,899,301
Other Liabilities$37,629,252$69,945,536▲ $32,316,284
Deferred Revenue-$124,240-
Total Liabilities$299,420,261$369,760,086▲ $70,339,825
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-56,409,538$-81,150,275▼ $24,740,737
Total Net Assets Fund Balance$-56,409,538$-81,150,275▼ $24,740,737
Total Liabilities and Net Assets / Fund Balance$243,010,723$288,609,811▲ $45,599,088

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$158,990,228$16,258,957$175,249,185
Equipment$18,977,463$10,187,619$29,165,082
Other Land Buildings$20,722,923-$20,722,923
Land$10,403,514-$10,403,514
Leasehold Improvements$3,739,891$1,517,461$5,257,352
Other Assets Org$59,987,519--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nancy C CycholPresident/Chief Hospital Services-$247,143$211,081$458,224
Kevin GreeneVP, Prosper Medical CenterFT$221,525$140,498$362,023
Sheralyn HartlineAVP, Nursing & Patient CareFT$196,651$97,692$294,343
Stefanie TannerDirector, Nurse & Patient CareFT$144,735$80,645$225,380
Clifford HoPharmacy Clinic SpecialistFT$172,740$40,945$213,685
Kristen ElzeyManager, Pharmacy Operations, CCMCPFT$188,206$17,956$206,162
Tri TranPharmacist, CCMCPFT$169,331$31,839$201,170
Abigail ReedManager, Pharmacy, Retail, CCMCPFT$155,269$36,471$191,740
Rick W MerrillCEO-$73,202$92,074$165,276
Stephen W KimmelEVP, System Finance-$28,966$26,756$55,722

Board Members and Trustees

NameTitle
John P BoswellTrustee - Chairman
Andrew S WayneTrustee - Vice Chairman
Anne M CarvalhoTrustee - Vice Chairman END 5/31/24
Bonnie PetscheTrustee
Edwin S RyanTrustee
Judge Jeffrey L CuretonTrustee
Laura MillerTrustee
Michael A LaGattaTrustee
Thomas Breckinridge RayTrustee
Wally JonesTrustee
Ryan B DickersonTrustee - Sec/Treasurer
Frank A AndersonTrustee END 5/31/24
Robert J BattonTrustee END 5/31/24
Leah M KingTrustee start 06/01/24
Peggy L CassidyTrustee START 6/1/2024
Na'im R MosesTrustee START 6/1/24
Jonathan Nedrelow MDAssociate Chief Medical Officer
Cory R RhoadesChief Financial Officer
James C Cunningham MDEvp, CMO
Mary Cara MartzSecretary
Theresa Z MeadowsSr. VP, Chief Information Officer
Joseph M GallagherSr. VP, Chief Legal Officer
Stanley E DavisSr. VP, Chief Operating Officer
Spencer D SealsVP Construction & Real Estate

Highest Paid Contractors

ContractorServicesLocationCompensation
Linbeck Group LLCConstruction Work700 9TH AVE, Fort Worth, TX 76104$12,341,084
Dynamic System INCConstruction Services/ Dodson Ii2315 EAST LOOP 820 NORTH, Fort Worth, TX 76118$950,960
HKS IncServices - Architecture/ Design Prof350 N SAINT PAUL STREET STE 100, Dallas, TX 75201-4240$653,284
Fisk Electric CoConstruction Services/ Dodson Ii1617 W CROSBY RD 120, Carrollton, TX 75006$601,863
Landscape PartnersLandscaping Services3412 KELLI CT, Fort Worth, TX 76106$456,391
Revenue and Support

Revenue Composition

Contributions and Grants
$104,867
Program Service Revenue
$104,559,864
Investment Income
$0
Other Revenue
$25,954
Change in Net Assets
$-24,740,737

Audited Revenue Reconciliation

Revenue per Audited Statements
$104,605,061
Revenue Not Reported on Financial Statements
$85,624
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$85,624
Total Revenue per Audited Statements
$104,605,061
Total Revenue per Form 990
$104,690,685
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$60,593,673
Salaries, Compensation, and Employee Benefits$53,353,610
Grants and Similar Amounts Paid$15,484,139
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,745,859$2,220,448-$38,966,307
Fees for Services Management-$17,235,554-$17,235,554
Grants to Domestic Orgs$15,484,139--$15,484,139
Depreciation Depletion$7,928,660$3,360,903-$11,289,563
Other Employee Benefits$9,016,915$433,245-$9,450,160
Fees for Services Other$4,241,864$1,166,230$0$5,408,094
Payroll Taxes$2,563,125$136,463-$2,699,588
Occupancy$1,256,182$544,512-$1,800,694
Office Expenses$1,407,951$108,924-$1,516,875
All Other Expenses$702,470$711,162$0$1,413,632
Pension Plan Contributions$1,270,310$71,711-$1,342,021
Other Expenses$491,366$496,813-$988,179
Current Officers, Directors, Trustees, and Key Employees-$895,534-$895,534
Advertising$10,163$173,474-$183,637
Insurance$153,726--$153,726
Travel$121,594$7,045-$128,639
Conferences and Meetings$76,064$27,507-$103,571
Fees for Services Legal-$36,944-$36,944
Interest$2,175$1,414-$3,589
Total Functional Expenses$101,803,539$27,627,883$0$129,431,422

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$129,431,422
Total Expenses per Audited Statements$129,431,422
Total Expenses per Form 990$129,431,422
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
COOK CHILDREN'S PHYSICIAN NETWORKFort Worth, TX501(c)(3)Subsidized Support$15,484,051
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
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$69,429,151
Due to Third Party Payor$516,385
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 EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship

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

Cook children's health care system, a texas non-profit corporation, is the sole member of the organization.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

As the sole member of the organization, cook children's health care system has the power to determine the number of members of the board of trustees and to elect the members of the board of trustees.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

As the sole member of the organization, cook children's health care system has the exclusive power and reserved power to do any of the following: a. Amend, alter or repeal the bylaws; b. Amend the certificate of formation of the organization; c. Determine the number of members of the board of trustees and to elect the members of the board of trustees; d. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the organization; e. Approve the sale, gift or other disposition of all or substantially all of the property of the organization; and, f. Approve the creation of, or investment in, any subsidiary entity.

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 compensation 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 Medical Center - Prosper
EIN
85-2354189
Phone
6828854000
Address
801 Seventh Avenue, Fort Worth, TX 76104

Signing Officer

Name
Nancy Cychol
Title
President
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2020
Legal Domicile
TX
Voting Board Members
13
Independent Board Members
13
Employees
483
Volunteers
58

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

Net assets released from foundation for capital purchases - 85624

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IRS990/Desc0Cook Children's presence in Prosper dates back to 2019 with the opening of an urgent care center and several primary care offices. The population in the northeast sector of the Metroplex was booming, and Cook Children's set out to bring world-class pediatric care closer to home for the families in that growing region. A medical office building and outpatient surgery center followed in 2020. The opening of Cook Children's Medical Center - Prosper in 2023 added an emergency department, surgical and procedural floor, infusion center, outpatient imaging center, retail pharmacy, inpatient unit and two floors of empty shell space. To make sure Cook Children's is positioned to meet greater needs in the region, the system purchased 12 more acres, increasing the footprint of the Prosper campus to 35 acres in FY24. Families enjoy access to a full complement of services in one centralized location. The Cook Children's Physician Network has approximately 60 pediatric subspecialists working at Cook Children's Pediatric Specialties - Prosper and at Cook Children's Medical Center - Prosper. Specialties at the Prosper location include gastroenterology, nephrology, urology, pulmonology, neurosciences, psychology, endocrinology, sports medicine, radiology, plastic surgery and wound care, ear, nose and throat (ENT), and the adolescent bariatric surgery program. It's the largest pediatric primary care network on the eastern side of the Metroplex. Milestones and Growth The medical center celebrated its first "birthday" on Jan. 9, 2024. Thousands of babies, children and teens from across the northern swath of North Texas and beyond were able to stay closer to home while receiving the same high-quality care that Cook Children's has long provided at our Fort Worth medical center. The Cook Children's systemwide culture platform - the values of respect, safety, generosity, collaboration, imagination and kindness - set the tone for the first year. Patients and families at Cook Children's Medical Center - Prosper loved the facility's unique features, one-of-a-kind design elements and beautiful aesthetics. Playful features just inside the front doors proved popular with visitors of all ages. The atrium includes a digital wall, a ceiling mural of flying cows and twinkling lights, and a color-coded path on the floor that guides visitors to their destination. The Emergency Department expanded to 21 beds in September 2024, and a third operating room also opened. Innovatively Empowering Families The design of the facility integrates technology to make the health care journey easier at every turn -- from the digital display in the atrium, to tools in the operating room for real-time remote viewing and physician collaboration. Each inpatient room includes a 65-inch television that syncs with personal devices for ordering food and for entertainment as well as medical consultations. Health technology advocates at the Peaks Tech Zone are on hand to assist with setting up medical devices and MyCookChildren's accounts. Families can download an app during their hospital stay that allows them to view and interact with much of the workflow involved in their child's care. Communication portals in each patient room are fully digitized and populated with information in real-time. As part of an integrated health care system, doctors in Prosper have the capability to video conference with their colleagues at Cook Children's Medical Center - Fort Worth. One example of that collaboration can be seen in a diagnostic service for seizure disorders. The test, called continuous electroencephalogram (EEG) monitoring, reads electrical activity in the brain. EEGs performed at Cook Children's - Prosper can be livestreamed to neurologists at the Epilepsy Monitoring Unit in Fort Worth for observation and reading. Responding to Needs In FY24, the pediatric intensive care unit (PICU) moved into a 26,021 square-foot space near the operating rooms and infusion center. The area was specifical
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Trustee - Vice Chairman
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IRS990/Form990PartVIISectionAGrp/TitleTxt16Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt17EVP, CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt18Associate Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt19Sr. VP, Chief Legal Officer
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IRS990/Form990PartVIISectionAGrp/TitleTxt21President/Chief Hospital Services
IRS990/Form990PartVIISectionAGrp/TitleTxt22CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt23VP Construction & Real Estate
IRS990/Form990PartVIISectionAGrp/TitleTxt24Sr. VP, Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt25EVP, System Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt26Sr. VP, Chief Information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP, Prosper Medical Center
IRS990/Form990PartVIISectionAGrp/TitleTxt28AVP, Nursing & Patient Care
IRS990/Form990PartVIISectionAGrp/TitleTxt29Manager, Pharmacy, Retail, CCMCP
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IRS990/Form990PartVIISectionAGrp/TitleTxt31Manager, Pharmacy Operations, CCMCP
IRS990/Form990PartVIISectionAGrp/TitleTxt32Director, Nurse & Patient Care

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