Cook Childrens Health Care System is a 501(c)(3) organization based in Fort Worth, Texas, registered in 1999, with $451,884,730 in FY2023 revenue. CharityIndex grades it A, and it directs about 85% of spending to programs.
Revenue (FY2023)
$451.9M
▲ 27.0% vs prior year
Health median: $840K
Expenses (FY2023)
$385.8M
Net assets
$626.9M
Employees
1,003
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Cook Childrens Health Care System: 85% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Cook Childrens Health Care System: 20 mo reserves · +15% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Cook Childrens Health Care System: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Cook Childrens Health Care System: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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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.
Revenue grew from $138.2M (FY2013) to $451.9M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
14.6%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$1.7B
Total liabilities
$1.0B
Net assets
$626.9M
Salaries & benefits
$112.1M
29% of expenses
Board members
22
16 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $451,884,730▲27.0% | $385,781,639▲15.6% | $626,945,227▼16.1% | $1,670,408,998▲21.5% | 990 |
| 2022 | $355,870,053▲10.7% | $333,757,683▲15.9% | $747,255,585▲7.4% | $1,374,999,166▲52.6% | 990 |
| 2021 | $321,528,471▲14.0% | $287,902,910▲6.9% | $695,833,086▲147% | $900,758,978▲62.8% | 990 |
| 2020 | $282,162,573▲9.9% | $269,251,745▲0.9% | $281,145,685▲2.9% | $553,188,226▼2.3% | 990 |
| 2019 | $256,780,292▲11.4% | $266,874,615▲17.3% | $273,282,148▼1.4% | $566,258,574▲20.3% | 990 |
| 2018 | $230,554,722▲18.5% | $227,555,675▲2.4% | $277,093,079▲4.2% | $470,709,212▲7.9% | 990 |
| 2017 | $194,594,753▲9.4% | $222,153,798▲31.0% | $265,975,041▼9.4% | $436,259,628▲25.8% | 990 |
| 2016 | $177,821,417▲7.0% | $169,549,214▲14.3% | $293,611,803▲2.5% | $346,897,985▲3.6% | 990 |
| 2015 | $166,250,148▲18.3% | $148,305,679▲7.0% | $286,352,319▲87.3% | $334,995,116▲74.8% | 990 |
| 2014 | $140,554,738▲1.7% | $138,552,909▲14.2% | $152,881,886▲114% | $191,607,529▲63.4% | 990 |
| 2013 | $138,241,558 | $121,313,847▲0.1% | $71,369,378▲5.6% | $117,298,603▲8.1% | 990 |
| 2012 | — | $121,236,504▲11.1% | $67,567,035▲18.2% | $108,528,577▲19.3% | 990 |
| 2011 | — | $109,136,211▲14.3% | $57,186,454▲14.6% | $90,956,423▲19.1% | 990 |
| 2010 | — | $95,457,285▲6.6% | $49,920,726▼88.1% | $76,398,015▼82.8% | 990 |
| 2009 | — | $89,564,224 | $418,373,772 | $444,792,606 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: James C Cunningham Md — $1,222,776 (0.32% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| James C Cunningham Md | Evp, Cmo | 40 | $1,222,776 |
| Keith Holtz | Chief Administration Officer | 40 | $1,217,707 |
| Joseph M Gallagher | Svp, Chief Legal Officer | 40 | $883,970 |
| Cory R Rhoades | Chief Financial Officer | 40 | $866,208 |
| Theresa Z Meadows | Svp, Chief Information Officer | 40 | $847,642 |
| Eric Hubli | Chief Effectiveness Officer | 40 | $845,495 |
| Rick W Merrill | President & Ceo | 12 | $826,633 |
| Joann Sanders | Chief Quality Officer | 40 | $806,430 |
| Anish Ray | Medical Director | 40 | $642,648 |
| Robert Feather | Svp, Public Policy | 40 | $642,485 |
| Jonathan Nedrelow Md | Associate Chief Medical Officer | 40 | $636,879 |
| Christian Pedigo | Vp, Sys Planning & Health Analytics | 40 | $624,067 |
| Winifred King | Svp Chief Comm & Dei Officer | 40 | $569,256 |
| Karen Wardell | Associate General Counsel | 40 | $531,631 |
| Matthew Carroll Md | Vp, Assoc Chief Quality Officer | 40 | $502,751 |
| Stephen Eckert | Vp, Info Systems/cto | 40 | $428,789 |
| Megan Chavez | Vp Patient & Family Experience | 40 | $419,181 |
| Beth Schmidt | Vp, Human Resources | 40 | $419,170 |
| Aaron Wishon | Vp, Chief Info Security Officer | 40 | $415,995 |
| Kent Smith | Vp, Compliance | 40 | $411,866 |
| Contractor | Services | Paid |
|---|---|---|
| Workday Inc | Hardware/software Services | $4,066,996 |
| Three Link Solutions | Contract Services | $3,662,069 |
| Resourcing Hq LLC | Contract Services | $2,552,842 |
| Linbeck Group LLC | Project Related Professional Services | $2,315,120 |
| Kudelski Security | Hardware/software Services | $1,965,418 |
18 grants to Cook Childrens Health Care System totaling $21.4M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| W I Cook Foundation Inc | Financial assistance | 2023 | $4,076,156 |
| Cornell University | Research | 2023 | $8,000 |
| W I Cook Foundation Inc | Financial assistance | 2022 | $2,394,195 |
| American Online Giving Foundation Inc | General support | 2022 | $9,597 |
| Cornell University | Research | 2022 | $7,000 |
| W I Cook Foundation Inc | Financial assistance | 2021 | $2,267,654 |
| American Online Giving Foundation Inc | General support | 2021 | $10,850 |
| Cornell University | Research | 2021 | $7,000 |
| W I Cook Foundation Inc | Financial assistance | 2020 | $1,992,952 |
| American Online Giving Foundation Inc | General support | 2020 | $8,224 |
| American Online Giving Foundation Inc | General support | 2020 | $8,224 |
| W I Cook Foundation Inc | Financial assistance | 2019 | $5,919,869 |
| American Online Giving Foundation Inc | General support | 2019 | $12,309 |
| W I Cook Foundation Inc | Financial assistance | 2018 | $1,302,671 |
| W I Cook Foundation Inc | Financial assistance | 2017 | $807,159 |
6 grants totaling $799K in FY2023. All grants made by Cook Childrens Health Care System →
| Recipient | Purpose | Amount |
|---|---|---|
| Cook Childrens Physician Network | General support | $417,880 |
| Cook Childrens Medical Center | General support | $257,448 |
| All Saints Episcopal School of Fort Worth | General support | $100,000 |
| Leukemiatexas Inc | General support | $10,000 |
| Covenant Health System Foundation | General support | $7,500 |
| Crohns & Colitis Foundation Inc | General support | $6,500 |
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Data for Cook Childrens Health Care System (EIN 75-2705881) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.