2025-08-13T16:34:51+00:00 2024-09-30 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2023-10-01 752051649 WI Cook Foundation Inc WICO 6828854000 801 Seventh Avenue Fort Worth TX 76104 Rick W Merrill President/CEO 6828854000 2025-08-13 true true Michael Engle P00482834 8162216300 2025-08-13 2023 2025-03-06 01:10:19Z Cook Children's Health Foundation Rick W Merrill 801 Seventh Avenue Fort Worth TX 76104 760556406 false X www.cookchildrens.org X 1985 TX 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. 32 32 44 87 -18634146 59259 27208885 26151998 0 137645583 86133711 -13399826 -17183538 151454642 95102171 14838558 30386469 0 9557853 11199848 49672 266194 8020015 20329572 23529238 44775655 65381749 106678987 29720422 3797083708 4613436734 9473082 108568439 3787610626 4504868295 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 50528932 30386469 0 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 for which Cook Children's is known. 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. Roughly 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. Each year the clinics lose a combined $10.4 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. In FY24, our generous donors met the growing need for additional NHCs. Because of their generosity, two more NHCs will be added to the Cook Children's roster for a total of nine. The Health Foundation secured over $7 million for the construction and programmatic costs for Las Vegas Trail NHC and Manhattan NHC. Those funds also support clinical operations in the existing seven centers. The generosity of Health Foundation donors helps sustain NHC services and gives all children the health care they deserve. 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. In FY24, the Health Foundation secured a $3.5 million gift to purchase capital equipment for Neuro-Oncology Endowed Chair Focused Ultrasound research. Securing this gift ensures our physicians are poised to provide significant neuro-oncology research for the health and well-being of not only our patients, but children all across the globe. As Cook Children's anticipates increased funding needs in these two aforementioned areas of NHCs and Endowed Chairs, it is critical that we continue to solicit diversified gifts involving capital, programmatic and endowed gifts to these funding areas. Supporting Cook Children's Experience For decades Cook Children's has been at the forefront of providing holistic services to families such as Case Management, Child Life and Pastoral Care. Case Management in particular, helps provide a family's basic needs. When a child has an unexpected medical emergency or is experiencing a prolonged illness or treatment it can disrupt the family's ability to meet their basic needs. Meals, housing, utility bills - those things essential in life can leave a family vulnerable when faced with unexpected medical bills or costly prescriptions. Coupled with the fact that being present with your sick child means being away from work for days, weeks, even months at a time affecting a family's income. This is where our donor-funded case management comes in by helping to provide for families' basic needs so they can focus on the healing of their child. The Foundation continues to support these non-revenue generating areas through its efforts such as annual giving programs, third party events, Children's Miracle Network Hospitals, corporate, and mid-level giving. In FY24 alone, the Health Foundation raised over $2.3 million to help meet the needs of our patient families in these essential areas. It is these above-and-beyond-healthcare programs that make Cook Children's a magical and stellar institution treating the whole child, the whole family. 50528932 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 36 0 true 44 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 Avenue Fort Worth TX 76104 Belen M Garren Trustee - Sec/Treasurer 2.0 0.0 X X 0 0 0 Peter L Philpott Trustee - Chairman 2.0 4.0 X X 0 0 0 Rick Sorenson Trustee - Vice Chair 2.0 5.0 X X 0 0 0 Andrew J Rosell Trustee 1.0 0.0 X 0 0 0 Andrew P Lombardi Trustee 1.0 1.0 X 0 0 0 Ashli Blumenfeld Trustee End 5/31/24 1.0 0.0 X 0 0 0 Benjamin A Rosenthal Trustee START 6/1/24 1.0 0.0 X 0 0 0 Brian C Crumley Trustee 1.0 1.0 X 0 0 0 Brian C Newby Trustee 1.0 1.0 X 0 0 0 Dale F Klose Trustee START 6/1/24 1.0 0.0 X 0 0 0 Frost R Prioleau Trustee End 5/31/24 1.0 2.0 X 0 0 0 Hadley Woerner Trustee 1.0 1.0 X 0 0 0 Harlington Peter Ku DDS Trustee 1.0 0.0 X 0 0 0 James E Webb Trustee 1.0 0.0 X 0 0 0 James Matthew Johnson Trustee END 5/31/24 1.0 0.0 X 0 0 0 Jerry R Conatser Trustee END 5/31/24 1.0 6.0 X 0 0 0 John Merrifield Trustee 1.0 0.0 X 0 0 0 Jon S Brumley Trustee END 5/31/24 1.0 0.0 X 0 0 0 Karl Biggs Trustee 1.0 1.0 X 0 0 0 Kathryn S Wells Trustee START 6/1/24 1.0 0.0 X 0 0 0 Kenneth Hampton Trustee 1.0 0.0 X 0 0 0 Laura Bird Trustee 1.0 1.0 X 0 0 0 Lisa H Jamieson Trustee END 5/31/24 1.0 1.0 X 0 0 0 Michael M Gonzalez Sr Trustee 1.0 2.0 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 0.0 X 0 0 0 R Russell Morton Trustee 1.0 7.0 X 0 0 0 Rachel R Werner Trustee 1.0 2.0 X 0 0 0 Richard W Dyess Trustee 1.0 2.0 X 0 0 0 Roger P Marcincuk Jr Trustee 1.0 0.0 X 0 0 0 Rosalind Evans Trustee 1.0 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 1.0 0.0 X 0 0 0 William E Bailey Trustee 1.0 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 0.0 X 0 0 0 B Anthony Bagwell SVP, CIIO 40.0 0.0 X 1763275 0 218385 Cory R Rhoades Chief Financial Officer 2.0 40.0 X 0 866208 136241 Grant W Harris SVP, Chief Development Officer 40.0 0.0 X 654800 0 115101 Joseph M Gallagher SVP, Chief Legal Officer 1.0 40.0 X 0 883970 138911 Mary Cara Martz Secretary 1.0 40.0 X 0 183907 21095 Rick W Merrill President/CEO 8.0 34.0 X 551089 2204354 550074 Spencer D Seals VP Construction & Real Estate 2.0 40.0 X 0 403495 84754 Stephen W Kimmel EVP, Sys Finance 2.0 40.0 X 60884 1156796 175382 Jennifer Johnson AVP Donor Relations 40.0 0.0 X 235953 0 25973 Kimberly Mcginnis Vice President 40.0 0.0 X 258830 0 53095 Martha Mattox AVP, Major Gifts 40.0 0.0 X 169826 0 9975 Christopher Tindell Investment Manager 40.0 0.0 X 282842 0 33451 Dayle Lowry Investment Operations Mgr 40.0 0.0 X 328639 0 26832 Drew Smith Senior Investment Analyst 40.0 0.0 X 194795 0 9747 Jamye Shaffer Manager, Investment Operations 40.0 0.0 X 173710 0 30521 Priti Mody Managing Director 40.0 0.0 X 921781 0 17279 5596424 5698730 1646816 18 false true false Hull Building LLC 201 Lipscomb Street Fort Worth TX 76104 Building Preservation & Restoration Svcs 1271003 TVM Advisors LLC 117 7th Avenue S 4A New York NY 10014 Consulting Services 853438 BNY Mellon 240 Greenwich Street New York NY 10286 Custodial Services 765384 Proprietary Capital 1800 Larimer Street Suite 1825 Denver CO 80202 Investment Management Services 631758 Silchester International Investors Inc 780 Third Avenue 42nd Floor New York NY 10017 Investment Management Services 630124 14 531701 25620297 126444 26151998 0 0 0 0 0 21832151 21832151 960231 960231 0 0 729654741 665353181 64301560 0 64301560 64301560 48372 531701 101054 -52682 -52682 Federal/State Tax Refund 900099 543059 543059 K-1 Partnership UBI 900099 -18634146 -18634146 0 0 0 0 -18091087 95102171 0 -18634146 87584319 30386469 30386469 3982260 1855623 650004 1476633 4958757 2132338 2826419 494242 249876 244366 1381520 449075 932445 383069 112084 270985 5356 5356 266194 266194 5833404 5833404 4148836 3780279 38158 330399 463644 463644 71079 1698 69381 471630 14 20518 451098 312867 166115 146752 20253 1343 18910 270214 269512 702 Physician Remuneration 11369690 11369690 Dues and Subscriptions 327139 7433 319706 Fees and Financing 54470 54470 Awards and Recognition 38878 38878 141778 11539 2296 127943 65381749 50528932 6832802 8020015 19022627 74110160 15096241 6749651 1656884 782025 0 0 0 0 30000 11800351 651652 7908512 11148699 1914456456 2370232447 1813719261 2110476706 0 25223727 39907046 3797083708 4613436734 3297404 2847764 0 6175678 105720675 9473082 108568439 X 3546631745 4296039341 240978881 208828954 3787610626 4504868295 3797083708 4613436734 X 29720422 402833010 284704237 X false true X true false X 15623049 17994140 40964773 27208885 26151998 127942845 0 0 15623049 17994140 40964773 27208885 26151998 127942845 15916442 112026403 11455046 21727722 20615822 16943035 22792382 93534007 2553726 960979 1224571 225477 59259 5024012 8373204 0 0 145448 0 8518652 235019516 48372 0.4767 0.4653 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - KINDRED INCOME, COLUMN A - 8373204.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 8373204.0; DESCRIPTION - NET FUNDRAISING INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 145448.0, COLUMN E - , COLUMN F - 145448.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X 1 1.43 1 0 0 1 false 193817349 592998 22686955 3399481 213697821 194042910 594181 4087621 4907363 193817349 194420888 777244 5477435 6632657 194042910 151358685 506299 48438782 5882878 194420888 140163649 9193123 5976208 3974295 151358685 0.3162 0.5564 0.1274 false false 3735000 3735000 4060245 623262 3436983 28390 28390 0 3976716 3976716 11148699 Alternative Investments 2110476706 F 2110476706 Gift Annuities 50759 Funds Held for Affiliates 838094 Intercompany Payables 104831822 105720675 467567342 402833010 -15404655 387428355 80138987 10322462 4640722 14963184 95102171 24227313 -442005 -442005 24669318 10322462 30389969 40712431 65381749 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 - 196247 Restricted Unrealized Gains - -15600902 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Contributions in Restricted Net Assets - 18724181 Federal/State Tax Refund - 543059 Direct Fundraising Expenses - -101054 K-1 Partnership UBI - -18634146 Interest Rate Swap Adjustment - 4108682 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Federal/State Tax Refund - -543059 Direct Fundraising Expenses - 101054 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Donations from Net Assets - 30389969 North America (Canada & Mexico only) 0 0 Investments 88989593 East Asia and the Pacific 0 0 Investments 169826962 Sub-Saharan Africa 0 0 Investments 68249141 Middle East and North Africa 0 0 Investments 6036034 Europe (Including Iceland and Greenland) 0 0 Investments 167944038 South America 0 0 Investments 17443275 Central America and the Caribbean 0 0 Investments 706965 South Asia 0 0 Investments 119879759 0 0 0 0 0 0 639075767 0 639075767 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 true M Gale & Associates 329 S Main St Ste 201 Fort Worth TX 76104 Campaign readiness assessment false 0 252600 -252600 Stelter Company PO Box 5228 Des Moines IA 503055228 Planned Giving Solicitations false 0 13594 -13594 0 266194 -266194 TX Party on the Patio 305440 257068 48372 21440 22130 The Blast 274633 274633 0 132 4875 140 1954 50383 0 580073 531701 48372 132 4875 21580 1954 72513 101054 -52682 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) 22276084 FINANCIAL ASSISTANCE COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVENUE FORT WORTH TX 76104 752575366 501(C)(3) 1750873 FINANCIAL ASSISTANCE COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVENUE FORT WORTH TX 76104 752705881 501(C)(3) 4076156 FINANCIAL ASSISTANCE COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVENUE FORT WORTH TX 76104 752896983 501(C)(3) 29462 FINANCIAL ASSISTANCE COOK CHILDREN'S MEDICAL CENTER-PROSPER 801 SEVENTH AVENUE FORT WORTH TX 76104 852354189 501(C)(3) 104867 FINANCIAL ASSISTANCE CHILD STUDY CENTER 801 SEVENTH AVENUE FORT WORTH TX 76104 751099536 501(C)(3) 1770375 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 false true false false false false false false false B Anthony Bagwell SVP, CIIO 647274 0 976498 0 139503 0 195290 0 23095 0 1981660 0 116265 0 Joseph M Gallagher SVP, Chief Legal Officer 0 550082 0 240616 0 93272 0 114616 0 24295 0 1022881 0 70553 Grant W Harris SVP, Chief Development Officer 405550 0 177987 0 71263 0 91904 0 23197 0 769901 0 54728 0 Stephen W Kimmel EVP, Sys Finance 36208 687945 17437 331304 7239 137547 7729 146852 1041 19760 69654 1323408 5345 101552 Mary Cara Martz Secretary 0 142535 0 35260 0 6112 0 8934 0 12161 0 205002 0 0 Rick W Merrill President/CEO 292810 1171239 175320 701280 82959 331835 104879 419518 5135 20542 661103 2644414 0 0 Cory R Rhoades Chief Financial Officer 0 534312 0 232745 0 99151 0 112564 0 23677 0 1002449 0 77403 Spencer D Seals VP Construction & Real Estate 0 298612 0 102463 0 2420 0 61751 0 23003 0 488249 0 0 Jennifer Johnson AVP Donor Relations 184692 0 44373 0 6888 0 13074 0 12899 0 261926 0 0 0 Martha Mattox AVP, Major Gifts 143595 0 23522 0 2709 0 6698 0 3277 0 179801 0 0 0 Kimberly Mcginnis Vice President 189866 0 67204 0 1760 0 31010 0 22085 0 311925 0 0 0 Dayle Lowry Investment Operations Mgr 187072 0 136172 0 5395 0 14088 0 12744 0 355471 0 0 0 Priti Mody Managing Director 417014 0 500388 0 4379 0 13200 0 4079 0 939060 0 0 0 Jamye Shaffer Manager, Investment Operations 125400 0 45648 0 2662 0 7479 0 23042 0 204231 0 0 0 Drew Smith Senior Investment Analyst 117725 0 75012 0 2058 0 7705 0 2042 0 204542 0 0 0 Christopher Tindell Investment Manager 192739 0 78422 0 11681 0 11621 0 21830 0 316293 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments CY 2023 GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: 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 4b Supplemental nonqualified retirement plan Rick W Merrill - Paid by System - $366,672 Deferred, $0 W-2 Stephen W Kimmel - Paid by System - $133,956 Deferred, $106,897 W-2 Anthony Bagwell - Paid by Foundation - $182,090 Deferred, $116,265 W-2 Joseph Gallagher - Paid by System - $90,572 Deferred, $70,553 W-2 Grant W Harris - Paid by Foundation - $67,154 Deferred, $54,728 W-2 Kimberly McGinnis - Paid by Foundation - $24,269 Deferred, $0 W-2 Cory R Rhoades - Paid by System - $87,814 Deferred, $77,403 W-2 Spencer D Seals - Paid by System - $37,001 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 MEDICAL CENTER - PROSPER CHILD STUDY CENTER COOK CHILDREN'S PHYSICIAN NETWORK X 5 126444 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 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 - 15677682; K-1 Partnership UBI - 18634146; Net Assets Released from Restrictions - 404217; Change in Fair Value of Interest Rate Swap - -4108682; JEFFERSON STREET INVESTORS BLUE LLC 801 SEVENTH AVE FORT WORTH TX 76104 830910401 INVESTMENTS TX -3076890 21863119 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 SANDIA CREST LP 201 WASHINGTON STREET BOSTON MA 02108 871831241 INVESTMENTS MA CCHF Excluded 4395553 8938690 false 3222 false 0.994 SCP OPPORTUNITY FUND 56A BOAT QUAY SN 049845 981647424 INVESTMENTS SN CCHF Excluded 6249 23418160 false 0 false 0.9885 SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262821679 INVESTMENTS MD CCHF Excluded 23154 3477825 false 0 false 0.9500 OBERWEIS INTERNATIONAL SELECT FUND LLC 3333 WARRENVILLE ROAD STE 500 LISLE IL 60532 842094004 INVESTMENTS IL CCHF Excluded -422697 23469815 false 0 false 0.6975 HT STORK LP 120 STATE ROUTE 28 UNIT 9 CRYSTAL BAY NV 89402 881770748 INVESTMENTS NV CCHF Excluded 0 3038970 false 0 false 0.6000 CC TRUEACCORD SPV II LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN CO 81611 822997101 INVESTMENTS CO CCHF Excluded 0 973047 false 0 false 0.6689 STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262423493 INVESTMENTS MD CCHF Excluded 2531977 5045836 false 0 false 0.8648 GOFF FOCUSED ENERGY STRATEGIES LP 500 COMMERCE STREET SUITE 700 FORT WORTH TX 76102 822764240 INVESTMENTS TX CCHF Excluded 259214 7795056 false 0 false 1 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 CHARITABLE REMAINDER TRUSTS (2) SPLIT INT TRUST TX NA Trust true false true false false false false true false false false false false false true true true true true true COOK CHILDREN'S MEDICAL CENTER B 22276084 FMV COOK CHILDREN'S MEDICAL CENTER P 2631379 FMV COOK CHILDREN'S MEDICAL CENTER S 254214918 FMV COOK CHILDREN'S PHYSICIAN NETWORK B 1750873 FMV COOK CHILDREN'S PHYSICIAN NETWORK P 11365354 FMV COOK CHILDREN'S HEALTH CARE SYSTEM B 4076156 FMV COOK CHILDREN'S HEALTH CARE SYSTEM P 2204006 FMV COOK CHILDREN'S HEALTH CARE SYSTEM R 115247 FMV COOK CHILDREN'S MEDICAL CENTER-PROSPER B 104867 FMV COOK CHILDREN'S MEDICAL CENTER-PROSPER P 1122196 FMV CHILD STUDY CENTER B 1770375 FMV