Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $12,099,488

• 1e · Government grants (contributions)

  $147,553

• 2a · Program service revenue: PATIENT SERVICES

  total $2,088,394,363 · related or exempt $2,088,394,363

• 2b · Program service revenue: OTHER OPERATING REVENUE

  total $140,452,082 · related or exempt $140,452,082

• 2c · Program service revenue: JOINT VENTURE REVENUE

  total $23,209,896 · related or exempt $23,209,896

• 2d · Program service revenue: LAB REFERRALS

  total $14,637 · unrelated business $14,637

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $949,450 · excluded $949,450

• 6a · Gross rents

  real property $1,653,336

• 6b · Less rental expenses

  real property $1,357,850

• 6c · Rental income or loss

  real property $295,486 · personal property $0

• 6d · Net rental income or loss

  total $295,486 · excluded $295,486

• 7a · Gross sales of assets other than inventory

  other assets $199,509

• 7b · Less cost or other basis and sales expenses

  other assets $68,838

• 7c · Gain or loss

  securities $0 · other assets $130,671

• 7d · Net gain or loss

  total $130,671 · excluded $130,671

• 11a · Other revenue: GAIN ON DEFEASANCE

  total $2,702,005 · related or exempt $2,702,005

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $2,702,005

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $110,112,991 · program services $110,112,991

• 2 · Grants to domestic individuals

  total $570,125 · program services $570,125

• 5 · Compensation of officers, directors and key employees

  total $11,278,336 · program services $2,178,497 · management and general $9,099,839

• 7 · Other salaries and wages

  total $429,794,299 · program services $413,727,553 · management and general $16,066,746

• 8 · Pension plan contributions

  total $22,290,766 · program services $21,174,832 · management and general $1,115,934

• 9 · Other employee benefits

  total $114,404,472 · program services $109,285,149 · management and general $5,119,323

• 10 · Payroll taxes

  total $32,207,467 · program services $30,667,127 · management and general $1,540,340

• 11a · Fees: management

  total $322,906,855 · management and general $322,906,855

• 11b · Fees: legal

  total $31,819 · management and general $31,819

• 11g · Fees: other

  total $54,319,672 · program services $46,082,156 · management and general $8,237,516 · fundraising $0

• 12 · Advertising and promotion

  total $123,294 · program services $118,294 · management and general $5,000

• 13 · Office expenses

  total $16,123,308 · program services $15,125,844 · management and general $997,464

• 16 · Occupancy

  total $10,567,320 · program services $7,466,783 · management and general $3,100,537

• 17 · Travel

  total $1,140,957 · program services $1,054,969 · management and general $85,988

• 19 · Conferences, conventions and meetings

  total $660,114 · program services $624,621 · management and general $35,493

• 20 · Interest

  total $47,187 · program services $30,288 · management and general $16,899

• 21 · Payments to affiliates

  total $1,956,235 · program services $1,956,235

• 22 · Depreciation, depletion and amortization

  total $66,789,871 · program services $50,909,771 · management and general $15,880,100

• 23 · Insurance

  total $6,153,250 · program services $6,153,250

• 24a · Other expenses: MEDICAL SUPPLIES

  total $230,692,780 · program services $230,692,780

• 24b · Other expenses: LPPF SUPPLEMENTAL PAYMENTS

  total $172,890,192 · program services $172,890,192

• 24c · Other expenses: PHYSICIAN REMUNERATION

  total $73,283,842 · program services $73,283,842

• 24d · Other expenses: MINOR/COMPUTER EQUIPMENT

  total $23,265,609 · program services $23,265,609

• 24e · All other expenses

  total $44,523,249 · program services $35,399,571 · management and general $9,123,678 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $16,486 · end of year $16,421

• 2 · Savings and temporary cash investments

  beginning of year $1,216,988,006 · end of year $1,844,701,567

• 4 · Accounts receivable

  beginning of year $320,616,591 · end of year $314,577,802

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $4,806,246 · end of year $3,508,282

• 8 · Inventories for sale or use

  beginning of year $20,825,319 · end of year $19,215,711

• 9 · Prepaid expenses and deferred charges

  beginning of year $574,843 · end of year $574,463

• 10a · Land, buildings and equipment: cost or other basis

  $1,555,802,062

• 10b · Land, buildings and equipment: accumulated depreciation

  $830,392,814

• 10c · Land, buildings and equipment, net

  beginning of year $677,505,071 · end of year $725,409,248

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $9,500,076 · end of year $9,267,686

• 14 · Intangible assets

  beginning of year $4,517,494 · end of year $3,762,495

• 15 · Other assets

  beginning of year $231,306,260 · end of year $506,831,387

• 17 · Accounts payable and accrued expenses

  beginning of year $130,863,370 · end of year $139,337,676

• 19 · Deferred revenue

  beginning of year $164,344 · end of year $181,161

• 20 · Tax-exempt bond liabilities

  beginning of year $457,651,530 · end of year $793,448,624

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $225,455,361 · end of year $291,579,101

• 27 · Net assets without donor restrictions

  beginning of year $1,672,521,787 · end of year $2,203,318,500

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS

GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: TOMMIE MOSS

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 SPECIFIC 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 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 WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

RICK W MERRILL - PAID BY SYSTEM - $366,668 DEFERRED, $NONE W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 W-2 JOSEPH GALLAGHER - PAID BY SYSTEM - $99,100 DEFERRED, $110,868 W-2 CORY R RHOADES - PAID BY SYSTEM - $96,735 DEFERRED, $103,601 W-2 SPENCER D SEALS - PAID BY SYSTEM - $39,192 DEFERRED, $45,938 W-2 STANLEY E. DAVIS - PAID BY CCMC - $653,100 DEFERRED, $85,949 W-2 JACK SOSEBEE - PAID BY CCMC - $63,733 DEFERRED, $44,974 W-2 CHERYL PETERSEN - PAID BY CCMC - $62,242 DEFERRED, $52,394 W-2 ELIA VALENCIA-STOKES - PAID BY CCMC - $42,350 DEFERRED, $NONE W-2 NATALIE WILKINS - PAID BY SYSTEM - $39,744 DEFERRED, $44,159 W-2 JONATHAN NEDRELOW - PAID BY SYSTEM - $81,644 DEFERRED, $NONE W-2 NICHOLAS MARKHAM - PAID BY CCMC - $29,835 DEFERRED, $NONE W-2 KEVIN GREENE - PAID BY PROSPER - $31,708 DEFERRED, $NONE W-2 ORLANDO CHAPA - PAID BY CCMC - $32,631 DEFERRED, $NONE W-2 DEBORAH BOUDREAUX - PAID BY CCMC - $32,378 DEFERRED, $NONE W-2 OZIOMA OLOWU - PAID BY CCMC - $17,214 DEFERRED, $NONE W-2 MEGAN CHAVEZ - PAID BY CCMC - $41,400 DEFERRED, $52,501 W-2 JAMES C CUNNINGHAM, MD - PAID BY SYSTEM - $847,163 DEFERRED, $NONE W-2 NANCY C. CYCHOL - PAID BY CCMC - $304,165 DEFERRED, $NONE 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

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CPS PEDIATRICS LLC

  RELATED · ASC · TX · 52.55% owned · share of income $114,804 · share of assets $112,121

  Directly controlled by NA

• COOK CHILDREN'S SURGERY CENTER

  RELATED · ASC · TX · 51% owned · share of income $12,695,488 · share of assets $3,915,557 · general or managing partner

  Directly controlled by NA

• CENTER FOR PEDIATRIC SURGERY

  RELATED · ASC · TX · 52.03% owned · share of income $11,362,282 · share of assets $13,405,583

  Directly controlled by NA

• CAFFEINATED CAPITAL PLAYGROUND SPV LLC

  N/A · INVESTMENTS · CO

  Directly controlled by NA

• CC TRUEACCORD SPV II LLC

  N/A · INVESTMENTS · CO

  Directly controlled by NA

• CAZ PARTNERS FUND LP- LIQUID INCOME PORTFOLIO

  N/A · INVESTMENTS · TX

  Directly controlled by NA

• GOFF FOCUSED ENERGY STRATEGIES LP

  N/A · INVESTMENTS · TX

  Directly controlled by NA

• HT STORK LP

  N/A · INVESTMENTS · NV

  Directly controlled by NA

• OBERWEIS INTERNATIONAL SELECT FUND LLC

  N/A · INVESTMENTS · IL

  Directly controlled by NA

• STEPSTONE VC HEALTHCARE I LP

  N/A · INVESTMENTS · MD

  Directly controlled by NA

• SAGAMORE HEALTHCARE I LP

  N/A · INVESTMENTS · MD

  Directly controlled by NA

• SCP OPPORTUNITY FUND LLC

  N/A · INVESTMENTS · CJ

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• COOK CHILDREN'S HEALTH SERVICES

  C CORPORATION · HEALTHCARE · TX · controlled entity

  Directly controlled by CCHCS

• COOK CHILDREN'S INDEMNITY COMPANY

  C CORPORATION · SELF INSURANCE · CJ · controlled entity

  Directly controlled by CCHCS

• SPLIT INTEREST TRUSTS (2)

  TRUST · SPLIT INTEREST TRUST · TX · controlled entity

  Directly controlled by NA

• LIVE LEARN URBAN FUND FEEDER LLC

  C CORPORATION · REAL ESTATE · TX · controlled entity

  Directly controlled by CCHF