W I COOK FOUNDATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: W I COOK FOUNDATION INC (EIN 75-2051649)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-13
IRS object ID: 202512259349302571
Schema version: 2023v6.0
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 D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-13T16:34:51+00:00	ReturnTs
Tax Period End	2024-09-30	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	1201 Walnut Street Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752051649	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WI Cook Foundation Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WICO	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	President/CEO	PersonTitleTxt
Phone	6828854000	PhoneNum
Signature	2025-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2025-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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	$760,556,406	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	1985	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	32	VotingMembersGoverningBodyCnt
Voting Members Independent	32	VotingMembersIndependentCnt
Total Employee	44	TotalEmployeeCnt
Total Volunteers	87	TotalVolunteersCnt
Total Gross UBI	-$18,634,146	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$59,259	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,208,885	PYContributionsGrantsAmt
CY Contributions Grants	$26,151,998	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$137,645,583	PYInvestmentIncomeAmt
CY Investment Income	$86,133,711	CYInvestmentIncomeAmt
PY Other Revenue	-$13,399,826	PYOtherRevenueAmt
CY Other Revenue	-$17,183,538	CYOtherRevenueAmt
PY Total Revenue	$151,454,642	PYTotalRevenueAmt
CY Total Revenue	$95,102,171	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,838,558	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$30,386,469	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$9,557,853	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$11,199,848	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$49,672	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$266,194	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,020,015	CYTotalFundraisingExpenseAmt
PY Other Expenses	$20,329,572	PYOtherExpensesAmt
CY Other Expenses	$23,529,238	CYOtherExpensesAmt
PY Total Expenses	$44,775,655	PYTotalExpensesAmt
CY Total Expenses	$65,381,749	CYTotalExpensesAmt
PY Revenues Less Expenses	$106,678,987	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,720,422	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,797,083,708	TotalAssetsBOYAmt
Total Assets EOY	$4,613,436,734	TotalAssetsEOYAmt
Total Liabilities BOY	$9,473,082	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$108,568,439	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,787,610,626	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,504,868,295	NetAssetsOrFundBalancesEOYAmt
Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$50,528,932	ExpenseAmt
Grant	$30,386,469	GrantAmt
Revenue	$0	RevenueAmt
Desc	Donations to Cook Children's Health Foundation allow us to care for our families when and how they need us. Sometimes that's by providing new technology or equipment, funding research trials, helping a family with prescription medication costs or by giving a parent a clean change of clothes during an unexpected stay. Our Health Foundation helps connect the dots between those who want to help and the needs of our patients. Many gifts fund a number of vital programs each year, these three areas highlight perfectly how the support we receive from our communities helps create the magical experiences for which Cook Children's is known. Funding Care Close to Home Cook Children's believes all children deserve access to health care, no matter their zip code. Seven community-based Neighborhood Health Centers (NHC) give families a home for primary medical care close to where they live, work and attend school. The free-standing pediatric clinics are located in low income neighborhoods identified as having inadequate access to primary care for children. Roughly 91% of NHC patients are Medicaid beneficiaries. Neighborhood Health Centers are staffed with doctors and other clinical support staff that provide at-risk children high-quality, comprehensive and culturally sensitive medical services from birth through their teen years, including well-child exams, vaccines, sick visits, nutrition, counseling, speech language intake services, and behavioral health evaluations. If a child has a chronic illness, the NHC provides a medical home that will coordinate complex care among other Cook Children's providers. If not for the NHCs, many of these families would turn to the emergency department (ED) for primary care at a cost much higher than a typical clinic visit. Neighborhood Health Centers are helping kids all across Cook Children's service area lead healthier, more productive lives. Each year the clinics lose a combined $10.4 million due to the high number of Medicaid beneficiaries. Philanthropic funds through the Health Foundation help fill these financial gaps so that Cook Children's can deliver on its Promise to improve the well-being of every child regardless of their family's ability to pay. In FY24, our generous donors met the growing need for additional NHCs. Because of their generosity, two more NHCs will be added to the Cook Children's roster for a total of nine. The Health Foundation secured over $7 million for the construction and programmatic costs for Las Vegas Trail NHC and Manhattan NHC. Those funds also support clinical operations in the existing seven centers. The generosity of Health Foundation donors helps sustain NHC services and gives all children the health care they deserve. Supporting New Discoveries Cook Children's is home to many of the best and brightest minds in pediatric health care. In addition to patient care, a number of our physicians conduct research that leads to new discoveries in medicine and advancements in patient care. The Endowed Chair program recognizes the great work of our innovative physicians who are advancing pediatric care along with Cook Children's research reputation. It allows physicians to be compensated for their time as they develop programs, participate in clinical research, write for national publications, make presentations on a national level and further elevate the regional, national and global prominence of their work. More importantly, it connects Cook Children's patients with groundbreaking research, novel therapies and state-of-the-art technologies that could significantly impact their care and health outcomes. In FY24, the Health Foundation secured a $3.5 million gift to purchase capital equipment for Neuro-Oncology Endowed Chair Focused Ultrasound research. Securing this gift ensures our physicians are poised to provide significant neuro-oncology research for the health and well-being of not only our patients, but children all across the globe. As Cook Children's anticipates increased funding needs in these two aforementioned areas of NHCs and Endowed Chairs, it is critical that we continue to solicit diversified gifts involving capital, programmatic and endowed gifts to these funding areas. Supporting Cook Children's Experience For decades Cook Children's has been at the forefront of providing holistic services to families such as Case Management, Child Life and Pastoral Care. Case Management in particular, helps provide a family's basic needs. When a child has an unexpected medical emergency or is experiencing a prolonged illness or treatment it can disrupt the family's ability to meet their basic needs. Meals, housing, utility bills - those things essential in life can leave a family vulnerable when faced with unexpected medical bills or costly prescriptions. Coupled with the fact that being present with your sick child means being away from work for days, weeks, even months at a time affecting a family's income. This is where our donor-funded case management comes in by helping to provide for families' basic needs so they can focus on the healing of their child. The Foundation continues to support these non-revenue generating areas through its efforts such as annual giving programs, third party events, Children's Miracle Network Hospitals, corporate, and mid-level giving. In FY24 alone, the Health Foundation raised over $2.3 million to help meet the needs of our patient families in these essential areas. It is these above-and-beyond-healthcare programs that make Cook Children's a magical and stellar institution treating the whole child, the whole family.	Desc
Total Program Service Expenses	$50,528,932	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	Yes (true)	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	false	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	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	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	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	36	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	44	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	32	GoverningBodyVotingMembersCnt
Independent Voting Member	32	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	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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 Avenue	AddressLine1Txt
City	Fort Worth	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (54 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
Belen M Garren
Trustee - Sec/Treasurer	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Peter L Philpott
Trustee - Chairman	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Rick Sorenson
Trustee - Vice Chair	2.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
Andrew J Rosell
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Andrew P Lombardi
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Ashli Blumenfeld
Trustee End 5/31/24	1.0	0.0	Yes (X)		$0	$0	$0
Benjamin A Rosenthal
Trustee START 6/1/24	1.0	0.0	Yes (X)		$0	$0	$0
Brian C Crumley
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Brian C Newby
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Dale F Klose
Trustee START 6/1/24	1.0	0.0	Yes (X)		$0	$0	$0
Frost R Prioleau
Trustee End 5/31/24	1.0	2.0	Yes (X)		$0	$0	$0
Hadley Woerner
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Harlington Peter Ku DDS
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
James E Webb
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
James Matthew Johnson
Trustee END 5/31/24	1.0	0.0	Yes (X)		$0	$0	$0
Jerry R Conatser
Trustee END 5/31/24	1.0	6.0	Yes (X)		$0	$0	$0
John Merrifield
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Jon S Brumley
Trustee END 5/31/24	1.0	0.0	Yes (X)		$0	$0	$0
Karl Biggs
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Kathryn S Wells
Trustee START 6/1/24	1.0	0.0	Yes (X)		$0	$0	$0
Kenneth Hampton
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Laura Bird
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Lisa H Jamieson
Trustee END 5/31/24	1.0	1.0	Yes (X)		$0	$0	$0
Michael M Gonzalez Sr
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Michael R Dike
Trustee	1.0	3.0	Yes (X)		$0	$0	$0
Michael R Pavell
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
R Kyle Kight
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
R Russell Morton
Trustee	1.0	7.0	Yes (X)		$0	$0	$0
Rachel R Werner
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Richard W Dyess
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
Roger P Marcincuk Jr
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Rosalind Evans
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Victoria Puente-Peters
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Wally Jones
Trustee	1.0	2.0	Yes (X)		$0	$0	$0
William Butler
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
William E Bailey
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
William Jackson Rattikin III
Trustee	1.0	1.0	Yes (X)		$0	$0	$0
Willie Houston III
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
B Anthony Bagwell
SVP, CIIO	40.0	0.0		Yes (X)	$1,763,275	$0	$218,385
Cory R Rhoades
Chief Financial Officer	2.0	40.0		Yes (X)	$0	$866,208	$136,241
Grant W Harris
SVP, Chief Development Officer	40.0	0.0		Yes (X)	$654,800	$0	$115,101
Joseph M Gallagher
SVP, Chief Legal Officer	1.0	40.0		Yes (X)	$0	$883,970	$138,911
Mary Cara Martz
Secretary	1.0	40.0		Yes (X)	$0	$183,907	$21,095
Rick W Merrill
President/CEO	8.0	34.0		Yes (X)	$551,089	$2,204,354	$550,074
Spencer D Seals
VP Construction & Real Estate	2.0	40.0		Yes (X)	$0	$403,495	$84,754
Stephen W Kimmel
EVP, Sys Finance	2.0	40.0		Yes (X)	$60,884	$1,156,796	$175,382
Jennifer Johnson
AVP Donor Relations	40.0	0.0			$235,953	$0	$25,973	Yes (X)
Kimberly Mcginnis
Vice President	40.0	0.0			$258,830	$0	$53,095	Yes (X)
Martha Mattox
AVP, Major Gifts	40.0	0.0			$169,826	$0	$9,975	Yes (X)
Christopher Tindell
Investment Manager	40.0	0.0			$282,842	$0	$33,451		Yes (X)
Dayle Lowry
Investment Operations Mgr	40.0	0.0			$328,639	$0	$26,832		Yes (X)
Drew Smith
Senior Investment Analyst	40.0	0.0			$194,795	$0	$9,747		Yes (X)
Jamye Shaffer
Manager, Investment Operations	40.0	0.0			$173,710	$0	$30,521		Yes (X)
Priti Mody
Managing Director	40.0	0.0			$921,781	$0	$17,279		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,596,424	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,698,730	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,646,816	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Hull Building LLC
201 Lipscomb Street	Fort Worth	TX	76104	Building Preservation & Restoration Svcs	$1,271,003
TVM Advisors LLC
117 7th Avenue	New York	NY	10014	Consulting Services	$853,438	S 4A
BNY Mellon
240 Greenwich Street	New York	NY	10286	Custodial Services	$765,384
Proprietary Capital
1800 Larimer Street	Denver	CO	80202	Investment Management Services	$631,758	Suite 1825
Silchester International Investors Inc
780 Third Avenue	New York	NY	10017	Investment Management Services	$630,124	42nd Floor

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Fundraising	$531,701	FundraisingAmt
All Other Contributions	$25,620,297	AllOtherContributionsAmt
Noncash Contributions	$126,444	NoncashContributionsAmt
Total Contributions	$26,151,998	TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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)
Total Program Service Revenue	$0	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,832,151	TotalRevenueColumnAmt
Exclusion	$21,832,151	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$960,231	TotalRevenueColumnAmt
Exclusion	$960,231	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	$729,654,741	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$665,353,181	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$64,301,560	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,301,560	TotalRevenueColumnAmt
Exclusion	$64,301,560	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$48,372	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$531,701	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$101,054	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,682	TotalRevenueColumnAmt
Exclusion	-$52,682	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Federal/State Tax Refund	900099	$543,059	$543,059
K-1 Partnership UBI	900099	-$18,634,146		-$18,634,146

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	-$18,091,087	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$95,102,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$18,634,146	UnrelatedBusinessRevenueAmt
Exclusion	$87,584,319	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$30,386,469	TotalAmt
Program Services	$30,386,469	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,982,260	TotalAmt
Program Services	$1,855,623	ProgramServicesAmt
Management And General	$650,004	ManagementAndGeneralAmt
Fundraising	$1,476,633	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,958,757	TotalAmt
Program Services	$2,132,338	ProgramServicesAmt
Fundraising	$2,826,419	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$494,242	TotalAmt
Program Services	$249,876	ProgramServicesAmt
Fundraising	$244,366	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,381,520	TotalAmt
Program Services	$449,075	ProgramServicesAmt
Fundraising	$932,445	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$383,069	TotalAmt
Program Services	$112,084	ProgramServicesAmt
Fundraising	$270,985	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,356	TotalAmt
Program Services	$5,356	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$266,194	TotalAmt
Fundraising	$266,194	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,833,404	TotalAmt
Management And General	$5,833,404	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,148,836	TotalAmt
Program Services	$3,780,279	ProgramServicesAmt
Management And General	$38,158	ManagementAndGeneralAmt
Fundraising	$330,399	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$463,644	TotalAmt
Fundraising	$463,644	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,079	TotalAmt
Program Services	$1,698	ProgramServicesAmt
Fundraising	$69,381	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$471,630	TotalAmt
Program Services	$14	ProgramServicesAmt
Management And General	$20,518	ManagementAndGeneralAmt
Fundraising	$451,098	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$312,867	TotalAmt
Program Services	$166,115	ProgramServicesAmt
Fundraising	$146,752	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$20,253	TotalAmt
Program Services	$1,343	ProgramServicesAmt
Management And General	$18,910	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$270,214	TotalAmt
Management And General	$269,512	ManagementAndGeneralAmt
Fundraising	$702	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
Physician Remuneration	$11,369,690	$11,369,690
Dues and Subscriptions	$327,139	$7,433	$319,706
Fees and Financing	$54,470		$54,470
Awards and Recognition	$38,878		$38,878

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$141,778	TotalAmt
Program Services	$11,539	ProgramServicesAmt
Management And General	$2,296	ManagementAndGeneralAmt
Fundraising	$127,943	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,381,749	TotalAmt
Program Services	$50,528,932	ProgramServicesAmt
Management And General	$6,832,802	ManagementAndGeneralAmt
Fundraising	$8,020,015	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,022,627	BOYAmt
EOY	$74,110,160	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,096,241	BOYAmt
EOY	$6,749,651	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,656,884	BOYAmt
EOY	$782,025	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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$30,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$11,800,351	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$651,652	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,908,512	BOYAmt
EOY	$11,148,699	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,914,456,456	BOYAmt
EOY	$2,370,232,447	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,813,719,261	BOYAmt
EOY	$2,110,476,706	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	$25,223,727	BOYAmt
EOY	$39,907,046	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,797,083,708	BOYAmt
EOY	$4,613,436,734	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,297,404	BOYAmt
EOY	$2,847,764	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	$6,175,678	BOYAmt
EOY	$105,720,675	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,473,082	BOYAmt
EOY	$108,568,439	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	$3,546,631,745	BOYAmt
EOY	$4,296,039,341	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$240,978,881	BOYAmt
EOY	$208,828,954	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,787,610,626	BOYAmt
EOY	$4,504,868,295	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,797,083,708	BOYAmt
EOY	$4,613,436,734	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,720,422	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$402,833,010	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$284,704,237	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,623,049	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,994,140	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$40,964,773	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,208,885	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,151,998	CurrentTaxYearAmt
Total	$127,942,845	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,623,049	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,994,140	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$40,964,773	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,208,885	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,151,998	CurrentTaxYearAmt
Total	$127,942,845	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$15,916,442	SubstantialContributorsTotAmt
Public Support Total170	$112,026,403	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,455,046	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,727,722	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,615,822	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$16,943,035	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,792,382	CurrentTaxYearAmt
Total	$93,534,007	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,553,726	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$960,979	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,224,571	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$225,477	CurrentTaxYearMinus1YearAmt
Current Tax Year	$59,259	CurrentTaxYearAmt
Total	$5,024,012	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,373,204	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$145,448	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$8,518,652	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$235,019,516	TotalSupportAmt
Gross Receipts Rltd Activities	$48,372	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.4767	PublicSupportCY170Pct
Public Support PY170	0.4653	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - KINDRED INCOME, COLUMN A - 8373204.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 8373204.0; DESCRIPTION - NET FUNDRAISING INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 145448.0, COLUMN E - , COLUMN F - 145448.0;	ExplanationTxt

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Preservation Public Use	Yes (X)	PreservationPublicUseInd
Historic Land Area	Yes (X)	HistoricLandAreaInd
Historic Structure	Yes (X)	HistoricStructureInd
Total Easements	1	TotalEasementsCnt
Total Acreage	1.43	TotalAcreageCnt
Historic Structure Easements	1	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	false	WrittenPolicyMonitoringInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$193,817,349	BeginningYearBalanceAmt
Contributions	$592,998	ContributionsAmt
Investment Earnings Or Losses	$22,686,955	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,399,481	OtherExpendituresAmt
End Year Balance	$213,697,821	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$194,042,910	BeginningYearBalanceAmt
Contributions	$594,181	ContributionsAmt
Investment Earnings Or Losses	$4,087,621	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,907,363	OtherExpendituresAmt
End Year Balance	$193,817,349	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$194,420,888	BeginningYearBalanceAmt
Contributions	$777,244	ContributionsAmt
Investment Earnings Or Losses	$5,477,435	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,632,657	OtherExpendituresAmt
End Year Balance	$194,042,910	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$151,358,685	BeginningYearBalanceAmt
Contributions	$506,299	ContributionsAmt
Investment Earnings Or Losses	$48,438,782	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,882,878	OtherExpendituresAmt
End Year Balance	$194,420,888	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$140,163,649	BeginningYearBalanceAmt
Contributions	$9,193,123	ContributionsAmt
Investment Earnings Or Losses	$5,976,208	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,974,295	OtherExpendituresAmt
End Year Balance	$151,358,685	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3162	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5564	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1274	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,735,000	OtherCostOrOtherBasisAmt
Book Value	$3,735,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,060,245	OtherCostOrOtherBasisAmt
Depreciation	$623,262	DepreciationAmt
Book Value	$3,436,983	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,390	OtherCostOrOtherBasisAmt
Depreciation	$28,390	DepreciationAmt
Book Value	$0	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,976,716	OtherCostOrOtherBasisAmt
Book Value	$3,976,716	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,148,699	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative Investments	Desc
Book Value	$2,110,476,706	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,110,476,706	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Gift Annuities	$50,759
Funds Held for Affiliates	$838,094
Intercompany Payables	$104,831,822

Field	Value	IRS element (for citing)
Total Liability	$105,720,675	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$467,567,342	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$402,833,010	NetUnrealizedGainsInvstAmt
Other Revenue	-$15,404,655	OtherRevenueAmt
Revenue Not Reported	$387,428,355	RevenueNotReportedAmt
Revenue Subtotal	$80,138,987	RevenueSubtotalAmt
Investment Expenses Not Incld	$10,322,462	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$4,640,722	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$14,963,184	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$95,102,171	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$24,227,313	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$442,005	OtherExpensesIncludedAmt
Expenses Not Reported	-$442,005	ExpensesNotReportedAmt
Expenses Subtotal	$24,669,318	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$10,322,462	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$30,389,969	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$40,712,431	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$65,381,749	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 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 II, Line 9 Conservation easements financial reporting	CONSERVATION EASEMENT ASSETS ARE REPORTED WITH PROPERTY AND EQUIPMENT IN THE BALANCE SHEET. CONSERVATION EASEMENT REVENUE AND EXPENSES ARE REPORTED AS OPERATING INCOME/LOSS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR OF UP TO 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED AND/OR ACCORDING TO THE DONOR REQUIREMENTS AS SET FORTH IN EACH ENDOWMENT DOCUMENT. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Net Assets Released from Restrictions - 196247 Restricted Unrealized Gains - -15600902
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Contributions in Restricted Net Assets - 18724181 Federal/State Tax Refund - 543059 Direct Fundraising Expenses - -101054 K-1 Partnership UBI - -18634146 Interest Rate Swap Adjustment - 4108682
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Federal/State Tax Refund - -543059 Direct Fundraising Expenses - 101054
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	Donations from Net Assets - 30389969

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
North America (Canada & Mexico only)	Investments	$88,989,593
East Asia and the Pacific	Investments	$169,826,962
Sub-Saharan Africa	Investments	$68,249,141
Middle East and North Africa	Investments	$6,036,034
Europe (Including Iceland and Greenland)	Investments	$167,944,038
South America	Investments	$17,443,275
Central America and the Caribbean	Investments	$706,965
South Asia	Investments	$119,879,759

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	$639,075,767	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$639,075,767	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	Yes (true)	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; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
M Gale & Associates
329 S Main St Ste 201	Fort Worth	TX	76104	Campaign readiness assessment	false	$0	$252,600	-$252,600
Stelter Company
PO Box 5228	Des Moines	IA	503055228	Planned Giving Solicitations	false	$0	$13,594	-$13,594

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$266,194	TotalRetainedByContractorsAmt
Total Net To Organization	-$266,194	TotalNetToOrganizationAmt
Licensed States	TX	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Party on the Patio	Event1Nm
Gross Receipts Event1	$305,440	GrossReceiptsEvent1Amt
Charitable Contri Event1	$257,068	CharitableContriEvent1Amt
Gross Revenue Event1	$48,372	GrossRevenueEvent1Amt
Food And Beverage Event1	$21,440	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$22,130	OtherDirectExpensesEvent1Amt
Event2	The Blast	Event2Nm
Gross Receipts Event2	$274,633	GrossReceiptsEvent2Amt
Charitable Contri Event2	$274,633	CharitableContriEvent2Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$132	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$4,875	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$140	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,954	EntertainmentEvent2Amt
Other Direct Expenses Event2	$50,383	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$580,073	GrossReceiptsTotalAmt
Charitable Contributions Tot	$531,701	CharitableContributionsTotAmt
Gross Revenue Total Events	$48,372	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$132	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$4,875	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$21,580	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,954	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$72,513	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$101,054	DirectExpenseSummaryEventsAmt
Net Income Summary	-$52,682	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule G, Part I, Line 2b(v) GROSS RECEIPTS FROM ACTIVITY	THE FOUNDATION IS UNABLE TO CALCULATE THE GROSS RECEIPTS DIRECTLY RELATED TO M GALE'S AND STELTER'S SERVICES, SO WE HAVE LEFT THE GROSS RECEIPTS FROM ACTIVITY AS $0.
Schedule G, Part I, Line 2b(ii) Describe the custody or control arrangement.	M GALE & ASSOCIATES-CONTRACTUAL;STELTER COMPANY-CONTRACTUAL;
Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses	M GALE & ASSOCIATES-PROFESSIONAL SERVICES;STELTER COMPANY-PROFESSIONAL SERVICES;

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752051646	501(C)(3)	$22,276,084	FINANCIAL ASSISTANCE
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752575366	501(C)(3)	$1,750,873	FINANCIAL ASSISTANCE
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752705881	501(C)(3)	$4,076,156	FINANCIAL ASSISTANCE
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752896983	501(C)(3)	$29,462	FINANCIAL ASSISTANCE
COOK CHILDREN'S MEDICAL CENTER-PROSPER
801 SEVENTH AVENUE	FORT WORTH	TX	76104	852354189	501(C)(3)	$104,867	FINANCIAL ASSISTANCE
CHILD STUDY CENTER
801 SEVENTH AVENUE	FORT WORTH	TX	76104	751099536	501(C)(3)	$1,770,375	FINANCIAL ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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	FUNDS ARE PLACED IN THE APPROPRIATE DESIGNATED ACCOUNTS WITH NOTIFICATION FROM DEVELOPMENT STAFF TO THE AUTHORIZED SIGNER. AUTHORIZED SIGNERS AND OTHER APPROPRIATE INDIVIDUALS ARE NOTIFIED OF ANY RESTRICTIONS ON THE FUNDS. DEVELOPMENT STAFF FOLLOW UP WITH AUTHORIZED SIGNERS TO OBTAIN INFORMATION ON THE USE OF FUNDS AND THE IMPACT MADE TO THE PROGRAM. IMPACT REPORTS ARE THEN PREPARED BY DEVELOPMENT STAFF AND SENT TO THE DONOR ON AN ANNUAL BASIS OR AS REQUIRED BY THE DONOR AGREEMENT.	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
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 (16 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
B Anthony Bagwell
SVP, CIIO	$647,274	$0	$976,498	$0	$139,503	$0	$195,290	$0	$23,095	$0	$1,981,660	$0	$116,265	$0
Joseph M Gallagher
SVP, Chief Legal Officer	$0	$550,082	$0	$240,616	$0	$93,272	$0	$114,616	$0	$24,295	$0	$1,022,881	$0	$70,553
Grant W Harris
SVP, Chief Development Officer	$405,550	$0	$177,987	$0	$71,263	$0	$91,904	$0	$23,197	$0	$769,901	$0	$54,728	$0
Stephen W Kimmel
EVP, Sys Finance	$36,208	$687,945	$17,437	$331,304	$7,239	$137,547	$7,729	$146,852	$1,041	$19,760	$69,654	$1,323,408	$5,345	$101,552
Mary Cara Martz
Secretary	$0	$142,535	$0	$35,260	$0	$6,112	$0	$8,934	$0	$12,161	$0	$205,002	$0	$0
Rick W Merrill
President/CEO	$292,810	$1,171,239	$175,320	$701,280	$82,959	$331,835	$104,879	$419,518	$5,135	$20,542	$661,103	$2,644,414	$0	$0
Cory R Rhoades
Chief Financial Officer	$0	$534,312	$0	$232,745	$0	$99,151	$0	$112,564	$0	$23,677	$0	$1,002,449	$0	$77,403
Spencer D Seals
VP Construction & Real Estate	$0	$298,612	$0	$102,463	$0	$2,420	$0	$61,751	$0	$23,003	$0	$488,249	$0	$0
Jennifer Johnson
AVP Donor Relations	$184,692	$0	$44,373	$0	$6,888	$0	$13,074	$0	$12,899	$0	$261,926	$0	$0	$0
Martha Mattox
AVP, Major Gifts	$143,595	$0	$23,522	$0	$2,709	$0	$6,698	$0	$3,277	$0	$179,801	$0	$0	$0
Kimberly Mcginnis
Vice President	$189,866	$0	$67,204	$0	$1,760	$0	$31,010	$0	$22,085	$0	$311,925	$0	$0	$0
Dayle Lowry
Investment Operations Mgr	$187,072	$0	$136,172	$0	$5,395	$0	$14,088	$0	$12,744	$0	$355,471	$0	$0	$0
Priti Mody
Managing Director	$417,014	$0	$500,388	$0	$4,379	$0	$13,200	$0	$4,079	$0	$939,060	$0	$0	$0
Jamye Shaffer
Manager, Investment Operations	$125,400	$0	$45,648	$0	$2,662	$0	$7,479	$0	$23,042	$0	$204,231	$0	$0	$0
Drew Smith
Senior Investment Analyst	$117,725	$0	$75,012	$0	$2,058	$0	$7,705	$0	$2,042	$0	$204,542	$0	$0	$0
Christopher Tindell
Investment Manager	$192,739	$0	$78,422	$0	$11,681	$0	$11,621	$0	$21,830	$0	$316,293	$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	CY 2023 GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: JENNIFER JOHNSON DAYLE LOWRY KIMBERLY MCGINNIS CHRISTOPHER TINDELL
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 TYPES 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 - $366,672 Deferred, $0 W-2 Stephen W Kimmel - Paid by System - $133,956 Deferred, $106,897 W-2 Anthony Bagwell - Paid by Foundation - $182,090 Deferred, $116,265 W-2 Joseph Gallagher - Paid by System - $90,572 Deferred, $70,553 W-2 Grant W Harris - Paid by Foundation - $67,154 Deferred, $54,728 W-2 Kimberly McGinnis - Paid by Foundation - $24,269 Deferred, $0 W-2 Cory R Rhoades - Paid by System - $87,814 Deferred, $77,403 W-2 Spencer D Seals - Paid by System - $37,001 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 MEDICAL CENTER - PROSPER CHILD STUDY CENTER COOK CHILDREN'S PHYSICIAN NETWORK

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$126,444	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - Number of contributions	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	WILLIE HOUSTON III & RICK W. MERRILL - Business relationship, MARY CARA MARTZ & PETER PHILPOTT - Business relationship, VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - Business relationship, MICHAEL R. DIKE & WILLIAM JACKSON RATTIKIN III - Business relationship
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 IS 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, Line 15a Process to establish compensation of top management official	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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. 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 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 BY ECG MANAGEMENT CONSULTANTS FOR PHYSICIAN COMPENSATION, BOTH OF WHICH ARE INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. 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 2023 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 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 or fund balances	Net Fund Transfers between Affiliates - XXX-XX-XXXX; Change in Beneficial Interest in Trusts - 15677682; K-1 Partnership UBI - 18634146; Net Assets Released from Restrictions - 404217; Change in Fair Value of Interest Rate Swap - -4108682;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON STREET INVESTORS BLUE LLC	BusinessNameLine1Txt

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)
EIN	830910401	EIN
Primary Activities	INVESTMENTS	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd
Total Income	-$3,076,890	TotalIncomeAmt
End Of Year Assets	$21,863,119	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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 Care System
801 Seventh Ave	Fort Worth	TX	76104	752705881	Health Care Support	TX	501(c)(3)	Type III-FI	CCHF	Yes (true)
COOK CHILDREN'S PHYSICIAN NETWORK
801 Seventh Ave	Fort Worth	TX	76104	752485366	Physician Services	TX	501(c)(3)	3	CCHCS	Yes (true)
ROSEDALE OFFICE BUILDING
1500 W ROSEDALE	Fort Worth	TX	76104	460866421	TITLE HOLDING	TX	501(c)(2)		CCHF	Yes (true)
COOK CHILDREN'S MEDICAL CENTER
801 Seventh Ave	Fort Worth	TX	76104	752051646	Hospital	TX	501(c)(3)	3	CCHCS	Yes (true)
COOK CHILDREN'S HOME HEALTH
801 Seventh Ave	Fort Worth	TX	76104	752896983	Healthcare	TX	501(c)(3)	10	CCHCS	Yes (true)
COOK CHILDREN'S HEALTH PLAN
801 Seventh Ave	Fort Worth	TX	76104	760585240	Insurance	TX	501(c)(3)	10	CCHCS	Yes (true)
CHILD STUDY CENTER
1300 West Lancaster	Fort Worth	TX	76102	751099536	Healthcare Services	TX	501(c)(3)	7	CCMC	Yes (true)
COOK CHILDREN'S HEALTH ENTERPRISES
801 Seventh Ave	Fort Worth	TX	76104	842625990	Healthcare Services	TX	501(c)(3)	Type II	CCHCS	Yes (true)
COOK CHILDREN'S MEDICAL CENTER PROSPER
801 Seventh Ave	Fort Worth	TX	76104	852354189	Hospital	TX	501(c)(3)	3	CCHCS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
SANDIA CREST LP
201 WASHINGTON STREET		BOSTON	MA	02108	871831241	INVESTMENTS	MA	CCHF	Excluded	$4,395,553	$8,938,690	false	$3,222	false	0.994
SCP OPPORTUNITY FUND
					981647424	INVESTMENTS		CCHF	Excluded	$6,249	$23,418,160	false	$0	false	0.9885	56A BOAT QUAY	SN	049845	SN
SAGAMORE HEALTHCARE I LP
100 PAINTERS MILL ROAD	SUITE 700	OWINGS MILLS	MD	21117	262821679	INVESTMENTS	MD	CCHF	Excluded	$23,154	$3,477,825	false	$0	false	0.9500
OBERWEIS INTERNATIONAL SELECT FUND LLC
3333 WARRENVILLE ROAD	STE 500	LISLE	IL	60532	842094004	INVESTMENTS	IL	CCHF	Excluded	-$422,697	$23,469,815	false	$0	false	0.6975
HT STORK LP
120 STATE ROUTE 28 UNIT 9		CRYSTAL BAY	NV	89402	881770748	INVESTMENTS	NV	CCHF	Excluded	$0	$3,038,970	false	$0	false	0.6000
CC TRUEACCORD SPV II LLC
520 E COOPER AVE 2ND FL STE C-7		ASPEN	CO	81611	822997101	INVESTMENTS	CO	CCHF	Excluded	$0	$973,047	false	$0	false	0.6689
STEPSTONE VC HEALTHCARE I LP
100 PAINTERS MILL ROAD	SUITE 700	OWINGS MILLS	MD	21117	262423493	INVESTMENTS	MD	CCHF	Excluded	$2,531,977	$5,045,836	false	$0	false	0.8648
GOFF FOCUSED ENERGY STRATEGIES LP
500 COMMERCE STREET	SUITE 700	FORT WORTH	TX	76102	822764240	INVESTMENTS	TX	CCHF	Excluded	$259,214	$7,795,056	false	$0	false	1

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	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	Yes (true)
Cook Children's Indemnity Company
				980424041	Self Insurance		NA	C Corporation	Yes (true)	878 West Bay Road	PO Box 1159	Grand Cayman	Grand Cayman	CJ	KY1110	CJ
CHARITABLE REMAINDER TRUSTS (2)
					SPLIT INT TRUST	TX	NA	Trust	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	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 (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S MEDICAL CENTER
B	$22,276,084	FMV
COOK CHILDREN'S MEDICAL CENTER
P	$2,631,379	FMV
COOK CHILDREN'S MEDICAL CENTER
S	$254,214,918	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B	$1,750,873	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
P	$11,365,354	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
B	$4,076,156	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
P	$2,204,006	FMV
COOK CHILDREN'S HEALTH CARE SYSTEM
R	$115,247	FMV
COOK CHILDREN'S MEDICAL CENTER-PROSPER
B	$104,867	FMV
COOK CHILDREN'S MEDICAL CENTER-PROSPER
P	$1,122,196	FMV
CHILD STUDY CENTER
B	$1,770,375	FMV