2025-08-13T15:13:47+00:00 2024-09-30 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2023-10-01 842625990 Cook Children's Health Enterprises COOK 6828854000 801 Seventh Avenue Fort Worth TX 76104 Rick W Merrill Rick W. Merrill 2025-08-13 true Kristen Hankins P01256574 3142315544 2025-08-13 2023 2025-03-06 01:10:19Z Rick W Merrill 801 Seventh Avenue Fort Worth TX 76104 8410302 false X WWW.COOKCHILDRENS.ORG X 2019 TX THROUGH ITS ACQUISITION AND OWNERSHIP OF AIRCRAFT WILL SUPPORT THE PROVISION OF PEDIATRIC HEALTH CARE SERVICES ACROSS THE STATE OF TEXAS. 3 2 0 2 0 0 0 0 7340145 8410302 0 0 0 0 7340145 8410302 0 0 0 0 0 0 0 0 0 7377384 8202202 7377384 8202202 -37239 208100 7556433 6457808 7915306 6608581 -358873 -150773 THE CORPORATION, THROUGH ITS ACQUISITION AND OWNERSHIP OF AIRCRAFT, SUPPORTS THE PROVISION OF PEDIATRIC HEALTH CARE SERVICES ACROSS THE STATE OF TEXAS BY HEALTH CARE PROVIDERS AND PERSONNEL ASSOCIATED WITH COOK CHILDREN'S. false false 8188430 0 8410302 THE PRINCIPAL ACTIVITY OF THE CORPORATION IS TO ACQUIRE AND OWN ONE OR MORE AIRCRAFT FOR THE SOLE PURPOSE OF FURTHERING THE PROVISION OF HEALTH CARE SERVICES BY COOK CHILDREN'S HEALTH CARE SYSTEM, INCLUDING THE PROVISION OF HEALTH CARE SERVICES IN RURAL AREAS OF THE STATE OF TEXAS BY HEALTH CARE PROVIDERS AND PERSONNEL ASSOCIATED WITH COOK CHILDREN'S HEALTH CARE SYSTEM AND ITS AFFILIATES (COOK CHILDREN'S). 8188430 true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 2 0 true 0 false false false false false false false false false false false false X 3 2 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 R Russell Morton Trustee - Chairman 2.0 6.0 X X 0 0 0 Rick Sorenson Trustee - Vice Chairman 2.0 5.0 X X 0 0 0 Stephen W Kimmel EVP, SYS FINANCE/Trustee 1.0 40.0 X X 0 1217680 175382 Jack Sosebee Vice President 1.0 40.0 X 0 518020 90963 Mary Cara Martz Secretary 1.0 40.0 X 0 183907 21095 Rick W Merrill President & CEO 1.0 40.0 X 0 2755443 550074 0 4675050 837514 0 false true false Metro Aviation Inc PO BOX 7008 Shreveport LA 711377008 aviation services 4968506 Texas Jet Inc 200 TEXAS WAY Fort Worth TX 76106 aviation services 628854 Multi Service Aviation PO BOX 952875 St Louis MO 631952875 aviation services 583365 Textron Aviation 23260 NETWORK PLACE Chicago IL 606731232 maintenance 459700 One Call Medical Transports 3815 E MAIN ST St Charles IL 60174 medical transportation 359665 6 0 TRANSPORTATION FEES 485000 8410302 8410302 0 0 0 0 8410302 0 0 0 0 0 0 0 0 0 8410302 8410302 0 0 X 0 0 11759 11759 2269437 2269437 0 0 16260 16260 1209638 1209638 299481 299481 TEDDY BEAR AIR 4117304 4117304 REPAIRS & MAINTENANCE 252016 251526 490 DUES & SUBSCRIPTIONS 12538 12538 FEDERAL TAX 12165 12165 1604 81 1523 0 8202202 8188430 13772 0 0 0 0 17741241 12111450 5929271 5629791 0 0 1627162 828017 7556433 6457808 6440617 6261115 0 1474689 347466 7915306 6608581 X -358873 -150773 -358873 -150773 7556433 6457808 208100 0 X false true X true false X X X 1 WI COOK FOUNDATION 752051649 7 true 8188430 0 1 8188430 0 true false false false false false false false false false false false false false false true 17741241 12111450 5629791 5629791 INTERCOMPANY RECEIVABLES 828017 828017 INTERCOMPANY PAYABLES 347466 347466 8410302 0 0 8410302 0 0 8410302 8202202 0 0 8202202 0 0 8202202 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. false true false false false false false false false Stephen W Kimmel EVP, SYS FINANCE/Trustee 0 724153 0 348741 0 144786 0 154581 0 20801 0 1393062 0 106897 Mary Cara Martz Secretary 0 142535 0 35260 0 6112 0 8934 0 12161 0 205002 0 0 Rick W Merrill President & CEO 0 1464049 0 876600 0 414794 0 524397 0 25677 0 3305517 0 0 Jack Sosebee Vice President 0 348978 0 155047 0 13995 0 79929 0 11034 0 608983 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY WRITTEN EMPLOYMENT CONTRACT APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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 Jack Sosebee - Paid by CCMC - $55,179 Deferred, $0 W-2 Form 990, Part VI, Line 2 Family/business relationships amongst interested persons VARIOUS OFFICERS & TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT OR BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A FORM 990 QUESTIONNAIRE/CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION ARE PROVIDED TO THE SYSTEM AUDIT COMMITTEE FOR REVIEW AND FOLLOW-UP. FURTHER, THE AUDIT COMMITTEE OF COOK CHILDREN'S HEALTH CARE SYSTEM IS RESPONSIBLE FOR MONITORING THE IMPLEMENTATION AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF 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 IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 2269437, Program Service Expense: 2269437, Management and General Expenses: , Fundraising Expenses: ; 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 WI COOK FOUNDATION dba Cook Children's Health Foundation 801 Seventh Ave Fort Worth TX 76104 752051649 Fundraising TX 501(c)(3) 7 NA false COOK CHILDREN'S MEDICAL CENTER 801 Seventh Ave Fort Worth TX 76104 752051646 Hospital TX 501(c)(3) 3 CCHCS true COOK CHILDREN'S HOME HEALTH 801 Seventh Ave Fort Worth TX 76104 752896983 Healthcare TX 501(c)(3) 10 CCHCS true COOK CHILDREN'S HEALTH PLAN 801 Seventh Ave Fort Worth TX 76104 760585240 Insurance TX 501(c)(3) 10 CCHCS true CHILD STUDY CENTER 1300 West Lancaster Fort Worth TX 76102 751099536 Healthcare SERVICES TX 501(c)(3) 7 CCMC true ROSEDALE OFFICE BUILDING 1500 W ROSEDALE Fort Worth TX 76104 460866421 TITLE HOLDING TX 501(c)(2) CCHF 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 NA N/A SCP OPPORTUNITY FUND 56A Boat Quay SN 049845 981647424 Investments SN NA N/A SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262821679 Investments MD NA N/A Oberweis International Select Fund LLC 3333 Warrenville Road Ste 500 Lisle IL 60532 842094004 Investments IL NA N/A HT STORK LP 120 STATE ROUTE 28 UNIT 9 Crystal Bay NV 89402 881770748 Investments NV NA N/A CC TRUEACCORD SPV II LLC 520 E COOPER AVE 2ND FL STE C-7 Aspen CO 81611 822997101 Investments CO NA N/A STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS MD 21117 262423493 Investments MD NA N/A GOFF FOCUSED ENERGY STRATEGIES LP 500 COMMERCE ST SUITE 700 FORT WORTH TX 76102 822764240 INVESTMENTS 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 CCHCS C Corporation true CHARITABLE REMAINDER TRUSTS (2) SPLIT INT TRUST TX NA Trust true false false false false false false false false false false false true true true true false false false false COOK CHILDREN'S MEDICAL CENTER N 6804402 FMV COOK CHILDREN'S PHYSICIAN NETWORK N 1605900 FMV