Cook Children's Medical Center

EIN: 752051646 501(c)(3) Health Care

Fort Worth, TX

Total Revenue
$2,221,876,718
Total Expenses
$1,663,759,026
Total Assets
$2,486,656,392
Net Assets
$1,672,521,787
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Financial Trends

Organization Details

Formation Year
1985
Legal Domicile
TX
Phone
6828854000
Tax Period
2023-10-01 to 2024-09-30

Cook Children's Medical Center, founded in 1985, is a large national nonprofit in the Health Care sector that reported $2.2B in total revenue in fiscal year 2023. Revenue grew 16% year-over-year, indicating healthy expansion. The organization ran a surplus of $558.1M, a strong 25% operating margin.

Mission

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.

Program Service Accomplishments

Program 1
Expenses: $1,300,721,417 Revenue: $2,195,933,815

Cook Children's Medical Center (CCMC) - Fort Worth is the cornerstone of Cook Children's Health Care System. This 462-bed facility is home to top medical minds, advanced technologies, family-centered...

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Cook Children's Medical Center (CCMC) - Fort Worth is the cornerstone of Cook Children's Health Care System. This 462-bed facility is home to top medical minds, advanced technologies, family-centered treatments and leading-edge clinical research, all designed to fulfill the System's Promise to improve the health and well-being of every child in our care and our communities. It is one of only 10 freestanding children's hospitals in the world to achieve Magnet designation with three consecutive re-designations from the American Nursing Credentialing Center, most recently in 2021. Nationally recognized services such as the Level IV Neonatal Intensive Care Unit (NICU), the Jane and John Justin Institute for Mind Health, and the hematology and oncology center are leading the way in providing the highest level of care to families who travel from across Texas, the United States and internationally. From complicated surgeries and Level II trauma care to physical therapy and behavioral health services, CCMC - Fort Worth offers a variety of services and amenities to meet the unique needs of every patient and family. CCMC-- Fort Worth set a new census record in January 2024 with 101 babies in the NICU, a milestone that reflects the growth in demand for the hospital's services. Raising Awareness With the help of the Center for Community Health, led by Cook Children's, the System works to inform and educate the public on timely topics. In FY24, Cook Children's continued to build on a communications campaign for safe baby sleep. The effort began a year earlier when the Fort Worth medical center saw an alarming spike in sudden unexplained infant deaths (SUIDs). Through a series of articles on checkupnewsroom.org, Cook Children's raised awareness about the safest sleep environment for babies. Additional articles in FY24 highlighted the risks of weighted sleep sacks and blankets in the crib. Other messages for injury prevention in FY24 included the importance of car seats, reminders of summer pool safety, and awareness of bathtub safety. An article during Poison Prevention Week reported the growing number of young children treated in the Emergency Department (ED) for accidental marijuana ingestion. The Aim for Safety program at Cook Children's spreads awareness about proper storage of firearms, focusing on education to prevent accidental shootings in the home. In conjunction with leaders of the program, the city of Fort Worth and several other cities in North Texas declared August 2024 as Gun Safety Awareness Month. Surging cases of flu and respiratory illnesses strained the ED, pediatric offices and urgent care center several times in FY24. Cook Children's responded on social media and other outlets by asking for the community's help to limit the spread. Through articles, charts and videos, the communications team promoted tips to help families manage mild illness at home - and to recognize the more severe symptoms that warrant a trip to urgent care or the ED. Telehealth remains a critical resource for the hospital, especially during times of intense viral spread. Fiscal year 2024 virtual health visits totaled 82,365 across all of Cook Children's Health Care System, an increase of 42% from the previous year. Mental Well-Being The Raising Joy Podcast, an outgrowth of Cook Children's suicide prevention JOY Campaign, aired its 85th episode in June 2024. Topics in FY24 covered everything from coping with pet loss and holiday grief to prevention of teen drug and alcohol abuse. And during National Suicide Prevention Month in September 2024, Cook Children's targeted the stigma of taking prescription medication for anxiety, depression and other disorders. Experts from Cook Children's addressed the reasons that parents might hesitate to start their teens on psychiatric medication. The article included a graphic of mental health resources in English and Spanish. Collaborative Care CCMC - Fort Worth opened the Jane and John Justin Institute for Mind Health in October 2023. The Justin Institute brings together Cook Children's Jane and John Justin Neurosciences Center, Division of Behavioral Health and the Child Study Center under one roof to provide accessible, well-coordinated and comprehensive care for children with disorders affecting the nervous system. The Justin Institute displays an impressive collection of neuro art aimed at engaging the minds, senses and curiosity of visitors while creating a soothing ambiance. It's located in the recently expanded Dodson Specialty Clinics building, which also includes a retail pharmacy and sibling support center. November 2023 marked the 10-year anniversary of the NICU Early Support and Care Transition (NEST) Developmental Follow-Up Center. The NEST Clinic provides early intervention for babies born prematurely or those at risk for long-term challenges with hearing, seeing, talking, feeding, motor skills and intellectual development. Through age 5, the clinic connects patients with comprehensive assessments and care. Leading-Edge Research Cook Children's announced in May 2024 that four patients with a difficult-to-control form of epilepsy participated in trials for a medicine to improve seizure control and slow the progression of their disease. Cook Children's epileptologist M. Scott Perry, M.D. was the lead investigator for the SWALLOWTAIL trial, which studied the safety and tolerability of the drug. Participants treated with the RNA-based medicine experienced fewer convulsive seizures and showed improvement in other conditions. And for the first time in its history, CCMC - Fort Worth received a $2.3 million research project grant from the National Institute of Neurological Disorders and Stroke of the National Institutes of Health (NIH). The grant was awarded for a study led by Christos Papadelis, Ph.D., director of the Neurosciences Research Cener, to identify the origin point of seizures in children with drug-resistant epilepsy. The R01 grant is the most prestigious and competitive award given by the NIH. Thanks to another research study underway, patients with sickle cell disease (SCD) have hope for a life-changing genetic therapy. The first patient at Cook Children's received the treatment in January 2024 when he received an infusion of his own edited stem cells. Those edited stem cells began producing healthier blood, stopping the patient's episodes of pain and frequent hospitalization. CCMC - Fort Worth was the only pediatric site in Texas selected for this trial. High Expectations U.S. News & World Report in October 2024 ranked seven Cook Children's specialties among the top 50 in the nation for pediatrics. Ranked specialties were Behavioral Health, Neurology and Neurosurgery, Diabetes and Endocrinology, Orthopedics, Pulmonology and Lung Surgery, Cardiology and Heart Surgery, and Cancer. Also in 2024, the Pediatric Intensive Care Unit was presented with the Silver Beacon Award for Excellence by the American Association of Critical-Care Nurses. Cook Children's continually pursues quality and safety. That commitment to excellence was reflected in the 87% lihood to recommend" score for patient experience in FY24. Eligible employees were awarded a CareShare bonus for exceeding the goal. Our then director of the Heart Center at the medical center was named to the 2024 Dallas/Fort Worth Great 100 Nurses list. Honorees are nominated by their nursing peers for their example as leaders, role models and compassionate caregivers.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $22,942,471
Program Service Revenue $2,195,940,423
Investment Income $2,770,914
Other Revenue $222,910
TOTAL REVENUE $2,221,876,718

Expense Breakdown

Grants Paid $100,455,428
Salaries & Benefits $574,668,377
Fundraising Expenses $0
Program Expenses $1,300,721,417
Other Expenses $988,635,221
TOTAL EXPENSES $1,663,759,026

Year-over-Year Comparison

2023 2022 Change
Revenue $2,221,876,718 $1,922,710,388 +0.2%
Expenses $1,663,759,026 $1,521,897,393 +0.1%
Net Income $558,117,692 $400,812,995 +0.4%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
13
Independent Members
13
Employees
6009
Volunteers
723

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
15
$12,801,132
Total Directors
16
$0
Key Employees
10
$4,305,561
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
Andrew S Wayne Trustee - Vice Chairman 2.0
Officer Director
$0 $0 $0
Anne M Carvalho Trustee - Vice Chairman END 5/31/24 2.0
Officer Director
$0 $0 $0
John P Boswell Trustee - Chairman 2.0
Officer Director
$0 $0 $0
Ryan B Dickerson Trustee - Sec/Treasurer 2.0
Officer Director
$0 $0 $0
Bonnie Petsche Trustee 1.0
Director
$0 $0 $0
Edwin S Ryan Trustee 1.0
Director
$0 $0 $0
Frank A Anderson Trustee END 5/31/24 1.0
Director
$0 $0 $0
Judge Jeffrey L Cureton Trustee 1.0
Director
$0 $0 $0
Laura Miller Trustee 1.0
Director
$0 $0 $0
Leah M King Trustee 1.0
Director
$0 $0 $0
Michael A LaGatta Trustee 1.0
Director
$0 $0 $0
Na'im R Moses Trustee START 6/1/24 1.0
Director
$0 $0 $0
Peggy L Cassidy Trustee 1.0
Director
$0 $0 $0
Robert J Batton Trustee END 5/31/24 1.0
Director
$0 $0 $0
Thomas Breckinridge Ray Trustee 1.0
Director
$0 $0 $0
Wally Jones Trustee 1.0
Director
$0 $0 $0
Cory R Rhoades Chief Financial Officer 1.0
Officer
$0 $136,241 $1,002,449
James C Cunningham MD EVP, CMO 1.0
Officer
$0 $105,747 $1,328,523
Jonathan Nedrelow MD Associate Chief Medical Officer 1.0
Officer
$0 $101,172 $738,051
Joseph M Gallagher Sr. VP, Chief Legal Officer 1.0
Officer
$0 $138,911 $1,022,881
Mary Cara Martz Secretary 1.0
Officer
$0 $21,095 $205,002
Nancy C Cychol President/Chief Hospital Services 40.0
Officer
$781,360 $107,119 $1,309,211
Rick W Merrill CEO 10.0
Officer
$688,861 $550,074 $3,305,517
Spencer D Seals VP Construction & Real Estate 1.0
Officer
$0 $84,754 $488,249
Stanley E Davis Sr. VP, Chief Operating Officer 40.0
Officer
$929,105 $145,429 $1,074,534
Stephen W Kimmel EVP, SYS FINANCE 14.0
Officer
$438,365 $175,382 $1,393,062
Theresa Z Meadows Sr. VP, Chief Information Officer 1.0
Officer
$0 $86,011 $933,653
Aldrena Head Assistant VP 40.0
Key Emp
$216,081 $38,458 $254,539
Cheryl Petersen VP Nursing, CNO 40.0
Key Emp
$506,442 $104,368 $610,810
Deborah Boudreaux AVP Nursing 40.0
Key Emp
$362,907 $59,245 $422,152
Elia Valencia-Stokes VP Finance 40.0
Key Emp
$439,412 $83,552 $522,964
Jack Sosebee Vice president 40.0
Key Emp
$518,020 $90,963 $608,983
Natalie Wilkins VP, Operations 40.0
Key Emp
$418,938 $64,453 $483,391
Nicholas Markham AVP Facilities/Campus Svcs 40.0
Key Emp
$281,210 $54,417 $335,627
Orlando Chapa AVP, Nursing 40.0
Key Emp
$363,753 $65,233 $428,986
Ozioma Olowu Chief Pharmacy Officer 40.0
Key Emp
$289,131 $38,473 $327,604
Tammy Thomlison AVP Revenue 40.0
Key Emp
$290,252 $20,253 $310,505
Eric Nimely Respiratory Therapist 40.0
Highest
$242,240 $35,923 $278,163
Jessica Sibr Pharmacist 40.0
Highest
$243,768 $34,081 $277,849
Tammy Elizondo Program Coordinator 40.0
Highest
$236,975 $25,813 $262,788
Tommie Moss Pharmacist 40.0
Highest
$236,811 $42,558 $279,369
Toni Smith Night/Weekend Administrator 40.0
Highest
$222,518 $28,224 $250,742
Kevin Greene VP, Prosper Medical Center 0.0
$0 $62,629 $362,023
Matthew Carroll MD FORMER VP, Assoc Chief Quality Officer 1.0
$0 $89,690 $592,441
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $2,221,876,718 $1,663,759,026 $2,486,656,392 $558,117,692
2023 $1,922,710,388 $1,521,897,393 $1,909,959,519 $400,812,995
2022 $1,772,072,835 $1,350,787,048 $1,720,011,003 $421,285,787
2021 $1,513,660,147 $1,155,105,021 $1,871,901,068 $358,555,126
2020 $1,312,743,878 $1,075,441,684 $1,804,052,601 $237,302,194
2019 $1,193,947,458 $981,175,755 $1,426,284,240 $212,771,703
2018 $1,090,922,156 $913,301,081 $1,200,788,157 $177,621,075
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