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        <OtherCompensation>20746</OtherCompensation>
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        <NamePerson>JULIA DAVIDSON</NamePerson>
        <Title>TRUSTEE</Title>
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        <NamePerson>WM MACK LAWHON</NamePerson>
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        <NamePerson>G MALCOLM LOUDEN</NamePerson>
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        <NamePerson>LINDA S CHAPPELL</NamePerson>
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        <NamePerson>RICHARD P GOODE</NamePerson>
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        <NamePerson>BILLY R KENNEDY</NamePerson>
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        <NamePerson>DAVID F LANCASTER</NamePerson>
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        <NamePerson>RICK W MERRILL</NamePerson>
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        <NamePerson>LARRY L TUBB</NamePerson>
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        <NamePerson>CORY RHOADES</NamePerson>
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        <NamePerson>JAMES R STALDER</NamePerson>
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        <NamePerson>THERESA ZAK MEADOWS</NamePerson>
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        <NamePerson>JAMES C CUNNINGHAM MD</NamePerson>
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        <ManagementAndGeneral>30778927</ManagementAndGeneral>
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      <FSAudited>true</FSAudited>
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      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY M HANNERS</NamePerson>
        <Title>SR. VP-CORP &amp; COMMUNITY AFFAIR</Title>
        <BaseCompensationFilingOrg>180581</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>4373</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3755</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8086</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>196795</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BILLY R KENNEDY</NamePerson>
        <Title>SR. VP-CHIEF ADMIN OFFICER</Title>
        <BaseCompensationFilingOrg>268528</BaseCompensationFilingOrg>
        <BonusFilingOrg>244617</BonusFilingOrg>
        <OtherCompensationFilingOrg>88849</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17994</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>629988</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID F LANCASTER</NamePerson>
        <Title>VP, INTERNAL AUDIT &amp; COMPLIANC</Title>
        <BaseCompensationFilingOrg>161396</BaseCompensationFilingOrg>
        <BonusFilingOrg>109464</BonusFilingOrg>
        <OtherCompensationFilingOrg>12882</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>13955</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>297697</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN W MCNEY</NamePerson>
        <Title>SR. VP-GENERAL COUNSEL</Title>
        <BaseCompensationFilingOrg>265373</BaseCompensationFilingOrg>
        <BonusFilingOrg>237652</BonusFilingOrg>
        <OtherCompensationFilingOrg>90505</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18750</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15390</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>627670</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICK W MERRILL</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>262017</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>446136</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>145596</BonusFilingOrg>
        <BonusRelatedOrgs>247908</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>351893</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>599169</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>26362</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>44887</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5710</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9720</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>791578</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1347820</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>121870</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>293130</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE B MONTAGUE</NamePerson>
        <Title>VP, REAL ESTATE</Title>
        <BaseCompensationFilingOrg>210560</BaseCompensationFilingOrg>
        <BonusFilingOrg>141220</BonusFilingOrg>
        <OtherCompensationFilingOrg>21307</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15893</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12201</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>401181</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRANK J ROSSI</NamePerson>
        <Title>SR. VP-HUMAN RESOURCES</Title>
        <BaseCompensationFilingOrg>275962</BaseCompensationFilingOrg>
        <BonusFilingOrg>249187</BonusFilingOrg>
        <OtherCompensationFilingOrg>114921</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18750</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16535</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>675355</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LARRY L TUBB</NamePerson>
        <Title>SR. VP-SYSTEM PLANNING</Title>
        <BaseCompensationFilingOrg>200722</BaseCompensationFilingOrg>
        <BonusFilingOrg>176745</BonusFilingOrg>
        <OtherCompensationFilingOrg>67078</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18750</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10025</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>473320</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CORY RHOADES</NamePerson>
        <Title>CHIEF ACCOUNTING OFFCR</Title>
        <BaseCompensationFilingOrg>182321</BaseCompensationFilingOrg>
        <BonusFilingOrg>124491</BonusFilingOrg>
        <OtherCompensationFilingOrg>2069</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16565</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>335446</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ERIC H HUBLI</NamePerson>
        <Title>CHIEF SYSTEM EFFECTIVENESS OFF</Title>
        <BaseCompensationFilingOrg>436873</BaseCompensationFilingOrg>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <OtherCompensationFilingOrg>21837</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15430</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>514140</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES D MARSHALL MD</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <BaseCompensationFilingOrg>451512</BaseCompensationFilingOrg>
        <BonusFilingOrg>138759</BonusFilingOrg>
        <OtherCompensationFilingOrg>4608</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15625</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15238</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>625742</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOANN M SANDERS MD</NamePerson>
        <Title>PATIENT SAFETY OFFICER</Title>
        <BaseCompensationFilingOrg>298699</BaseCompensationFilingOrg>
        <BonusFilingOrg>115234</BonusFilingOrg>
        <OtherCompensationFilingOrg>6476</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18750</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13201</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>452360</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH GALLAGHER</NamePerson>
        <Title>ASSOCIATE GENERAL COUNSEL</Title>
        <BaseCompensationFilingOrg>179912</BaseCompensationFilingOrg>
        <BonusFilingOrg>119775</BonusFilingOrg>
        <OtherCompensationFilingOrg>5523</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10852</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8714</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>324776</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GRETCHEN EAMES MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>294214</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>5276</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>652</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>300142</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SAMUEL E KLEINMAN MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>640338</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>4679</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18695</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15047</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>678759</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA THOMPSON MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>319420</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>3045</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>12977</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>4426</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>339868</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBORAH A SCHUTTE MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>487817</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>10000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>4671</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>15625</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15674</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>533787</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES R STALDER</NamePerson>
        <Title>VP-INFO SYS, CHIEF TECH OFFCR</Title>
        <BaseCompensationFilingOrg>171682</BaseCompensationFilingOrg>
        <BonusFilingOrg>106254</BonusFilingOrg>
        <OtherCompensationFilingOrg>1993</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7593</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17089</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>304611</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THERESA ZAK MEADOWS</NamePerson>
        <Title>SR VP-CIO</Title>
        <BaseCompensationFilingOrg>207706</BaseCompensationFilingOrg>
        <BonusFilingOrg>187403</BonusFilingOrg>
        <OtherCompensationFilingOrg>51413</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17253</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>473775</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HARRY I SHUMAN</NamePerson>
        <Title>CHIEF MEDICAL INFO OFFICER</Title>
        <BaseCompensationFilingOrg>195724</BaseCompensationFilingOrg>
        <BonusFilingOrg>152082</BonusFilingOrg>
        <OtherCompensationFilingOrg>3079</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9755</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7449</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>368089</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>COLEMAN D SKINNER</NamePerson>
        <Title>VP-REVENUE CYCLE</Title>
        <BaseCompensationFilingOrg>148774</BaseCompensationFilingOrg>
        <BonusFilingOrg>101904</BonusFilingOrg>
        <OtherCompensationFilingOrg>1648</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15430</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14917</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>282673</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>VANESSA CHARETTE MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>183506</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>75248</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>1803</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>11316</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5667</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>277540</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MATT MAYFIELD MD</NamePerson>
        <Title>TRUSTEE</Title>
        <CompBasedOnRelatedOrgs>496549</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>4677</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>8327</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>12419</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>521972</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN WARDELL</NamePerson>
        <Title>ASSOCIATE GENERAL COUNSEL</Title>
        <BaseCompensationFilingOrg>152115</BaseCompensationFilingOrg>
        <BonusFilingOrg>107737</BonusFilingOrg>
        <OtherCompensationFilingOrg>5603</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14218</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21072</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>300745</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>PART I, QUESTION 4B</ReturnReference>
        <Explanation>PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL $ 755,000 $ 61,249</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>ALLOCATION OF CEO AND CFO SALARIES</Identifier>
        <ReturnReference>PART II</ReturnReference>
        <Explanation>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 PHYSICIAN NETWORK COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SOLE MEMBER</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 6</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER ELECTION ABILITIES</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 7A</ReturnReference>
        <Explanation>As the sole member of the organization, Cook Children's Health Foundation has the power to determine the number of members of the board of trustees and to elect the members of the board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER DECISION ABILITIES</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 7B</ReturnReference>
        <Explanation>As the sole member of the organization, Cook Children's Health Foundation has the exclusive power to do any of the following: a. Amend, alter or repeal the bylaws; b. Amend the certificate of formation of the organization; c. Determine the number of members of the Board of Trustees and to elect the members of the Board of Trustees; d. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the organization; e. Approve the sale, gift or other disposition of all or substantially all of the property of the organization; f. Approve the creation of, or investment in, any subsidiary entity; g. Approve the removal of a member of the Board of Trustees of the organization; and h. Approve the persons who are to be elected by the organization to fill any vacancies on the Board of Trustees or Board of Directors, as applicable, of (1) Cook Children's Medical Center, (2) Cook Children's Physician Network, (3) Cook Children's Home Health, (4) Cook Children's Health Plan, (5) Cook Children's Indemnity Company; and (6) any other subsidiary corporation affiliated with or controlled by the organization (including any vacancies arising from the expiration of the terms of any of the trustees or directors).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW PROCESS FOR FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11B</ReturnReference>
        <Explanation>The organization engages an outside 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. In addition, it is presented to the Cook Children's Health Care System Audit Committee for review. Subsequent to Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW AND APPROVAL OF COMPENSATION</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 15A &amp; 15B</ReturnReference>
        <Explanation>Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation. The Compensation Committee approves compensation arrangements in advance, which includes a review and approval by independent persons, using comparable market data relating to compensation, which is provided by Sullivan Cotter and Associates, Inc., an independent, nationally recognized compensation consultant. The Compensation Committee documents the basis for its determinations following contemporaneous substantiation of the Compensation Committee's deliberation and decision. The Compensation Committee requires the compensation consultant to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the Compensation Committee also retains the law firm of McDermott, Will &amp; Emery of Chicago, Illinois, to issue a reasonableness opinion covering the physician compensation plan for Cook Children's Physician Network.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990 PART VI QUESTION 12C</ReturnReference>
        <Explanation>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. 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. 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 IN FORCE FOR ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOT-LINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OF FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>TRANSFERS BETWEEN AFFILIATES $ 2,001 RETROSPECTIVE PREMIUM CREDIT 338,976 --------- $ 340,977</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH PLAN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>760585240</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752485366</EIN>
        <PrimaryActivities>PHYSICIAN SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WI COOK FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752051649</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752051646</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752896983</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROSEDALE OFFICE BUILDING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>460866421</EIN>
        <PrimaryActivities>TITLE HOLDING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 7TH AVENUE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>454024843</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1269873</ShareOfTotalIncome>
        <ShareOfEOYAssets>1667661</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>180000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>548751</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1404585</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4160434</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH PLAN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>315006</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH PLAN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>3820965</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1122316</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>28679</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>181183440</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1519901</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>302240</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>7532319</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>6109948</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROSEDALE OFFICE BUILDING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>100000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROSEDALE OFFICE BUILDING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4246595</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>51399</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>