2025-08-13T15:06:52+00:00 2024-09-30 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2023-10-01 752705881 Cook Children's Health Care System COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 RICK W MERRILL CEO 2025-08-13 true Michael Engle P00482834 8162216300 2025-08-13 2023 2025-03-06 01:10:19Z RICK W MERRILL 801 Seventh Avenue Fort Worth TX 76104 1036186667 false X WWW.COOKCHILDRENS.ORG X 1996 TX We strive to be an extension of your family, growing with your child from baby steps to adulthood. We keep our Promise - to improve the well-being of every child in our communities - by instilling kindness, imagination and respect into everything we do. We make it our mission to connect the dots. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 10,000+ dedicated team members strong, passionately caring for over 2 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers, three surgery centers, a physician network, home health services and a health plan. It also includes the Child Study Center, Cook Children's Health Services Inc., and Cook Children's Health Foundation. 22 16 1003 25 0 0 3598056 5599608 343474536 404535442 8487698 41440998 309763 308682 355870053 451884730 97500 884194 0 0 92120910 112088993 0 0 0 241539273 272808452 333757683 385781639 22112370 66103091 1374999166 1670408998 627743581 1043463771 747255585 626945227 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 326914517 884194 404844124 About Cook Children's Health Care System Cook Children's strives to be an extension of your family, growing with your child from baby steps to adulthood. We keep our Promise - to improve the well-being of every child in our communities - by instilling kindness, imagination and respect into everything we do. We make it our mission to connect the dots. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 10,000+ dedicated team members strong, passionately caring for over 2 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers, three surgery centers, a physician network, home health services and a health plan. It also includes the Child Study Center, Cook Children's Health Services Inc., and Cook Children's Health Foundation. Ninety-four primary, specialty and urgent care locations provide access to lifesaving 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're proud to treat children from 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 ... with an extra dose of magical wonder. Keeping our Promise Cook Children's has strived since its beginnings in 1918 to combine the art of caring with leading-edge technology and practices. The System has earned a strong and wide reputation for outstanding efforts and outcomes in pediatric health care. Six core values form the bedrock for Cook Children's culture platform: kindness, collaboration, imagination, generosity, respect and safety. Those values inspire our Promise to do everything for the child. Decisions and action at every level of the organization integrate our culture platform and core values. As a result, employees and visitors alike feel like family. Employees in all of Cook Children's companies connect the dots to create moments of magic and the best patient experience possible during treatment for injury and illness. With an 87% patient experience rating of lihood to recommend" in FY24, eligible employees were awarded a CareShare bonus. Expanding to Meet Community Needs As the population of North Texas increases, Cook Children's continues to widen its reach. Cook Children's Medical Center - Prosper opened in 2023 to serve children and families on the northeast side of the Metroplex and beyond. Also, the recently expanded Dodson Specialty Clinics building on the Fort Worth campus created a centralized location for patients who receive care from multiple specialties. The Dodson expansion brought 40 clinics under one roof to provide easily accessible and comprehensive care, along with a new retail pharmacy and a sibling support center. Construction was underway throughout 2024 on a first-of-its-kind collaboration to bring critical health care and other resources to the Las Vegas Trail area of west Fort Worth. The future Las Vegas Trail Neighborhood Health Center will include medical services, social services and a police storefront. Cook Children's and the other partners aim to transform the struggling neighborhood into a safe and healthy community. Cook Children's will provide pediatric health care at the center when it opens in late 2025. In West Texas, a new partnership in FY24 boosted the options for pediatric neurology thanks to an innovative approach to medical education. Two Cook Children's neurologists in Amarillo serve as teaching physicians at the Texas Tech University Health Sciences Center in an arrangement that educates future physicians while bringing specialty care closer to home for patients in the region. Four years of collaborative planning went into implementing this unique model, which can be adapted to other specialties. Supporting a Workplace of Excellence Forbes named CCHCS No. 1 in the health care and social industry category of its list of America's Best Large Employers 2024. Evaluation criteria included gender pay equity, opportunities for training and promotion, workload expectations and parental leave benefits. Another national honor came when Newsweek ranked Cook Children's on its list of America's Greatest Workplaces 2024. The selection process included surveys on key drivers of employee satisfaction such as corporate culture, work-life balance and career opportunities. The importance of self-care was spotlighted in August 2024 during Cook Children's first Well-being Month, which promoted activities and resources such as fitness challenges and classes on stress management. Well-being Month reminded employees that taking time for themselves helps recharge their energy on the job. The Employee Resource Groups (ERG) program branched out in FY24. ERGs welcome anyone who wants to join their goal of embracing togetherness in the workplace. They're geared to help colleagues see the world through one another's eyes. A series of "Lunch and Learn" conversations in 2024, led by the four current ERGs and other groups, explored the topics of respect and kindness from diverse perspectives. The Nursing Inclusion, Diversity & Equity (IDE) Council was launched in 2024 in response to feedback from employee surveys. Goals include education, advocacy and review of policies. Awards and Research CCHCS in January 2024 earned the Press Ganey Guardian of Excellence Award for outstanding dedication to patient experience, placing our medical center in the top 5% of health care providers nationwide. Locally, Cook Children's in May 2024 received the Exchange Club of Fort Worth's prestigious Golden Deeds Award, given annually to the person or organization deemed the most outstanding citizen. And the Public Relations and Internal Communications team brought home 11 awards from the Greater Fort Worth Public Relations Society of America in 2024. Cook Children's took top honors in crisis communications, brand management, newsletter and other categories. The Cook Children's Cleft, Craniofacial and Plastic Surgery Department won approval in 2024 by the American Cleft Palate Craniofacial Association for exceeding the highest standard of care for patients with cleft lip and palate differences. The department specializes in plastic and reconstructive surgery for children with face, head and neck conditions. A site tour hosted by Cook Children's in February 2024 connected staff and research partners with a new federal agency created to drive innovation in health care. That meeting on the Fort Worth campus attracted regional collaborators as well as national representatives from the Advanced Research Projects Agency for Health (ARPA-H). Cook Children's is a spoke in the ARPA-H strategy for quicker access to funds that finance clinical trials, prototypes and other groundbreaking work. Joining forces with ARPA-H opens up new opportunities to find solutions that improve the health of children and adolescents. The System's national profile was further raised in June 2024 when Christos Papadelis, Ph.D., who leads the Neuroscience Research Center at Cook Children's, spoke to Congress members and staff on Capitol Hill. Dr. Papadelis was invited to the platform based on his expertise and leadership in brain mapping. His presentation appealed for policies and funding to support research like the breakthroughs Cook Children's is making to control seizures. 326914517 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 406 0 true 1003 true false true CJ false false false false false false false false true false X 22 16 true false false false true true true 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 2.0 X X 0 0 0 Deborah Schutte MD Trustee - Vice Chairman 2.0 42.0 X X 0 656369 53183 Peter L Philpott Trustee - Chairman 2.0 4.0 X X 0 0 0 Andrew P Lombardi Trustee 1.0 1.0 X 0 0 0 Anne M Carvalho Trustee END 5/31/24 1.0 5.0 X 0 0 0 Anthony Anani MD Trustee 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0 65626 Laura Copeland Associate General Counsel 40.0 0 X 403608 0 59242 Myranda Miller VP, Corporate Controller 40.0 0 X 310749 0 65544 B Anthony Bagwell SVP, CIIO 0.0 40.0 X 0 1763275 218385 18477662 7569842 3810947 525 true true false Workday Inc 1 Microsoft Way Redmond WA 780526399 Hardware/Software Services 4066996 Three Link Solutions 409 Majestic Court Keller TX 76248 Contract Services 3662069 Resourcing HQ LLC 9720 Executive Center Dr N Ste 100 St Petersburg FL 33702 Contract Services 2552842 Linbeck Group LLC 1263 W Rosedale Ste 202 Fort Worth TX 76104 Project Related Professional Services 2315120 Kudelski Security 5090 North 40th St Ste 450 Phoenix AZ 85018 Hardware/Software Services 1965418 158 4076156 1523452 5599608 SHARED SERVICES 561000 353408395 353408395 HUMAN RESOURCES 900099 23950135 23950135 RENT 900099 6801986 6801986 COMMUNITY HEALTH OUTREACH 900099 8907204 8907204 OTHER PROGRAM REVENUE 900099 11467722 11467722 0 0 0 0 404535442 27807176 27807176 0 0 597753812 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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 ORGANIZATION 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. 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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 - 3362075 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements DONATED CAPITAL - 2449542 GAIN ON SALE OF PROPERTY - 154072 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 MANAGEMENT FEE REDUCTION - 3362075 GAIN ON SALE OF PROPERTY - -154072 Central America and the Caribbean 0 0 Investments 145081536 0 0 0 0 0 0 145081536 0 145081536 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 All Saints Episcopal School 9700 SAINTS CIRCLE FORT WORTH TX 76108 752660901 501(c)(3) 100000 GENERAL SUPPORT Leukemia Texas 3000 PEGASUS PARK DRIVE SUITE 710 DALLAS TX 75247 751327679 501(c)(3) 10000 GENERAL SUPPORT Covenant Health Foundation 3623 22ND PL LUBBOCK TX 79410 752897026 501(c)(3) 7500 GENERAL SUPPORT Crohn's & Colitis Foundation 733 THIRD AVE SUITE 510 NEW YORK NY 10017 136193105 501(c)(3) 6500 GENERAL SUPPORT Cook Children's Medical Center 801 SEVENTH AVENUE FORT WORTH TX 76104 752051646 501(C)(3) 257448 GENERAL SUPPORT Cook Children's Physican Network 801 SEVENTH AVENUE FORT WORTH TX 76104 752485366 501(C)(3) 417880 GENERAL SUPPORT 6 0 Scholarships For Individuals 12 60000 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 Deborah Schutte MD Trustee - Vice Chairman 0 601119 0 0 0 55250 0 24750 0 28433 0 709552 0 0 Anthony Anani MD Trustee 0 507063 0 18750 0 36690 0 12874 0 6121 0 581498 0 0 Lane Lanier MD Trustee 0 629624 0 0 0 14291 0 20625 0 26603 0 691143 0 0 Daphne Shaw MD Trustee 0 317591 0 0 0 33624 0 15411 0 3773 0 370399 0 0 Kara Starnes DO Trustee 0 328463 0 43498 0 21592 0 20625 0 19345 0 433523 0 0 Jason V Terk MD Trustee 0 330155 0 0 0 26787 0 22500 0 21456 0 400898 0 0 B Anthony Bagwell SVP, CIIO 0 647274 0 976498 0 139503 0 195290 0 23095 0 1981660 0 116265 James C Cunningham MD EVP, CMO 716709 0 343100 0 162967 0 84051 0 21696 0 1328523 0 0 0 Joseph M Gallagher SVP, Chief Legal Officer 550082 0 240616 0 93272 0 114616 0 24295 0 1022881 0 70553 0 Stephen W Kimmel EVP, SYS FINANCE 181038 543115 87185 261556 36197 108589 38645 115936 5200 15601 348265 1044797 26724 80173 Mary Cara Martz Secretary 142535 0 35260 0 6112 0 8934 0 12161 0 205002 0 0 0 Theresa Z Meadows SVP, Chief Information Officer 521469 0 231930 0 94243 0 62334 0 23677 0 933653 0 0 0 Rick W Merrill President & CEO 439215 1024834 262980 613620 124438 290356 157319 367078 7703 17974 991655 2313862 0 0 Jonathan Nedrelow MD Associate Chief Medical Officer 462464 0 156766 0 17649 0 83316 0 17856 0 738051 0 0 0 Cory R Rhoades Chief Financial Officer 534312 0 232745 0 99151 0 112564 0 23677 0 1002449 0 77403 0 Spencer D Seals VP Construction & Real Estate 298612 0 102463 0 2420 0 61751 0 23003 0 488249 0 0 0 Ashley Antipolo Chief Medical Info Officer 304782 0 75213 0 30700 0 48599 0 17585 0 476879 0 0 0 Matthew Carroll MD VP, Assoc Chief Quality Officer 366330 0 129118 0 7303 0 67251 0 22439 0 592441 0 0 0 Megan Chavez VP Patient & Family Experience 308516 0 108180 0 2485 0 52182 0 22434 0 493797 0 0 0 Stephen Eckert VP, Info Systems/CTO 318065 0 103979 0 6745 0 50333 0 24735 0 503857 0 0 0 Robert Feather SVP, Public Policy 376351 0 183639 0 82495 0 52551 0 21696 0 716732 0 0 0 Keith Holtz Chief Administration Officer 582560 0 279712 0 355435 0 128065 0 19725 0 1365497 0 316703 0 Eric Hubli Chief Effectiveness Officer 570301 0 249216 0 25978 0 118559 0 25675 0 989729 0 0 0 Gregory Jimerson VP, Payor Relations 291462 0 100974 0 5296 0 60423 0 24657 0 482812 0 0 0 Winifred King SVP Chief Comm & DEI Officer 340533 0 145531 0 83192 0 76329 0 16732 0 662317 0 55014 0 David Lancaster VP, Internal Audit 227383 0 80651 0 40878 0 50326 0 22243 0 421481 0 29835 0 Kathy McLean VP, Brand & Team Experience 281011 0 95090 0 7315 0 55464 0 12583 0 451463 0 0 0 George Morris VP, Chief Data and Analytics Officer 227963 0 56089 0 37278 0 18181 0 27126 0 366637 0 0 0 Christian Pedigo VP, Sys Planning & Health Analytics 383704 0 168696 0 71667 0 88264 0 24877 0 737208 0 53895 0 Anish Ray Medical Director 506121 0 133790 0 2737 0 75267 0 22799 0 740714 0 0 0 Joann Sanders Chief Quality Officer 480626 0 209391 0 116413 0 103568 0 22120 0 932118 0 82179 0 Beth Schmidt VP, Human Resources 307282 0 103826 0 8062 0 56256 0 13397 0 488823 0 0 0 Kent Smith VP, Compliance 300241 0 103833 0 7792 0 55825 0 19680 0 487371 0 0 0 Karen Wardell Associate General Counsel 391484 0 134402 0 5745 0 60073 0 19257 0 610961 0 0 0 Lorrainea Williams PAT/MEDICATION SAFETY OFFICER 225478 0 65267 0 38530 0 40644 0 20089 0 390008 0 0 0 Aaron Wishon VP, Chief Info Security Officer 308688 0 103833 0 3474 0 49767 0 9986 0 475748 0 0 0 Lakami Bryant VP, Revenue Cylce & Ent Apps 224957 0 76409 0 1984 0 50586 0 15040 0 368976 0 0 0 Laura Copeland Associate General Counsel 271877 0 79663 0 52068 0 47760 0 11482 0 462850 0 0 0 Myranda Miller VP, Corporate Controller 228427 0 80644 0 1678 0 43454 0 22090 0 376293 0 0 0 Anu Partap Director, Phys Health Equity 265321 0 43491 0 5262 0 8773 0 25093 0 347940 0 0 0 Christos Papadelis DIRECTOR OF RESEARCH 255181 0 40890 0 5049 0 6093 0 22526 0 329739 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: LaKami Bryant, Laura Copeland, James Cunningham, Keith Holtz, Winifred King, Mary Cara Martz, Kathy McLean, Myranda Miller, Anu Partap, Beth Schmidt, 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 - $366,672 Deferred, $0 W-2 Stephen W Kimmel - Paid by System - $133,956 Deferred, $106,897 W-2 Joseph Gallagher - Paid by System - $90,572 Deferred, $70,553 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 Anthony Bagwell - Paid by Foundation - $182,090 Deferred, $116,265 W-2 Keith Holtz - Paid by System - $107,440 Deferred, $316,703 W-2 Joann Sanders - Paid by System - $78,818 Deferred, $82,179 W-2 Christian Pedigo - Paid by System - $63,514 Deferred, $53,895 W-2 Winifred King - Paid by System - $55,065 Deferred, $55,014 W-2 Jonathan Nedrelow - Paid by System - $70,116 Deferred, $0 W-2 David Lancaster - Paid by System - $29,124 Deferred, $29,835 W-2 Eric Hubli - Paid by System - $93,809 Deferred, $0 W-2 Karen Wardell - Paid by System - $48,534 Deferred, $0 W-2 Megan Chavez - Paid by System - $39,065 Deferred, $0 W-2 Anish Ray - Paid by System - $50,517 Deferred, $0 W-2 Laura Copeland - Paid by System - $34,911 Deferred, $0 W-2 Aaron Wishon - Paid by System - $37,495 Deferred, $0 W-2 Natalie Wilkins - Paid by System - $37,639 Deferred, $0 W-2 Lorrainea Williams - Paid by System - $22,239 Deferred, $0 W-2 Stephen Eckert - Paid by System - $39,182 Deferred, $0 W-2 Kent Smith - Paid by System - $37,495 Deferred, $0 W-2 Gregory Jimerson - Paid by System - $36,463 Deferred, $0 W-2 Beth Schmidt - Paid by System - $37,493 Deferred, $0 W-2 Kathy McLean - Paid by System - $34,338 Deferred, $0 W-2 George Morris - Paid by System - $7,056 Deferred, $0 W-2 Lakami Bryant - Paid by System - $27,592 Deferred, $0 W-2 Myranda Miller - Paid by System - $29,122 Deferred, $0 W-2 Ashley Antipolo - Paid by System - $35,399 Deferred, $0 W-2 Matthew Carroll - Paid by CCPN - $46,626 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 RICK SORENSON, TRUSTEE 205297 WAGES/SALARIES false Form 990, Part III, Line 4b Part III, Line 4a Continued New Horizons Cook Children's Female Athlete program opened in Summer 2024 at the Multi-Specialty Clinic in Hurst to help keep girls at the top of their game. The program focuses on nutrition, mental health, injury prevention and injury treatment. Preteen and teenage athletes can receive individualized nutrition counseling based on their sport. Clinical evaluations look for stress fractures or other concerns. Also in FY24, Cook Children's Orthopedics and Sports Medicine Walsh Ranch opened an outdoor complex designed to help young athletes train for peak performance. The complex includes a 30-yard football field, quarter-mile track, pitching mound and an agility training area. The new facilities supplement a comprehensive array of orthopedic, rehabilitation and sports medicine offerings at the location. Education is a major focus -- teaching the connection between nutrition, conditioning, preparation, form and recovery to prevent injuries. Another sports-related event made headlines in 2024 when Cook Children's and professional golfer Tom Hoge announced a sponsorship agreement. Thanks to this multi-year partnership, fans can see the Cook Children's logo on Hoge's shirtsleeve as he competes on the PGA Tour. A new horizon in communication rolled out in September 2024 with the launch of a podcast called "Untold: The Stories of Cook Children's." The series focuses on tales of resilience and hope. The debut episode featured oncologist Chelsee Greer, D.O., who was treated for childhood cancer at Cook Children's and now leads the Neuroblastoma Program. 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 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; (6) Cook Children's Medical Center - Prosper, (7) Cook Children's Health Enterprises, (8) Child Study Center, and (9) 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 XI, Line 9 Other changes in net assets or fund balances TRANSFER BETWEEN AFFILIATES - -XXX-XX-XXXX; OTHER TRANSFERS/ADJUSTMENTS - -6238; Child Study Center 1300 West Lancaster Fort Worth TX 76102 751099536 Healthcare Services TX 501(c)(3) 7 CCMC 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 ROSEDALE OFFICE BUILDING 1500 W Rosedale Fort Worth TX 76102 460866421 TITLE HOLDING TX 501(c)(2) CCHF 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 - 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