2024-08-14T09:45:17+00:00 2023-09-30 440160260 Forvis Mazars LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2022-10-01 752051649 WI Cook Foundation Inc WICO 6828854000 801 SEVENTH AVENUE FORT WORTH TX 76104 RICK MERRILL CEO 6828854000 2024-08-14 true true MICHAEL J ENGLE P00482834 9727028262 2024-08-15 2022 2024-08-08 14:25:15Z Cook Children's Health Foundation RICK W MERRILL 801 SEVENTH AVENUE FORT WORTH TX 76104 272062771 false X WWW.COOKCHILDRENS.ORG X 1985 TX 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 32 32 46 92 -14610771 225477 40964773 27208885 0 0 146857048 137645583 1295361 -13399826 189117182 151454642 19689282 14838558 0 0 9036936 9557853 0 49672 6924434 17929873 20329572 46656091 44775655 142461091 106678987 3401810693 3797083708 4211378 9473082 3397599315 3787610626 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. false false 31168897 14838558 0 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. Cook Children's Health Foundation Donations to Cook Children's Health Foundation allow us to care for our families when and how they need us. Sometimes that's by providing new technology or equipment, funding research trials, helping a family with prescription medication costs or by giving a parent a clean change of clothes during an unexpected stay. Our Health Foundation helps connect the dots between those who want to help and the needs of our patients. Many gifts fund a number of vital programs each year, these three areas highlight perfectly how the support we receive from our communities helps create the magical experiences that Cook Children's is known for. Funding Care Close to Home Cook Children's believes all children deserve access to health care, no matter their zip code. Seven community-based Neighborhood Health Centers (NHC) give families a home for primary medical care close to where they live, work and attend school. The free-standing pediatric clinics are located in low-income neighborhoods identified as having inadequate access to primary care for children. About 91% of NHC patients are Medicaid beneficiaries. Neighborhood Health Centers are staffed with doctors and other clinical support staff that provide at-risk children high-quality, comprehensive and culturally sensitive medical services from birth through their teen years, including well-child exams, vaccines, sick visits, nutrition, counseling, speech language intake services, and behavioral health evaluations. If a child has a chronic illness, the NHC provides a medical home that will coordinate complex care among other Cook Children's providers. If not for the NHCs, many of these families would turn to the emergency department (ED) for primary care at a cost much higher than a typical clinic visit. Neighborhood Health Centers are helping kids all across Cook Children's service area lead healthier, more productive lives. In FY23, the NHCs conducted 118,358 patient visits. Each year the clinics lose a combined $8.9 million due to the high number of Medicaid beneficiaries. Philanthropic funds through the Health Foundation help fill these financial gaps so that Cook Children's can deliver on its Promise to improve the well-being of every child regardless of their family's ability to pay. The generosity of Health Foundation donors helps sustain NHC services and gives all children the health care they deserve. Connected Care Thanks to a generous gift in 2022 from the Jane and John Justin Foundation, children diagnosed with disorders of the nervous system have an easier journey through the health care system at the new Jane and John Justin Institute for Mind Health, which opened in October 2023. Disorders of the brain, spinal cord and nerves often require a child to visit a number of different specialists. Coordinating multiple appointments with multiple providers can be difficult and take a significant amount of time, creating a barrier to treatment for some families. The Justin Institute combines nine commonly overlapping neuro-related specialties under one roof to provide easily accessible, well-coordinated and comprehensive care for children with nervous system disorders. The combination of specialties is about more than convenience. A central location and structure fosters increased communication and collaboration across departments. For patients, this translates to better care. In FY23, additional donor funding was received to support the Justin Institute and the many programs and services it delivers to children in North Texas and beyond. Supporting New Discoveries Cook Children's is home to many of the best and brightest minds in pediatric health care. In addition to patient care, a number of our physicians conduct research that leads to new discoveries in medicine and advancements in patient care. The Endowed Chair program recognizes the great work of our innovative physicians who are advancing pediatric care along with Cook Children's research reputation. It allows physicians to be compensated for their time as they develop programs, participate in clinical research, write for national publications, make presentations on a national level and further elevate the regional, national and global prominence of their work. More importantly, it connects Cook Children's patients with groundbreaking research, novel therapies and state-of-the-art technologies that could significantly impact their care and health outcomes. Thanks to a generous gift in FY23 to our Endowed Chair program, our physicians are poised to provide significant research for the health and well-being of not only our patients, but children all across the globe. 31168897 true true false false false true false false true true true false false true false false true false false true false false true true false false true false true false false false false false false false false true false false false true true true true false false true 41 0 true 46 true true true false false false false true true false false false false true false X 32 32 true false false false false false false 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 Belen M Garren Trustee - Sec/Treasurer 2.0 1.0 X X 0 0 0 Brian C Crumley Trustee - Sec/Treasurer End 05/23 2.0 2.0 X X 0 0 0 Peter L Philpott Trustee - Chairman 2.0 5.0 X X 0 0 0 Rick Sorenson Trustee - Vice Chair 2.0 5.0 X X 0 0 0 Andrew J Rosell Trustee End 05/23 1.0 3.0 X 0 0 0 Andrew P Lombardi Trustee 1.0 0 X 0 0 0 Ashli Blumenfeld Trustee 1.0 0 X 0 0 0 Brian C Newby Trustee 1.0 1.0 X 0 0 0 Frost R Prioleau Trustee 1.0 2.0 X 0 0 0 Hadley Woerner Trustee 1.0 1.0 X 0 0 0 Harlington Peter Ku DDS Trustee START 06/23 1.0 0 X 0 0 0 James E Webb Trustee 1.0 0 X 0 0 0 James Matthew Johnson Trustee 1.0 0 X 0 0 0 Jerry R Conatser Trustee 1.0 6.0 X 0 0 0 John Merrifield TRUSTEE 1.0 0 X 0 0 0 Jon S Brumley Trustee 1.0 0 X 0 0 0 Karl Biggs Trustee 1.0 1.0 X 0 0 0 Kenneth Hampton Trustee 1.0 0 X 0 0 0 Laura Bird Trustee 1.0 0 X 0 0 0 Lisa H Jamieson Trustee 1.0 1.0 X 0 0 0 Michael M Gonzalez Sr Trustee 1.0 1.0 X 0 0 0 Michael R Dike Trustee 1.0 3.0 X 0 0 0 Michael R Pavell Trustee 1.0 1.0 X 0 0 0 R Kyle Kight Trustee 1.0 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 Roger P Marcincuk Jr Trustee 1.0 0 X 0 0 0 Rosalind Evans Trustee 1.0 0 X 0 0 0 Victoria Puente-Peters Trustee 1.0 1.0 X 0 0 0 Wally Jones Trustee 1.0 2.0 X 0 0 0 William Butler Trustee START 06/23 1.0 0 X 0 0 0 William E Bailey Trustee START 06/23 1.0 0 X 0 0 0 William Jackson Rattikin III Trustee 1.0 1.0 X 0 0 0 Willie Houston III Trustee 1.0 0 X 0 0 0 WM (Mack) Lawhon TRUSTEE END 05/23 1.0 0 X 0 0 0 B Anthony Bagwell SVP, CIIO 40.0 0.0 X 1588796 0 212026 Cory R Rhoades Chief Financial Officer 2.0 40.0 X 0 774430 138551 Grant W Harris SVP, Chief Development Officer 40.0 0 X 615883 0 121600 Joseph M Gallagher SVP, Chief Legal Officer 1.0 40.0 X 0 831546 145319 Mary Cara Martz Secretary 1.0 40.0 X 0 176919 24465 Rick W Merrill President/CEO 8.0 34.0 X 735802 2768015 182676 Spencer D Seals VP Construction & Real Estate 2.0 40.0 X 0 383947 90528 Stephen W Kimmel EVP, Sys Finance 2.0 40.0 X 54982 1044658 170569 Jennifer Johnson AVP Donor Relations 40.0 0 X 226687 0 25843 Kimberly Mcginnis VP 40.0 0 X 223954 0 49025 Christopher Tindell Investment Manager 40.0 0 X 279936 0 44063 Dayle Lowry Investment Operations Manager 40.0 0 X 296183 0 26495 Kelsey Picken Director, Planned Giving 40.0 0 X 132146 0 14431 Kyle Daley Investment Manager 40.0 0 X 325718 0 35998 Priti Mody Managing Director 40.0 0 X 795419 0 14488 5275506 5979515 1296077 14 false true false BNY Mellon 240 Greenwich Street New York NY 10286 Custodial Services 855008 WCM Investment Management Inc 281 Brooks Street Laguna Beach CA 92651 Investment Management Services 726933 Silchester International Investors Inc 780 Third Avenue 42nd Floor New York NY 10017 Investment Management Services 621727 TVM Advisors 117 7th Avenue S 4A New York NY 10014 Consulting Services 617676 Copeland Capital Management LLC 161 Washington Street Suite 1325 Conshohocken PA 19428 Investment Management Services 552909 9 240661 26968224 637572 27208885 0 0 0 0 0 15877538 15877538 1065497 1065497 0 0 240098878 2182084 120039457 473460 120059421 1708624 121768045 121768045 240660 240661 95212 145448 145448 K-1 Partnership UBI 900099 -14610771 -14610771 0 0 0 0 -14610771 151454642 0 -14610771 138856528 14838558 14838558 3553377 1692799 646324 1214254 4067866 1223235 2844631 407235 188506 218729 1162716 432733 729983 366659 116684 249975 14214 14214 49672 49672 5669111 5669111 2233459 1897397 40777 295285 559681 400 559281 85513 13043 72470 127008 32683 94325 173851 128755 45096 255 255 47665 47665 3680 3680 275222 5008 269512 702 Physician Remuneration 9167089 9167089 Transfers/Chargebacks 1023705 1023705 Federal Taxes 391252 257943 133309 Dues & Subscriptions 286551 6756 279795 271316 161817 20237 89262 44775655 31168897 6682324 6924434 68359294 19022627 12202020 15096241 1087463 1656884 0 0 0 145469 0 8300383 391871 7732027 7908512 2139276693 1914456456 1158648334 1813719261 0 14359393 25223727 3401810693 3797083708 3418608 3297404 0 792770 6175678 4211378 9473082 X 3217744850 3546631745 179854465 240978881 3397599315 3787610626 3401810693 3797083708 X 106678987 -85945038 369277362 X false true X true false X 20451723 15623049 17994140 40964773 27208885 122242570 0 0 20451723 15623049 17994140 40964773 27208885 122242570 12759720 109482850 28817719 11455046 21727722 20615822 16943035 99559344 0 2553726 960979 1224571 225477 4964753 0 8373204 0 0 145448 8518652 235285319 0 0.4653 0.4178 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - KINDRED INCOME, COLUMN A - 0.0, COLUMN B - 8373204.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 8373204.0; DESCRIPTION - NET FUNDRAISING INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 145448.0, COLUMN F - 145448.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X 1 1.43 1 1 false 194042910 594181 4087621 4907363 193817349 194420888 777244 5477435 6632657 194042910 151358685 506299 48438782 5882878 194420888 140163649 9193123 5976208 3974295 151358685 134782310 545733 6377720 1542114 140163649 0.3127 0.575 0.1123 false false 3735000 3735000 4060245 353048 3707197 53430 38823 14607 451708 451708 7908512 Alternative Investments 1813719261 F 1813719261 Gift Annuities 52838 Funds Held for Affiliates 749826 Intercompany Payables 5373014 6175678 49287037 -85945038 131694 -85813344 135100381 9734621 6619640 16354261 151454642 18457370 -1613412 -1613412 20070782 9734621 14970252 24704873 44775655 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 II, Line 9 Conservation easements financial reporting CONSERVATION EASEMENT ASSETS ARE REPORTED WITH PROPERTY AND EQUIPMENT IN THE BALANCE SHEET. CONSERVATION EASEMENT REVENUE AND EXPENSES ARE REPORTED AS OPERATING INCOME/LOSS. Schedule D, Part V, Line 4 Intended uses of endowment funds COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Assets Released from Restrictions - 131694 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Contributions in Restricted Net Assets - 19616999 Gain on Disposal of Assets - 1708624 Direct Fundraising Expenses - -95212 K-1 Partnership UBI - -14610771 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Gain on Disposal of Assets - -1708624 Direct Fundraising Expenses - 95212 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Donations from Net Assets - 14970252 North America (Canada & Mexico only) 0 0 Investments 257353255 East Asia and the Pacific 0 0 Investments 405518058 Sub-Saharan Africa 0 0 Investments 83320444 Middle East and North Africa 0 0 Investments 16282097 Europe (Including Iceland and Greenland) 0 0 Investments 502699787 South America 0 0 Investments 25157667 Central America and the Caribbean 0 0 Investments 13896577 South Asia 0 0 Investments 138385315 0 0 0 0 0 0 1442613200 0 1442613200 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual X X X X X true M Gale & Associates 329 S Main St Ste 201 Fort Worth TX 76104 Campaign readiness assessment false 0 25000 -25000 Stelter Company PO Box 5228 Des Moines IA 503055228 Planned Giving Solicitations false 0 24672 -24672 0 49672 -49672 TX Party on the Patio 244207 122104 122103 0 0 21658 17528 The Blast 237114 118557 118557 0 213 3875 504 2116 49318 0 481321 240661 240660 0 213 3875 22162 2116 66846 95212 145448 Schedule G, Part I, Line 2b(v) Gross Receipts from Activity THE FOUNDATION IS UNABLE TO CALCULATE THE GROSS RECEIPTS DIRECTLY RELATED TO M GALE'S AND STELTER'S SERVICES, SO WE HAVE LEFT THE GROSS RECEIPTS FROM ACTIVITY AS $0. Schedule G, Part I, Line 2b(ii) Describe the custody or control arrangement. M GALE & ASSOCIATES-CONTRACTUAL;STELTER COMPANY-CONTRACTUAL; Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses M GALE & ASSOCIATES-PROFESSIONAL SERVICES;STELTER COMPANY-PROFESSIONAL SERVICES; true COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVENUE FORT WORTH TX 76104 752051646 501(C)(3) 7428487 FINANCIAL ASSISTANCE COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVENUE FORT WORTH TX 76104 752575366 501(C)(3) 1656663 FINANCIAL ASSISTANCE COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVENUE FORT WORTH TX 76104 752705881 501(C)(3) 2394195 FINANCIAL ASSISTANCE COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVENUE FORT WORTH TX 76104 752896983 501(C)(3) 31222 FINANCIAL ASSISTANCE COOK CHILDREN'S MEDICAL CENTER-PROSPER 801 SEVENTH AVENU FORT WORTH TX 76104 852354189 501(C)(3) 143259 FINANCIAL ASSISTANCE CHILD STUDY CENTER 801 SEVENTH AVENUE FORT WORTH TX 76104 751099536 501(C)(3) 3184732 FINANCIAL ASSISTANCE 6 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. FUNDS ARE PLACED IN THE APPROPRIATE DESIGNATED ACCOUNTS WITH NOTIFICATION FROM DEVELOPMENT STAFF TO THE AUTHORIZED SIGNER. AUTHORIZED SIGNERS AND OTHER APPROPRIATE INDIVIDUALS ARE NOTIFIED OF ANY RESTRICTIONS ON THE FUNDS. DEVELOPMENT STAFF FOLLOW UP WITH AUTHORIZED SIGNERS TO OBTAIN INFORMATION ON THE USE OF FUNDS AND THE IMPACT MADE TO THE PROGRAM. IMPACT REPORTS ARE THEN PREPARED BY DEVELOPMENT STAFF AND SENT TO THE DONOR ON AN ANNUAL BASIS OR AS REQUIRED BY THE DONOR AGREEMENT. X false true X X X true true false false false false false false false Stephen W Kimmel EVP, Sys Finance 33237 631508 14984 284701 6761 128449 6985 132720 1543 29321 63510 1206699 4985 94717 Mary Cara Martz Secretary 0 136752 0 33892 0 6275 0 8274 0 16191 0 201384 0 0 Rick W Merrill President/CEO 283000 1064617 164819 620034 287983 1083364 30471 114628 7891 29686 774164 2912329 205800 774200 Cory R Rhoades Chief Financial Officer 0 497003 0 203540 0 73887 0 103167 0 35384 0 912981 0 53883 B Anthony Bagwell SVP, CIIO 623873 0 868986 0 95937 0 179653 0 32373 0 1800822 0 73443 0 Joseph M Gallagher SVP, Chief Legal Officer 0 528880 0 219616 0 83050 0 107742 0 37577 0 976865 0 60971 Spencer D Seals VP Construction & Real Estate 0 288072 0 93520 0 2355 0 58122 0 32406 0 474475 0 0 Grant W Harris SVP, Chief Development Officer 387812 0 162452 0 65619 0 86216 0 35384 0 737483 0 0 0 Jennifer Johnson AVP Donor Relations 177842 0 43047 0 5798 0 12056 0 13787 0 252530 0 0 0 Kimberly Mcginnis VP 157462 0 38886 0 27606 0 13278 0 35747 0 272979 0 0 0 Kyle Daley Investment Manager 161578 0 2000 0 162140 0 6794 0 29204 0 361716 0 0 0 Dayle Lowry Investment Operations Manager 156412 0 134450 0 5321 0 10791 0 15704 0 322678 0 0 0 Priti Mody Managing Director 279696 0 484516 0 31207 0 12200 0 2288 0 809907 0 0 0 Christopher Tindell Investment Manager 182267 0 86172 0 11497 0 11474 0 32589 0 323999 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments CY 2022 GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: KYLE DALEY JENNIFER JOHNSON DAYLE LOWRY KIMBERLY MCGINNIS CHRISTOPHER TINDELL 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 TYPES 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 4a Severance or change-of-control payment SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN THEIR 2022 TAXABLE COMPENSATION: KYLE DALEY $ 133,516 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Rick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Anthony Bagwell - Paid by Foundation - $167,454 Deferred, $73,443 W-2 Joseph Gallagher - Paid by System - $85,850 Deferred, $60,970 W-2 Grant W Harris - Paid by Foundation - $63,341 Deferred, $50,349 W-2 Kimberly McGinnis - Paid by Foundation - $7,432 Deferred, $0 W-2 Cory R Rhoades - Paid by System - $80,292 Deferred, $53,883 W-2 Spencer D Seals - Paid by System - $35,247 Deferred, $0 W-2 Schedule J, Part II ALLOCATION OF CEO AND 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 MEDICAL CENTER - PROSPER CHILD STUDY CENTER COOK CHILDREN'S PHYSICIAN NETWORK X 6 637572 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of contributions Form 990, Part VI, Line 2 Family/business relationships amongst interested persons RICK SORENSON & JAMES WEBB - Business relationship, R. KYLE KIGHT & JON BRUMLEY - Business relationship, LISA JAMIESON & JERRY CONATSER - Business relationship, WILLIE HOUSTON III & RICK W. MERRILL - Business relationship, MARY CARA MARTZ & PETER PHILPOTT - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship, MICHAEL R. DIKE & WILLIAM JACKSON RATTIKIN III - Business relationship 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 IS PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION, WHICH INCLUDES THE ORGANIZATION'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. 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 EXECUTIVE AND PHYSICIAN COMPENSATION, WHICH INCLUDES THE ORGANIZATION'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINED SULLIVAN COTTER AND ASSOCIATES, INC. IN 2023 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 SECRETARY OF STATE OF TEXAS. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE AND AVAILABLE TO ALL EMPLOYEES AND BOARD MEMBERS OF COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEB SITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Fund Transfers between affiliates - XXX-XX-XXXX; Change in Beneficial Interest in Trusts - 1822840; Restricted Unrealized Gains - 2892103; K-1 Partnership UBI - 14610771; Net Assets Released from Restrictions - 131694; JEFFERSON STREET INVESTORS BLUE LLC 801 SEVENTH AVE FORT WORTH TX 76104 830910401 INVESTMENTS TX -112638 28156687 CCHF Cook Children's Health Care System 801 Seventh Ave Fort Worth TX 76104 752705881 Health Care Support TX 501(c)(3) Type III-FI CCHF true COOK CHILDREN'S PHYSICIAN NETWORK 801 Seventh Ave Fort Worth TX 76104 752485366 Physician Services TX 501(c)(3) 3 CCHCS true ROSEDALE OFFICE BUILDING 1500 W ROSEDALE Fort Worth TX 76104 460866421 TITLE HOLDING TX 501(c)(2) CCHF true 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 true Cook Children's Indemnity Company 878 West Bay Road PO Box 1159 Grand Cayman Grand Cayman CJ KY1110 980424041 Self Insurance CJ NA C Corporation true SPLIT INTEREST TRUSTS (2) PO BOX 830269 DALLAS TX 75283 SPLIT INT TRUST TX NA Trust false SPLIT INTEREST TRUST 270 PARK AVE NEW YORK NY 10017 SPLIT INT TRUST NY NA Trust false false true false false false false false false false false false false false true true true true true true COOK CHILDREN'S HEALTH CARE SYSTEM B 2394195 FMV CHILD STUDY CENTER B 3184732 FMV COOK CHILDREN'S MEDICAL CENTER B 7428487 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 1656663 FMV CHILD STUDY CENTER R 2491331 FMV COOK CHILDREN'S MEDICAL CENTER P 103564 FMV COOK CHILDREN'S MEDICAL CENTER R 937935 FMV COOK CHILDREN'S MEDICAL CENTER S 350000356 FMV COOK CHILDREN'S HEALTH CARE SYSTEM P 4530076 FMV COOK CHILDREN'S HEALTH CARE SYSTEM R 3285706 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 9093093 FMV COOK CHILDREN'S MEDICAL CENTER PROSPER B 143259 FMV