TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ANDREW J ROSELL...................................................................... TRUSTEE - VICE CHAIRMAN	2.0 ................. 1.0	X	X	0	0	0
(2) HADLEY WOERNER...................................................................... TRUSTEE - CHAIRMAN	2.0 ................. 2.0	X	X	0	0	0
(3) JULEE S MORROW MD...................................................................... TRUSTEE - VICE CHAIRMAN - END 5/31/25	2.0 ................. 40.0	X	X	0	295,337	32,883
(4) RICK SORENSON...................................................................... TRUSTEE - CHAIRMAN - END 5/31/25	2.0 ................. 5.0	X	X	0	0	0
(5) ANGELA N CABARCAS MD...................................................................... TRUSTEE - END 5/31/25	1.0 ................. 40.0	X		0	364,373	41,572
(6) ANN B HOUSE...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0	0
(7) JEFF PUGACH MD...................................................................... TRUSTEE	1.0 ................. 41.0	X		0	1,125,098	34,283
(8) KAREN ONYIRIOHA...................................................................... TRUSTEE	1.0 ................. 40.0	X		0	457,641	26,610
(9) KATHRYN M KING MD...................................................................... TRUSTEE	1.0 ................. 40.0	X		0	359,280	36,639
(10) MICHAEL R PAVELL...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0	0
(11) PAUL S THORNTON MD...................................................................... TRUSTEE - END 5/31/25	1.0 ................. 40.0	X		0	443,042	54,694
(12) RACHEL R WERNER...................................................................... TRUSTEE	1.0 ................. 2.0	X		0	0	0
(13) REBECCA OLVERA...................................................................... TRUSTEE	1.0 ................. 40.0	X		0	338,201	38,710
(14) RYAN B DICKERSON...................................................................... TRUSTEE	1.0 ................. 5.0	X		0	0	0
(15) SANDY VARGHESE MD...................................................................... TRUSTEE	1.0 ................. 40.0	X		0	256,722	19,244
(16) THOMAS BRECKINRIDGE RAY...................................................................... TRUSTEE	1.0 ................. 2.0	X		0	0	0
(17) KAREN LOVE...................................................................... PRESIDENT	40.0 ................. 0		X	937,158	0	624,097

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MARY CARA MARTZ........................................................................ SECRETARY	1.0 .......................40.0	X			0	193,688	26,567
(19) RICHARD LEE........................................................................ VP, FINANCE AND CFO	40.0 .......................0	X			409,556	0	62,872
(20) RICK W MERRILL........................................................................ CEO	2.0 .......................40.0	X			158,515	3,011,779	427,841
(21) STEPHEN W KIMMEL........................................................................ EVP, SYSTEM FINANCE - TREASURER	5.0 .......................38.0	X			165,473	1,213,467	517,619
(22) CRYSTAL O'REILLY........................................................................ AVP, QUALITY & SERVICE COORDINATION	40.0 .......................0.0		X		181,358	0	50,649
(23) KIMBERLY AARON........................................................................ VP, CLINICAL AFFAIRS	40.0 .......................0		X		583,277	0	101,500
(24) SHERRY VETTER........................................................................ CHIEF OPERATING OFFICER	40.0 .......................0		X		496,650	0	75,057
(25) ABBY FLORES........................................................................ DIR, BEHAVIORAL HEALTH	40.0 .......................0			X	236,034	0	15,799
(26) CATHERINE NICHOLAS MD........................................................................ MEDICAL DIRECTOR	40.0 .......................0			X	320,907	0	49,491
(27) GLEN LEMMONS........................................................................ DIR, STAR KIDS CARE MANAGEMENT	40.0 .......................0			X	237,083	0	57,216
(28) KATHLEEN ROMAN........................................................................ REGULATORY COMPLIANCE DIRECTOR	40.0 .......................0			X	243,123	0	47,750
(29) TIMOTHY FANCHER........................................................................ DIRECTOR, CLN PHARMACY PROGRAM	40.0 .......................0			X	259,091	0	42,919

(A) Name and business address	(B) Description of services	(C) Compensation
NAVITUS HEALTH SOLUTIONS LLC 5 INNOVATION COURT APPLETON,WI54914	PHARMACY BENEFIT MANAGER	2,317,761
HEALTH MANAGEMENT SYSTEMS PO BOX 166409 IRVING,TX75016	SOFTWARE SERVICES	2,134,550
JOHN SONS PRESS 3300 SOUTH FREEWAY FORT WORTH,TX76110	PRINTING	1,745,467
NATIONAL VISION ADMINISTRATORS 1200 ROUTE 46 WEST CLIFTON,NJ07013	VISION MANAGER	583,815
ACCESS2CARE LLC 6501 S FIDDLERS GREEN CR STE 100 GREENWOOD VILLAGE,CO80111	PHARMACY BENEFIT MANAGER	220,877
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 22

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	22,500	2,500	0	0	0	25,000
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	710,732,719	854,550,174	907,371,285	880,190,455	909,118,655	4,261,963,288
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	710,755,219	854,552,674	907,371,285	880,190,455	909,118,655	4,261,988,288
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)						4,261,988,288

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...	710,755,219	854,552,674	907,371,285	880,190,455	909,118,655	4,261,988,288
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	1,128,289	3,135,768	15,086,663	13,185,578	10,526,256	43,062,554
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	1,128,289	3,135,768	15,086,663	13,185,578	10,526,256	43,062,554
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.	0	0	0	0	0	0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	0	0	0	0	0	0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	711,883,508	857,688,442	922,457,948	893,376,033	919,644,911	4,305,050,842

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

99.000 %

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

99.147 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

1 %

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

1 %

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
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Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
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Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

26,750

Total. Add lines 1c through 1i ....................................................................................................

26,750

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE LOBBYING EXPENSES OF THIS ORGANIZATION WERE USED TO PARTICIPATE IN CONSORTIUMS THAT SEEK TO INFLUENCE TEXAS LAWMAKERS, THE HEALTH & HUMAN SERVICES COMMISSION, AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES REGARDING MANAGED CARE AND MEDICAID REGULATIONS AND POLICIES.

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
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Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....	12,961,905	12,886,707	75,198
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				75,198

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
FEDERAL INCOME TAXES
INTERCOMPANY PAYABLES	10,791,336
LEASE OBLIGATIONS	199,577






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	10,990,913
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	920,494,657
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,258,552
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	1,258,552
3	Subtract line 2e from line 1..................			3	919,236,105
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	144,325
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	144,325
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	919,380,430

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	904,295,454
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	904,295,454
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	144,325
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	144,325
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	904,439,779

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART XI, LINE 2 ASC 740 FOOTNOTE	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISLOSED IN THE FINANCIAL STATEMENTS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JULEE S MORROW MD TRUSTEE - VICE CHAIRMAN - END 5/31/25	(i) (ii)	0 ------------- 272,041	0 ------------- 0	0 ------------- 23,296	0 ------------- 0	0 ------------- 32,883	0 ------------- 328,220	0 ------------- 0
2ANGELA N CABARCAS MD TRUSTEE - END 5/31/25	(i) (ii)	0 ------------- 323,403	0 ------------- 30,000	0 ------------- 10,970	0 ------------- 20,638	0 ------------- 20,934	0 ------------- 405,945	0 ------------- 0
3KATHRYN M KING MD TRUSTEE	(i) (ii)	0 ------------- 320,146	0 ------------- 30,000	0 ------------- 9,134	0 ------------- 8,443	0 ------------- 28,196	0 ------------- 395,919	0 ------------- 0
4REBECCA OLVERA TRUSTEE	(i) (ii)	0 ------------- 326,862	0 ------------- 0	0 ------------- 11,339	0 ------------- 22,875	0 ------------- 15,835	0 ------------- 376,911	0 ------------- 0
5KAREN ONYIRIOHA TRUSTEE	(i) (ii)	0 ------------- 417,452	0 ------------- 30,250	0 ------------- 9,939	0 ------------- 13,800	0 ------------- 12,810	0 ------------- 484,251	0 ------------- 0
6JEFF PUGACH MD TRUSTEE	(i) (ii)	0 ------------- 1,100,230	0 ------------- 0	0 ------------- 24,868	0 ------------- 15,510	0 ------------- 18,773	0 ------------- 1,159,381	0 ------------- 0
7PAUL S THORNTON MD TRUSTEE - END 5/31/25	(i) (ii)	0 ------------- 423,783	0 ------------- 0	0 ------------- 19,259	0 ------------- 25,875	0 ------------- 28,819	0 ------------- 497,736	0 ------------- 0
8SANDY VARGHESE MD TRUSTEE	(i) (ii)	0 ------------- 225,150	0 ------------- 22,750	0 ------------- 8,822	0 ------------- 14,562	0 ------------- 4,682	0 ------------- 275,966	0 ------------- 0
9STEPHEN W KIMMEL EVP, SYSTEM FINANCE - TREASURER	(i) (ii)	95,056 ------------- 697,081	47,034 ------------- 344,913	23,383 ------------- 171,473	58,194 ------------- 426,753	3,921 ------------- 28,751	227,588 ------------- 1,668,971	18,506 ------------- 135,711
10RICHARD LEE VP, FINANCE AND CFO	(i) (ii)	302,332 ------------- 0	99,464 ------------- 0	7,760 ------------- 0	42,315 ------------- 0	20,557 ------------- 0	472,428 ------------- 0	0 ------------- 0
11KAREN LOVE PRESIDENT	(i) (ii)	554,356 ------------- 0	249,581 ------------- 0	133,221 ------------- 0	591,425 ------------- 0	32,672 ------------- 0	1,561,255 ------------- 0	102,153 ------------- 0
12MARY CARA MARTZ SECRETARY	(i) (ii)	0 ------------- 149,106	0 ------------- 38,234	0 ------------- 6,348	0 ------------- 9,339	0 ------------- 17,228	0 ------------- 220,255	0 ------------- 0
13RICK W MERRILL CEO	(i) (ii)	81,962 ------------- 1,557,274	53,772 ------------- 1,021,663	22,781 ------------- 432,842	19,627 ------------- 372,917	1,765 ------------- 33,532	179,907 ------------- 3,418,228	0 ------------- 0
14KIMBERLY AARON VP, CLINICAL AFFAIRS	(i) (ii)	389,333 ------------- 0	130,387 ------------- 0	63,557 ------------- 0	73,833 ------------- 0	27,667 ------------- 0	684,777 ------------- 0	55,190 ------------- 0
15CRYSTAL O'REILLY AVP, QUALITY & SERVICE COORDINATION	(i) (ii)	119,335 ------------- 0	51,388 ------------- 0	10,635 ------------- 0	12,768 ------------- 0	37,881 ------------- 0	232,007 ------------- 0	0 ------------- 0
16SHERRY VETTER CHIEF OPERATING OFFICER	(i) (ii)	333,683 ------------- 0	107,737 ------------- 0	55,230 ------------- 0	54,317 ------------- 0	20,740 ------------- 0	571,707 ------------- 0	46,863 ------------- 0
17TIMOTHY FANCHER DIRECTOR, CLN PHARMACY PROGRAM	(i) (ii)	222,590 ------------- 0	28,799 ------------- 0	7,702 ------------- 0	13,700 ------------- 0	29,219 ------------- 0	302,010 ------------- 0	0 ------------- 0
18ABBY FLORES DIR, BEHAVIORAL HEALTH	(i) (ii)	197,357 ------------- 0	28,902 ------------- 0	9,775 ------------- 0	0 ------------- 0	15,799 ------------- 0	251,833 ------------- 0	0 ------------- 0
19GLEN LEMMONS DIR, STAR KIDS CARE MANAGEMENT	(i) (ii)	192,164 ------------- 0	33,204 ------------- 0	11,715 ------------- 0	18,454 ------------- 0	38,762 ------------- 0	294,299 ------------- 0	0 ------------- 0
20CATHERINE NICHOLAS MD MEDICAL DIRECTOR	(i) (ii)	273,957 ------------- 0	38,486 ------------- 0	8,464 ------------- 0	24,251 ------------- 0	25,240 ------------- 0	370,398 ------------- 0	0 ------------- 0
21KATHLEEN ROMAN REGULATORY COMPLIANCE DIRECTOR	(i) (ii)	207,934 ------------- 0	27,781 ------------- 0	7,408 ------------- 0	18,380 ------------- 0	29,370 ------------- 0	290,873 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	GROSS UP PAYMENTS INCLUDED IN W-2 TAXABLE COMPENSATION: PAUL S. THORNTON, M.D. ANGELA N. CABARCAS, M.D. JEFF PUGACH, M.D. KAREN ONYIRIOHA KATHRYN M. KING, M.D. REBECCA OLVERA JULEE S. MORROW, M.D. SANDY VARGHESE, M.D.
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 SPECIFIC 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 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	COOK CHILDREN'S HEALTH CARE SYSTEM, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO DETERMINE CEO/EXECUTIVE DIRECTOR COMPENSATION: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	RICK W MERRILL - PAID BY SYSTEM - $366,668 DEFERRED, $NONE W-2 STEPHEN W KIMMEL - PAID BY SYSTEM - $463,384 DEFERRED, $154,217 W-2 KIMBERLY AARON - PAID BY CCHP - $47,958 DEFERRED, $55,190 W-2 RICHARD LEE - PAID BY CCHP - $36,673 DEFERRED, $NONE W-2 KAREN LOVE - PAID BY CCHP - $574,700 DEFERRED, $102,153 W-2 SHERRY VETTER - PAID BY CCHP - $39,968 DEFERRED, $46,863 W-2
SCHEDULE J, PART II ALLOCATION OF CEO & CFO SALARIES	SALARIES FOR THE CEO AND EVP, SYSTEM FINANCE ARE ALLOCATED PRO-RATA BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH OF THE FOLLOWING COMPANIES: COOK CHILDREN'S MEDICAL CENTER COOK CHILDREN'S HEALTH FOUNDATION COOK CHILDREN'S HOME HEALTH COOK CHILDREN'S HEALTH CARE SYSTEM COOK CHILDREN'S HEALTH PLAN COOK CHILDREN'S PHYSICIAN NETWORK COOK CHILDREN'S MEDICAL CENTER - PROSPER CHILD STUDY CENTER

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Return Reference	Explanation
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION	IN ADDITION TO THE NEARLY 2,900 PROVIDERS IN THE COOK CHILDREN'S PHYSICIAN NETWORK, MEMBERS HAVE ACCESS TO APPROXIMATELY 1,400 ADDITIONAL PRIMARY CARE PHYSICIANS, 240 OB-GYNS, 2,300 SPECIALISTS, 680 BEHAVIORAL HEALTH PROVIDERS, AND NUMEROUS HOSPITALS, SURGERY CENTERS AND A VARIETY OF URGENT CARE AND CLINIC LOCATIONS. THIS COMPREHENSIVE NETWORK ENSURES ACCESS TO QUALITY HEALTH CARE PROVIDERS FOR ALL CCHP MEMBERS. ALTHOUGH COOK CHILDREN'S MEDICAL CENTER DOES NOT PROVIDE MATERNITY SERVICES, PREGNANT MEMBERS ARE CLOSELY CARED FOR AND MONITORED TO AVOID COMPLICATIONS AND PREMATURE DELIVERIES BY OTHER DOCTORS AND HOSPITALS IN CCHP'S NETWORK. THESE MEMBERS ARE MONITORED AND ASSISTED FOR 12 MONTHS POSTPARTUM. COOK CHILDREN'S MEDICAL CENTER IS OFTEN THE HOSPITAL OF CHOICE FOR MEMBERS' NEWBORNS WHO REQUIRE NEONATAL INTENSIVE CARE. MEDICAID RENEWAL THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC), ANNOUNCED IN MARCH 2024 ITS INTENT TO NOT RENEW CCHP'S MEDICAID STAR AND CHIP CONTRACT, INSTEAD AWARDING THOSE CONTRACTS TO NUMEROUS FOR-PROFIT HEALTH CARE COMPANIES. THE STATE'S DECISION, THE RESULT OF A FLAWED PROCESS, IGNORED COOK CHILDREN'S 20+ YEAR TRACK RECORD OF SUCCESS IN ADMINISTERING THESE PROGRAMS TO LOCAL FAMILIES. IN RESPONSE, COOK CHILDREN'S FORMALLY PROTESTED THAT THE SCORING PROCESS LACKED TRANSPARENCY, IGNORED LEGISLATIVELY MANDATED CONSIDERATIONS AND PREFERENCES, AND PUT NON-PROFIT COMMUNITY PLANS AT AN UNFAIR DISADVANTAGE. IN JUNE 2024, COOK CHILDREN'S HEALTH PLAN FILED A LAWSUIT ALLEGING THAT THE STATE'S PROCUREMENT WAS NOT CONDUCTED ACCORDING TO THE APPROPRIATE STATUTES. IN OCTOBER 2024, TRAVIS COUNTY DISTRICT COURT ISSUED A TEMPORARY INJUNCTION WHICH STOPS HHSC FROM IMPLEMENTING ANY NEW MEDICAID STAR/CHIP CONTRACTS, THEREBY PRESERVING THE STATUS QUO AND PROTECTING THE COOK CHILDREN'S HEALTH PLAN. THE TEXAS LEGISLATURE MET IN EARLY 2025 AND FAILED TO TAKE ANY ACTION THAT WOULD HAVE CLARIFIED OR IMPROVED THE STATE'S MEDICAID MANAGED CARE ORGANIZATION PROCUREMENT PROCESS. THEREFORE, THE LAWSUIT FILED BY COOK CHILDREN'S HEALTH PLAN IS PROCEEDING THROUGH THE COURTS. IN THE MIDST OF UNCERTAINTY, CCHP HAS WORKED TO REASSURE ITS MEMBERS THAT THEIR COVERAGE REMAINS ACTIVE UNTIL A FINAL DECISION IS MADE, THEY MAY CONTINUE SEEING THEIR CURRENT PHYSICIANS AND PROVIDERS, AND THEIR CHILD'S HEALTH IS TOP PRIORITY. THIS ORDER IS CURRENTLY BEING REVIEWED BY THE FIFTEENTH COURT OF APPEALS. COLLABORATION AND PREVENTION PARTNERSHIP IS KEY TO CCHP'S MISSION TO HELP MEMBERS ACHIEVE THEIR OPTIMAL HEALTH. THE HEALTH PLAN COLLABORATES WITH NUMEROUS COMMUNITY AGENCIES TO ADDRESS MEMBERS' NON-MEDICAL DRIVERS OF HEALTH. FOOD INSECURITY HAS BECOME AN INCREASING BARRIER TO OPTIMAL HEALTH AMONG CCHP'S MEMBERS. DURING FY25, CCHP SCREENED 578 UNIQUE FAMILIES OF WHICH 137 (24%) SCREENED POSITIVE FOR FOOD INSECURITY. NEARLY 700 ELIGIBLE CCHP FAMILIES RECEIVED A FOOD BENEFITS PROGRAM, WHICH MAKES IT EASIER AND MORE AFFORDABLE TO ACCESS HEALTHY FOOD. ADDITIONALLY, THE PARTNERSHIP CONTINUED BETWEEN CCHP, COOK CHILDREN'S CENTER FOR COMMUNITY HEALTH AND THE TARRANT AREA FOOD BANK TO INCREASE FOOD ACCESS FOR FAMILIES AND SUPPORT MEDICAID, CHIP AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION ASSISTANCE THROUGH A MOBILE MARKET. THE MOBILE MARKET SERVED NEARLY 5,000 FAMILIES, DISTRIBUTED 274,949 POUNDS OF FOOD, AND PROVIDED SNAP, MEDICAID AND OTHER APPLICATION ASSISTANCE TO FAMILIES. ADDITIONALLY, COOK CHILDREN'S HEALTH PLAN STAFF CONDUCTED OVER 3,000 SNAP SCREENINGS IN THE COMMUNITY DURING FY25. MATERNAL HEALTH PARTNERSHIP COOK CHILDREN'S CONTINUED ITS ACTIVE PARTICIPATION, ALONG WITH MORE THAN A DOZEN OTHER HEALTH CARE AND COMMUNITY GROUPS, IN THE TARRANT COUNTY MATERNAL & INFANT HEALTH COALITION (NTX-MHA) DEDICATED TO IMPROVING THE AREA'S RELATIVELY HIGH RATES OF MATERNAL MORTALITY, ESPECIALLY HIGH AMONG BLACK WOMEN IN THE COUNTY, AND INFANT MORTALITY. THE COALITION NTX-MHA IS WORKING TO IDENTIFY MATERNAL AND INFANT HEALTH RESOURCES ACROSS THE COMMUNITY AND TO IMPROVE AWARENESS OF THESE RESOURCES AND FACILITATE TIMELY ACCESS TO THEM BY TARRANT AREA FAMILIES. THE COALITION'S EFFORTS HAVE INCLUDED DISTRIBUTING MORE THAN 9,500 BOTTLES OF IRON PILLS TO EXPECTANT MOTHERS, SEEKING FEEDBACK FROM THOSE WHO PREVIOUSLY GAVE BIRTH IN THE COUNTY, SECURING AGREEMENTS WITH AREA HOSPITALS TO STANDARDIZE MATERNAL SAFETY PROTOCOLS, AND CREATING A SYSTEM TO CONNECT MOTHERS WITH RESOURCES THEY NEED BEYOND THEIR DOCTOR'S OFFICE. THE NTX-MHA DEVELOPED A MULTI-YEAR, MULTI-MILLION-DOLLAR PROJECT WHICH WAS INITIALLY GRANTED FEDERAL FUNDING THROUGH ARPA-H; HOWEVER, ARPA-H, NOTIFIED THE COALITION OF A LAST-MINUTE PROGRAM CANCELLATION IN AUGUST 2025. TO ADAPT TO THE LOSS OF FEDERAL OUTCOME PAYMENTS, NTX-MHA WILL: 1. REDUCE ITS THREE-YEAR BUDGET AND PRIORITIZE A HANDFUL OF THE HIGHEST-IMPACT ACTIVITIES THAT REDUCE THE SEVERE OBSTETRIC COMPLICATION (SOC) RATE 2. DELIVER ON THIS REDUCED SCOPE BY MOBILIZING ADDITIONAL PRIVATE AND PUBLIC FUNDING BEYOND THE ORIGINAL COMMITMENTS NTX-MHA HOPES TO SOON EXPAND ITS SCOPE BACK TO THE ORIGINAL PROJECT RANGE THROUGH NEW FUNDING PARTNERSHIPS, INCLUDING MCOS, THE STATE OF TEXAS, AND NATIONAL FUNDERS. TRANSFORMATIVE PARTNERSHIP THE LAS VEGAS TRAIL NEIGHBORHOOD HEALTH CENTER, A FIRST-OF-ITS-KIND PARTNERSHIP TO BRING CRITICAL HEALTH SERVICES TO AN UNDERSERVED AREA OF FORT WORTH, OPENED IN 2025. THE CENTER IS HOME TO VARIOUS PEDIATRIC AND ADULT MEDICAL AND SOCIAL SERVICES. COOK CHILDREN'S TEAMED UP WITH JPS HEALTH NETWORK, THE CITY OF FORT WORTH AND LOCAL NON-PROFIT ORGANIZATIONS IN THIS INNOVATIVE PLAN TO TRANSFORM FORT WORTH'S STRUGGLING LVT NEIGHBORHOOD INTO A SAFE AND THRIVING COMMUNITY. OVER 5,000 CCHP MEMBERS LIVE IN THE LVT AREA, MAKING CCHP A KEY PLAYER IN SERVICE DELIVERY AND CARE COORDINATION AT THE NEW CENTER. CCHP STAFF ARE EMBEDDED IN THE LOCATION TO HELP MEMBERS NAVIGATE THE HEALTH CARE SYSTEM AND ACCESS RESOURCES. FOR EXAMPLE, FOR THOSE WITHOUT INTERNET SERVICE WHO NEED TO ATTEND A TELEHEALTH APPOINTMENT, THEY HAVE ACCESS TO PRIVATE SPACE EQUIPPED WITH INTERNET AND VIDEO AND CAN ACCESS THIS SERVICE WITH THE HELP OF AN ON-SITE CCHP REPRESENTATIVE. CCHP COMMUNITY HEALTH WORKERS ALSO ASSIST IN THE HEALTH EDUCATION CENTER, WHERE LVT OFFERS INSTRUCTION IN NUTRITION, PREGNANCY, ENGLISH AS A SECOND LANGUAGE, HIGH SCHOOL DIPLOMA EQUIVALENCY AND MORE. A UNIQUE WORKFORCE INITIATIVE WITH TARRANT COUNTY COMMUNITY COLLEGE WAS OFFERED TO A FIRST COHORT IN FALL 2025. THE TRAINING EQUIPS RESIDENTS WITH SKILLS IN CUSTOMER SERVICE, PHONE MANAGEMENT, DATA ENTRY AND OTHER ENTRY-LEVEL HEALTH CARE ADMINISTRATIVE TASKS. CCHP'S SUPPORT FOR THIS INITIATIVE GIVES LVT RESIDENTS EMPLOYABLE SKILLS TO ACCESS WELL-PAYING JOBS WITHIN THE HEALTH INDUSTRY WHILE ALSO BUILDING A NEW POOL OF QUALIFIED CANDIDATES FOR FILLING STAFFING NEEDS AT COOK CHILDREN'S AND JPS. THE FIRST GROUP OF PARTICIPANTS GRADUATED IN DECEMBER. ALL OF THESE COLLABORATIONS AND VALUE-ADDED RESOURCES PROVIDED BY CCHP HELP IMPROVE THE HEALTH AND WELL-BEING OF MEMBERS AND OUR COMMUNITY.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	VARIOUS OFFICERS & TRUSTEES EMPLOYED OR SERVING BOARDS WITHIN THE SYSTEM - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	AS THE SOLE MEMBER OF THE ORGANIZATION, COOK CHILDREN'S HEALTH CARE SYSTEM HAS THE EXCLUSIVE POWER AND RESERVED 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 CAPITAL AND OPERATING BUDGETS OF THE ORGANIZATION; H. APPROVE DEBT TO BE INCURRED BY THE ORGANIZATION WHICH WOULD EXCEED SUCH LIMITS AS ESTABLISHED BY THE SOLE MEMBER; AND, I. APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE ORGANIZATION.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT ACCOUNTING FIRM TO ASSIST IN THE PREPARATION OF THE FORM 990 AND RELATED FILINGS. ALL INFORMATION PROVIDED TO THE OUTSIDE ACCOUNTING FIRM IS GATHERED BY KEY COMPANY EMPLOYEES AND EXECUTIVES. ONCE THE FORM 990 IS PREPARED, IT IS REVIEWED BY COMPANY FINANCE, LEGAL AND COMPLIANCE STAFF AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. IN ADDITION, IT IS PROVIDED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO THE BOARD AND AUDIT COMMITTEE REVIEW, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE AND MADE AVAILABLE TO THE PUBLIC FOR REVIEW.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM (SYSTEM) SENDS OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF ALL SYSTEM COMPANIES, AS WELL AS CERTAIN OTHER EMPLOYEES, INCLUDING PHYSICIANS, WHO ARE DETERMINED TO BE EMPLOYED IN POSITIONS THAT MIGHT BE SUBJECT TO THE SYSTEM'S CONFLICT OF INTEREST POLICY. THE RESPONSES ARE REVIEWED BY THE LEGAL, FINANCE, AND COMPLIANCE DEPARTMENTS. FOLLOW UP AND/OR CORRECTIVE ACTION IS TAKEN AS NEEDED WITH RESPECT TO RESPONSES THAT INDICATE THE EXISTENCE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. A SUMMARY OF THE RESPONSES TO THE QUESTIONNAIRES AND FOLLOW-UP INFORMATION 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 THAT IS APPLICABLE TO ALL AFFILIATED COMPANIES OF THE COOK CHILDREN'S HEALTH CARE SYSTEM. THE AUDIT COMMITTEE IS ALSO RESPONSIBLE FOR OVERSIGHT OF THE COMPLIANCE DEPARTMENT OF COOK CHILDREN'S HEALTH CARE SYSTEM. THE COMPLIANCE DEPARTMENT MAINTAINS A HOTLINE TO RECEIVE REPORTS OF INAPPROPRIATE ACTIVITIES INCLUDING ACTIVITIES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. INTERNAL AUDIT AND COMPLIANCE ALSO CONDUCT RANDOM AUDITS OF CORPORATE ACTIVITIES SUCH AS EXPENSE REIMBURSEMENTS AND ACCOUNTS PAYABLE TO DETERMINE IF ANY INAPPROPRIATE PAYMENTS ARE BEING MADE TO INDIVIDUALS, SOME OF WHICH COULD BE EVIDENCE OF A CONFLICT OF INTEREST. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY, WITH FURTHER REPORTING TO THE SYSTEM BOARD OF TRUSTEES AS APPROPRIATE.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE CEO. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC., WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION ARRANGEMENTS IN ADVANCE, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT COMMITTEE MEMBERS, USING COMPARABLE MARKET DATA RELATING TO COMPENSATION, WHICH IS PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC. FOR EXECUTIVE COMPENSATION AND PHYSICIAN COMPENSATION, WHICH IS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS FOLLOWING CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION COMMITTEE'S DELIBERATIONS AND DECISIONS. THE COMPENSATION COMMITTEE REQUIRES THE COMPENSATION CONSULTANT TO UPDATE MARKET DATA PERIODICALLY, USUALLY EVERY TWO YEARS, WITH INTERIM REVIEWS BEING CONDUCTED AS NEEDED. WITH REGARD TO PHYSICIAN COMPENSATION, THE COMPENSATION COMMITTEE ALSO RETAINS THE LAW FIRM OF JONES DAY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, EXCEPT TO THE EXTENT THEY ARE ON FILE WITH THE TEXAS SECRETARY OF STATE. 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

COOK CHILDREN'S HEALTH PLAN

Employer identification number

76-0585240

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVE FORT WORTH,TX76104 75-2705881	HEALTH CARE SUPPORT	TX	501(C)(3)	TYPE III-FI	CCHF	Yes
(2)COOK CHILDREN'S PHYSICIAN NETWORK 801 SEVENTH AVE FORT WORTH,TX76104 75-2485366	PHYSICIAN SERVICES	TX	501(C)(3)	3	CCHCS	Yes
(3)WI COOK FOUNDATION DBA COOK CHILDREN'S HEALTH FOUNDATION 801 SEVENTH AVE FORT WORTH,TX76104 75-2051649	FUNDRAISING	TX	501(C)(3)	7	NA		No
(4)COOK CHILDREN'S MEDICAL CENTER 801 SEVENTH AVE FORT WORTH,TX76104 75-2051646	HOSPITAL	TX	501(C)(3)	3	CCHCS	Yes
(5)COOK CHILDREN'S HOME HEALTH 801 SEVENTH AVE FORT WORTH,TX76104 75-2896983	HEALTHCARE	TX	501(C)(3)	10	CCHCS	Yes
(6)ROSEDALE OFFICE BUILDING 1500 W ROSEDALE FORT WORTH,TX76104 46-0866421	TITLE HOLDING	TX	501(C)(2)		CCHF	Yes
(7)CHILD STUDY CENTER 1300 W LANCASTER FORT WORTH,TX76102 75-1099536	HEALTHCARE SERVICES	TX	501(C)(3)	7	CCMC	Yes
(8)COOK CHILDREN'S HEALTH ENTERPRISES 801 SEVENTH AVE FORT WORTH,TX76104 84-2625990	HEALTHCARE SERVICES	TX	501(C)(3)	TYPE II	CCHCS	Yes
(9)COOK CHILDREN'S MEDICAL CENTER - PROSPER 801 SEVENTH AVE FORT WORTH,TX76104 85-2354189	HOSPITAL	TX	501(C)(3)	3	CCHCS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CPS PEDIATRICS LLC 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD,TN37027 47-0871718	ASC	TX	NA	N/A
(2) COOK CHILDREN'S SURGERY CENTER 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD,TN37027 20-5227064	ASC	TX	NA	N/A
(3) CENTER FOR PEDIATRIC SURGERY 340 SEVEN SPRINGS WAY STE 600 BRENTWOOD,TN37027 47-0871715	ASC	TX	NA	N/A
(4) CAFFEINATED CAPITAL PLAYGROUND SPV LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN,CO81611 99-2725317	INVESTMENTS	CO	NA	N/A
(5) CC TRUEACCORD SPV II LLC 520 E COOPER AVE 2ND FL STE C-7 ASPEN,CO81611 82-2997101	INVESTMENTS	CO	NA	N/A
(6) CAZ PARTNERS FUND LP- LIQUID INCOME PORTFOLIO ONE RIVERWAY STE 2000 HOUSTON,TX77056 80-0969684	INVESTMENTS	TX	NA	N/A
(7) GOFF FOCUSED ENERGY STRATEGIES LP 3230 CAMP BOWIE BLVD STE 800 FORT WORTH,TX76107 82-2764240	INVESTMENTS	TX	NA	N/A
(8) HT STORK LP 120 STATE ROUTE 28 UNIT 9 CRYSTAL BAY,NV89402 88-1770748	INVESTMENTS	NV	NA	N/A
(9) OBERWEIS INTERNATIONAL SELECT FUND LLC 3333 WARRENVILLE ROAD STE 500 LISLE,IL60532 84-2094004	INVESTMENTS	IL	NA	N/A
(10) STEPSTONE VC HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS,MD21117 26-2423493	INVESTMENTS	MD	NA	N/A
(11) SAGAMORE HEALTHCARE I LP 100 PAINTERS MILL ROAD SUITE 700 OWINGS MILLS,MD21117 26-2821679	INVESTMENTS	MD	NA	N/A
(12) SCP OPPORTUNITY FUND LLC 190 ELGIN AVENUE GEORGE TOWN KY19008 CJ 98-1647424	INVESTMENTS	CJ	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) COOK CHILDREN'S HEALTH SERVICES 801 SEVENTH AVE FORT WORTH,TX76104 45-4024843	HEALTHCARE	TX	CCHCS	C CORPORATION				Yes
(2) COOK CHILDREN'S INDEMNITY COMPANY 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN,GRAND CAYMANKY1110 CJ 98-0424041	SELF INSURANCE	CJ	CCHCS	C CORPORATION				Yes
(3) CHARITABLE REMAINDER TRUSTS (2)	SPLIT INT TRUST	TX	NA	TRUST				Yes
(4) LIVE LEARN URBAN FUND FEEDER LLC 801 7TH AVENUE FORT WORTH,TX76104 35-2597171	REAL ESTATE	TX	CCHF	C CORPORATION				Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) COOK CHILDREN'S MEDICAL CENTER - PROSPER	R	5,845,316	FMV
(2) COOK CHILDREN'S HEALTH CARE SYSTEM	K	1,004,446	FMV
(3) COOK CHILDREN'S HEALTH CARE SYSTEM	P	21,408,453	FMV
(4) COOK CHILDREN'S MEDICAL CENTER	R	280,424,612	FMV
(5) COOK CHILDREN'S MEDICAL CENTER	P	63,624	FMV
(6) COOK CHILDREN'S MEDICAL CENTER	P	318,623	FMV
(7) COOK CHILDREN'S PHYSICIAN NETWORK	R	25,221,656	FMV
(8) COOK CHILDREN'S PHYSICIAN NETWORK	O	115,600	FMV
(9) COOK CHILDREN'S HOME HEALTH	P	23,733,775	FMV

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	363
6	Total number of volunteers (estimate if necessary) .............	6	8
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	880,190,455	909,118,655
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,403,560	10,261,775
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	892,594,015	919,380,430
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	46,160,111	47,378,013
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	832,165,374	857,061,766
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	878,325,485	904,439,779
19	Revenue less expenses. Subtract line 18 from line 12.......	14,268,530	14,940,651
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	334,740,150	364,748,646
21	Total liabilities (Part X, line 26).............	153,607,628	167,416,921
22	Net assets or fund balances. Subtract line 21 from line 20.....	181,132,522	197,331,725

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 882,919,655 including grants of $ 0 ) (Revenue $ 909,118,655 )
	COOK CHILDREN'S HEALTH PLAN (CCHP) COOK CHILDREN'S HEALTH PLAN PROVIDES HEALTH CARE COVERAGE TO A VULNERABLE POPULATION THAT MAY NOT OTHERWISE BE ABLE TO ACCESS OR AFFORD CARE - LOW-INCOME FAMILIES WHO QUALIFY FOR MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). MEMBERS ENROLLED IN CCHP ARE ASSURED OF TIMELY ACCESS TO NECESSARY MEDICAL CARE, INCLUDING PREVENTIVE SERVICES SUCH AS WELL-CHILD VISITS, IMMUNIZATIONS AND PRENATAL/POSTPARTUM CARE. COOK CHILDREN'S HEALTH PLAN'S ROLE IS TO MANAGE AND, IN CONJUNCTION WITH COOK CHILDREN'S AND OTHER NETWORK PROVIDERS, DELIVER CARE TO ITS MEMBERS. SINCE IT WAS ESTABLISHED IN 1999, THE ORGANIZATION HAS SUCCESSFULLY GROWN TO A SUBSTANTIAL OPERATION, CURRENTLY COVERING 125,000 MEMBERS, PRIMARILY COMPRISED OF CHILDREN AND EXPECTANT AND POSTPARTUM MOTHERS. (CONTINUED ON SCHEDULE O)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses882,919,655

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	4,228,225	8,058,628	2,384,012

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		0

		Business Code
2a	CAPITATION REVENUE	524114	909,118,655	909,118,655
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		909,118,655

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,526,256			10,526,256
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	50,498,896
b	Less: cost or other basis and sales expenses	7b	50,763,377
c	Gain or (loss)	7c	-264,481	0
d	Net gain or (loss).........			-264,481			-264,481
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			919,380,430	909,118,655	0	10,261,775

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,772,486	1,661,990	2,110,496
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	31,112,736	27,866,639	3,246,097
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,624,279	1,301,213	323,066
9	Other employee benefits .......	8,516,543	7,581,763	934,780
10	Payroll taxes ...........	2,351,969	2,124,908	227,061
11	Fees for services (non-employees):
a	Management ......	12,115,555		12,115,555
b	Legal .........	87,516		87,516
c	Accounting ...........	68,816		68,816
d	Lobbying ...........	26,750		26,750
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	144,325		144,325
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	8,660,301	8,414,982	245,319	0
12	Advertising and promotion ....	287,253	284,253	3,000
13	Office expenses .......	1,784,956	1,656,089	128,867
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,041,327		1,041,327
17	Travel ............	208,540	190,431	18,109
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	38,540	30,272	8,268
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	292,800		292,800
23	Insurance ...	2,395,968	2,288,923	107,045
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL CLAIMS	809,347,958	809,347,958
b	PREMIUM & MAINTENANCE TAX	15,696,965	15,696,965
c	FEES & FINANCING	3,313,670	3,219,828	93,842
d	ADMINISTRATION	682,861	682,861
e	All other expenses	867,665	570,580	297,085	0
25	Total functional expenses. Add lines 1 through 24e	904,439,779	882,919,655	21,520,124	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			101,693,583	2	142,217,615
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			79,089,664	4	65,749,997
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			3,883,108	9	2,147,835
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	12,961,905
b	Less: accumulated depreciation	10b	12,886,707	367,999	10c	75,198
11	Investments—publicly traded securities .			146,501,592	11	152,723,646
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			3,204,204	15	1,834,355
16	Total assets. Add lines 1 through 15 (must equal line 33)...			334,740,150	16	364,748,646

17	Accounts payable and accrued expenses .....	143,876,818	17	156,426,008
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	9,730,810	25	10,990,913
26	Total liabilities. Add lines 17 through 25..	153,607,628	26	167,416,921

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	181,132,522	27	197,331,725
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	181,132,522	32	197,331,725
33	Total liabilities and net assets/fund balances ........	334,740,150	33	364,748,646