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Gayle Karch Cook graduated from Indiana University in 1956 with a Bachelor of Arts degree in Fine Arts. She was a member of Phi Beta Kappa.
In 1963, she co-founded the Cook Group, a medical equipment manufacturer, with her husband. As of 2013, she still served on the company's Board of Directors.
She has made charitable contributions to her alma mater, Indiana University, and serves on the Board of Trustees of the Indiana University Foundation. She received the Gertrude Rich Award in 1983 an honorary Doctor of Humane Letters in 1993, both from Indiana University.
She was married to William Cook, who died in 2011. They had a son, Carl Cook.
According to Forbes, she had a net worth of US$5,800,000,000 in 2014, an increase relative to US$5,200,000,000 in 2013 which placed her at #85 on the Forbes 400 for the year.