Cook Childrens Health Care System
801 7th Ave, Fort Worth, TX · IRS data through FY2025
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2025 | $511,199,607 | $406,109,598 | $496,436,260 |
| FY2024 | $451,884,730 | $385,781,639 | $626,945,227 |
| FY2023 | $355,870,053 | $333,757,683 | $747,255,585 |
| FY2022 | $321,528,471 | $287,902,910 | $695,833,086 |
| FY2021 | $282,162,573 | $269,251,745 | $281,145,685 |
| FY2020 | $256,780,292 | $266,874,615 | $273,282,148 |
| FY2019 | $230,554,722 | $227,555,675 | $277,093,079 |
| FY2018 | $194,594,753 | $222,153,798 | $265,975,041 |
| FY2017 | $177,821,417 | $169,549,214 | $293,611,803 |
| FY2016 | $166,250,148 | $148,305,679 | $286,352,319 |
| FY2015 | $140,554,738 | $138,552,909 | $152,881,886 |
| FY2014 | $138,241,558 | $121,313,847 | $71,369,378 |
| FY2013 | $133,002,693 | $121,236,504 | $67,567,035 |
| FY2012 | $112,850,538 | $109,136,211 | $57,186,454 |
Form 990 filings
The returns filed by Cook Childrens Health Care System (EIN 75-2705881), including Form 990 PDFs and e-file data by year, are available in ProPublica's Nonprofit Explorer. The figures on this page come from IRS data files built from those returns.
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $3,276,021 | 1% |
| Program service revenue | $434,635,217 | 85% |
| Other revenue | $73,288,369 | 14% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $357,541,450 | 88% |
| Management & general | $48,568,148 | 12% |
| Fundraising | $0 | 0% |
What the numbers show
- Program service revenue made up 85% of total revenue in FY2025.
- Program services accounted for 88% of functional expenses, management & general 12%, and fundraising 0%.
- 88% of functional expenses went to program services in FY2025. That is higher than 63% of 238 Health Care organizations in TX.
- Net assets covered about 14.7 months of expenses at the end of the reporting year. That puts it in the 54th percentile among 1123 Health Care organizations in TX.
- Total revenue was higher than 97.4% of 1178 Health Care organizations in TX.
- Total revenue rose from $112,850,538 in FY2012 to $511,199,607 in FY2025. Revenue increased in 13 and decreased in 0 of 13 year-over-year comparisons.
- Expenses exceeded revenue in 2 of 14 reported years (FY2018, FY2020).
- Net assets grew from $57,186,454 to $496,436,260 between FY2012 and FY2025.
- Listed in the IRS Publication 78 data as eligible to receive tax-deductible contributions (supporting organization, type unspecified).
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
IRS status
| Ruling year | 1999 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | E210 — Health Care (in TX) |
| Donations | Listed in the IRS Publication 78 data as eligible to receive tax-deductible contributions (supporting organization, type unspecified). |
Similar organizations
- Baylor Regional Medical Center at Plano — Dallas, TX · $520,939,658
- Christus Health Southeast Texas — Beaumont, TX · $536,724,508
- Methodist Childrens Hospital — Lubbock, TX · $471,264,789
- Baylor Regional Medical Center at Grapevine — Dallas, TX · $554,640,106
- Cook Childrens Physician Network — Fort Worth, TX · $558,266,810
- United Regional Health Care System Inc — Wichita Falls, TX · $563,588,874
- Covenant Medical Center — Lubbock, TX · $563,599,324
- Baptist Hospitals of Southeast Texas — Beaumont, TX · $456,062,504
Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded November 4, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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