COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202442279349300429
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T09:29:10+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 Dallas Parkway Suite 1100	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752705881	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Cook Children's Health Care System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COOK	BusinessNameControlTxt
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICK W MERRILL	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	6828854000	PhoneNum
Signature	2024-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J ENGLE	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	9727028262	PhoneNum
Preparation	2024-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICK W MERRILL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$520,371,418	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COOKCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED IT IS OUR PROMISE TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	957	TotalEmployeeCnt
Total Volunteers	23	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,317,126	PYContributionsGrantsAmt
CY Contributions Grants	$3,598,056	CYContributionsGrantsAmt
PY Program Service Revenue	$312,266,654	PYProgramServiceRevenueAmt
CY Program Service Revenue	$343,474,536	CYProgramServiceRevenueAmt
PY Investment Income	$5,618,720	PYInvestmentIncomeAmt
CY Investment Income	$8,487,698	CYInvestmentIncomeAmt
PY Other Revenue	$325,971	PYOtherRevenueAmt
CY Other Revenue	$309,763	CYOtherRevenueAmt
PY Total Revenue	$321,528,471	PYTotalRevenueAmt
CY Total Revenue	$355,870,053	CYTotalRevenueAmt
PY Grants And Similar Paid	$83,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$97,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$70,310,260	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,120,910	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$217,509,050	PYOtherExpensesAmt
CY Other Expenses	$241,539,273	CYOtherExpensesAmt
PY Total Expenses	$287,902,910	PYTotalExpensesAmt
CY Total Expenses	$333,757,683	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,625,561	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,112,370	CYRevenuesLessExpensesAmt
Total Assets BOY	$900,758,978	TotalAssetsBOYAmt
Total Assets EOY	$1,374,999,166	TotalAssetsEOYAmt
Total Liabilities BOY	$204,925,892	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$627,743,581	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$695,833,086	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$747,255,585	NetAssetsOrFundBalancesEOYAmt
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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$287,528,463	ExpenseAmt
Grant	$97,500	GrantAmt
Revenue	$343,784,299	RevenueAmt
Desc	Cook Children's is more than a health care system: we strive to be an extension of your family, growing with your child from their first steps to adulthood. By collaborating to deliver on our Promise-to improve the well-being of every child in our care and our communities, we connect the dots for our patients. Between primary and specialty. Between home and medical home. Between short-term care and long-term health. Based in Fort Worth, Texas, we're 8,000+ dedicated team members strong, passionately caring for over 1.5 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers, two surgery centers, a physician network, home health services and a health plan. It also includes the Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. Seventy five primary, specialty and urgent care locations provide numerous access points to life-saving pediatric care that's family-centered and built on leading technology, collaboration, safety and a best-in-class patient experience. And our impact extends beyond the borders of Texas. We proudly treat children from virtually every state in the nation and 32 countries. By seeing the world through the eyes of children and their families from all backgrounds, we're able to shape health care suited to them: connected by kindness, imagination and respect-with an extra dose of magical wonder. New Look. Same Legacy. In October 2022, after years in the making, Cook Children's unveiled a new culture platform and updated company branding to reflect that culture. In a statement to employees during a celebration of the culture and branding launch, Cook Children's president and CEO, Rick W. Merrill, said: "Today is a time to cherish our past and look ahead to our future. And we do that with a refreshed identity that serves as a reminder of who we are on our best day." Cook Children's culture platform is built on six core values: kindness, collaboration, imagination, generosity, respect and safety. These values connect Cook Children's to a simple Promise, or what the System calls its Pinky Promise, of "everything for the child." Together, these values and Promise connect the dots between the care Cook Children's is known for and the patient and employee experience it strives for throughout all of Cook Children's companies. In the year since, employees have embraced the culture platform and core values. They are integrated into decision making and action at every level of the organization. The result is a workplace where people feel like family and an organization where patients and visitors experience the core values that create moments of magic throughout their stay. Community Needs Spur System Growth As the population increases, Cook Children's continues to expand its services to meet the needs of children and families living in those areas. Most notably is an expansion into the rapidly growing Prosper, Texas, and surrounding areas. In January 2023, the new Cook Children's Medical Center - Prosper opened its doors. It is the first hospital Cook Children's has built outside of its flagship medical campus in Fort Worth and brings world-class medical care out of the city center to families living on the northeast side of the Dallas/Fort Worth Metroplex, East Texas, and all the way up to the Red River and beyond. In March 2023, Cook Children's completed a renovation and expansion of the Dodson Specialty Clinics building. The expansion allowed for the centralization of 40 specialty clinics into one location in order to support a more seamless experience for children who receive care from multiple specialties. Having added 240,000 square-feet of new building and 75,000 square-feet of renovated space, the project made way for the new Jane and Justin Institute of Mind Health, which brings together Cook Children's Jane and John Justin Neurosciences Center, Cook Children's Division of Behavioral Health and the Child Study Center under one collaborative roof to provide easily accessible, well-coordinated and comprehensive care for children with disorders affecting the nervous system. It also allowed for the addition of a new retail pharmacy, as well as the Panda Cares Center of Hope Sibling Support Center where siblings of medically complex patients can play, create and connect with other children while their brother or sister attends their specialty appointments. In April 2023, the system announced a first-of-its-kind partnership between Cook Children's and JPS Health Network to bring critical health care services to the traditionally underserved children and families living in Fort Worth's Las Vegas Trail (LVT) area. The future Las Vegas Trail Neighborhood Health Center, located on 3.7 donated acres at the corner of Calmont Avenue and Cherry Lane in west Fort Worth, will be home to various pediatric and adult medical and social services as well as a Fort Worth Police storefront. The two-story, 40,000-square-foot center will open in late 2025. The addition is another step in the vision of city leaders, local nonprofits and health care partners to transform Fort Worth's struggling LVT neighborhood into a safe, healthy community with vital resources that support residents' ability to live, work and play. The neighborhood health center will provide primary health care services for the LVT community and surrounding area, plus much more, thanks to partnerships between the City of Fort Worth, Tarrant County College, LVTRise, WestAid Community Resources, JPS Health Network and Cook Children's. While Cook Children's will provide primary pediatric care, JPS Health Network will offer adult medical services just across the hall. Although both health networks have been Tarrant County mainstays for well over 100 years, this is the first time the two have partnered to offer comprehensive health services in one facility. Building a Strong, Healthy and Diverse Workforce In keeping with its culture to embrace togetherness and see the world through the eyes of others, Cook Children's Health Care System launched its new Employee Resource Groups (ERG) program in 2023. Employee Resource Groups are special clubs where employees who share common interests and experiences can come together to make the workplace even better. It's a way for all employees to learn from each other and grow as a Cook Children's family. There are currently four ERGs with plans to add more. They include Black/African American (BAA+); Latinos Engaging, Advancing, Developing & Supporting (L.E.A.D.S.+); Pride+ (LGBTQ+); and Veterans+. ERGs are open to anyone who wants to join, whether an individual is a part of that specific group or not. Everyone is welcome! To help prevent suicide within its own work family, in fall 2023, Cook Children's began offering an evidence-based suicide prevention training that teaches staff how to engage, interpret, and respond to peers experiencing suicidal ideations. It's called Question, Persuade, Refer Training, or QPR for short. QPR teaches three steps that anyone can take to help save a life from suicide. Mental health and suicide can be challenging topics to address with colleagues. It is important to reduce the stigma that surrounds suicide and self-harm, and instead normalize these conversations. QPR training was introduced first to employees at Cook Children's Medical Center-Fort Worth, and will expand to additional locations in 2024. Award Winning Performance For more than 105 years, Cook Children's has worked to combine the art of caring with life-saving pediatric interventions that are family-centered and built on leading technology, collaboration and a best-in-class patient experience. This has earned the System a strong, far-reaching reputation-one for which it continually receives recognition for outstanding efforts and outcomes in pediatric health care. For FY23, eligible employees were awarded a Care Share bonus for reaching the lihood to recommend" patient experience goal of 86%. Cook Children's named its Great 10 Nurses at a special ceremony in May 2023. These nurses represent excellence in the art and science of nursing. Each winner has shown themselves to be role models, leaders, community servants, compassionate caregivers, and significant contributors to the nursing profession. Cook Children's Public Relations and Internal Communications team brought home a total of nine awards for its work in keeping employees and the community informed and engaged, including seven coveted Worthy Awards from the Greater Fort Worth Public Relations Society of America. In 2023, Cook Children's was ranked the Second Healthiest Employer in Texas serving 5,000 to 9,999 employees. Healthiest Employers is an award program that recognizes and celebrates organizations focused on taking a proactive approach to improving their employees' health and well-being.	Desc
Total Program Service Expenses	$287,528,463	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	193	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	957	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORY RHOADES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (63 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alice W Phillips MD
Trustee - VICE CHAIRMAN END 05/23	2.0	42.0	Yes (X)	Yes (X)	$0	$377,964	$40,360
Brian C Crumley
Trustee -Sec/Treasurer END 05/23	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Andrew J Rosell
Trustee END 05/23	1.0	3.0	Yes (X)		$0	$0	$0
Anne M Carvalho
Trustee	1.0	5.0	Yes (X)		$0	$0	$0
Anthony Anani MD
Trustee	1.0	42.0	Yes (X)		$0	$480,665	$14,087
Belen M Garren
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Brian C Newby
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Chandra Reynolds MD
Trustee START 06/23	1.0	0	Yes (X)		$780,892	$0	$55,944
Daphne Shaw MD
Trustee	1.0	42.0	Yes (X)		$0	$357,440	$16,554
Deborah Schutte MD
Trustee	1.0	42.0	Yes (X)		$0	$632,640	$61,055
Frost R Prioleau
Trustee START 06/23	1.0	2.0	Yes (X)		$0	$0	$0
Gavin Fine MD
Trustee END 05/23	1.0	40.0	Yes (X)		$0	$752,091	$54,872
Jason V Terk MD
Trustee START 06/23	1.0	42.0	Yes (X)		$0	$339,768	$43,488
Jerry R Conatser
Trustee	1.0	6.0	Yes (X)		$0	$0	$0
John P Boswell
Trustee	1.0	4.0	Yes (X)		$0	$0	$0
Julee S Morrow MD
Trustee END 05/23	1.0	43.0	Yes (X)		$0	$356,943	$22,294
Kara Starnes DO
Trustee START 06/23	1.0	42.0	Yes (X)		$0	$363,110	$39,878
Karl Biggs
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Lane Lanier MD
Trustee	1.0	40.0	Yes (X)		$0	$584,441	$52,524
Michael R Dike
Trustee	1.0	3.0	Yes (X)		$0	$0	$0
Peter L Philpott
Trustee	1.0	6.0	Yes (X)		$0	$0	$0
R Russell Morton
Trustee	1.0	6.0	Yes (X)		$0	$0	$0
Rachel R Werner
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Richard W Dyess
Trustee END 05/23	1.0	3.0	Yes (X)		$0	$0	$0
Rick Sorenson
Trustee START 06/23	1.0	6.0	Yes (X)		$0	$0	$0
Robert Gillespie MD
Trustee	1.0	0	Yes (X)		$0	$0	$0
Robert J Batton
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Sara Y Garza MD
Trustee END 05/23	40.0	0	Yes (X)		$276,779	$0	$36,748
Smita Ranade MD
Trustee START 06/23	40.0	0	Yes (X)		$367,235	$0	$21,384
Cory R Rhoades
Chief Financial Officer	40.0	5.0		Yes (X)	$774,430	$0	$138,551
James C Cunningham MD
EVP, CHIEF MEDICAL OFFICER	40.0	2.0		Yes (X)	$1,109,667	$0	$46,454
Joseph M Gallagher
SVP, Chief Legal Officer	40.0	3.0		Yes (X)	$831,546	$0	$145,319
Mary Cara Martz
Secretary	40.0	8.0		Yes (X)	$176,919	$0	$24,465
Rick W Merrill
President & CEO	12.0	30.0		Yes (X)	$1,051,145	$2,452,672	$182,676
Spencer D Seals
VP Construction & REAL ESTATE	40.0	5.0		Yes (X)	$383,947	$0	$90,528
Stephen W Kimmel
EVP, SYS FINANCE	10.0	32.0		Yes (X)	$274,910	$824,730	$170,569
Theresa Z Meadows
SVP, Chief Information Officer	40.0	2.0		Yes (X)	$750,448	$0	$55,486
Aaron Wishon
VP, Chief Info Security Officer	40.0	0			$398,308	$0	$56,830	Yes (X)
Beth Schmidt
VP, HUMAN RESOURCES	40.0	0			$360,799	$0	$45,651	Yes (X)
Christian Pedigo
VP SYS PLANNING & HEALTH ANALY	40.0	0			$551,488	$0	$115,533	Yes (X)
David Lancaster
VP-INTERNAL AUDIT	40.0	0			$325,841	$0	$80,327	Yes (X)
Eric Hubli
CHIEF SYS EFFECTIVENESS OFFICER	40.0	0			$801,025	$0	$149,370	Yes (X)
Gregory Jimerson
VP-PAYOR RELATIONS	40.0	0			$370,682	$0	$91,109	Yes (X)
Joann Sanders
CHIEF QUALITY OFFICER	40.0	0			$766,012	$0	$120,224	Yes (X)
John McNey
SR. V PRESIDENT OF COUNSEL	40.0	0			$424,903	$0	$47,518	Yes (X)
Karen Wardell
ASSOCIATE GENERAL COUNSEL	40.0	0			$463,311	$0	$80,166	Yes (X)
Kathy McLean
VP, Brand & Team Experience	40.0	0			$319,538	$0	$46,367	Yes (X)
Keith Holtz
CHIEF ADMINISTRATION OFFICER	40.0	0			$911,042	$0	$142,599	Yes (X)
Kent Smith
VICE PRESIDENT - COMPLIANCE	40.0	0			$386,257	$0	$81,255	Yes (X)
Lakami Bryant
VP, Revenue Cycle & Ent Apps	40.0	0			$286,009	$0	$52,732	Yes (X)
Matthew Albers
AVP Digital Experience	40.0	0			$310,755	$0	$46,213	Yes (X)
Megan Chavez
VP Patient & Family Experience	40.0	0			$399,544	$0	$82,274	Yes (X)
Myranda Miller
VP, CORPORATE CONTROLLER	40.0	0			$282,474	$0	$59,126	Yes (X)
Natalie Wilkins
CHIEF OF STAFF	40.0	0			$398,193	$0	$59,527	Yes (X)
Robert Feather
SR. VP PUBLIC POLICY	40.0	0			$566,292	$0	$45,748	Yes (X)
Stephen Eckert
VP, INFO SYSTEMS/CTO	40.0	0			$392,177	$0	$79,999	Yes (X)
Winifred King
SVP CHIEF COMM & DE&I OFFICER	40.0	0			$521,041	$0	$80,558	Yes (X)
Anu Partap
DIRECTOR, PHYS HEALTH EQUITY	40.0	0			$286,661	$0	$46,749		Yes (X)
James Marshall MD
CHIEF RESEARCH OFFICER	40.0	0			$778,675	$0	$54,659		Yes (X)
Jean Turpin
AVP, BUSINESS INTEL	40.0	0			$278,655	$0	$44,475		Yes (X)
Laura Copeland
Associate General Counsel	40.0	0			$289,912	$0	$27,976		Yes (X)
Lorrainea Williams
PAT/MEDICATION SAFETY OFFICER	40.0	0			$279,734	$0	$52,380		Yes (X)
B Anthony Bagwell
SVP, CIIO	0.0	40.0			$0	$1,588,796	$212,026			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,927,246	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,111,260	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,314,627	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	372	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Microsoft
1 Microsoft Way	Redmond	WA	98052	Hardware/Software Services	$5,247,625
Workday Inc
6110 Stoneridge Mall Rd	Pleasanton	CA	94588	Software Services	$2,998,467
Avaya Inc
PO Box 5332	New York	NY	10087	Software Services	$1,628,002
Netsync Network Solutions
2500 West Loop Soute Suite 410	Houston	TX	77027	Hardware/Software Services	$1,467,309
Kudelski Security
5090 North 40th Street Suite 450	Phoenix	AZ	85018	Hardware/Software Services	$1,231,500

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,394,195	RelatedOrganizationsAmt
Government Grants	$1,203,861	GovernmentGrantsAmt
Total Contributions	$3,598,056	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Shared Services	900099	$301,402,128	$301,402,128
Human Resources	900099	$21,146,997	$21,146,997
Rent	900099	$7,269,241	$7,269,241
Community Health Outreach	900099	$7,312,982	$7,312,982
Real Estate Management	900099	$203,723	$203,723

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,139,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,139,465	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$343,474,536	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,479,449	TotalRevenueColumnAmt
Exclusion	$12,479,449	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$160,004,607	SecuritiesAmt
Other	$505,007	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$164,001,358	SecuritiesAmt
Other	$500,007	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$3,996,751	SecuritiesAmt
Other	$5,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,991,751	TotalRevenueColumnAmt
Exclusion	-$3,991,751	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Concierge	900099	$29,564	$29,564
All other revenue	900099	$280,199	$280,199

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$309,763	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$355,870,053	TotalRevenueColumnAmt
Related Or Exempt Func Income	$343,784,299	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,487,698	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$47,500	TotalAmt
Program Services	$47,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Program Services	$50,000	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,370,935	TotalAmt
Program Services	$1,553,026	ProgramServicesAmt
Management And General	$12,817,909	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$179,694	TotalAmt
Management And General	$179,694	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,570,029	TotalAmt
Program Services	$43,540,009	ProgramServicesAmt
Management And General	$11,030,020	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,708,266	TotalAmt
Program Services	$2,520,149	ProgramServicesAmt
Management And General	$2,188,117	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,004,806	TotalAmt
Program Services	$9,931,260	ProgramServicesAmt
Management And General	$4,073,546	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,287,180	TotalAmt
Program Services	$3,244,492	ProgramServicesAmt
Management And General	$1,042,688	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,935,573	TotalAmt
Program Services	$983,609	ProgramServicesAmt
Management And General	$1,951,964	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$499,023	TotalAmt
Program Services	$491,565	ProgramServicesAmt
Management And General	$7,458	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$225,096	TotalAmt
Management And General	$225,096	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,758,299	TotalAmt
Program Services	$16,300,163	ProgramServicesAmt
Management And General	$2,458,136	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,141,561	TotalAmt
Program Services	$1,507,258	ProgramServicesAmt
Management And General	$6,634,303	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,811,811	TotalAmt
Program Services	$3,721,639	ProgramServicesAmt
Management And General	$90,172	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$149,634,288	TotalAmt
Program Services	$149,634,288	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,207,275	TotalAmt
Program Services	$1,203,935	ProgramServicesAmt
Management And General	$3,340	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$700,590	TotalAmt
Program Services	$473,464	ProgramServicesAmt
Management And General	$227,126	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$493,504	TotalAmt
Program Services	$427,912	ProgramServicesAmt
Management And General	$65,592	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,180,535	TotalAmt
Program Services	$18,180,535	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,001,889	TotalAmt
Program Services	$6,001,889	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Physician Remuneration	$18,702,471	$17,000,041	$1,702,430
Residents/Relocation/Recruitment	$5,917,861	$5,917,462	$399
Fees & Financing	$2,000,809	$1,576,915	$423,894
Dues & Subscriptions	$1,502,256	$692,420	$809,836

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,826,432	TotalAmt
Program Services	$2,528,932	ProgramServicesAmt
Management And General	$297,500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$333,757,683	TotalAmt
Program Services	$287,528,463	ProgramServicesAmt
Management And General	$46,229,220	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,750	BOYAmt
EOY	$92,286,167	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,380,026	BOYAmt
EOY	$36,324,620	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,181,970	BOYAmt
EOY	$885,362	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,452,395	BOYAmt
EOY	$9,977,835	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,256	BOYAmt
EOY	$7,490	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,183,848	BOYAmt
EOY	$6,760,353	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$395,475,340	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$188,593,772	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$188,687,519	BOYAmt
EOY	$206,881,568	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$627,414,797	BOYAmt
EOY	$655,758,978	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$120,000	BOYAmt
EOY	$110,684,402	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$45,323,417	BOYAmt
EOY	$255,432,391	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$900,758,978	BOYAmt
EOY	$1,374,999,166	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$179,696,139	BOYAmt
EOY	$536,227,160	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$917,488	BOYAmt
EOY	$366,077	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,312,265	BOYAmt
EOY	$91,150,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,925,892	BOYAmt
EOY	$627,743,581	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$695,833,086	BOYAmt
EOY	$747,255,585	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$695,833,086	BOYAmt
EOY	$747,255,585	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$900,758,978	BOYAmt
EOY	$1,374,999,166	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,112,370	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,130,079	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$180,050	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	7	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
COOK CHILDREN'S MEDICAL CENTER
752051646	3	Yes (true)	$222,555,925	$0
COOK CHILDREN'S HEALTH PLAN
760585240	9	Yes (true)	$13,087,603	$0
COOK CHILDREN'S PHYSICIAN NETWORK
752485366	3	Yes (true)	$36,527,296	$0
COOK CHILDREN'S HOME HEALTH
752896983	9	Yes (true)	$4,802,913	$0
CHILD STUDY CENTER
751099536	7	Yes (true)	$1,099,964	$0
COOK CHILDREN'S MEDICAL CENTER PROSPER
852354189	3	Yes (true)	$6,349,696	$0
WI COOK FOUNDATION
752051649	7	Yes (true)	$5,105,066	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	7	SupportedOrganizationsTotalCnt
Support Sum	$289,528,463	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 6 Support to other supported orgs	THE SYSTEM OCCASIONALLY GIVES DONATIONS TO UNRELATED CHARITABLE ORGANIZATIONS THAT HAVE MISSIONS OR PROGRAMS THAT FUTHER THE EXEMPT PURPOSE OF THE SUPPORTED ORGANIZATIONS. THESE DONATIONS ARE MINIMAL AND THE SYSTEM TREATS THIS AS SUPPORT DUE TO THE NATURE OF THE DONATIONS.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies	SOME OF THE DIRECTORS AND OFFICERS OF COOK CHILDREN'S HEALTH CARE SYSTEM SERVE IN THE SAME CAPACITY FOR THE SUPPORTED ORGANIZATIONS, THEREFORE, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR.
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee	THE ORGANIZATION DIRECTLY OR INDIRECTLY CONTROLS EACH OF THE SUPPORTED ORGANIZATIONS BECAUSE IT HAS THE POWER, EITHER DIRECTLY OR INDIRECTLY, TO DETERMINE THE NUMBER FOR DIRECTORS AND APPROVE THE APPOINTMENT OF THE MEMBERS OF EACH SUPPORTING ORGANIZATION'S BOARD.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities	THE ORGANIATION DIRECTLY OR INDIRECTLY CONTROLS EACH SUPPORTED ORGANIZATION AND AS SUCH HAS THE EXCLUSIVE POWER TO DO ANY OF THE FOLLOWING: A. AMEND, ALTER OR REPEAL THE BYLAWS; B. AMEND THE CERTIFICATE OF FORMATION OF THE ORGANIZATION; C. DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES; D. APPROVE ANY MERGER, ACQUISITION, LIQUIDATION, WINDING UP, TERMINATION OR CONSOLIDATION OF THE ORGANIZATION; E. APPROVE THE SALE, GIFT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE ORGANIZATION; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY. THE ORGANIZATION IS ALSO RESPONSIBLE FOR IMPLEMENTATION AND ENFORCEMENT OF VARIOUS POLICIES AND PROCEDURES OF THE SUPPORTED ORGANIZATIONS INCLUDING THE CONFLICT-OF-INTEREST POLICY AND COMPENSATION ARRANGEMENTS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$225,096	FilingOrganizationsTotalAmt
Affiliated Group Total	$225,096	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$225,096	FilingOrganizationsTotalAmt
Affiliated Group Total	$225,096	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$333,532,587	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,467,004,548	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$333,757,683	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,467,229,644	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$182,300	CurrentYearMinus3Amt
Current Year Minus2	$298,322	CurrentYearMinus2Amt
Current Year Minus1	$203,050	CurrentYearMinus1Amt
Current Year	$225,096	CurrentYearAmt
Total	$908,768	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,729,642	BeginningYearBalanceAmt
Contributions	$37,175	ContributionsAmt
Investment Earnings Or Losses	$434,679	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,146,512	OtherExpendituresAmt
End Year Balance	$19,054,984	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,111,028	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$589,856	InvestmentEarningsOrLossesAmt
Other Expenditures	$971,242	OtherExpendituresAmt
End Year Balance	$19,729,642	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,942,167	BeginningYearBalanceAmt
Contributions	$3,150	ContributionsAmt
Investment Earnings Or Losses	$5,035,721	InvestmentEarningsOrLossesAmt
Other Expenditures	$870,010	OtherExpendituresAmt
End Year Balance	$20,111,028	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,590,729	BeginningYearBalanceAmt
Contributions	$8,002,000	ContributionsAmt
Investment Earnings Or Losses	$620,002	InvestmentEarningsOrLossesAmt
Other Expenditures	$270,564	OtherExpendituresAmt
End Year Balance	$15,942,167	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,590,729	BeginningYearBalanceAmt
End Year Balance	$7,590,729	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.7933	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2067	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,968,678	OtherCostOrOtherBasisAmt
Book Value	$83,968,678	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,022,874	OtherCostOrOtherBasisAmt
Depreciation	$50,398,695	DepreciationAmt
Book Value	$67,624,179	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$927,312	OtherCostOrOtherBasisAmt
Depreciation	$898,162	DepreciationAmt
Book Value	$29,150	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$169,535,317	OtherCostOrOtherBasisAmt
Depreciation	$134,331,336	DepreciationAmt
Book Value	$35,203,981	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,021,159	OtherCostOrOtherBasisAmt
Depreciation	$2,965,579	DepreciationAmt
Book Value	$20,055,580	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$206,881,568	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN CCIC	$25,120,000	F
Hawkins Way NR Investment	$85,564,402	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$110,684,402	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Intercompany Receivables	$232,934,928
Right of Use Assets	$22,497,463

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$255,432,391	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Intercompany Payables	$67,948,244
Right of Use Liability	$23,202,100

Field	Value	IRS element (for citing)
Total Liability	$91,150,344	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$387,627,030	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$29,130,079	NetUnrealizedGainsInvstAmt
Other Revenue	$2,943,486	OtherRevenueAmt
Revenue Not Reported	$32,073,565	RevenueNotReportedAmt
Revenue Subtotal	$355,553,465	RevenueSubtotalAmt
Investment Expenses Not Incld	$252,082	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$64,506	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$316,588	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$355,870,053	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$336,444,087	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,938,486	OtherExpensesIncludedAmt
Expenses Not Reported	$2,938,486	ExpensesNotReportedAmt
Expenses Subtotal	$333,505,601	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$252,082	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$252,082	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$333,757,683	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 ASC 740 Footnote	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	RELATED ORGANIZATION W.I. COOK FOUNDATION INC. HOLDS AND ADMINISTERS THE ENDOWMENT FOR THE NEEDS RELATED TO THE PROGRAM(S) AS SPECIFIED IN THE DONATION DOCUMENTS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Management Fee Reduction - 2943486
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Donated Capital - 59506 Gain on Sale of Property - 5000
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Management Fee Reduction - 2943486 Gain on Sale of Property - -5000

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$134,937,901	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$134,937,901	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$134,937,901	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
United Way of Tarrant County
201 N Rupert St 107	FORT WORTH	TX	76107	750858360	501(C)(3)	$30,000	General Support
Covenant Health Foundation
100 Ames Pond Drive 102	Tewksbury	MA	01876	800199674	501(C)(3)	$7,500	General Support
Double Eagle Charities
3724 Hulen Street	FORT WORTH	TX	76107	822406494	501(C)(3)	$10,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships for individuals	GrantTypeTxt
Recipient	10	RecipientCnt
Cash Grant	$50,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1) BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE, 2) BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM AND 3) PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000 FOR FIRST TIME RECIPIENTS AND $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (46 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alice W Phillips MD
Trustee - VICE CHAIRMAN END 05/23	$0	$322,588	$0	$7,594	$0	$47,782	$0	$14,953	$0	$25,407	$0	$418,324	$0	$0
Anthony Anani MD
Trustee	$0	$436,206	$0	$21,385	$0	$23,074	$0	$12,200	$0	$1,887	$0	$494,752	$0	$0
Julee S Morrow MD
Trustee END 05/23	$0	$317,865	$0	$8,350	$0	$30,728	$0	$0	$0	$22,294	$0	$379,237	$0	$0
Deborah Schutte MD
Trustee	$0	$581,969	$0	$12,736	$0	$37,935	$0	$22,875	$0	$38,180	$0	$693,695	$0	$0
Daphne Shaw MD
Trustee	$0	$329,000	$0	$11,034	$0	$17,406	$0	$15,649	$0	$905	$0	$373,994	$0	$0
Kara Starnes DO
Trustee START 06/23	$0	$313,967	$0	$40,549	$0	$8,594	$0	$19,061	$0	$20,817	$0	$402,988	$0	$0
Jason V Terk MD
Trustee START 06/23	$0	$318,329	$0	$7,897	$0	$13,542	$0	$20,500	$0	$22,988	$0	$383,256	$0	$0
Gavin Fine MD
Trustee END 05/23	$0	$574,404	$0	$163,538	$0	$14,149	$0	$22,875	$0	$31,997	$0	$806,963	$0	$0
Sara Y Garza MD
Trustee END 05/23	$245,240	$0	$30,423	$0	$1,116	$0	$8,597	$0	$28,151	$0	$313,527	$0	$0	$0
Lane Lanier MD
Trustee	$0	$563,777	$0	$10,077	$0	$10,587	$0	$15,344	$0	$37,180	$0	$636,965	$0	$0
Smita Ranade MD
Trustee START 06/23	$307,474	$0	$48,405	$0	$11,356	$0	$19,607	$0	$1,777	$0	$388,619	$0	$0	$0
Chandra Reynolds MD
Trustee START 06/23	$606,397	$0	$163,538	$0	$10,957	$0	$22,875	$0	$33,069	$0	$836,836	$0	$0	$0
B Anthony Bagwell
SVP, CIIO	$0	$623,873	$0	$868,986	$0	$95,937	$0	$179,653	$0	$32,373	$0	$1,800,822	$0	$73,443
Stephen W Kimmel
EVP, SYS FINANCE	$166,185	$498,560	$74,922	$224,763	$33,803	$101,407	$34,926	$104,779	$7,716	$23,148	$317,552	$952,657	$24,926	$74,776
Mary Cara Martz
Secretary	$136,752	$0	$33,892	$0	$6,275	$0	$8,274	$0	$16,191	$0	$201,384	$0	$0	$0
Rick W Merrill
President & CEO	$404,285	$943,332	$235,456	$549,397	$411,404	$959,943	$43,530	$101,569	$11,273	$26,304	$1,105,948	$2,580,545	$294,000	$686,000
Cory R Rhoades
Chief Financial Officer	$497,003	$0	$203,540	$0	$73,887	$0	$103,167	$0	$35,384	$0	$912,981	$0	$53,883	$0
James C Cunningham MD
EVP, CHIEF MEDICAL OFFICER	$657,833	$0	$294,570	$0	$157,264	$0	$22,875	$0	$23,579	$0	$1,156,121	$0	$0	$0
Joseph M Gallagher
SVP, Chief Legal Officer	$528,880	$0	$219,616	$0	$83,050	$0	$107,742	$0	$37,577	$0	$976,865	$0	$60,971	$0
Theresa Z Meadows
SVP, Chief Information Officer	$466,675	$0	$192,288	$0	$91,485	$0	$22,875	$0	$32,611	$0	$805,934	$0	$0	$0
Spencer D Seals
VP Construction & REAL ESTATE	$288,072	$0	$93,520	$0	$2,355	$0	$58,122	$0	$32,406	$0	$474,475	$0	$0	$0
Matthew Albers
AVP Digital Experience	$243,431	$0	$60,434	$0	$6,890	$0	$11,943	$0	$34,270	$0	$356,968	$0	$0	$0
Lakami Bryant
VP, Revenue Cycle & Ent Apps	$204,575	$0	$48,664	$0	$32,770	$0	$30,455	$0	$22,277	$0	$338,741	$0	$0	$0
Megan Chavez
VP Patient & Family Experience	$298,891	$0	$98,737	$0	$1,916	$0	$44,489	$0	$37,785	$0	$481,818	$0	$0	$0
Stephen Eckert
VP, INFO SYSTEMS/CTO	$289,496	$0	$94,907	$0	$7,774	$0	$46,970	$0	$33,029	$0	$472,176	$0	$0	$0
Robert Feather
SR. VP PUBLIC POLICY	$343,624	$0	$142,237	$0	$80,431	$0	$22,875	$0	$22,873	$0	$612,040	$0	$0	$0
Keith Holtz
CHIEF ADMINISTRATION OFFICER	$550,093	$0	$251,245	$0	$109,704	$0	$119,020	$0	$23,579	$0	$1,053,641	$0	$78,523	$0
Eric Hubli
CHIEF SYS EFFECTIVENESS OFFICER	$548,276	$0	$227,463	$0	$25,286	$0	$111,793	$0	$37,577	$0	$950,395	$0	$0	$0
Gregory Jimerson
VP-PAYOR RELATIONS	$274,849	$0	$90,829	$0	$5,004	$0	$55,885	$0	$35,224	$0	$461,791	$0	$0	$0
Winifred King
SVP CHIEF COMM & DE&I OFFICER	$316,005	$0	$126,677	$0	$78,359	$0	$69,558	$0	$11,000	$0	$601,599	$0	$53,420	$0
David Lancaster
VP-INTERNAL AUDIT	$214,246	$0	$72,274	$0	$39,321	$0	$48,754	$0	$31,573	$0	$406,168	$0	$28,957	$0
Kathy McLean
VP, Brand & Team Experience	$229,786	$0	$51,132	$0	$38,620	$0	$32,339	$0	$14,028	$0	$365,905	$0	$0	$0
John McNey
SR. V PRESIDENT OF COUNSEL	$279,954	$0	$100,544	$0	$44,405	$0	$22,875	$0	$24,643	$0	$472,421	$0	$0	$0
Myranda Miller
VP, CORPORATE CONTROLLER	$210,329	$0	$51,993	$0	$20,152	$0	$21,179	$0	$37,947	$0	$341,600	$0	$0	$0
Christian Pedigo
VP SYS PLANNING & HEALTH ANALY	$351,689	$0	$145,329	$0	$54,470	$0	$80,149	$0	$35,384	$0	$667,021	$0	$37,916	$0
Joann Sanders
CHIEF QUALITY OFFICER	$460,683	$0	$191,114	$0	$114,215	$0	$97,583	$0	$22,641	$0	$886,236	$0	$79,430	$0
Beth Schmidt
VP, HUMAN RESOURCES	$251,895	$0	$57,902	$0	$51,002	$0	$28,653	$0	$16,998	$0	$406,450	$0	$0	$0
Kent Smith
VICE PRESIDENT - COMPLIANCE	$286,284	$0	$94,769	$0	$5,204	$0	$52,098	$0	$29,157	$0	$467,512	$0	$0	$0
Karen Wardell
ASSOCIATE GENERAL COUNSEL	$331,102	$0	$126,352	$0	$5,857	$0	$50,356	$0	$29,810	$0	$543,477	$0	$0	$0
Natalie Wilkins
CHIEF OF STAFF	$299,072	$0	$96,762	$0	$2,359	$0	$48,740	$0	$10,787	$0	$457,720	$0	$0	$0
Aaron Wishon
VP, Chief Info Security Officer	$298,041	$0	$94,769	$0	$5,498	$0	$41,773	$0	$15,057	$0	$455,138	$0	$0	$0
Laura Copeland
Associate General Counsel	$209,247	$0	$76,090	$0	$4,575	$0	$11,819	$0	$16,157	$0	$317,888	$0	$0	$0
James Marshall MD
CHIEF RESEARCH OFFICER	$570,473	$0	$203,092	$0	$5,110	$0	$22,875	$0	$31,784	$0	$833,334	$0	$0	$0
Anu Partap
DIRECTOR, PHYS HEALTH EQUITY	$238,922	$0	$37,234	$0	$10,505	$0	$8,127	$0	$38,622	$0	$333,410	$0	$0	$0
Jean Turpin
AVP, BUSINESS INTEL	$183,725	$0	$54,237	$0	$40,693	$0	$15,186	$0	$29,289	$0	$323,130	$0	$0	$0
Lorrainea Williams
PAT/MEDICATION SAFETY OFFICER	$209,291	$0	$54,564	$0	$15,879	$0	$16,334	$0	$36,046	$0	$332,114	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: Matthew Albers, LaKami Bryant, Laura Copeland, James Cunningham, Keith Holtz, Winifred King, Mary Cara Martz, Kathy McLean, Myranda Miller, Anu Partap, Beth Schmidt, Jean Turpin, Lorrainea Williams
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 EXTREMELY UNUSUAL 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 4b Supplemental nonqualified retirement plan	Rick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Anthony Bagwell - Paid by Foundation - $167,454 Deferred, $73,443 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Keith Holtz - Paid by System - $99,957 Deferred, $78,523 W-2 Joseph Gallagher - Paid by System - $85,850 Deferred, $60,970 W-2 Cory R Rhoades - Paid by System - $80,292 Deferred, $53,883 W-2 Joann Sanders - Paid by System - $74,708 Deferred, $79,430 W-2 Christian Pedigo - Paid by System - $57,274 Deferred, $37,916 W-2 Winifred King - Paid by System - $50,013 Deferred, $53,420 W-2 David Lancaster - Paid by System - $27,123 Deferred, $28,957 W-2 Eric Hubli - Paid by System - $88,918 Deferred, $0 W-2 Karen Wardell - Paid by System - $42,333 Deferred, $0 W-2 Megan Chavez - Paid by System - $37,214 Deferred, $0 W-2 Aaron Wishon - Paid by System - $31,564 Deferred, $0 W-2 Natalie Wilkins - Paid by System - $35,714 Deferred, $0 W-2 Stephen Eckert - Paid by System - $35,770 Deferred, $0 W-2 Kent Smith - Paid by System - $35,412 Deferred, $0 W-2 Spencer D Seals - Paid by System - $35,247 Deferred, $0 W-2 Gregory Jimerson - Paid by System - $34,062 Deferred, $0 W-2 Beth Schmidt - Paid by System - $11,365 Deferred, $0 W-2 Kathy McLean - Paid by System - $10,300 Deferred, $0 W-2 Lakami Bryant - Paid by System - $8,923 Deferred, $0 W-2 Myranda Miller - Paid by System - $9,484 Deferred, $0 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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEEGAN SORENSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF SORENSON, TRUSTEE	RelationshipDescriptionTxt
Transaction	$179,694	TransactionAmt
Transaction	WAGES/SALARIES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	CARA MARTZ & PETER PHILPOTT - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE GOVERNING DOCUMENTS WERE AMENDED EFFECTIVE JUNE 2023. THE AMENDED DOCUMENTS MODIFIED THE PURPOSE SECTION TO SPECIFICALLY NAME EACH OF THE ORGANIZATIONS SUPPORTED BY THE SYSTEM.
Form 990, Part VI, Line 6 Classes of members or stockholders	W. I. COOK FOUNDATION, INC., D/B/A COOK CHILDREN'S HEALTH FOUNDATION, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	As the sole member of the organization, W.I. Cook Foundation, Inc., has the power to determine the number of members of the board of trustees and to elect the members of the board of trustees.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	As the sole member of the organization, W.I. Cook Foundation, Inc., has the exclusive power to do any of the following: a. Amend, alter or repeal the bylaws; b. Amend the certificate of formation of the organization; c. Determine the number of members of the Board of Trustees and to elect the members of the Board of Trustees; d. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the organization; e. Approve the sale, gift or other disposition of all or substantially all of the property of the organization; f. Approve the creation of, or investment in, any subsidiary entity; g. Approve the removal of a member of the Board of Trustees of the organization; and h. Approve the persons who are to be elected by the organization to fill any vacancies on the Board of Trustees or Board of Directors, as applicable, of (1) Cook Children's Medical Center, (2) Cook Children's Physician Network, (3) Cook Children's Home Health, (4) Cook Children's Health Plan, (5) Cook Children's Indemnity Company; and (6) any other subsidiary corporation affiliated with or controlled by the organization (including any vacancies arising from the expiration of the terms of any of the trustees or directors).
Form 990, Part VI, Line 11b Review of form 990 by governing body	The organization engages an outside independent accounting firm to assist in the preparation of the Form 990 and related filings. All information provided to the outside accounting firm is gathered by key company employees and executives. Once the Form 990 is prepared, it is reviewed by company Finance, Legal and Compliance staff and then provided to the Board of Trustees for review and comment. In addition, it is provided to the Cook Children's Health Care System Audit Committee for review and comment. Subsequent to the Board and Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review.
Form 990, Part VI, Line 12c Conflict of interest policy	Every year the Legal Department of the Cook Children's Health Care System ("System") sends out a Form 990 Questionnaire/Conflict of Interest Disclosure Statement to officers, directors, trustees and key employees of all System companies, as well as certain other employees, including physicians, who are determined to be employed in positions that might be subject to the System's Conflict of Interest Policy. The responses are reviewed by the Legal, Finance, and Compliance Departments. Follow up and/or corrective action is taken as needed with respect to responses that indicate the existence of actual or potential conflicts of interest. A summary of the responses to the questionnaires and follow-up information are provided to the System Audit Committee for review and follow-up. Further, the Audit Committee of Cook Children's Health Care System is responsible for monitoring the implementation and enforcement of the Conflict of Interest Policy that is applicable to all affiliated companies of the Cook Children's Health Care System. The Audit Committee is also responsible for oversight of the Compliance Department of Cook Children's Health Care System. The Compliance Department maintains a hot-line to receive reports of inappropriate activities including activities that might constitute a conflict of interest. Internal Audit and Compliance also conduct random audits of corporate activities such as expense reimbursements and accounts payable to determine if any inappropriate payments are being made to individuals, some of which could be evidence of a conflict of interest. Any corrective action related to conflicts of interest would be reported to the Audit Committee for review, approval, and modification, as necessary, with further reporting to the System Board of Trustees as appropriate.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENT IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. , WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
Form 990, Part VI, Line 19 Required documents available to the public	The organization does not make its governing documents or conflict of interest policy available to the public, except to the extent they are on file with the Texas Secretary of State. The conflict-of-interest policy is posted on the organization's internal website and available to all employees and board members of Cook Children's Health Care System entities. Consolidated financial statements are reported electronically for all Cook Children's Health Care System entities via the Electronic Municipal Market Access ("EMMA") web site.
Form 990, Part VIII, Line 2f Other Program Service Revenue	All Other Program Service Revenue - Total Revenue: 6139465, Related or Exempt Function Revenue: 6139465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfer between affiliates - 180050;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
ROSEDALE OFFICE BUILDING
1500 W ROSEDALE	Fort Worth	TX	76104	460866421	TITLE HOLDING	TX	501(c)(2)	CCHF	Yes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 Seventh Ave	Fort Worth	TX	76104	752485366	Physician Services	TX	501(c)(3)	CCHCS	Yes (true)	3
WI COOK FOUNDATION dba Cook Children's Health Foundation
801 Seventh Ave	Fort Worth	TX	76104	752051649	Fundraising	TX	501(c)(3)	NA	false	7
COOK CHILDREN'S MEDICAL CENTER
801 Seventh Ave	Fort Worth	TX	76104	752051646	Hospital	TX	501(c)(3)	CCHCS	Yes (true)	3
COOK CHILDREN'S HOME HEALTH
801 Seventh Ave	Fort Worth	TX	76104	752896983	Healthcare	TX	501(c)(3)	CCHCS	Yes (true)	10
COOK CHILDREN'S HEALTH PLAN
801 Seventh Ave	Fort Worth	TX	76104	760585240	Insurance	TX	501(c)(3)	CCHCS	Yes (true)	10
CHILD STUDY CENTER
1300 West Lancaster	Fort Worth	TX	76102	751099536	Healthcare Services	TX	501(c)(3)	CCMC	Yes (true)	7
COOK CHILDREN'S HEALTH ENTERPRISES
801 Seventh Ave	Fort Worth	TX	76104	842625990	Healthcare Services	TX	501(c)(3)	CCHCS	Yes (true)	Type II
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 Seventh Ave	Fort Worth	TX	76104	852354189	Hospital	TX	501(c)(3)	CCHCS	Yes (true)	3

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
CPS Pediatrics LLC
340 Seven Springs Way	Ste 600	Brentwood	TN	37027	470871718	ASC	TX	NA	N/A
COOK CHILDREN'S SURGERY CENTER
340 Seven Springs Way	Ste 600	Brentwood	TN	37027	205227064	ASC	TX	NA	N/A
CENTER FOR PEDIATRIC SURGERY
340 Seven Springs Way	Ste 600	Brentwood	TN	37027	470871715	ASC	TX	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Cook Children's Health Services
801 Seventh Ave	Fort Worth	TX	76104	454024843	Healthcare	TX	CCHCS	C Corporation	$4,882,270	$10,328,268	1	Yes (true)
Cook Children's Indemnity Company
				980424041	Self Insurance		CCHCS	C Corporation	$11,646,211	$74,156,663	1	Yes (true)	878 West Bay Road	PO Box 1159	Grand Cayman	Grand Cayman	CJ	KY1110	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
A	$1,000,678	FMV
COOK CHILDREN'S MEDICAL CENTER
B	$6,227,320	FMV
COOK CHILDREN'S MEDICAL CENTER
O	$787,307	FMV
COOK CHILDREN'S MEDICAL CENTER
P	$335,456	FMV
COOK CHILDREN'S MEDICAL CENTER
Q	$325,829,980	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A	$3,936,002	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B	$1,478,171	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O	$19,409,728	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P	$278,467	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q	$41,094,582	FMV
COOK CHILDREN'S HOME HEALTH
A	$863,081	FMV
COOK CHILDREN'S HOME HEALTH
Q	$6,233,521	FMV
COOK CHILDREN'S HEALTH PLAN
A	$918,867	FMV
COOK CHILDREN'S HEALTH PLAN
Q	$18,917,417	FMV
COOK CHILDREN'S HEALTH SERVICES
Q	$197,788	FMV
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Q	$12,410,807	FMV
ROSEDALE OFFICE BUILDING
K	$1,712,998	FMV
ROSEDALE OFFICE BUILDING
P	$573,666	FMV
CHILD STUDY CENTER
Q	$1,781,435	FMV
COOK CHILDREN'S INDEMNITY COMPANY
S	$14,767,203	fmv
COOK CHILDREN'S INDEMNITY COMPANY
R	$34,778,981	fmv

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Cook Children's Health Care System
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752705881	Yes (X)	$0	$225,096	$225,096	$333,532,587	$333,757,683	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240		$0	$0	$0	$887,440,356	$887,440,356	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S PHYSICIAN NETWORK
803 SEVENTH AVE	FORT WORTH	TX	76104	752485366	Yes (X)	$0	$0	$0	$492,341,048	$492,341,048	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S MEDICAL CENTER
804 SEVENTH AVE	FORT WORTH	TX	76104	752051646	Yes (X)	$0	$0	$0	$1,521,897,393	$1,521,897,393	$1,000,000	$250,000	$0	$0	$0
WI COOK FOUNDATION
805 SEVENTH AVE	FORT WORTH	TX	76104	752051649		$0	$0	$0	$44,775,655	$44,775,655	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HOME HEALTH
806 SEVENTH AVE	FORT WORTH	TX	76104	752896983	Yes (X)	$0	$0	$0	$73,515,122	$73,515,122	$1,000,000	$250,000	$0	$0	$0
ROSEDALE OFFICE BUILDING
807 SEVENTH AVE	FORT WORTH	TX	76104	460866421		$0	$0	$0	$2,286,663	$2,286,663	$264,333	$66,083	$0	$0	$0
CHILD STUDY CENTER
808 SEVENTH AVE	FORT WORTH	TX	76104	751099536		$0	$0	$0	$10,861,711	$10,861,711	$693,086	$173,271	$0	$0	$0
COOK CHILDREN'S HEALTH ENTERPRISES
809 SEVENTH AVE	FORT WORTH	TX	76104	842625990		$0	$0	$0	$7,377,384	$7,377,384	$518,869	$129,717	$0	$0	$0
COOK CHILDREN'S MEDICAL CENTER PROSPER
810 SEVENTH AVE	FORT WORTH	TX	76104	852354189		$0	$0	$0	$92,976,629	$92,976,629	$1,000,000	$250,000	$0	$0	$0