2024-08-14T09:29:10+00:00 2023-09-30 440160260 FORVIS MAZARS LLP 14241 Dallas Parkway Suite 1100 Dallas TX 75254 990 2022-10-01 752705881 Cook Children's Health Care System COOK 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 RICK W MERRILL CEO 6828854000 2024-08-14 true MICHAEL J ENGLE P00482834 9727028262 2024-08-15 2022 2024-08-08 14:25:15Z RICK W MERRILL 801 SEVENTH AVENUE FORT WORTH TX 76104 520371418 false X WWW.COOKCHILDRENS.ORG X 1996 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED IT IS OUR PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY 22 13 957 23 0 0 3317126 3598056 312266654 343474536 5618720 8487698 325971 309763 321528471 355870053 83600 97500 0 0 70310260 92120910 0 0 0 217509050 241539273 287902910 333757683 33625561 22112370 900758978 1374999166 204925892 627743581 695833086 747255585 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. false false 287528463 97500 343784299 Cook Children's is more than a health care system: we strive to be an extension of your family, growing with your child from their first steps to adulthood. By collaborating to deliver on our Promise-to improve the well-being of every child in our care and our communities, we connect the dots for our patients. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 8,000+ dedicated team members strong, passionately caring for over 1.5 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers, two surgery centers, a physician network, home health services and a health plan. It also includes the Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. Seventy five 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, safety and a best-in-class patient experience. And our impact extends beyond the borders of Texas. We proudly treat children from virtually 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: connected by kindness, imagination and respect-with an extra dose of magical wonder. New Look. Same Legacy. In October 2022, after years in the making, Cook Children's unveiled a new culture platform and updated company branding to reflect that culture. In a statement to employees during a celebration of the culture and branding launch, Cook Children's president and CEO, Rick W. Merrill, said: "Today is a time to cherish our past and look ahead to our future. And we do that with a refreshed identity that serves as a reminder of who we are on our best day." Cook Children's culture platform is built on six core values: kindness, collaboration, imagination, generosity, respect and safety. These values connect Cook Children's to a simple Promise, or what the System calls its Pinky Promise, of "everything for the child." Together, these values and Promise connect the dots between the care Cook Children's is known for and the patient and employee experience it strives for throughout all of Cook Children's companies. In the year since, employees have embraced the culture platform and core values. They are integrated into decision making and action at every level of the organization. The result is a workplace where people feel like family and an organization where patients and visitors experience the core values that create moments of magic throughout their stay. Community Needs Spur System Growth As the population increases, Cook Children's continues to expand its services to meet the needs of children and families living in those areas. Most notably is an expansion into the rapidly growing Prosper, Texas, and surrounding areas. In January 2023, the new Cook Children's Medical Center - Prosper opened its doors. It is the first hospital Cook Children's has built outside of its flagship medical campus in Fort Worth and brings world-class medical care out of the city center to families living on the northeast side of the Dallas/Fort Worth Metroplex, East Texas, and all the way up to the Red River and beyond. In March 2023, Cook Children's completed a renovation and expansion of the Dodson Specialty Clinics building. The expansion allowed for the centralization of 40 specialty clinics into one location in order to support a more seamless experience for children who receive care from multiple specialties. Having added 240,000 square-feet of new building and 75,000 square-feet of renovated space, the project made way for the new Jane and Justin Institute of Mind Health, which brings together Cook Children's Jane and John Justin Neurosciences Center, Cook Children's Division of Behavioral Health and the Child Study Center under one collaborative roof to provide easily accessible, well-coordinated and comprehensive care for children with disorders affecting the nervous system. It also allowed for the addition of a new retail pharmacy, as well as the Panda Cares Center of Hope Sibling Support Center where siblings of medically complex patients can play, create and connect with other children while their brother or sister attends their specialty appointments. In April 2023, the system announced a first-of-its-kind partnership between Cook Children's and JPS Health Network to bring critical health care services to the traditionally underserved children and families living in Fort Worth's Las Vegas Trail (LVT) area. The future Las Vegas Trail Neighborhood Health Center, located on 3.7 donated acres at the corner of Calmont Avenue and Cherry Lane in west Fort Worth, will be home to various pediatric and adult medical and social services as well as a Fort Worth Police storefront. The two-story, 40,000-square-foot center will open in late 2025. The addition is another step in the vision of city leaders, local nonprofits and health care partners to transform Fort Worth's struggling LVT neighborhood into a safe, healthy community with vital resources that support residents' ability to live, work and play. The neighborhood health center will provide primary health care services for the LVT community and surrounding area, plus much more, thanks to partnerships between the City of Fort Worth, Tarrant County College, LVTRise, WestAid Community Resources, JPS Health Network and Cook Children's. While Cook Children's will provide primary pediatric care, JPS Health Network will offer adult medical services just across the hall. Although both health networks have been Tarrant County mainstays for well over 100 years, this is the first time the two have partnered to offer comprehensive health services in one facility. Building a Strong, Healthy and Diverse Workforce In keeping with its culture to embrace togetherness and see the world through the eyes of others, Cook Children's Health Care System launched its new Employee Resource Groups (ERG) program in 2023. Employee Resource Groups are special clubs where employees who share common interests and experiences can come together to make the workplace even better. It's a way for all employees to learn from each other and grow as a Cook Children's family. There are currently four ERGs with plans to add more. They include Black/African American (BAA+); Latinos Engaging, Advancing, Developing & Supporting (L.E.A.D.S.+); Pride+ (LGBTQ+); and Veterans+. ERGs are open to anyone who wants to join, whether an individual is a part of that specific group or not. Everyone is welcome! To help prevent suicide within its own work family, in fall 2023, Cook Children's began offering an evidence-based suicide prevention training that teaches staff how to engage, interpret, and respond to peers experiencing suicidal ideations. It's called Question, Persuade, Refer Training, or QPR for short. QPR teaches three steps that anyone can take to help save a life from suicide. Mental health and suicide can be challenging topics to address with colleagues. It is important to reduce the stigma that surrounds suicide and self-harm, and instead normalize these conversations. QPR training was introduced first to employees at Cook Children's Medical Center-Fort Worth, and will expand to additional locations in 2024. Award Winning Performance For more than 105 years, Cook Children's has worked to combine the art of caring with life-saving pediatric interventions that are family-centered and built on leading technology, collaboration and a best-in-class patient experience. This has earned the System a strong, far-reaching reputation-one for which it continually receives recognition for outstanding efforts and outcomes in pediatric health care. For FY23, eligible employees were awarded a Care Share bonus for reaching the lihood to recommend" patient experience goal of 86%. Cook Children's named its Great 10 Nurses at a special ceremony in May 2023. These nurses represent excellence in the art and science of nursing. Each winner has shown themselves to be role models, leaders, community servants, compassionate caregivers, and significant contributors to the nursing profession. Cook Children's Public Relations and Internal Communications team brought home a total of nine awards for its work in keeping employees and the community informed and engaged, including seven coveted Worthy Awards from the Greater Fort Worth Public Relations Society of America. In 2023, Cook Children's was ranked the Second Healthiest Employer in Texas serving 5,000 to 9,999 employees. Healthiest Employers is an award program that recognizes and celebrates organizations focused on taking a proactive approach to improving their employees' health and well-being. 287528463 true true false true false false false false true true true false true true false false true false false true false false false false false false true true true false false false false false false true false false false false false false true true true true false true X 193 0 true 957 true false true CJ false false false false false false false false true false X 22 13 true false true false true true true true true false false true true true true true true true true false TX X CORY RHOADES 6828854000 801 SEVENTH AVE FORT WORTH TX 76104 Alice W Phillips MD Trustee - VICE CHAIRMAN END 05/23 2.0 42.0 X X 0 377964 40360 Brian C Crumley Trustee -Sec/Treasurer END 05/23 2.0 2.0 X X 0 0 0 Andrew J Rosell Trustee END 05/23 1.0 3.0 X 0 0 0 Anne M Carvalho Trustee 1.0 5.0 X 0 0 0 Anthony Anani MD Trustee 1.0 42.0 X 0 480665 14087 Belen M Garren Trustee 1.0 2.0 X 0 0 0 Brian C Newby Trustee 1.0 1.0 X 0 0 0 Chandra Reynolds MD Trustee START 06/23 1.0 0 X 780892 0 55944 Daphne Shaw MD Trustee 1.0 42.0 X 0 357440 16554 Deborah Schutte MD Trustee 1.0 42.0 X 0 632640 61055 Frost R Prioleau Trustee START 06/23 1.0 2.0 X 0 0 0 Gavin Fine MD Trustee END 05/23 1.0 40.0 X 0 752091 54872 Jason V Terk MD Trustee START 06/23 1.0 42.0 X 0 339768 43488 Jerry R Conatser Trustee 1.0 6.0 X 0 0 0 John P Boswell Trustee 1.0 4.0 X 0 0 0 Julee S Morrow MD Trustee END 05/23 1.0 43.0 X 0 356943 22294 Kara Starnes DO Trustee START 06/23 1.0 42.0 X 0 363110 39878 Karl Biggs Trustee 1.0 1.0 X 0 0 0 Lane Lanier MD Trustee 1.0 40.0 X 0 584441 52524 Michael R Dike Trustee 1.0 3.0 X 0 0 0 Peter L Philpott Trustee 1.0 6.0 X 0 0 0 R Russell Morton Trustee 1.0 6.0 X 0 0 0 Rachel R Werner Trustee 1.0 2.0 X 0 0 0 Richard W Dyess Trustee END 05/23 1.0 3.0 X 0 0 0 Rick Sorenson Trustee START 06/23 1.0 6.0 X 0 0 0 Robert Gillespie MD Trustee 1.0 0 X 0 0 0 Robert J Batton Trustee 1.0 2.0 X 0 0 0 Sara Y Garza MD Trustee END 05/23 40.0 0 X 276779 0 36748 Smita Ranade MD Trustee START 06/23 40.0 0 X 367235 0 21384 Cory R Rhoades Chief Financial Officer 40.0 5.0 X 774430 0 138551 James C Cunningham MD EVP, CHIEF MEDICAL OFFICER 40.0 2.0 X 1109667 0 46454 Joseph M Gallagher SVP, Chief Legal Officer 40.0 3.0 X 831546 0 145319 Mary Cara Martz Secretary 40.0 8.0 X 176919 0 24465 Rick W Merrill President & CEO 12.0 30.0 X 1051145 2452672 182676 Spencer D Seals VP Construction & REAL ESTATE 40.0 5.0 X 383947 0 90528 Stephen W Kimmel EVP, SYS FINANCE 10.0 32.0 X 274910 824730 170569 Theresa Z Meadows SVP, Chief Information Officer 40.0 2.0 X 750448 0 55486 Aaron Wishon VP, Chief Info Security Officer 40.0 0 X 398308 0 56830 Beth Schmidt VP, HUMAN RESOURCES 40.0 0 X 360799 0 45651 Christian Pedigo VP SYS PLANNING & HEALTH ANALY 40.0 0 X 551488 0 115533 David Lancaster VP-INTERNAL AUDIT 40.0 0 X 325841 0 80327 Eric Hubli CHIEF SYS EFFECTIVENESS OFFICER 40.0 0 X 801025 0 149370 Gregory Jimerson VP-PAYOR RELATIONS 40.0 0 X 370682 0 91109 Joann Sanders CHIEF QUALITY OFFICER 40.0 0 X 766012 0 120224 John McNey SR. 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VP PUBLIC POLICY 40.0 0 X 566292 0 45748 Stephen Eckert VP, INFO SYSTEMS/CTO 40.0 0 X 392177 0 79999 Winifred King SVP CHIEF COMM & DE&I OFFICER 40.0 0 X 521041 0 80558 Anu Partap DIRECTOR, PHYS HEALTH EQUITY 40.0 0 X 286661 0 46749 James Marshall MD CHIEF RESEARCH OFFICER 40.0 0 X 778675 0 54659 Jean Turpin AVP, BUSINESS INTEL 40.0 0 X 278655 0 44475 Laura Copeland Associate General Counsel 40.0 0 X 289912 0 27976 Lorrainea Williams PAT/MEDICATION SAFETY OFFICER 40.0 0 X 279734 0 52380 B Anthony Bagwell SVP, CIIO 0.0 40.0 X 0 1588796 212026 17927246 9111260 3314627 372 true true false Microsoft 1 Microsoft Way Redmond WA 98052 Hardware/Software Services 5247625 Workday Inc 6110 Stoneridge Mall Rd Pleasanton CA 94588 Software Services 2998467 Avaya Inc PO Box 5332 New York NY 10087 Software Services 1628002 Netsync Network Solutions 2500 West Loop Soute Suite 410 Houston TX 77027 Hardware/Software Services 1467309 Kudelski Security 5090 North 40th Street Suite 450 Phoenix AZ 85018 Hardware/Software Services 1231500 45 2394195 1203861 3598056 Shared Services 900099 301402128 301402128 Human Resources 900099 21146997 21146997 Rent 900099 7269241 7269241 Community Health Outreach 900099 7312982 7312982 Real Estate Management 900099 203723 203723 6139465 6139465 0 0 343474536 12479449 12479449 0 0 160004607 505007 164001358 500007 -3996751 5000 -3991751 -3991751 Concierge 900099 29564 29564 All other revenue 900099 280199 280199 0 0 0 0 309763 355870053 343784299 0 8487698 47500 47500 50000 50000 0 0 14370935 1553026 12817909 179694 179694 54570029 43540009 11030020 4708266 2520149 2188117 14004806 9931260 4073546 4287180 3244492 1042688 2935573 983609 1951964 499023 491565 7458 225096 225096 18758299 16300163 2458136 0 8141561 1507258 6634303 3811811 3721639 90172 149634288 149634288 1207275 1203935 3340 700590 473464 227126 493504 427912 65592 18180535 18180535 6001889 6001889 Physician Remuneration 18702471 17000041 1702430 Residents/Relocation/Recruitment 5917861 5917462 399 Fees & Financing 2000809 1576915 423894 Dues & Subscriptions 1502256 692420 809836 2826432 2528932 297500 0 333757683 287528463 46229220 0 10750 92286167 28380026 36324620 1181970 885362 3452395 9977835 0 0 0 4256 7490 6183848 6760353 395475340 188593772 188687519 206881568 627414797 655758978 120000 110684402 0 45323417 255432391 900758978 1374999166 179696139 536227160 917488 366077 0 24312265 91150344 204925892 627743581 X 695833086 747255585 695833086 747255585 900758978 1374999166 X 22112370 29130079 180050 X false true X true true true X X 7 COOK CHILDREN'S MEDICAL CENTER 752051646 3 true 222555925 0 COOK CHILDREN'S HEALTH PLAN 760585240 9 true 13087603 0 COOK CHILDREN'S PHYSICIAN NETWORK 752485366 3 true 36527296 0 COOK CHILDREN'S HOME HEALTH 752896983 9 true 4802913 0 CHILD STUDY CENTER 751099536 7 true 1099964 0 COOK CHILDREN'S MEDICAL CENTER PROSPER 852354189 3 true 6349696 0 WI COOK FOUNDATION 752051649 7 true 5105066 0 7 289528463 0 true false false false false true false false false false false false false false false true true true X true true Schedule A, Part IV, Section A, Line 6 Support to other supported orgs THE SYSTEM OCCASIONALLY GIVES DONATIONS TO UNRELATED CHARITABLE ORGANIZATIONS THAT HAVE MISSIONS OR PROGRAMS THAT FUTHER THE EXEMPT PURPOSE OF THE SUPPORTED ORGANIZATIONS. THESE DONATIONS ARE MINIMAL AND THE SYSTEM TREATS THIS AS SUPPORT DUE TO THE NATURE OF THE DONATIONS. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies SOME OF THE DIRECTORS AND OFFICERS OF COOK CHILDREN'S HEALTH CARE SYSTEM SERVE IN THE SAME CAPACITY FOR THE SUPPORTED ORGANIZATIONS, THEREFORE, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee THE ORGANIZATION DIRECTLY OR INDIRECTLY CONTROLS EACH OF THE SUPPORTED ORGANIZATIONS BECAUSE IT HAS THE POWER, EITHER DIRECTLY OR INDIRECTLY, TO DETERMINE THE NUMBER FOR DIRECTORS AND APPROVE THE APPOINTMENT OF THE MEMBERS OF EACH SUPPORTING ORGANIZATION'S BOARD. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities THE ORGANIATION DIRECTLY OR INDIRECTLY CONTROLS EACH SUPPORTED ORGANIZATION AND AS SUCH 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; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. THE ORGANIZATION IS ALSO RESPONSIBLE FOR IMPLEMENTATION AND ENFORCEMENT OF VARIOUS POLICIES AND PROCEDURES OF THE SUPPORTED ORGANIZATIONS INCLUDING THE CONFLICT-OF-INTEREST POLICY AND COMPENSATION ARRANGEMENTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 225096 225096 225096 225096 333532587 3467004548 333757683 3467229644 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 182300 298322 203050 225096 908768 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 19729642 37175 434679 1146512 19054984 20111028 0 589856 971242 19729642 15942167 3150 5035721 870010 20111028 7590729 8002000 620002 270564 15942167 7590729 7590729 0.0 0.7933 0.2067 false true true 83968678 83968678 118022874 50398695 67624179 927312 898162 29150 169535317 134331336 35203981 23021159 2965579 20055580 206881568 INVESTMENT IN CCIC 25120000 F Hawkins Way NR Investment 85564402 F 110684402 Intercompany Receivables 232934928 Right of Use Assets 22497463 255432391 Intercompany Payables 67948244 Right of Use Liability 23202100 91150344 387627030 29130079 2943486 32073565 355553465 252082 64506 316588 355870053 336444087 2938486 2938486 333505601 252082 0 252082 333757683 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 - 2943486 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Donated Capital - 59506 Gain on Sale of Property - 5000 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Management Fee Reduction - 2943486 Gain on Sale of Property - -5000 Central America and the Caribbean 0 0 Investments 134937901 0 0 0 0 0 0 134937901 0 134937901 true false true true false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true United Way of Tarrant County 201 N Rupert St 107 FORT WORTH TX 76107 750858360 501(C)(3) 30000 General Support Covenant Health Foundation 100 Ames Pond Drive 102 Tewksbury MA 01876 800199674 501(C)(3) 7500 General Support Double Eagle Charities 3724 Hulen Street FORT WORTH TX 76107 822406494 501(C)(3) 10000 General Support 3 0 Scholarships for individuals 10 50000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1) BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE, 2) BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM AND 3) PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000 FOR FIRST TIME RECIPIENTS AND $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES. X false true X X X X X false true false false false false false false false Alice W Phillips MD Trustee - VICE CHAIRMAN END 05/23 0 322588 0 7594 0 47782 0 14953 0 25407 0 418324 0 0 Anthony Anani MD Trustee 0 436206 0 21385 0 23074 0 12200 0 1887 0 494752 0 0 Julee S Morrow MD Trustee END 05/23 0 317865 0 8350 0 30728 0 0 0 22294 0 379237 0 0 Deborah Schutte MD Trustee 0 581969 0 12736 0 37935 0 22875 0 38180 0 693695 0 0 Daphne Shaw MD Trustee 0 329000 0 11034 0 17406 0 15649 0 905 0 373994 0 0 Kara Starnes DO Trustee START 06/23 0 313967 0 40549 0 8594 0 19061 0 20817 0 402988 0 0 Jason V Terk MD Trustee START 06/23 0 318329 0 7897 0 13542 0 20500 0 22988 0 383256 0 0 Gavin Fine MD Trustee END 05/23 0 574404 0 163538 0 14149 0 22875 0 31997 0 806963 0 0 Sara Y Garza MD Trustee END 05/23 245240 0 30423 0 1116 0 8597 0 28151 0 313527 0 0 0 Lane Lanier MD Trustee 0 563777 0 10077 0 10587 0 15344 0 37180 0 636965 0 0 Smita Ranade MD Trustee START 06/23 307474 0 48405 0 11356 0 19607 0 1777 0 388619 0 0 0 Chandra Reynolds MD Trustee START 06/23 606397 0 163538 0 10957 0 22875 0 33069 0 836836 0 0 0 B Anthony Bagwell SVP, CIIO 0 623873 0 868986 0 95937 0 179653 0 32373 0 1800822 0 73443 Stephen W Kimmel EVP, SYS FINANCE 166185 498560 74922 224763 33803 101407 34926 104779 7716 23148 317552 952657 24926 74776 Mary Cara Martz Secretary 136752 0 33892 0 6275 0 8274 0 16191 0 201384 0 0 0 Rick W Merrill President & CEO 404285 943332 235456 549397 411404 959943 43530 101569 11273 26304 1105948 2580545 294000 686000 Cory R Rhoades Chief Financial Officer 497003 0 203540 0 73887 0 103167 0 35384 0 912981 0 53883 0 James C Cunningham MD EVP, CHIEF MEDICAL OFFICER 657833 0 294570 0 157264 0 22875 0 23579 0 1156121 0 0 0 Joseph M Gallagher SVP, Chief Legal Officer 528880 0 219616 0 83050 0 107742 0 37577 0 976865 0 60971 0 Theresa Z Meadows SVP, Chief Information Officer 466675 0 192288 0 91485 0 22875 0 32611 0 805934 0 0 0 Spencer D Seals VP Construction & REAL ESTATE 288072 0 93520 0 2355 0 58122 0 32406 0 474475 0 0 0 Matthew Albers AVP Digital Experience 243431 0 60434 0 6890 0 11943 0 34270 0 356968 0 0 0 Lakami Bryant VP, Revenue Cycle & Ent Apps 204575 0 48664 0 32770 0 30455 0 22277 0 338741 0 0 0 Megan Chavez VP Patient & Family Experience 298891 0 98737 0 1916 0 44489 0 37785 0 481818 0 0 0 Stephen Eckert VP, INFO SYSTEMS/CTO 289496 0 94907 0 7774 0 46970 0 33029 0 472176 0 0 0 Robert Feather SR. VP PUBLIC POLICY 343624 0 142237 0 80431 0 22875 0 22873 0 612040 0 0 0 Keith Holtz CHIEF ADMINISTRATION OFFICER 550093 0 251245 0 109704 0 119020 0 23579 0 1053641 0 78523 0 Eric Hubli CHIEF SYS EFFECTIVENESS OFFICER 548276 0 227463 0 25286 0 111793 0 37577 0 950395 0 0 0 Gregory Jimerson VP-PAYOR RELATIONS 274849 0 90829 0 5004 0 55885 0 35224 0 461791 0 0 0 Winifred King SVP CHIEF COMM & DE&I OFFICER 316005 0 126677 0 78359 0 69558 0 11000 0 601599 0 53420 0 David Lancaster VP-INTERNAL AUDIT 214246 0 72274 0 39321 0 48754 0 31573 0 406168 0 28957 0 Kathy McLean VP, Brand & Team Experience 229786 0 51132 0 38620 0 32339 0 14028 0 365905 0 0 0 John McNey SR. V PRESIDENT OF COUNSEL 279954 0 100544 0 44405 0 22875 0 24643 0 472421 0 0 0 Myranda Miller VP, CORPORATE CONTROLLER 210329 0 51993 0 20152 0 21179 0 37947 0 341600 0 0 0 Christian Pedigo VP SYS PLANNING & HEALTH ANALY 351689 0 145329 0 54470 0 80149 0 35384 0 667021 0 37916 0 Joann Sanders CHIEF QUALITY OFFICER 460683 0 191114 0 114215 0 97583 0 22641 0 886236 0 79430 0 Beth Schmidt VP, HUMAN RESOURCES 251895 0 57902 0 51002 0 28653 0 16998 0 406450 0 0 0 Kent Smith VICE PRESIDENT - COMPLIANCE 286284 0 94769 0 5204 0 52098 0 29157 0 467512 0 0 0 Karen Wardell ASSOCIATE GENERAL COUNSEL 331102 0 126352 0 5857 0 50356 0 29810 0 543477 0 0 0 Natalie Wilkins CHIEF OF STAFF 299072 0 96762 0 2359 0 48740 0 10787 0 457720 0 0 0 Aaron Wishon VP, Chief Info Security Officer 298041 0 94769 0 5498 0 41773 0 15057 0 455138 0 0 0 Laura Copeland Associate General Counsel 209247 0 76090 0 4575 0 11819 0 16157 0 317888 0 0 0 James Marshall MD CHIEF RESEARCH OFFICER 570473 0 203092 0 5110 0 22875 0 31784 0 833334 0 0 0 Anu Partap DIRECTOR, PHYS HEALTH EQUITY 238922 0 37234 0 10505 0 8127 0 38622 0 333410 0 0 0 Jean Turpin AVP, BUSINESS INTEL 183725 0 54237 0 40693 0 15186 0 29289 0 323130 0 0 0 Lorrainea Williams PAT/MEDICATION SAFETY OFFICER 209291 0 54564 0 15879 0 16334 0 36046 0 332114 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: Matthew Albers, LaKami Bryant, Laura Copeland, James Cunningham, Keith Holtz, Winifred King, Mary Cara Martz, Kathy McLean, Myranda Miller, Anu Partap, Beth Schmidt, Jean Turpin, Lorrainea Williams Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF TAX INDEMNIFICATION AND GROSS-UP PAYMENTS BECAUSE THE COMPANY DOES NOT GENERALLY ALLOW FOR GROSS-UP PAYMENTS EXCEPT IN EXTREMELY UNUSUAL CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE OF REIMBURSEMENTS GENERALLY RELATE TO TAXES OWED BY INDIVIDUALS WHO RECEIVE NOMINAL INCENTIVE PAYMENTS FOR SERVICE AWARDS OR QUALITY IMPROVEMENT PROGRAMS, AND THE GROSS-UP PAYMENTS USUALLY ARE IMMATERIAL, $250 OR LESS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Rick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Anthony Bagwell - Paid by Foundation - $167,454 Deferred, $73,443 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Keith Holtz - Paid by System - $99,957 Deferred, $78,523 W-2 Joseph Gallagher - Paid by System - $85,850 Deferred, $60,970 W-2 Cory R Rhoades - Paid by System - $80,292 Deferred, $53,883 W-2 Joann Sanders - Paid by System - $74,708 Deferred, $79,430 W-2 Christian Pedigo - Paid by System - $57,274 Deferred, $37,916 W-2 Winifred King - Paid by System - $50,013 Deferred, $53,420 W-2 David Lancaster - Paid by System - $27,123 Deferred, $28,957 W-2 Eric Hubli - Paid by System - $88,918 Deferred, $0 W-2 Karen Wardell - Paid by System - $42,333 Deferred, $0 W-2 Megan Chavez - Paid by System - $37,214 Deferred, $0 W-2 Aaron Wishon - Paid by System - $31,564 Deferred, $0 W-2 Natalie Wilkins - Paid by System - $35,714 Deferred, $0 W-2 Stephen Eckert - Paid by System - $35,770 Deferred, $0 W-2 Kent Smith - Paid by System - $35,412 Deferred, $0 W-2 Spencer D Seals - Paid by System - $35,247 Deferred, $0 W-2 Gregory Jimerson - Paid by System - $34,062 Deferred, $0 W-2 Beth Schmidt - Paid by System - $11,365 Deferred, $0 W-2 Kathy McLean - Paid by System - $10,300 Deferred, $0 W-2 Lakami Bryant - Paid by System - $8,923 Deferred, $0 W-2 Myranda Miller - Paid by System - $9,484 Deferred, $0 W-2 Schedule J, Part II ALLOCATION OF CEO & CFO SALARIES: SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER KEEGAN SORENSON FAMILY MEMBER OF SORENSON, TRUSTEE 179694 WAGES/SALARIES false 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 4 Significant changes to organizational documents THE GOVERNING DOCUMENTS WERE AMENDED EFFECTIVE JUNE 2023. THE AMENDED DOCUMENTS MODIFIED THE PURPOSE SECTION TO SPECIFICALLY NAME EACH OF THE ORGANIZATIONS SUPPORTED BY THE SYSTEM. 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; and (6) 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. Form 990, Part VIII, Line 2f Other Program Service Revenue All Other Program Service Revenue - Total Revenue: 6139465, Related or Exempt Function Revenue: 6139465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer between affiliates - 180050; ROSEDALE OFFICE BUILDING 1500 W ROSEDALE Fort Worth TX 76104 460866421 TITLE HOLDING TX 501(c)(2) CCHF true COOK CHILDREN'S PHYSICIAN NETWORK 801 Seventh Ave Fort Worth TX 76104 752485366 Physician Services TX 501(c)(3) 3 CCHCS true WI COOK FOUNDATION dba Cook Children's Health Foundation 801 Seventh Ave Fort Worth TX 76104 752051649 Fundraising TX 501(c)(3) 7 NA false COOK CHILDREN'S MEDICAL CENTER 801 Seventh Ave Fort Worth TX 76104 752051646 Hospital TX 501(c)(3) 3 CCHCS true COOK CHILDREN'S HOME HEALTH 801 Seventh Ave Fort Worth TX 76104 752896983 Healthcare TX 501(c)(3) 10 CCHCS true COOK CHILDREN'S HEALTH PLAN 801 Seventh Ave Fort Worth TX 76104 760585240 Insurance TX 501(c)(3) 10 CCHCS true CHILD STUDY CENTER 1300 West Lancaster Fort Worth TX 76102 751099536 Healthcare Services TX 501(c)(3) 7 CCMC true COOK CHILDREN'S HEALTH ENTERPRISES 801 Seventh Ave Fort Worth TX 76104 842625990 Healthcare Services TX 501(c)(3) Type II CCHCS true COOK CHILDREN'S MEDICAL CENTER PROSPER 801 Seventh Ave Fort Worth TX 76104 852354189 Hospital TX 501(c)(3) 3 CCHCS true CPS Pediatrics LLC 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871718 ASC TX NA N/A COOK CHILDREN'S SURGERY CENTER 340 Seven Springs Way Ste 600 Brentwood TN 37027 205227064 ASC TX NA N/A CENTER FOR PEDIATRIC SURGERY 340 Seven Springs Way Ste 600 Brentwood TN 37027 470871715 ASC TX NA N/A Cook Children's Health Services 801 Seventh Ave Fort Worth TX 76104 454024843 Healthcare TX CCHCS C Corporation 4882270 10328268 1 true Cook Children's Indemnity Company 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY1110 980424041 Self Insurance CJ CCHCS C Corporation 11646211 74156663 1 true true true true true false false false false false false true true false false true true true true true COOK CHILDREN'S MEDICAL CENTER A 1000678 FMV COOK CHILDREN'S MEDICAL CENTER B 6227320 FMV COOK CHILDREN'S MEDICAL CENTER O 787307 FMV COOK CHILDREN'S MEDICAL CENTER P 335456 FMV COOK CHILDREN'S MEDICAL CENTER Q 325829980 FMV COOK CHILDREN'S PHYSICIAN NETWORK A 3936002 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 1478171 FMV COOK CHILDREN'S PHYSICIAN NETWORK O 19409728 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 278467 FMV COOK CHILDREN'S PHYSICIAN NETWORK Q 41094582 FMV COOK CHILDREN'S HOME HEALTH A 863081 FMV COOK CHILDREN'S HOME HEALTH Q 6233521 FMV COOK CHILDREN'S HEALTH PLAN A 918867 FMV COOK CHILDREN'S HEALTH PLAN Q 18917417 FMV COOK CHILDREN'S HEALTH SERVICES Q 197788 FMV COOK CHILDREN'S MEDICAL CENTER - PROSPER Q 12410807 FMV ROSEDALE OFFICE BUILDING K 1712998 FMV ROSEDALE OFFICE BUILDING P 573666 FMV CHILD STUDY CENTER Q 1781435 FMV COOK CHILDREN'S INDEMNITY COMPANY S 14767203 fmv COOK CHILDREN'S INDEMNITY COMPANY R 34778981 fmv Cook Children's Health Care System 801 SEVENTH AVENUE FORT WORTH TX 76104 752705881 X 0 225096 225096 333532587 333757683 1000000 250000 0 0 0 COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 0 0 0 887440356 887440356 1000000 250000 0 0 0 COOK CHILDREN'S PHYSICIAN NETWORK 803 SEVENTH AVE FORT WORTH TX 76104 752485366 X 0 0 0 492341048 492341048 1000000 250000 0 0 0 COOK CHILDREN'S MEDICAL CENTER 804 SEVENTH AVE FORT WORTH TX 76104 752051646 X 0 0 0 1521897393 1521897393 1000000 250000 0 0 0 WI COOK FOUNDATION 805 SEVENTH AVE FORT WORTH TX 76104 752051649 0 0 0 44775655 44775655 1000000 250000 0 0 0 COOK CHILDREN'S HOME HEALTH 806 SEVENTH AVE FORT WORTH TX 76104 752896983 X 0 0 0 73515122 73515122 1000000 250000 0 0 0 ROSEDALE OFFICE BUILDING 807 SEVENTH AVE FORT WORTH TX 76104 460866421 0 0 0 2286663 2286663 264333 66083 0 0 0 CHILD STUDY CENTER 808 SEVENTH AVE FORT WORTH TX 76104 751099536 0 0 0 10861711 10861711 693086 173271 0 0 0 COOK CHILDREN'S HEALTH ENTERPRISES 809 SEVENTH AVE FORT WORTH TX 76104 842625990 0 0 0 7377384 7377384 518869 129717 0 0 0 COOK CHILDREN'S MEDICAL CENTER PROSPER 810 SEVENTH AVE FORT WORTH TX 76104 852354189 0 0 0 92976629 92976629 1000000 250000 0 0 0