Cook Children's
Legal name: Cook Children's Home Health
Nonprofit profile at a glance
- EIN
- 752896983
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Fort Worth, TX, USA
- Phone
- 682-885-4000
- Rating
- 70
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Home Health Care
Reported finances
- Revenue
- $83,368,206
- Expenses
- $81,354,819
- Assets
- $36,958,604
- Liabilities
- $18,876,348
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
23 people listed
Executive titles in this filing
- MICHAEL R SIMMONS (PRESIDENT & CFO)
- RICK W MERRILL (CEO)
Highest reported compensation
- RICK W MERRILL (CEO): $3,598,135 total reported compensation
- STEPHEN W KIMMEL (EVP, SYSTEM FINANCE - TREASURER): $1,896,559 total reported compensation
- JASON KENNEDY MD (TRUSTEE): $757,447 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Knowing every child's life is sacred, we promise to improve the well-being of every child in our care and our communities. Cook Children’s Health Care System and Celina ISD Announce Partnership to Support Growing Student Community** Celina, Texas - Cook Children’s Medical Center - Prosper and Celina Independent School District (ISD) are proud to announce a new pediatric health care partnership launching in the 2025-2026 school year. 5/8/2025. Any volunteer we allow to help you while you are in our care; and All Cook Children’s employees, staff and other personnel. The following entities within Cook Children’s Health Care System will follow these practices:.
What it reported doing in 2024
Cook children's home health (cchh) children and families throughout Texas rely on cook children's home health for in-home medical care and supplies including skilled nursing, respiratory therapy, physical therapy, occupational therapy, speech therapy, orthotics and prosthetics, custom mobility equipment, pharmaceutical infusion and specialty drug therapy. In fy25, cchh's five locations in fort worth, dallas, austin, houston and san antonio served more than 79,341 patients. Looking to the future, cchh continues to utilize ev and hybrid vehicles with the intent to environmentally balance its fleet. With this growing fleet of vehicles, cchh's warehouse delivery team traveled more than 1,271,229 miles to complete over 56,696 deliveries and shipments in fy25. The continued growth required expansion at both the dallas and austin locations. In fy25, home health's nursing and rehabilitation services logged more than 2,576 skilled nursing visits and more than 18,976 rehabilitative visits, either virtually or in person. Home health's nursing and rehabilitation services provide virtual visits when necessary to safely provide care for home-based patients. Similarly, cchh continues to deliver life-enhancing and life-sustaining durable medical equipment to patients' homes. Approximately 33,000 patients received durable medical equipment products and services in fy25. In addition, respiratory care services were provided to 162 homebound patients on ventilators. Home health continued to experience growth in the custom mobility equipment sector. As a result, cchh now has seven assistive technology professional positions and four technician positions to serve the patient population needs. Custom mobility performed over 1,140 equipment evaluations and delivered approximately 1,000 custom mobility devices in fy25. The houston office continues to experience rapid growth out pacing the growth rates of similar expansion sites. In fy25, the team members from the houston office traveled over 163,091 miles and made 3,459 patient visits and shipments to deliver care and equipment.
Operating model
- Revenue model
- Other-operating. 100% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 65
- Transparency & Controls: 71
- Accountability: 83
- Sustainability: 32
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 72%; rating input score 72
- Program expense ratio: 73.7%; rating input score 74
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 71.4%; rating input score 71; 22nd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 2.4%; rating input score 45; 45th percentile among comparable filings
- Total-asset coverage ratio: 0.45; rating input score 16; 16th percentile among comparable filings
- Liabilities to assets ratio: 0.51; rating input score 35; 35th percentile among comparable filings
- Officer compensation ratio: 5.5%; rating input score 14; 14th percentile among comparable filings
Growth
- Program expense growth: 4.3% per year; rating input score 100; 34th percentile among comparable filings
- Revenue growth: 5.1% per year; rating input score 100; 43rd percentile among comparable filings
- Asset growth: 7.4% per year; rating input score 100; 55th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 72% of revenue deployed · 73.7% of spending went to programs
- Governance: 5 of 7 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $60M in reported program spending
- Leadership: top reported pay $3.6M · 23 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $2M reported
- Consistency: 33 of 33 current checks pass
- Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: 24 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Moderate — Sustainability: Operating margin scored 45/100.
- High — Sustainability: Total-asset coverage ratio scored 16/100.
- High — Sustainability: Officer compensation ratio scored 14/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 35/100.