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 |
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $3,276,021 | 1% |
| Program service revenue | $434,635,217 | 99% |
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 99% 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 1121 Health Care organizations in TX.
- Total revenue was higher than 97.4% of 1176 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.
- Donations may be deductible (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 | Donations may be deductible (supporting organization, type unspecified). |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded September 20, 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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