COOK CHILDRENS HEALTH CARE SYSTEM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS HEALTH CARE SYSTEM (EIN 75-2705881)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202342279349304524
Schema version: 2021v4.2
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 O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T16:53:23-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY STE 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	2021-10-01	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)
In Care Of	% CORY RHOADES	InCareOfNm
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	CORY R RHOADES	PersonNm
Person Title	CFO, SVP FINANCE	PersonTitleTxt
Phone	1111111111	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CORY R	PersonFirstNm
Person Last	RHOADES	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J ENGLE	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	9727028262	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICK W MERRILL	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$392,725,139	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	949	TotalEmployeeCnt
Total Volunteers	30	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,073,762	PYContributionsGrantsAmt
CY Contributions Grants	$3,317,126	CYContributionsGrantsAmt
PY Program Service Revenue	$271,864,755	PYProgramServiceRevenueAmt
CY Program Service Revenue	$312,266,654	CYProgramServiceRevenueAmt
PY Investment Income	$5,438,451	PYInvestmentIncomeAmt
CY Investment Income	$5,618,720	CYInvestmentIncomeAmt
PY Other Revenue	$785,605	PYOtherRevenueAmt
CY Other Revenue	$325,971	CYOtherRevenueAmt
PY Total Revenue	$282,162,573	PYTotalRevenueAmt
CY Total Revenue	$321,528,471	CYTotalRevenueAmt
PY Grants And Similar Paid	$66,020	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$83,600	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$72,686,897	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,310,260	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$196,498,828	PYOtherExpensesAmt
CY Other Expenses	$217,509,050	CYOtherExpensesAmt
PY Total Expenses	$269,251,745	PYTotalExpensesAmt
CY Total Expenses	$287,902,910	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,910,828	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$33,625,561	CYRevenuesLessExpensesAmt
Total Assets BOY	$553,188,226	TotalAssetsBOYAmt
Total Assets EOY	$900,758,978	TotalAssetsEOYAmt
Total Liabilities BOY	$272,042,541	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$204,925,892	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$281,145,685	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$695,833,086	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$245,634,083	ExpenseAmt
Grant	$83,600	GrantAmt
Revenue	$312,592,625	RevenueAmt
Desc	Cook Children's Health Care System (CCHCS) embraces an inspiring Promise-to improve the health of every child through the prevention and treatment of illness, disease and injury. As a not-for-profit, nationally recognized and integrated pediatric health care organization based in Fort Worth, Texas, Cook Children's comprises 14 entities. They include a medical center, physician network, health plan, home health company, a child study center and three surgery centers located in Fort Worth, Hurst and Prosper. It also includes Cook Children's Health Services Inc. and Cook Children's Health Foundation. Cook Children's Health Care System's reputation for excellence draws patients from near and far. Families travel from across Texas and the United States, as well as internationally, to receive life-saving pediatric care and to benefit from the connection, collaboration and vast resources the system offers. In addition to the medical center, a network of more than 60 primary, specialty and urgent care locations provide numerous access points for families. New Look. Same Legacy. In 2022, after months in the making, CCHCS completed the development of its new culture platform and updated company branding to reflect a culture that connects, collaborates and elevates. The culture platform is the System's North Star and guides all of its planning and decisions. It is built on six core values: kindness, collaboration, imagination, generosity, respect and safety. Together, these values and the System's Promise to do everything for the child connect the dots between the care Cook Children's is known for and the patient and employee experience it strives for throughout all of its companies. The culture platform and new look were unveiled to employees and the public in October 2022. Community Needs Spur System Growth As the population increases, CCHCS continues to expand its services to meet the needs of children and families living in those areas. Most notably is an expansion into rapidly growing Prosper, Texas, and the surrounding communities. Cook Children's began developing a medical campus in Prosper in 2019 with an urgent care center, followed by a medical office building in 2020. The expansion continued with the construction of a new medical center that will add an emergency department, operating rooms, a medical/surgical unit, a pediatric intensive care unit and a number of supporting services to the Prosper medical campus. The steel structure of the future Cook Children's Medical Center - Prosper was completed in early FY22-a milestone that was celebrated with a traditional Topping Out ceremony in October. Cook Children's Medical Center - Prosper is the first hospital Cook Children's has built outside of its flagship medical campus in Fort Worth. Opening in January 2023, it 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. Cook Children's pediatric surgery centers are home to specialty clinics and surgical teams specializing in many conditions, from simple to the most complex, and many of the procedures in these centers use minimally invasive techniques. The Dodson Surgery Center, located in the Dodson Specialty Clinic building, is one of three Cook Children's surgery centers in the Dallas/Fort Worth metroplex. In February 2021, plans to expand the Dodson building entered the construction phase and continued throughout 2022. The expansion adds 240,000 square feet of new building and will centralize 40 specialty clinics into one location in order to support a more seamless experience for children who receive care from multiple specialties. Transition to the new space will begin in March 2023. Building a Strong, Healthy and Diverse Workforce The past few years have challenged health care workforces like never before. Physician and nursing shortages, a worldwide pandemic, a mental health crisis and recent record-breaking viral seasons have led to bed shortages and worker burnout. In FY22, CCHCS took a number of steps to address and support the physical, emotional, mental and financial health of its employees. This fiscal year, Cook Children's employees received two bonuses. The one-time Generous Spirit Bonus of up to $2,000 for all eligible employees through the AVP level, including physicians, was given to recognize how generously employees have shared their time and care this year during difficult times within the industry. Rick W. Merrill, CCHCS president and CEO, wrote in a letter to employees: "We continue to face challenges both at home and work, but even in these difficult times, your hard work has allowed us to have great operating results and we want to recognize your efforts." Employees also earned Cook Children's annual Care Share Bonus in 2022 for exceeding the Children's Hospital Association's average for patient experience numbers and meeting financial measures. In 2022, Cook Children's conducted a burnout survey of its employees. The survey was administered by a third-party surveyor. Nearly 4,000 employees-50% of the System's workforce-completed the survey. The results will be used to guide the organization in its strategic priority of supporting employees' well-being and understanding how to make their work experience better. Also in 2022, Cook Children's announced plans to organize a Diversity Task Force shortly after receiving the results of a third-party inclusion, diversity and equity (ID&E) assessment completed in 2021. The employee task force would be key in formulating a comprehensive ID&E strategy for Cook Children's. An overwhelming number of employees applied to join the task force, which was narrowed to a group of 14 representing a wide array of diversity dimensions, roles and tenure throughout all Cook Children's entities. This year the task force spent about 15 hours together poring through data, sharing workplace experiences, and having hard conversations about diversity within the organization. These discussions led to the development of an action plan based on six pillars: accountability and data review; ID&E training; patient care; recruitment; professional development and feedback. Under each of these pillars, the task force proposed and prioritized a number of action items to set change in motion. Award Winning Performance For more than 104 years, CCHCS 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. In 2022, Cook Children's Medical Center was nationally ranked by U.S. News and World Report in six pediatric specialties: pediatric diabetes and endocrinology; cardiology; pediatric neurology and neurosurgery; pulmonology; orthopedics and oncology. The System also climbed 20 spots-from No. 94 to No. 74-on the list of Healthiest 100 Workplaces in America. Cook Children's Public Relations and Internal Communications team brought home a number of coveted honors for its work in keeping employees and the community informed and engaged. These include two Bronze Anvil awards from the Public Relations Society of America (PRSA) and four Worthy awards from the Fort Worth chapter of PRSA. Another notable recognition includes the 2022 Community Lifesaver Award presented at the National Water Safety Conference to Safe Kids North Texas - Fort Worth, led by Cook Children's, for its work in drowning prevention. In addition, Grant Harris, senior vice president and chief development officer of Cook Children's Health Foundation was named Chief Development Officer of the Year by Children's Miracle Network Hospitals. Two Cook Children's nurses were named to the DFW Great 100 Nurses List in 2022. They include the director of Cook Children's Trauma Program and the clinical coordinator for Cook Children's Mansfield Urgent Care. The recognition honors nurses who are nominated by their peers and "selected for being role models, leaders, community servants, compassionate caregivers and significant contributors to the nursing profession." The System's Nurse Residency Program earned accreditation by the Commission on Collegiate Nursing Education, and Cook Children's shined at the 32nd Annual Society of Pediatric Nurses Conference with 13 poster presentations and nine podium presentations. Each year, D Magazine highlights the region's best physicians as chosen by their peers. Votes are tallied and sorted by the editorial staff, and the remaining votes are vetted by an anonymous panel of esteemed doctors. Sixteen Cook Children's doctors were named to D Magazine's list of 2022 Best Doctors and Pediatric Specialists.	Desc
Total Program Service Expenses	$245,634,083	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	false	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	false	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
IRP Document	164	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	949	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	false	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

Field	Value	IRS element (for citing)
Person	CORY RHOADES	PersonNm
Phone	6828854480	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (63 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICK W MERRILL
President & CEO	12.0	28.0	Yes (X)	$722,350	$1,685,482	$255,556
B ANTHONY BAGWELL
SVP, CIIO	1.0	40.0	Yes (X)	$0	$1,076,836	$161,378
Stephen W Kimmel
EVP, System Finance	10.0	30.0	Yes (X)	$260,667	$782,002	$162,506
James C Cunningham MD
EVP, CHIEF MEDICAL OFFICER	40.0	2.0	Yes (X)	$1,079,736	$0	$45,761
Keith Holtz
Chief Administration Officer	40.0	0.0		$868,713	$0	$137,425	Yes (X)
JOSEPH M GALLAGHER
SVP, Chief Legal Officer	40.0	3.0	Yes (X)	$748,085	$0	$137,524
Eric Hubli
Chief Sys Effectiveness Offcr	40.0	0.0		$778,636	$0	$102,210	Yes (X)
CORY R RHOADES
Chief Financial Officer	40.0	4.0	Yes (X)	$740,482	$0	$133,681
Joann Sanders
Chief Quality Officer	40.0	0.0		$717,560	$0	$115,651	Yes (X)
THERESA Z MEADOWS
SVP, Chief Information Officer	40.0	2.0	Yes (X)	$736,107	$0	$54,863
James Marshall MD
Chief Research Officer	40.0	0.0		$717,827	$0	$53,426	Yes (X)
MICHELLE MARCINCUK MD
Trustee End: 05/22	1.0	42.0		$0	$640,810	$55,055		Yes (X)
DEBORAH SCHUTTE MD
Trustee	1.0	42.0		$0	$585,177	$58,794		Yes (X)
GAVIN FINE MD
Trustee	1.0	42.0		$0	$570,054	$54,695		Yes (X)
Robert Feather
Sr. VP Public Policy	40.0	0.0		$556,950	$0	$44,825	Yes (X)
CHRISTIAN PEDIGO
VP Sys Planning & Health Analy	40.0	0.0		$489,417	$0	$111,576	Yes (X)
Lane Lanier MD
Trustee Start: 06/22	1.0	40.0		$0	$521,446	$53,037		Yes (X)
Scott Leddy
Chief Medical Info Officer	40.0	0.0		$493,722	$0	$69,802	Yes (X)
Winifred King
SVP Chief Comm & DE&I Officer	40.0	0.0		$468,055	$0	$77,180	Yes (X)
John McNey
Sr. V President of Counsel	40.0	0.0		$469,449	$0	$51,693	Yes (X)
MEGAN CHAVEZ
VP Patient & Family Experience	40.0	0.0		$425,416	$0	$77,909	Yes (X)
Karen Wardell
Associate General Counsel	40.0	0.0		$393,626	$0	$76,068			Yes (X)
SPENCER D SEALS
VP Construction & Real Estate	40.0	4.0	Yes (X)	$376,149	$0	$86,425
STEPHEN ECKERT
VP, Info Systems/CTO	40.0	0.0		$382,578	$0	$76,656	Yes (X)
Matthew Carroll MD
Trustee End: 05/22	1.0	40.0		$0	$395,208	$58,373		Yes (X)
Gregory Jimerson
VP-Payor Relations	40.0	0.0		$360,514	$0	$87,088	Yes (X)
CORWIN WARMINK MD
Trustee Start: 06/22	1.0	41.0		$0	$390,844	$51,433		Yes (X)
Natalie Wilkins
Chief of Staff	40.0	0.0		$369,942	$0	$52,040	Yes (X)
Kent Smith
Vice President - Compliance	40.0	0.0		$343,641	$0	$74,300	Yes (X)
Anthony Anani MD
Trustee Start: 06/22	1.0	42.0		$0	$359,739	$22,732		Yes (X)
David Lancaster
VP-Internal Audit	40.0	0.0		$288,960	$0	$77,327	Yes (X)
ALICE W PHILLIPS MD
Trustee - Vice Chairman	2.0	42.0	Yes (X)	$0	$306,629	$45,959		Yes (X)
Anu Partap
Director, Phys Health Equity	40.0	0.0		$306,252	$0	$41,788			Yes (X)
MATTHEW ALBERS
AVP Digital Experience	40.0	0.0		$299,643	$0	$45,911	Yes (X)
LORRAINEA WILLIAMS
Pat/Medication Safety Officer	40.0	0.0		$266,222	$0	$52,474			Yes (X)
Jean Turpin
AVP, Business Intel	40.0	0.0		$267,646	$0	$51,002	Yes (X)
Beth Schmidt
AVP-Human Resources	40.0	0.0		$285,508	$0	$32,830	Yes (X)
Darrell Keeling
VP, Chief Info Security Off.	40.0	0.0		$297,064	$0	$20,760	Yes (X)
JULEE S MORROW MD
Trustee	1.0	44.0		$0	$295,402	$17,578		Yes (X)
MYRANDA MILLER
AVP, Corporate Controller	40.0	0.0		$260,018	$0	$47,043			Yes (X)
AMIT PATEL
Assistant Chief Med Info Offcr	40.0	0.0		$267,854	$0	$26,976			Yes (X)
NICOLAE ANDREI
AVP Supply Chain	40.0	0.0		$271,057	$0	$19,964	Yes (X)
BIANKA SORIA-OLMOS DO
Trustee End: 05/22	1.0	42.0		$0	$211,051	$45,276		Yes (X)
SARA Y GARZA MD
Trustee	1.0	40.0		$0	$209,632	$35,562		Yes (X)
MARY CARA MARTZ
Secretary	40.0	8.0	Yes (X)	$169,553	$0	$23,484
DAPHNE SHAW MD
Trustee Start: 06/22	1.0	42.0		$0	$176,711	$12,958		Yes (X)
ROBERT J BATTON
Trustee	1.0	2.0		$0	$0	$0		Yes (X)
Karl Biggs
TRUSTEE START: 06/22	1.0	1.0		$0	$0	$0		Yes (X)
JOHN P BOSWELL
Trustee	1.0	4.0		$0	$0	$0		Yes (X)
ANNE M CARVALHO
Trustee	1.0	3.0		$0	$0	$0		Yes (X)
JERRY R CONATSER
Trustee	1.0	6.0		$0	$0	$0		Yes (X)
BRIAN C CRUMLEY
Trustee - Secretary/Treasurer	2.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
MICHAEL R DIKE
TRUSTEE END: 05/22	1.0	5.0		$0	$0	$0		Yes (X)
RICHARD W DYESS
TRUSTEE	1.0	4.0		$0	$0	$0		Yes (X)
BELEN M GARREN
Trustee Start: 06/22	1.0	1.0		$0	$0	$0		Yes (X)
W M MACK LAWHON
Trustee End: 05/22	1.0	1.0		$0	$0	$0		Yes (X)
R RUSSELL MORTON
Trustee - Chairman	2.0	5.0	Yes (X)	$0	$0	$0		Yes (X)
JONATHAN NEDRELOW MD
Trustee End: 05/22	1.0	0.0		$0	$0	$0		Yes (X)
Brian C Newby
Trustee	1.0	1.0		$0	$0	$0		Yes (X)
PETER L PHILPOTT
Trustee	1.0	6.0		$0	$0	$0		Yes (X)
ANDREW J ROSELL
Trustee	1.0	3.0		$0	$0	$0		Yes (X)
JAMES E WEBB
Trustee End: 05/22	1.0	5.0		$0	$0	$0		Yes (X)
Rachel R Werner
Trustee Start: 06/22	1.0	2.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,425,525	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,257,015	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,312,069	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	320	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
NETSYNC NETWORK SOLUTIONS
2500 WEST LOOP SOUTH SUITE 410	HOUSTON	TX	77027	HARDWARE/SOFTWARE	$2,486,049
KUDELSKI SECURITY
5090 NORTH 40TH STREET SUITE 450	PHOENIX	AZ	85018	HARDWARE/SOFTWARE	$1,802,424
WORKDAY INC
6110 STONERIDGE MALL ROAD	PLEASANTON	CA	94588	SOFTWARE SERVICES	$1,795,476
CHOICE SOLUTIONS
7015 COLLEGE BLVD SUITE 300	OVERLAND PARK	KS	66211	SOFTWARE SERVICES	$1,326,837
MICROSOFT
1 MICROSOFT WAY	REDMOND	WA	98052	HARDWARE/SOFTWARE	$1,325,359

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,267,654	RelatedOrganizationsAmt
Government Grants	$1,049,472	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$3,317,126	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Shared Services	900099	$274,885,843	$274,885,843
Human Resources	900099	$12,797,057	$12,797,057
Rent	900099	$12,921,679	$12,921,679
Community Health Outreach	900099	$6,383,962	$6,383,962
Real Estate Management	900099	$378,964	$378,964

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,899,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,899,149	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$312,266,654	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,634,433	TotalRevenueColumnAmt
Exclusion	$5,634,433	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$71,158,030	SecuritiesAmt
Other	$22,925	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$71,184,152	SecuritiesAmt
Other	$12,516	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$26,122	SecuritiesAmt
Other	$10,409	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,713	TotalRevenueColumnAmt
Exclusion	-$15,713	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Rebate	900099	$59,213	$59,213
Legal	900099	$205,000	$205,000
Concierge	900099	$39,333	$39,333

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,425	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,425	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$325,971	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$321,528,471	TotalRevenueColumnAmt
Related Or Exempt Func Income	$312,592,625	RelatedOrExemptFuncIncomeAmt
Exclusion	$5,618,720	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$33,600	TotalAmt
Program Services	$33,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,809,699	TotalAmt
Program Services	$2,329,371	ProgramServicesAmt
Management And General	$11,480,328	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,866,599	TotalAmt
Program Services	$35,113,822	ProgramServicesAmt
Management And General	$8,752,777	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,180,569	TotalAmt
Program Services	$1,165,447	ProgramServicesAmt
Management And General	$2,015,122	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,812,404	TotalAmt
Program Services	$3,085,523	ProgramServicesAmt
Management And General	$2,726,881	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,640,989	TotalAmt
Program Services	$2,726,303	ProgramServicesAmt
Management And General	$914,686	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,976,766	TotalAmt
Program Services	$5,001,191	ProgramServicesAmt
Management And General	$1,975,575	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$180,572	TotalAmt
Management And General	$180,572	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$213,712	TotalAmt
Management And General	$213,712	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,209,045	TotalAmt
Program Services	$18,919,452	ProgramServicesAmt
Management And General	$3,289,593	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,581,409	TotalAmt
Program Services	$1,141,366	ProgramServicesAmt
Management And General	$5,440,043	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,181,801	TotalAmt
Program Services	$4,426,250	ProgramServicesAmt
Management And General	$1,755,551	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$90,438,716	TotalAmt
Program Services	$90,438,716	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,853,910	TotalAmt
Program Services	$1,853,910	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$679,579	TotalAmt
Program Services	$543,582	ProgramServicesAmt
Management And General	$135,997	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$653,237	TotalAmt
Program Services	$595,695	ProgramServicesAmt
Management And General	$57,542	ManagementAndGeneralAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,663,274	TotalAmt
Program Services	$17,663,274	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,372,060	TotalAmt
Program Services	$4,372,060	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Physician Remuneration	$22,415,955	$20,564,457	$1,851,498
REPAIR & MAINTENANCE	$17,031,678	$17,005,910	$25,768
MINOR EQUIPMENT	$11,056,534	$11,055,323	$1,211
FEES & FINANCING	$2,008,678	$1,840,461	$168,217

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,992,124	TotalAmt
Program Services	$5,708,370	ProgramServicesAmt
Management And General	$1,283,754	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$287,902,910	TotalAmt
Program Services	$245,634,083	ProgramServicesAmt
Management And General	$42,268,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,521,836	BOYAmt
EOY	$28,380,026	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,084,084	BOYAmt
EOY	$1,181,970	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,301,784	BOYAmt
EOY	$3,452,395	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)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,096	BOYAmt
EOY	$4,256	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,749,396	BOYAmt
EOY	$6,183,848	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$356,305,583	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$167,618,064	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$239,314,885	BOYAmt
EOY	$188,687,519	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$243,335,763	BOYAmt
EOY	$627,534,797	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,865,632	BOYAmt
EOY	$45,323,417	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$553,188,226	BOYAmt
EOY	$900,758,978	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$246,760,988	BOYAmt
EOY	$179,696,139	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$491,867	BOYAmt
EOY	$917,488	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,789,686	BOYAmt
EOY	$24,312,265	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$272,042,541	BOYAmt
EOY	$204,925,892	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	$281,145,685	BOYAmt
EOY	$695,833,086	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$281,145,685	BOYAmt
EOY	$695,833,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$553,188,226	BOYAmt
EOY	$900,758,978	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$33,625,561	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$19,064,379	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$400,126,219	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	6	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)	$196,002,700	$0
COOK CHILDREN'S HEALTH PLAN
760585240	10	Yes (true)	$11,959,208	$0
COOK CHILDREN'S PHYSICIAN NETWORK
752485366	3	Yes (true)	$26,342,930	$0
COOK CHILDREN'S HOME HEALTH
752896983	10	Yes (true)	$4,447,153	$0
CHILD STUDY CENTER
751099536	7	Yes (true)	$943,143	$0
COOK CHILDREN'S MEDICAL CENTER PROSPER
852354189	3	Yes (true)	$254,431	$0
WI COOK FOUNDATION
752051649	7	Yes (true)	$5,684,518	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	7	SupportedOrganizationsTotalCnt
Support Sum	$245,634,083	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 6	SUPPORT TO NON-SUPPORTED ORGANIZATIONS: 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 E, LINE 3A	POWER TO REGULARLY APPOINT: THE ORGANIZATION IS THE SOLE MEMBER OF ALL BUT TWO OF THE SUPPORTED ORGANIZATIONS AND AS SUCH HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO APPROVE AND RECOMMEND TO W.I. COOK FOUNDATION THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF ALL OF THE SUPPORTED ORGANIZATIONS OTHER THAN ITS SOLE MEMBER, W.I. COOK FOUNDATION, BASED ON RECOMMENDATIONS OF THE ORGANIZATION'S TRUSTEESHIP COMMITTEE. WITH RESPECT TO THE CHILD STUDY CENTER - COOK CHILDREN'S HEALTH CARE SYSTEM IS THE SOLE MEMBER OF AND APPOINTS THE BOARD OF TRUSTEES OF COOK CHILDREN'S MEDICAL CENTER, WHICH IN TURN IS THE SOLE MEMBER OF CHILD STUDY CENTER. THE BOARD OF TRUSTEES OF COOK CHILDREN'S MEDICAL CENTER IS THE FIRST TO ACT ON THE NOMINATIONS FOR THE BOARD OF TRUSTEES OF CHILD STUDY CENTER BEFORE THEY ARE PRESENTED TO THE ORGANIZATION. FINALLY, WITH RESPECT TO W.I. COOK FOUNDATION - THE FOUNDATION APPOINTS ITS OWN BOARD OF TRUSTEES, THE BOARD OF TRUSTEES OF THE ORGANIZATION AND HAS FINAL APPROVAL OF THE OTHER SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION E, LINE 3B	SUBSTANTIAL DEGREE OF DIRECTION OVER POLICIES, PROGRAMS, AND ACTIVITIES: THE ORGANIZATION IS THE SOLE MEMBER OF ALL BUT TWO OF THE SUPPORTED ORGANIZATIONS 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 ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY AND COMPENSATION ARRANGEMENTS.
Schedule A, Part I, Line 12g	Supported Organizations: We are listing supported organizations in addition to Cook Children's Medical Center due to Cook Children's Health Care Systems' historical relationship with them. The organization's governing documents are in the process of being updated to reflect this practice.
SCHEDULE A, PART IV, SECTION D, LINE 3	SIGNIFICANT VOICE OF SUPPORTED ORGANIZATIONS: THE ORGANIZATION IS THE SOLE MEMBER OF ALL BUT TWO OF THE SUPPORTED ORGANIZATIONS AND AS SUCH HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO APPROVE AND RECOMMEND TO W.I. COOK FOUNDATION THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF ALL OF THE SUPPORTED ORGANIZATIONS OTHER THAN ITS SOLE MEMBER, W.I. COOK FOUNDATION, BASED ON RECOMMENDATIONS OF THE ORGANIZATION'S TRUSTEESHIP COMMITTEE. WITH RESPECT TO THE CHILD STUDY CENTER - COOK CHILDREN'S HEALTH CARE SYSTEM IS THE SOLE MEMBER OF AND APPOINTS THE BOARD OF TRUSTEES OF COOK CHILDREN'S MEDICAL CENTER, WHICH IN TURN IS THE SOLE MEMBER OF CHILD STUDY CENTER. THE BOARD OF TRUSTEES OF COOK CHILDREN'S MEDICAL CENTER IS THE FIRST TO ACT ON THE NOMINATIONS FOR THE BOARD OF TRUSTEES OF CHILD STUDY CENTER BEFORE THEY ARE PRESENTED TO THE ORGANIZATION. FINALLY, WITH RESPECT TO W.I. COOK FOUNDATION - THE FOUNDATION APPOINTS ITS OWN BOARD OF TRUSTEES, THE BOARD OF TRUSTEES OF THE ORGANIZATION AND HAS FINAL APPROVAL OF THE OTHER SUPPORTED ORGANIZATIONS.

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)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$180,572	FilingOrganizationsTotalAmt
Affiliated Group Total	$203,050	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$180,572	FilingOrganizationsTotalAmt
Affiliated Group Total	$203,050	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$287,722,338	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,228,516,130	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$287,902,910	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,228,719,180	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$8,223,544	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,055,887	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

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	$166,600	CurrentYearMinus3Amt
Current Year Minus2	$182,300	CurrentYearMinus2Amt
Current Year Minus1	$298,322	CurrentYearMinus1Amt
Current Year	$203,050	CurrentYearAmt
Total	$850,272	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Prmnnt Endowment Balance EOY	0.76420	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.23580	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	$70,728,814	OtherCostOrOtherBasisAmt
Book Value	$70,728,814	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,091,257	OtherCostOrOtherBasisAmt
Depreciation	$45,145,966	DepreciationAmt
Book Value	$76,945,291	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$927,312	OtherCostOrOtherBasisAmt
Depreciation	$881,339	DepreciationAmt
Book Value	$45,973	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,913,514	OtherCostOrOtherBasisAmt
Depreciation	$118,300,954	DepreciationAmt
Book Value	$18,612,560	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,644,686	OtherCostOrOtherBasisAmt
Depreciation	$3,289,805	DepreciationAmt
Book Value	$22,354,881	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$188,687,519	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Intercompany Receivables	$22,018,650
Right of Use Assets	$23,304,767

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$45,323,417	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	RIGHT OF USE LIABILITY	Desc
Amt	$24,312,265	Amt

Field	Value	IRS element (for citing)
Total Liability	$24,312,265	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$305,688,760	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$19,064,367	NetUnrealizedGainsInvstAmt
Other Revenue	$3,448,777	OtherRevenueAmt
Revenue Not Reported	-$15,615,590	RevenueNotReportedAmt
Revenue Subtotal	$321,304,350	RevenueSubtotalAmt
Investment Expenses Not Incld	$213,712	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$10,409	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$224,121	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$321,528,471	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$291,127,566	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,438,368	OtherExpensesIncludedAmt
Expenses Not Reported	$3,438,368	ExpensesNotReportedAmt
Expenses Subtotal	$287,689,198	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$213,712	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$213,712	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$287,902,910	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	USE 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 2D	RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $3,448,777
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUES PER AUDITED FINANCIALS TO TAX RETURN: GAIN ON DISPOSITION OF ASSETS $10,409
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS TO TAX RETURN: MANAGEMENT FEE REDUCTION $3,448,777 GAIN ON DISPOSITION OF ASSET (10,409) ------------ $3,438,368
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 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	$283,763	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$283,763	SubtotalSpentAmt
Total Spent	$283,763	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

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
JUVENILE DIABETES RESEARCH FOUNDATION
8140 WALNUT HILL LN	DALLAS	TX	75231	231907729	501(C)(3)	$10,000	TYPE 1 DIABETES RESEARCH - WALK AND GALA SPONSOR
MENTAL HEALTH CONNECTION
3136 W 4TH ST	FOR WORTH	TX	76107	752659610	501(C)(3)	$13,600	TARRANT CARE DONATION; TARRANT CARES COMM EDUCATIO
CONGENITAL HYPERINSULINISM INTERNATIONAL
PO BOX 135	GLEN RIDGE	NJ	07028	203068945	501(C)(3)	$10,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

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	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES: 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
MATTHEW ALBERS
AVP Digital Experience	$233,180	$0	$58,261	$0	$8,202	$0	$11,600	$0	$34,311	$0	$345,554	$0	$0	$0
Anthony Anani MD
Trustee Start: 06/22	$0	$352,308	$0	$1,000	$0	$6,431	$0	$11,600	$0	$11,132	$0	$382,471	$0	$0
NICOLAE ANDREI
AVP Supply Chain	$216,546	$0	$50,745	$0	$3,766	$0	$5,344	$0	$14,620	$0	$291,021	$0	$0	$0
B ANTHONY BAGWELL
SVP, CIIO	$0	$605,844	$0	$449,701	$0	$21,291	$0	$129,022	$0	$32,356	$0	$1,238,214	$0	$0
Matthew Carroll MD
Trustee End: 05/22	$0	$309,721	$0	$69,113	$0	$16,374	$0	$18,125	$0	$40,248	$0	$453,581	$0	$0
MEGAN CHAVEZ
VP Patient & Family Experience	$290,979	$0	$132,699	$0	$1,738	$0	$40,731	$0	$37,178	$0	$503,325	$0	$0	$0
James C Cunningham MD
EVP, CHIEF MEDICAL OFFICER	$629,003	$0	$296,290	$0	$154,443	$0	$21,750	$0	$24,011	$0	$1,125,497	$0	$0	$0
STEPHEN ECKERT
VP, Info Systems/CTO	$282,632	$0	$95,458	$0	$4,488	$0	$42,587	$0	$34,069	$0	$459,234	$0	$0	$0
Robert Feather
Sr. VP Public Policy	$333,533	$0	$143,071	$0	$80,346	$0	$21,750	$0	$23,075	$0	$601,775	$0	$0	$0
GAVIN FINE MD
Trustee	$0	$555,800	$0	$1,000	$0	$13,254	$0	$21,750	$0	$32,945	$0	$624,749	$0	$0
JOSEPH M GALLAGHER
SVP, Chief Legal Officer	$509,871	$0	$220,899	$0	$17,315	$0	$103,168	$0	$34,356	$0	$885,609	$0	$0	$0
SARA Y GARZA MD
Trustee	$0	$203,039	$0	$1,000	$0	$5,593	$0	$13,500	$0	$22,062	$0	$245,194	$0	$0
Keith Holtz
Chief Administration Officer	$526,107	$0	$250,704	$0	$91,902	$0	$113,414	$0	$24,011	$0	$1,006,138	$0	$63,840	$0
Eric Hubli
Chief Sys Effectiveness Offcr	$555,220	$0	$206,623	$0	$16,793	$0	$63,572	$0	$38,638	$0	$880,846	$0	$0	$0
Gregory Jimerson
VP-Payor Relations	$264,739	$0	$90,163	$0	$5,612	$0	$50,100	$0	$36,988	$0	$447,602	$0	$0	$0
Darrell Keeling
VP, Chief Info Security Off.	$133,549	$0	$25,151	$0	$138,364	$0	$5,260	$0	$15,500	$0	$317,824	$0	$0	$0
Stephen W Kimmel
EVP, System Finance	$157,072	$471,218	$74,634	$223,903	$28,961	$86,881	$32,850	$98,552	$7,776	$23,328	$301,293	$903,882	$82,928	$0
Winifred King
SVP Chief Comm & DE&I Officer	$303,319	$0	$127,415	$0	$37,321	$0	$65,964	$0	$11,216	$0	$545,235	$0	$14,793	$0
David Lancaster
VP-Internal Audit	$206,344	$0	$71,744	$0	$10,872	$0	$44,574	$0	$32,753	$0	$366,287	$0	$0	$0
Lane Lanier MD
Trustee Start: 06/22	$0	$510,754	$0	$1,000	$0	$9,692	$0	$16,994	$0	$36,043	$0	$574,483	$0	$0
Scott Leddy
Chief Medical Info Officer	$367,321	$0	$119,915	$0	$6,486	$0	$57,051	$0	$12,751	$0	$563,524	$0	$0	$0
MICHELLE MARCINCUK MD
Trustee End: 05/22	$0	$602,959	$0	$1,000	$0	$36,851	$0	$18,125	$0	$36,930	$0	$695,865	$0	$0
James Marshall MD
Chief Research Officer	$564,294	$0	$147,047	$0	$6,486	$0	$21,750	$0	$31,676	$0	$771,253	$0	$0	$0
MARY CARA MARTZ
Secretary	$131,942	$0	$31,642	$0	$5,969	$0	$7,810	$0	$15,674	$0	$193,037	$0	$0	$0
John McNey
Sr. V President of Counsel	$279,647	$0	$130,023	$0	$59,779	$0	$21,750	$0	$29,943	$0	$521,142	$0	$0	$0
THERESA Z MEADOWS
SVP, Chief Information Officer	$452,928	$0	$193,410	$0	$89,769	$0	$21,750	$0	$33,113	$0	$790,970	$0	$0	$0
RICK W MERRILL
President & CEO	$383,132	$893,972	$221,755	$517,428	$117,463	$274,082	$65,326	$152,425	$11,342	$26,463	$799,018	$1,864,370	$0	$0
MYRANDA MILLER
AVP, Corporate Controller	$202,763	$0	$49,840	$0	$7,415	$0	$10,746	$0	$36,297	$0	$307,061	$0	$0	$0
JULEE S MORROW MD
Trustee	$0	$270,899	$0	$1,000	$0	$23,503	$0	$0	$0	$17,578	$0	$312,980	$0	$0
Anu Partap
Director, Phys Health Equity	$231,579	$0	$69,911	$0	$4,762	$0	$7,818	$0	$33,970	$0	$348,040	$0	$0	$0
AMIT PATEL
Assistant Chief Med Info Offcr	$223,396	$0	$32,255	$0	$12,203	$0	$13,689	$0	$13,287	$0	$294,830	$0	$0	$0
CHRISTIAN PEDIGO
VP Sys Planning & Health Analy	$331,949	$0	$144,769	$0	$12,699	$0	$75,718	$0	$35,858	$0	$600,993	$0	$0	$0
ALICE W PHILLIPS MD
Trustee - Vice Chairman	$0	$266,582	$0	$1,000	$0	$39,047	$0	$15,995	$0	$29,964	$0	$352,588	$0	$0
CORY R RHOADES
Chief Financial Officer	$475,794	$0	$204,726	$0	$59,962	$0	$97,819	$0	$35,862	$0	$874,163	$0	$42,740	$0
Joann Sanders
Chief Quality Officer	$445,178	$0	$190,382	$0	$82,000	$0	$92,707	$0	$22,944	$0	$833,211	$0	$54,681	$0
Beth Schmidt
AVP-Human Resources	$224,846	$0	$52,908	$0	$7,754	$0	$16,542	$0	$16,288	$0	$318,338	$0	$0	$0
DEBORAH SCHUTTE MD
Trustee	$0	$557,083	$0	$1,000	$0	$27,094	$0	$21,750	$0	$37,044	$0	$643,971	$0	$0
SPENCER D SEALS
VP Construction & Real Estate	$279,522	$0	$94,063	$0	$2,564	$0	$52,284	$0	$34,141	$0	$462,574	$0	$0	$0
DAPHNE SHAW MD
Trustee Start: 06/22	$0	$172,269	$0	$500	$0	$3,942	$0	$12,958	$0	$0	$0	$189,669	$0	$0
Kent Smith
Vice President - Compliance	$252,266	$0	$85,970	$0	$5,405	$0	$43,789	$0	$30,511	$0	$417,941	$0	$0	$0
BIANKA SORIA-OLMOS DO
Trustee End: 05/22	$0	$193,072	$0	$1,000	$0	$16,979	$0	$13,370	$0	$31,906	$0	$256,327	$0	$0
Jean Turpin
AVP, Business Intel	$207,864	$0	$52,082	$0	$7,700	$0	$16,267	$0	$34,735	$0	$318,648	$0	$0	$0
Karen Wardell
Associate General Counsel	$289,458	$0	$98,181	$0	$5,987	$0	$44,879	$0	$31,189	$0	$469,694	$0	$0	$0
CORWIN WARMINK MD
Trustee Start: 06/22	$0	$329,083	$0	$51,132	$0	$10,629	$0	$19,500	$0	$31,933	$0	$442,277	$0	$0
Natalie Wilkins
Chief of Staff	$277,159	$0	$90,265	$0	$2,518	$0	$39,479	$0	$12,561	$0	$421,982	$0	$0	$0
LORRAINEA WILLIAMS
Pat/Medication Safety Officer	$207,416	$0	$51,095	$0	$7,711	$0	$14,607	$0	$37,867	$0	$318,696	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART II	ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO 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 CHILD STUDY CENTER
SCHEDULE J, PART I, Line 4B	PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY ---------------------- -------- ---------- --------- RICK W. MERRILL NONE 196,000 SYSTEM STEPHEN W. KIMMEL 82,928 113,277 SYSTEM B. ANTHONY BAGWELL NONE 117,422 FOUNDATION JOSEPH M. GALLAGHER NONE 81,912 SYSTEM SPENCER D. SEALS NONE 30,534 SYSTEM KEITH HOLTZ 63,840 94,677 SYSTEM WINIFRED KING 14,793 47,664 SYSTEM CHRISTIAN PEDIGO NONE 53,968 SYSTEM CORY R. RHOADES 42,740 76,429 SYSTEM JOANN SANDERS 54,681 70,957 SYSTEM MEGAN CHAVEZ NONE 32,238 SYSTEM STEPHEN ECKERT NONE 30,987 SYSTEM ERIC HUBLI NONE 41,822 SYSTEM GREGORY JIMERSON NONE 29,268 SYSTEM DAVID LANCASTER NONE 23,289 SYSTEM SCOTT LEDDY NONE 38,926 SYSTEM KENT SMITH NONE 27,907 SYSTEM KAREN WARDELL NONE 31,871 SYSTEM NATALIE WILKINS NONE 29,358 SYSTEM
Schedule J, Part I, Line 1a & 1b	GENERAL GROSS UP PAYMENTS IN W-2 TAXABLE COMPENSATION: Anthony Anani, MD Gavin Fine, MD Sara Garza, MD Lane Lanier, MD Michelle Marcincuk, MD Theresa Meadows Julee Morrow, MD Amit Patel Alice Phillips, MD Deborah Schutte, MD Daphne Shaw, MD Bianka Soria-Olmos, DO Corwin Warmink, MD 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: VARIOUS OFFICERS AND TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO THEIR EMPLOYMENT ON BOARD SERVICE WITH OTHER ORGANIZATIONS WITHIN THE SYSTEM. CARA MARTZ AND PETER PHILPOTT HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	SOLE MEMBER: 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, SECTION A, LINE 7A	MEMBER ELECTION ABILITIES: 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, SECTION A, LINE 7B	MEMBER DECISION ABILITIES: 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 (6) COOK CHILDREN'S HEALTH ENTERPRISES; AND (7) 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, SECTION B, LINE 11B	REVIEW PROCESS FOR FORM 990: 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, SECTION B, LINE 12C	WRITTEN 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 HOTLINE 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, SECTION B, LINE 15A & 15B	REVIEW AND APPROVAL OF COMPENSATION: Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation, which includes the organization's CEO and 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 RETAINED SULLIVAN COTTER AND ASSOCIATES, INC. IN 2022 to issue a reasonableness opinion covering the physician compensation plan for Cook Children's Physician Network
FORM 990, PART VI, SECTION C, LINE 19	PROCESS OF MAKING GOVERNING 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 SECRETARY OF STATE OF TEXAS. 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 XI, LINE 9	OTHER CHANGES IN NET ASSETS OF FUND BALANCES: NET TRANSFERS BETWEEN AFFILIATES: $400,126,219

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	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240	INSURANCE	TX	501(C)(3)	10	CCHCS	Yes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	PHYSICIAN SVC	TX	501(C)(3)	3	CCHCS	Yes (true)
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	752051646	HOSPITAL	TX	501(C)(3)	3	CCHCS	Yes (true)
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752051649	FUNDRAISING	TX	501(C)(3)	7	NA	false
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FORT WORTH	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	10	CCHCS	Yes (true)
ROSEDALE OFFICE BUILDING INC
1500 W ROSEDALE	FORT WORTH	TX	76104	460866421	TITLE HOLDING	TX	501(C)(2)	N/A	CCHF	Yes (true)
CHILD STUDY CENTER
1300 WEST LANCASTER AVE	FORT WORTH	TX	76102	751099536	HEALTHCARE	TX	501(C)(3)	7	CCMC	Yes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 7TH AVE	FORT WORTH	TX	76104	842625990	HLTHCR SUPP	TX	501(C)(3)	12B	CCHCS	Yes (true)
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 SEVENTH AVE	FORT WORTH	TX	76087	852354189	HOSPITAL	TX	501(C)(3)	3	CCHCS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871718	ASC	TX	NA	N/A
COOK CHILDREN'S SURGERY CENTER
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	205227064	ASC	TX	NA	N/A
CENTER FOR PEDIATIC SURGERY
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	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	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
COOK CHILDREN'S HEALTH SERVICES INC
801 7TH AVENUE	FORT WORTH	TX	76104	454024843	HEALTHCARE	TX	CCHCS	C CORPORATION	$3,511,974	$9,105,395	1.00000	Yes (true)
COOK CHILDREN'S INDEMNITY COMPANY
				980424041	SELF INSURANCE		CCHCS	C CORPORATION	$1,428,901	$47,393,504	1.00000	Yes (true)	878 WEST BAY RD	GRAND CAYMAN	CJ	KY1-1102	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 (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
A	$2,676,418	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A	$5,964,813	FMV
COOK CHILDREN'S HOME HEALTH
A	$917,413	FMV
COOK CHILDREN'S HEALTH PLAN
A	$1,255,120	FMV
COOK CHILDREN'S MEDICAL CENTER
B	$674,693	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B	$280,780	FMV
ROSEDALE OFFICE BUILDING
K	$1,712,998	FMV
COOK CHILDREN'S MEDICAL CENTER
O	$1,074,393	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O	$22,860,937	FMV
ROSEDALE OFFICE BUILDING
O	$65,108	FMV
COOK CHILDREN'S MEDICAL CENTER
P	$306,801	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P	$300,711	FMV
ROSEDALE OFFICE BUILDING
P	$603,034	FMV
COOK CHILDREN'S MEDICAL CENTER
Q	$318,996,455	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q	$41,422,989	FMV
COOK CHILDREN'S HOME HEALTH
Q	$6,398,719	FMV
COOK CHILDREN'S HEALTH PLAN
Q	$17,694,485	FMV
COOK CHILDREN'S HEALTH SERVICES
Q	$191,661	FMV
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Q	$843,783	fmv
CHILD STUDY CENTER
Q	$1,868,772	FMV
COOK CHILDREN'S MEDICAL CENTER
R	$284,620	FMV
COOK CHILDREN'S HEALTH PLAN
R	$110,000	FMV
ROSEDALE OFFICE BUILDING
R	$129,400	FMV
COOK CHILDREN'S MEDICAL CENTER
S	$400,356,413	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
S	$74,782	FMV
COOK CHILDREN'S MEDICAL CENTER - PROSPER
R	$50,138,417	FMV
COOK CHILDREN'S INDEMNITY COMPANY
S	$9,609,231	fmv
COOK CHILDREN'S INDEMNITY COMPANY
R	$8,312,080	FMV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	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	Electing OrganizationElectingOrganizationInd
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240	$0	$22,478	$22,478	$840,298,549	$840,321,027	$1,000,000	$250,000	$0	$0	$0
COOK CHILREN'S HEALTH CARE S
801 SEVENTH AVE	FORT WORTH	TX	76104	752705881	$0	$180,872	$180,872	$287,722,338	$287,903,210	$1,000,000	$250,000	$0	$0	$0	Yes (X)
COOK CHILDREN'S PHYSICIAN NE
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	$0	$0	$0	$432,113,954	$432,113,954	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S MEDICAL CENT
801 SEVENTH AVE	FORT WORTH	TN	76104	752051646	$0	$0	$0	$1,350,787,048	$1,350,787,048	$1,000,000	$250,000	$0	$0	$0
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752051649	$0	$0	$0	$46,656,091	$46,656,091	$1,000,000	$250,000	$0	$0	$0
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FORT WORTH	TX	76104	752896983	$0	$0	$0	$68,024,379	$68,024,379	$1,000,000	$250,000	$0	$0	$0
ROSEDALE OFFICE BUILDING
1500 W ROSEDALE	FORT WORTH	TX	76104	460866421	$0	$0	$0	$2,316,032	$2,316,032	$265,802	$66,451	$0	$0	$0
CHILD STUDY CENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	751099536	$0	$0	$0	$9,401,256	$9,401,256	$620,063	$155,016	$0	$0	$0
COOK CHILDREN'S HEALTH ENTER
801 SEVENTH AVE	FORT WORTH	TX	76104	842625990	$0	$0	$0	$7,200,844	$7,200,844	$510,042	$127,511	$0	$0	$0
COOK CHILDREN'S MEDICAL CENT
801 SEVENTH AVE	FORT WORTH	TX	76104	852354189	$0	$0	$0	$13,552,732	$13,552,732	$827,637	$206,909	$0	$0	$0