2011-08-12T12:52:16-04:00 2010-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-10-01 752051649 WI COOK FOUNDATION INC WICO 6828854480 801 SEVENTH AVENUE FORT WORTH TX 76104 CORY RHOADES 2011-08-15 true M Paige Gerich 7134994600 2009 2016-02-24 21:20:13Z RICK W MERRILL 801 SEVENTH AVE FORT WORTH TX 76104 77798455 false X WWW.COOKCHILDRENS.ORG X 1985 TX KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. 32 29 25 65 0 0 21951839 18346540 0 0 -116255 2681674 0 22137 21835584 21050351 6767576 5628959 0 0 2709961 3409122 80269 14460 3447249 769165 926246 10326971 9978787 11508613 11071564 148813818 160649845 7416478 1771740 141397340 158878105 KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE, AND INJURY. false false 6025183 5628959 COOK CHILDREN'S HEALTH FOUNDATION, WAS FOUNDED TO HELP DRIVE THE PHILANTHROPIC CULTURE OF COOK CHILDREN'S HEALTH CARE SYSTEM. THROUGH FUNDRAISING AND OUTREACH EFFORTS, THE FOUNDATION IS DEDICATED TO MAINTAINING CLINICAL EXCELLENCE AND ENHANCING PATIENT- AND FAMILY-CENTERED CARE. 6025183 true true false false false false false false true true false true false false true false false false false false false true false true false false false false false true false true true false false false false true true false false true 14 0 true 25 true false false false false false false false false false true false 32 29 true false false false false false false true true false false true true true true true true true true false X CORY RHOADES 6828854480 801 SEVENTH AVENUE FORT WORTH TX 76104 R JEFFREY ALEXANDER 1.0 X 0 0 0 KEELY APPLETON 1.0 X 0 0 0 ROBIN W ARENA 1.0 X 0 0 0 G THOMAS BOSWELL 1.0 X 0 0 0 JOHN P BOSWELL 1.0 X 0 0 0 JULIA DAVIDSON 1.0 X 0 0 0 JAMES R DUNAWAY JR 1.0 X X 0 0 0 RANDY EISENMAN 1.0 X 0 0 0 DAVID G FISCHER 1.0 X 0 0 0 RUSSELL L FLEISHER 1.0 X 0 0 0 RICHARD F GARVEY 1.0 X X 0 0 0 RAFAEL G GARZA 1.0 X 0 0 0 JOY ANN HAVRAN 1.0 X 0 0 0 NANCY KAY HOWARD 1.0 X 0 0 0 JEFFREY B KING 1.0 X X 0 0 0 MASON D KING 1.0 X 0 0 0 NICK KYPREOS 1.0 X 0 0 0 GEORGE F LEBUS 1.0 X 0 0 0 G MALCOLM LOUDEN 1.0 X 0 0 0 DAN E LOWRANCE 1.0 X 0 0 0 TRACY MCGEHEE 1.0 X 0 0 0 SKYLAR P MERRIFIELD 1.0 X 0 0 0 ARDON E MOORE III 1.0 X 0 0 0 LINDA C MORRIS ELSEY 1.0 X 0 0 0 BRIAN NEWBY 1.0 X 0 0 0 MICHAEL R PAVELL 1.0 X 0 0 0 JOSEPH C PENSHORN 1.0 X 0 0 0 J RUSSELL REID 1.0 X 0 0 0 WIN RYAN 1.0 X 0 0 0 VICKIE V STEVENS 1.0 X 0 0 0 NENETTA C TATUM 1.0 X 0 0 0 GARY G WALSH 1.0 X X 0 0 0 JAMES E WEBB 1.0 X 0 0 0 ULLA K WILSKA 1.0 X 0 0 0 GEORGE M YOUNG JR 1.0 X 0 0 0 GARY M COLE 40.0 X 239312 0 16426 ROBERT K FEATHER 40.0 X 402751 0 32220 RICHARD P GOODE 5.0 X 21894 415988 28609 CARA MARTZ 1.0 X 0 88247 5934 RICK W MERRILL 10.0 X 356130 756774 155959 GEORGE B MONTAGUE 2.0 X 0 267795 26409 PATRICK B O'CONNOR 40.0 X 40109 0 3349 LESLEY ATKINSON 40.0 X 134966 0 14315 JENNIFER JOHNSON 40.0 X 148988 0 10780 TIMOTHY PLOCICA 40.0 X 135009 0 10874 RUSSELL K TOLMAN 0.0 X 0 1757498 22845 JOHN A GRIGSON 0.0 X 0 563881 0 1479159 3850183 327720 6 true true false ROGERSCASEY INC PO BOX 262 BRATTLEBORO VT 05302 INVSTMT CONSULTANT 191062 1 18346540 1239075 18346540 0 1990813 1990813 0 4488 4488 300000 282351 17649 17649 17649 57156614 56465753 690861 690861 690861 0 0 0 0 21050351 2703811 5628959 5628959 0 0 0 1277626 162409 425329 689888 0 1681114 127119 1553995 0 450382 38961 411421 0 74671 74671 36772 36772 0 0 14460 14460 0 130815 25078 105737 195203 195203 149690 2596 147094 0 0 0 45682 22034 23648 0 6355 6355 0 0 28347 28347 0 DUES & SUBSCRIPTIONS 123995 3810 120185 FOOD 74337 691 73646 MINOR EQUIPMENT 27942 13526 14416 AWARDS & RECOGNITION 20811 20811 FEES & FINANCE 11259 11259 367 367 9978787 6025183 506355 3447249 27034573 87299253 19680129 21344711 2285364 425787 5141481 1859577 90167673 42878127 6789962 7268177 148813818 160649845 770353 930653 6646125 841087 7416478 1771740 X 68334844 74183516 34104923 43051900 38957573 41642689 141397340 158878105 148813818 160649845 X false true true X false X X X false false false CC MED CENTER 752051646 03 true true true 5139414 1 5139414 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70947601 3803664 5976642 370647 80357260 65867824 7205558 -1698302 427479 70947601 0.54000 0.46000 false false 1502080 1502080 578563 287525 291038 204721 138262 66459 1859577 0 GIFT ANNUITY 375144 FUNDS HELD FOR AFFILIATES 465943 841087 21050351 9978787 11071564 6419188 -11642083 -5222895 5848669 13113009 6419188 282350 6701538 6411471 14638880 14638880 21050351 7264341 3294821 3294821 3969520 6009267 6009267 9978787 INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D PART V QUESTION 4 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. SCHEDULE D, PART XI, LINE 8 OTHER CHANGE CONTRIBUTIONS RECORDED TO NET ASSETS ($14,241,868) DONATIONS RECORDED FROM NET ASSETS $ 5,612,255 ASSET IMPAIRMENT ($ 3,012,470) --------------- ($11,642,083) SCHEDULE D, PART XII, LINE 2D OTHER CHANGE RENTAL EXPENSES INCLUDED IN INCOME $282,350 SCHEDULE D, PART XII, LINE 4B OTHER CHANGE CONTRIBUTIONS RECORDED TO NET ASSETS $14,241,868 VARIOUS EXPENSES RECORDED IN AUDIT INVESTMENT REVENUE $ 397,012 -------------- $14,638,880 SCHEDULE D, PART XIII, LINE 4B OTHER CHANGE VARIOUS EXPENSES RECORDED IN AUDIT INVESTMENT REVENUE $ 397,012 DONATIONS FROM NET ASSETS $5,612,255 --------------- $6,009,267 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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 XIII, LINE 2D OTHER CHANGES IMPAIRMENT AND LOSS ON ASSET DISPOSAL INCLUDED IN AUDIT EXP $3,012,470 RENTAL EXPENSES INCLUDED IN INCOME $ 282,351 -------------- $3,294,821 Central America and the Caribbean 0 0 Program Services Investments 0 0 true COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVENUE FORT WORTH TX 76104 752051646 501(c)(3) 5139414 FINANCIAL ASSISTANCE COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVENUE FORT WORTH TX 76104 752485366 501(c)(3) 91435 FINANCIAL ASSISTANCE COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVENUE FORT WORTH TX 76104 752705881 501(c)(3) 380410 FINANCIAL ASSISTANCE 3 0 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I PART I QUESTION 2 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. X X X X X X true true false false false false false false false GARY M COLE 176709 0 51006 0 11597 0 9740 0 6686 0 255738 0 ROBERT K FEATHER 234670 0 119319 0 48761 0 18375 0 13845 0 434971 0 RICHARD P GOODE 13364 253912 4699 89290 3831 72786 518 9843 912 17336 23324 443167 RICK W MERRILL 202455 430213 108000 229501 45675 97060 45376 96424 4531 9628 406037 862826 GEORGE B MONTAGUE 0 196720 0 56070 0 15005 0 15313 0 11097 0 294205 JENNIFER JOHNSON 120202 0 24851 0 3935 0 9287 0 1493 0 159768 0 RUSSELL K TOLMAN 0 207014 0 216753 0 1333731 0 18375 0 4470 0 1780343 JOHN A GRIGSON 0 0 0 161359 0 402522 0 0 0 0 0 563881 PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B RICK W. MERRILL-PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2009. RUSSELL K. TOLMAN-PARTICIPATES AND RECEIVED $1,269,510 PAYMENT DURING CALENDAR YEAR 2009. ALLOCATION OF CEO AND CFO SALARIES SCHEDULE J PART II COOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 7 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH, INDEMNITY COMPANY, FOUNDATION, AND HEALTH CARE SYSTEM COMPANY. THE CEO AND CFO ARE RESPONSIBLE FOR THE OVERSIGHT OF ALL AFOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A JOHN A. GRIGSON RECEIVED $402,522 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2009. JP MORGAN SCHEDULE O 361612 INVESTMENT MGMT FEES false LUTHER KING CAPITAL MANAGEMENT SCHEDULE O 509518 INVESTMENT MGMT FEES false LUTHER KING CAPITAL MANAGEMENT SCHEDULE O 509518 INVESTMENT MGMT FEES false X 1 25000 FMV X 7 1213925 AVG HIGH/LOW FOR DAY X 1 150 COST false true true THIRD PARTY USED TO SELL NONCASH CONTRIBUTIONS SCHEDULE M QUESTION 32B WHEN WE RECEIVE STOCK CONTRIBUTIONS, WE NOTIFY OUR INVESTMENT MANAGER TO SELL THE STOCK. REVIEW PROCESS FOR FORM 990 FORM 990 PART VI QUESTION 11A 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 FORMS ARE PREPARED, THEY ARE REVIEWED BY COMPANY EXECUTIVES AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THEY ARE PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW. SUBSEQUENT TO AUDIT COMMITTEE REVIEW, THE FORMS ARE FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW. CONFLICT OF INTEREST FORM 990 PART VI QUESTION 12C EVERY YEAR THE LEGAL DEPARTMENT SENDS OUT A FORM 990 QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. 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 ARE PROVIDED TO THE 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 ENTITIES 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. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY. REVIEW & APPROVAL OF COMPENSATION FORM 990 PART VI, QUESTION 15A & 15B COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION. THE COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, RELYING UPON COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY MERCER & ASSOCIATES (EXECUTIVE COMPENSATION) AND SULLIVAN COTTER (PHYSICIAN COMPENSATION), INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS, AND REQUIRES THE COMPENSATION CONSULTANTS TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK. PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990 PART VI, QUESTION 19 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. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE. RELATED COMPENSATION HOURS WORKED FORM 990 PART VII AVG HOURS WORKED FOR RELATED ORG CARA MARTZ 43 GEORGE B. MONTAGUE 42 RICHARD P. GOODE 45 RICK W. MERRILL 45 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII MAY DEVOTE AN AVERAGE OF 1 TO 4 HOURS PER WEEK TO RELATED ORGANIZATIONS. OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE FAMILY/BUSINESS RELATIONSHIPS FORM 990 PART VI QUESTION 2 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. RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L PART IV JEFFREY B. KING, BOARD MEMBER, IS A MANAGING DIRECTOR FOR JP MORGAN. GARY G. WALSH, BOARD MEMBER, IS A PRINCIPAL AND SHAREHOLDER FOR LUTHER KING CAPITAL MANAGMENT. MASON D. KING, BOARD MEMBER, IS A VICE PRESIDENT FOR LUTHER KING CAPITAL MANAGMENT. COOK CHILDREN'S HEALTH PLAN 801 SEVENTH AVE FORT WORTH TX 76104 760585240 INSURANCE TX 501(C)(3) 11C CCHCS COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH TX 76104 752705881 HEALTHCARE TX 501(C)(3) 11C NA COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH TX 76104 752485366 PHYSICIAN SVC TX 501(C)(3) 3 CCHCS COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH TX 76104 752051646 HOSPITAL TX 501(C)(3) 3 CCHCS COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FORT WORTH TX 76104 752896983 HEALTHCARE TX 501(C)(3) 11C CCHCS G E T TRUST 500 W 7TH ST FLOOR 13 FORT WORTH TX 761024700 SPLIT INT TRUST TX NA TRUST 13140 354008 0.80000 L D D TRUST 270 PARK AVENUE NEW YORK NY 100172014 SPLIT INT TRUST TX NA TRUST 1191 136425 1.00000 M E D TRUST 270 PARK AVENUE NEW YORK NY 100172014 SPLIT INT TRUST TX NA TRUST 1320 77660 1.00000 W B JR TRUST 270 PARK AVENUE NEW YORK NY 100172014 SPLIT INT TRUST TX NA TRUST 20433 1064946 0.75000 false true false false false false false false false false false false false false true true false false COOK CHILDREN'S HOME HEALTH B 1000 COOK CHILDREN'S PHYSICIAN NETWORK B 91435 COOK CHILDREN'S MEDICAL CENTER B 5139414 COOK CHILDREN'S HEALTH CARE SYSTEM B 380410 COOK CHILDREN'S HEALTH CARE SYSTEM O 1068942 COOK CHILDREN'S HEALTH CARE SYSTEM P 378735