Cook Children's Medical Center (EIN 752051646) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1985

Legal Domicile

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.

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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%)

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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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

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

$12,801,132

Total Directors

Key Employees

$4,305,561

Highest Compensated

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

Cook Children's Medical Center