Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $240,661

• 1f · All other contributions, gifts and grants

  $26,968,224

• 1g · Noncash contributions included above

  $637,572

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $15,877,538 · excluded $15,877,538

• 5 · Royalties

  total $1,065,497 · excluded $1,065,497

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7a · Gross sales of assets other than inventory

  securities $240,098,878 · other assets $2,182,084

• 7b · Less cost or other basis and sales expenses

  securities $120,039,457 · other assets $473,460

• 7c · Gain or loss

  securities $120,059,421 · other assets $1,708,624

• 7d · Net gain or loss

  total $121,768,045 · excluded $121,768,045

• 8a · Fundraising events: gross income

  $240,660

• 8a · Fundraising events: contributions included on line 1c

  $240,661

• 8b · Fundraising events: direct expenses

  $95,212

• 8c · Net income from fundraising events

  total $145,448 · excluded $145,448

• 11a · Other revenue: K-1 Partnership UBI

  total -$14,610,771 · unrelated business -$14,610,771

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  -$14,610,771

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $14,838,558 · program services $14,838,558

• 5 · Compensation of officers, directors and key employees

  total $3,553,377 · program services $1,692,799 · management and general $646,324 · fundraising $1,214,254

• 7 · Other salaries and wages

  total $4,067,866 · program services $1,223,235 · fundraising $2,844,631

• 8 · Pension plan contributions

  total $407,235 · program services $188,506 · fundraising $218,729

• 9 · Other employee benefits

  total $1,162,716 · program services $432,733 · fundraising $729,983

• 10 · Payroll taxes

  total $366,659 · program services $116,684 · fundraising $249,975

• 11b · Fees: legal

  total $14,214 · program services $14,214

• 11e · Fees: professional fundraising services

  total $49,672 · fundraising $49,672

• 11f · Fees: investment management

  total $5,669,111 · management and general $5,669,111

• 11g · Fees: other

  total $2,233,459 · program services $1,897,397 · management and general $40,777 · fundraising $295,285

• 12 · Advertising and promotion

  total $559,681 · program services $400 · fundraising $559,281

• 13 · Office expenses

  total $85,513 · program services $13,043 · fundraising $72,470

• 16 · Occupancy

  total $127,008 · management and general $32,683 · fundraising $94,325

• 17 · Travel

  total $173,851 · program services $128,755 · fundraising $45,096

• 19 · Conferences, conventions and meetings

  total $255 · program services $255

• 20 · Interest

  total $47,665 · fundraising $47,665

• 21 · Payments to affiliates

  total $3,680 · management and general $3,680

• 22 · Depreciation, depletion and amortization

  total $275,222 · program services $5,008 · management and general $269,512 · fundraising $702

• 24a · Other expenses: Physician Remuneration

  total $9,167,089 · program services $9,167,089

• 24b · Other expenses: Transfers/Chargebacks

  total $1,023,705 · program services $1,023,705

• 24c · Other expenses: Federal Taxes

  total $391,252 · program services $257,943 · fundraising $133,309

• 24d · Other expenses: Dues & Subscriptions

  total $286,551 · program services $6,756 · fundraising $279,795

• 24e · All other expenses

  total $271,316 · program services $161,817 · management and general $20,237 · fundraising $89,262

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $68,359,294 · end of year $19,022,627

• 3 · Pledges and grants receivable

  beginning of year $12,202,020 · end of year $15,096,241

• 4 · Accounts receivable

  beginning of year $1,087,463 · end of year $1,656,884

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $145,469 · end of year $0

• 10a · Land, buildings and equipment: cost or other basis

  $8,300,383

• 10b · Land, buildings and equipment: accumulated depreciation

  $391,871

• 10c · Land, buildings and equipment, net

  beginning of year $7,732,027 · end of year $7,908,512

• 11 · Investments: publicly traded securities

  beginning of year $2,139,276,693 · end of year $1,914,456,456

• 12 · Investments: other securities

  beginning of year $1,158,648,334 · end of year $1,813,719,261

• 13 · Investments: program-related

  beginning of year $0

• 15 · Other assets

  beginning of year $14,359,393 · end of year $25,223,727

• 17 · Accounts payable and accrued expenses

  beginning of year $3,418,608 · end of year $3,297,404

• 22 · Loans and payables to officers and key people

  end of year $0

• 25 · Other liabilities

  beginning of year $792,770 · end of year $6,175,678

• 27 · Net assets without donor restrictions

  beginning of year $3,217,744,850 · end of year $3,546,631,745

• 28 · Net assets with donor restrictions

  beginning of year $179,854,465 · end of year $240,978,881

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments

CY 2022 GROSS UP PAYMENTS INCLUDED IN TAXABLE COMPENSATION: KYLE DALEY 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 4a Severance or change-of-control payment

SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN THEIR 2022 TAXABLE COMPENSATION: KYLE DALEY $ 133,516

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Rick W Merrill - Paid by System - $122,224 Deferred, $980,000 W-2 Stephen W Kimmel - Paid by System - $120,643 Deferred, $99,702 W-2 Anthony Bagwell - Paid by Foundation - $167,454 Deferred, $73,443 W-2 Joseph Gallagher - Paid by System - $85,850 Deferred, $60,970 W-2 Grant W Harris - Paid by Foundation - $63,341 Deferred, $50,349 W-2 Kimberly McGinnis - Paid by Foundation - $7,432 Deferred, $0 W-2 Cory R Rhoades - Paid by System - $80,292 Deferred, $53,883 W-2 Spencer D Seals - Paid by System - $35,247 Deferred, $0 W-2

Schedule J, Part II ALLOCATION OF CEO AND 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

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• JEFFERSON STREET INVESTORS BLUE LLC

  INVESTMENTS · TX · income -$112,638 · assets $28,156,687

  Directly controlled by CCHF

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CPS Pediatrics LLC

  N/A · ASC · TX

  Directly controlled by NA

• COOK CHILDREN'S SURGERY CENTER

  N/A · ASC · TX

  Directly controlled by NA

• CENTER FOR PEDIATRIC SURGERY

  N/A · ASC · TX

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• Cook Children's Health Services

  C Corporation · Healthcare · TX · controlled entity

  Directly controlled by CCHCS

• Cook Children's Indemnity Company

  C Corporation · Self Insurance · CJ · controlled entity

  Directly controlled by NA

• SPLIT INTEREST TRUSTS (2)

  Trust · SPLIT INT TRUST · TX

  Directly controlled by NA

• SPLIT INTEREST TRUST

  Trust · SPLIT INT TRUST · NY

  Directly controlled by NA