Cook Children's

Legal name: Cook Children's Medical Center - Prosper

Nonprofit profile at a glance

EIN
852354189
IRS 990 coverage
2020–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024, Form 990-N 2019
Location
Fort Worth, TX, USA
Phone
6828854000
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$137,006,842
Expenses
$165,878,477
Assets
$254,075,468
Liabilities
$364,097,378

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

32 people listed

Executive titles in this filing

  • RICK W MERRILL (CEO)
  • STANLEY E DAVIS (PRESIDENT)
  • KEVIN GREENE (PRESIDENT, PROSPER MEDICAL CENTER)

Highest reported compensation

  • RICK W MERRILL (CEO): $3,598,135 total reported compensation
  • JAMES C CUNNINGHAM MD (EVP, CMO - END 1/3/25): $2,266,219 total reported compensation
  • STEPHEN W KIMMEL (EVP, SYSTEM FINANCE): $1,896,559 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. photo promisereport janejustin intern eduardo Opening doors of opportunity From student to staff member. See how Jane Justin School interns are building career skills and focusing on their futures. Pediatric oncologist Chelsee Greer MD standing in front of Cook Children’s From childhood cancer to compassionate caregiver Dr. Chelsee Greer's path from patient to physician shaped her mission to help children with cancer overcome their health...

What it reported doing in 2024

Cook children's presence in prosper began in 2019 with the opening of an urgent care center and several primary care offices. As population growth accelerated across the northern sector of the metroplex, cook children's moved quickly to bring world-class, comprehensive pediatric care closer to home for the families in this rapidly expanding community. In 2020, the system expanded further with the opening of a medical office building and outpatient surgery center. That growth continued in 2023 with the opening of cook children's medical center - prosper, which added an emergency department, surgical and procedural floor, infusion center, outpatient imaging center, pediatric retail pharmacy, pediatric outpatient draw station for labs, pediatric icu, a medical/surgical unit and two floors of future shell space. (continued on schedule o)

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 86% 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

STRONG - 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: 81
  • Transparency & Controls: 76
  • Accountability: 100
  • Sustainability: 22
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.3%; rating input score 97
  • Program expense ratio: 80.3%; rating input score 80
  • 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: 100%; rating input score 100; 53rd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th 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: -21.1%; rating input score 4; 4th percentile among comparable filings
  • Total-asset coverage ratio: 1.53; rating input score 54; 54th percentile among comparable filings
  • Liabilities to assets ratio: 1.43; rating input score 3; 3rd percentile among comparable filings
  • Officer compensation ratio: 3.7%; rating input score 29; 29th percentile among comparable filings

Growth

  • Program expense growth: 54.8% per year; rating input score 100; 99th percentile among comparable filings
  • Revenue growth: 64.9% per year; rating input score 100; 99th percentile among comparable filings
  • Asset growth: 25% per year; rating input score 100; 96th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 97.3% of revenue deployed · 80.3% of spending went to programs
  • Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $133.2M in reported program spending
  • Leadership: top reported pay $3.6M · 32 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $16.7M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 5 filing years from 2020 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 filed money-flow records
  • Related organizations: 25 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.
  • High — Sustainability: Operating margin scored 4/100.
  • Review — Sustainability: Total-asset coverage ratio scored 54/100.
  • High — Sustainability: Liabilities to assets ratio scored 3/100.
  • High — Sustainability: Officer compensation ratio scored 29/100.