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      <TotalOfAmounts>0</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>90921864</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>39523993</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>39523993</RevenueNotRptdF990>
      <RevenueSubtotal>51397871</RevenueSubtotal>
      <OtherRevenuesNotIncluded>17068763</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>17068763</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>68466634</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4268331</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>4268331</ExpensesSubtotal>
      <OtherExpensesNotIncluded>12621275</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>12621275</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>16889606</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>INTENDED USE OF ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D PART V QUESTION 4</ReturnReference>
        <Explanation>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 PLACED 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 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. 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.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>SCHEDULE D, PART XI, LINE 4B</Identifier>
        <ReturnReference>OTHER CHANGE</ReturnReference>
        <Explanation>CONTRIBUTIONS RECORDED TO NET ASSETS $ 15,722,577 RECLASSIFICATION OF INVESTMENT DEPT EXPENSES $ 1,346,186 -------------- $17,068,763</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>SCHEDULE D, PART XII, LINE 4B</Identifier>
        <ReturnReference>OTHER CHANGE</ReturnReference>
        <Explanation>DONATIONS FROM NET ASSETS $ 11,275,088 RECLASSIFICATION OF INVESTMENT DEPT EXPENSES $ 1,346,187 -------------- $ 12,621,275</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>INVESTMENTS</SpecificServicesProvided>
        <TotalExpenditures>272771562</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>INVESTMENTS</SpecificServicesProvided>
        <TotalExpenditures>49889642</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Sub-Saharan Africa</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>INVESTMENTS</SpecificServicesProvided>
        <TotalExpenditures>8208664</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>East Asia and the Pacific</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>INVESTMENTS</SpecificServicesProvided>
        <TotalExpenditures>7036570</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalAmountSpent>337906438</SubtotalAmountSpent>
      <TotalAmountSpent>337906438</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>STELTER COMPANY</NameOfIndividual>
        <Activity>CONSULTATIO N</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>4000</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>LEXIS NEXIS</NameOfIndividual>
        <Activity>RESEARCH</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>12734</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>0</TotalGrossReceipts>
      <TotalRetainedByContractors>16734</TotalRetainedByContractors>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVENUE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752051646</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10327541</AmountOfCashGrant>
        <PurposeOfGrant>FINANCIAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVENUE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752485366</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>398797</AmountOfCashGrant>
        <PurposeOfGrant>FINANCIAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH CARE SYSTEM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVENUE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752705881</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>548751</AmountOfCashGrant>
        <PurposeOfGrant>FINANCIAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS</Identifier>
        <ReturnReference>SCHEDULE I PART I QUESTION 2</ReturnReference>
        <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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT K FEATHER</NamePerson>
        <Title>SR. VP, PUBLIC POLICY</Title>
        <BaseCompensationFilingOrg>260763</BaseCompensationFilingOrg>
        <BonusFilingOrg>213895</BonusFilingOrg>
        <OtherCompensationFilingOrg>73728</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18750</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17912</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>585048</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD P GOODE</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>18355</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>348724</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>16940</BonusFilingOrg>
        <BonusRelatedOrgs>321867</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7783</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>147883</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>781</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>14844</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>861</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16365</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>44720</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>849683</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICK W MERRILL</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>141630</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>566523</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>78701</BonusFilingOrg>
        <BonusRelatedOrgs>314803</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>190213</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>760849</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>56999</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3086</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12344</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>427880</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1711518</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>114680</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>300320</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE B MONTAGUE</NamePerson>
        <Title>VP, REAL ESTATE</Title>
        <CompBasedOnRelatedOrgs>210560</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>141220</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>21307</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>15893</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>12201</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>401181</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICK B O'CONNOR</NamePerson>
        <Title>CHIEF INVESTMENTS OFFICER</Title>
        <BaseCompensationFilingOrg>207670</BaseCompensationFilingOrg>
        <BonusFilingOrg>146893</BonusFilingOrg>
        <OtherCompensationFilingOrg>36324</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7894</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>408781</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LESLEY ATKINSON</NamePerson>
        <Title>DIRECTOR, DEVELOPMENT</Title>
        <BaseCompensationFilingOrg>133108</BaseCompensationFilingOrg>
        <BonusFilingOrg>15803</BonusFilingOrg>
        <OtherCompensationFilingOrg>12041</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>10768</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171720</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JENNIFER JOHNSON</NamePerson>
        <Title>AVP-DONOR RELATIONS</Title>
        <BaseCompensationFilingOrg>134377</BaseCompensationFilingOrg>
        <BonusFilingOrg>63439</BonusFilingOrg>
        <OtherCompensationFilingOrg>1774</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15001</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2761</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>217352</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GRANT HARRIS</NamePerson>
        <Title>VP, DEVELOPMENT</Title>
        <BaseCompensationFilingOrg>164935</BaseCompensationFilingOrg>
        <BonusFilingOrg>99930</BonusFilingOrg>
        <OtherCompensationFilingOrg>5179</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15440</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>295484</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>APURVA MEHTA</NamePerson>
        <Title>DIRECTOR, INVESTMENTS</Title>
        <BaseCompensationFilingOrg>148815</BaseCompensationFilingOrg>
        <BonusFilingOrg>22501</BonusFilingOrg>
        <OtherCompensationFilingOrg>1558</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7084</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12372</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>192330</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>
      <Form990ScheduleJPartIII>
        <Identifier>RECEIVED SEVERANCE PAYMENTS</Identifier>
        <ReturnReference>PART I, QUESTION 4A</ReturnReference>
        <Explanation>NAME AMOUNT --------------- --------- TIMOTHY PLOCICA $ 32,625</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR</Identifier>
        <ReturnReference>PART I, QUESTION 3</ReturnReference>
        <Explanation>COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LUTHER KING CAPITAL MANAGEMENT</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>305145</AmountOfTransaction>
        <DescriptionOfTransaction>INVESTMENT MGMT FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LUTHER KING CAPITAL MANAGEMENT</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>305145</AmountOfTransaction>
        <DescriptionOfTransaction>INVESTMENT MGMT FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION</Identifier>
        <ReturnReference>PART IV</ReturnReference>
        <Explanation>GARY G. WALSH, BOARD MEMBER, IS A PRINCIPAL AND SHAREHOLDER FOR LUTHER KING CAPITAL MANAGEMENT. MASON D. KING, BOARD MEMEBER, IS A VICE PRESIDENT FOR LUTHER KING CAPITAL MANAGEMENT.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>26208</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>AVG HIGH/LOW FOR DAY</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <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>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>REVIEW &amp; 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>OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE FAMILY/BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990 PART VI QUESTION 2</ReturnReference>
        <Explanation>Mason D. King and Gary G. Walsh have a business relationship. Mason D. King and Gary G. Walsh are employees of Luther King Capital Management, which provides investment management services to the Foundation pursuant to the firm's standard fee schedule. Win Ryan and George M. Young have a business relationship. Randall Eisenman and Rick Merrill have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>UNRESTRICTED NET ASSETS: TRANSFERS BETWEEN AFFILIATES $145,564,012 TEMPORARILY RESTRICTED NET ASSETS: CHANGE IN BENEFICIAL INTEREST IN LEAD TRUST 12,898 NET ASSETS RELEASED FROM RESTRICTIONS (221,031) INVESTMENT INCOME &amp; UNREALIZED GAIN(LOSSES) 1,326,702 PERMANENTLY RESTRICTED NET ASSETS: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 521,446 INVESTMENT INCOME &amp; UNREALIZED GAIN(LOSSES) 2,635,777 ------------- TOTAL $149,839,804</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 HEALTH CARE SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752705881</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHF</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>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>1500 W ROSEDALE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>461866421</EIN>
        <PrimaryActivities>TITLE HOLDING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SPLIT INTEREST TRUSTS (4)</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>500 W 7TH ST FLOOR 13</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>761024700</ZIPCode>
        </AddressUS>
        <PrimaryActivity>SPLIT INT TRUST</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <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>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <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>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH CARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1404585</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH CARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>548751</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>398797</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>10327540</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>64435988</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>210000000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>