COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-10
IRS object ID: 201702229349300810
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-10T11:52:53-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Post Oak Blvd Ste 3200	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77056	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752051646	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CORY RHOADES	InCareOfNm
Business Name Control	COOK	BusinessNameControlTxt
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CORY RHOADES	PersonNm
Person Title	SENIOR VP-FINANCE	PersonTitleTxt
Signature	2017-08-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amanda Maya	PreparerPersonNm
PTIN	P01067777	PTIN
Phone	7134994600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NANCY CYCHOL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$958,902,464	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COOKCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	4655	TotalEmployeeCnt
Total Volunteers	1055	TotalVolunteersCnt
Total Gross UBI	$232,957	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$201,529	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,963,899	PYContributionsGrantsAmt
CY Contributions Grants	$9,795,542	CYContributionsGrantsAmt
PY Program Service Revenue	$840,238,322	PYProgramServiceRevenueAmt
CY Program Service Revenue	$944,720,900	CYProgramServiceRevenueAmt
PY Investment Income	$301,321	PYInvestmentIncomeAmt
CY Investment Income	$607,034	CYInvestmentIncomeAmt
PY Other Revenue	$2,349,608	PYOtherRevenueAmt
CY Other Revenue	$1,988,001	CYOtherRevenueAmt
PY Total Revenue	$853,853,150	PYTotalRevenueAmt
CY Total Revenue	$957,111,477	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,919,503	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,956,501	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$301,773,711	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$326,571,650	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$335,657,768	PYOtherExpensesAmt
CY Other Expenses	$368,463,234	CYOtherExpensesAmt
PY Total Expenses	$688,350,982	PYTotalExpensesAmt
CY Total Expenses	$759,991,385	CYTotalExpensesAmt
PY Revenues Less Expenses	$165,502,168	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$197,120,092	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,047,972,021	TotalAssetsBOYAmt
Total Assets EOY	$1,118,765,172	TotalAssetsEOYAmt
Total Liabilities BOY	$527,141,093	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$526,989,012	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$520,830,928	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$591,776,160	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$551,948,779	ExpenseAmt
Grant	$64,831,468	GrantAmt
Revenue	$945,721,520	RevenueAmt
Desc	COOK CHILDREN'S MEDICAL CENTER (MEDICAL CENTER) IS THE CORNERSTONE OF COOK CHILDRENS HEALTH CARE SYSTEM. IT IS THE HOME OF TOP MEDICAL MINDS, ADVANCED TECHNOLOGIES AND TREATMENTS AND LEADING-EDGE CLINICAL RESEARCH, ALL DESIGNED TO MEET THE HEALTH CARE NEEDS OF CHILDREN. COOK CHILDRENS 443-BED MEDICAL CENTER, LIKE MANY URBAN, PEDIATRIC CENTERS, HAS EXPERIENCED A GREAT DEAL OF GROWTH OVER THE PAST SEVERAL YEARS. IN RESPONSE TO THE CURRENT PRESSURE ON KEY DEPARTMENTS, THE MEDICAL CENTER ENGAGED THEIR INTEGRATED PROJECT DELIVERY TEAM TO CONCEPTUALIZE, DESIGN AND CONSTRUCT FACILITY SOLUTIONS FOR A NEW SOUTH TOWER, SOUTH UTILITY PLANT AND URGENT CARE CENTER. THE SOUTH TOWER HAS EIGHT LEVELS AND IS 314,000 SQUARE FEET. LEVEL ONE: COOK CHILDRENS EMERGENCY DEPARTMENT CURRENTLY SEES MORE THAN 120,000 PATIENTS A YEAR. THE NEWLY RENOVATED AND EXPANDED NENETTA BURTON CARTER EMERGENCY DEPARTMENT, WHICH OPENED IN AUGUST 2016, HAS MORE, AND LARGER, EXAM ROOMS AND A SUPERIOR LAYOUT AND DESIGN TO BETTER ACCOMMODATE THE EXISTING AND FUTURE VOLUME OF PATIENTS. LEVEL ONE IS THE HOME OF THE NEW, EXPANDED EMERGENCY DEPARTMENT (ED) AND EXTENSION OF MAIN STREET, THE PRIMARY PUBLIC CIRCULATION SYSTEM THAT CONNECTS ALL BUILDINGS AND IS POPULATED WITH NUMEROUS FAMILY AMENITIES. THE ED HOUSES 5 RESUSCITATION ROOMS, 10 INTAKES ROOMS, 70 GENERAL EXAM ROOMS, TWO GENERAL X-RAY ROOMS AND 1 NEW CT ROOM. THE SOUTH MAIN TOWER INCLUDES A NEW GRAB N GO FOR FAMILIES AND STAFF AS WELL AS A LOUNGE WITH VIEWS AND ACCESS TO A NEW SOUTH GARDEN. LEVEL TWO: THE SECOND LEVEL OF THE SOUTH TOWER IS DEDICATED TO SURGICAL SERVICES. ALL OF THE OPERATING ROOMS ARE LOCATED IN THIS AREA WHOSE FLOOR-TO-FLOOR HEIGHT INCREASED TO 18 FEET TO ACCOMMODATE MODERN BUILDING SYSTEMS AND TECHNOLOGY. THE NEW OR SUITE IS DESIGNED AROUND A STERILE CORE AND INCLUDES 17 OPERATING ROOMS (7 GENERAL, 1 TRAUMA, 2 NEURO, 2 ORTHO, 1 IMRI, 1 CYSTO AND SHELL SPACE FOR THREE FUTURE OPERATING ROOMS). LEVEL THREE: THIS SPACE IS DEDICATED TO A NEW HEART CENTER, WITH TWO CARDIOVASCULAR OPERATING ROOMS, TWO CARDIAC CATH LABS, A 14-BED CVICU AND A 1,000 SQUARE FEET ENCLOSED CORRIDOR CONNECTING TO A 15-BED STEP-DOWN UNIT IN THE MAIN HOSPITAL. THE FAMILY WAITING ROOM HAS VIEWS AND ACCESS TO ONE OF TWO NEW ROOFTOP GARDEN TERRACES. LEVELS FOUR AND FIVE: LEVEL FOUR HAS AN ECHOCARDIOGRAM SUITE, BUT IS MAINLY DEDICATED TO MECHANICAL SPACE. LEVEL FIVE IS SHELLED FOR FUTURE USE/GROWTH. LEVEL SIX: LEVEL SIX IS THE HOME TO OUR BEHAVIORAL HEALTH CENTER, FEATURING AN INPATIENT UNIT WITH 15 BEDS. THE REES-JONES BEHAVIORAL HEALTH CENTER AT COOK CHILDREN'S CARES FOR CHILDREN EXPERIENCING BEHAVIORAL, NEURODEVELOPMENTAL AND EMOTIONAL CHALLENGES, SUCH AS DEPRESSION, ANXIETY, ATTENTION DEFICIT DISORDERS (ADD/ADHD) AND AUTISM SPECTRUM DISORDERS. OVER THE PAST SEVERAL YEARS, COOK CHILDREN'S HAS EXPERIENCED EXPONENTIAL GROWTH IN THE DEMAND FOR BEHAVIORAL HEALTH SERVICES. THE NEW CENTER ALLOWS US TO BETTER SERVE THIS DELICATE PATIENT POPULATION BY UNITING AND EXPANDING OUR INPATIENT PSYCHIATRIC UNIT AND PARTIAL HOSPITALIZATION PROGRAM. RECREATION AND RETAIL SERVICES: FOR SOME FAMILIES, COOK CHILDREN'S IS THEIR SECOND HOME. WHETHER THEY ARE HERE FOR A VISIT OR A LENGTHY STAY, THE MEDICAL CENTER PROVIDES RESOURCES TO HELP MAKE THEIR TIME AT COOK CHILDREN'S MORE COMFORTABLE. BOMAR LIBRARY - LOCATED IN THE CHILD LIFE ZONE, THE LIBRARY OFFERS: - BOOKS FOR ALL AGES. - BOOKS AVAILABLE FOR CHECK-OUT FOR ALL INPATIENTS AND THEIR SIBLINGS. - A COMFORTABLE PLACE FOR FAMILIES TO READ, RELAX, PLAY BOARD GAMES AND PUT TOGETHER PUZZLES. - R.E.A.D. DOGS - THERAPY DOGS VISIT THE CHILD LIFE ZONE AND BOMAR LIBRARY FOR A FUN READING EXPERIENCE. THERE IS ALWAYS A LIBRARIAN, CHILD LIFE SPECIALIST OR VOLUNTEER AVAILABLE TO ASSIST WITH THE BOOKS, GAMES AND PUZZLES, AS WELL AS TO PROVIDE SCHEDULES FOR LIBRARY EVENTS. BUILD-A-BEAR WORKSHOP: COOK CHILDREN'S STORE OFFERS A SELECTION OF FURRY FRIENDS, CLOTHING AND ACCESSORIES WITH A MEDICAL THEME, INCLUDING: - "GET BETTER SETS" WITH CRUTCHES, SLINGS, BANDAGES AND CASTS - WHEELCHAIRS - LAB COATS - DOCTOR SCRUBS - MEDICAL OUTFITS - A SPECIALLY DESIGNED PEAK'S THE DRAGON - COOK CHILDREN'S MASCOT - TEDDY BEAR TRANSPORT BEAR-SIZED T-SHIRTS CAMELOT COURT: COOK CHILDREN'S CAFETERIA IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER. CAMELOT COURT OFFERS A CHICK-FIL-A, INTERNATIONAL CUISINE, PIZZA, HOMESTYLE COOKING, A SALAD BAR, GRILL AND DELI. CHILD LIFE ZONE: THE CLZ IS A STATE-OF-THE ART ENVIRONMENT THAT LETS KIDS AND TEENS GET AWAY FROM THE HOSPITAL SETTING AND JUST BE A KID. GAMES, ART, MUSIC, CREATIVITY AND IMAGINATION ARE GREAT THERAPY AND DELIVER A BIG DOSE OF FUN TO HELP KIDS FEEL BETTER. CLZ IS A TREATMENT-FREE AREA AND IS THE HOME TO A RECORDING AND BROADCAST STUDIO, LIBRARY AND PLAY AREA WITH VIDEO GAMES AND A POOL TABLE. MIRROR MIRROR HAIR AND NAIL SALON: AFTER A LONG STAY, PATIENTS OR FAMILIES MAY FEEL THE NEED FOR A LITTLE PAMPERING. SALON SERVICES INCLUDE: - HAIRCUTS FOR CHILDREN, WOMEN AND MEN - STYLE - COLOR - HAIR TREATMENTS - EYEBROW WAXING - MANICURES AND CHILDRENS MANICURES - PEDICURES AND CHILDRENS PEDICURES PLAY AREA AND GARDENS: PLAY AREAS AND GARDENS AT COOK CHILDREN'S PROVIDE A WELCOME BREAK: - A PLAYROOM IS AVAILABLE ON EVERY FLOOR OF THE MEDICAL CENTER, EXCEPT FOR THE PEDIATRIC INTENSIVE CARE UNIT AND NEONATAL INTENSIVE CARE UNIT. - AN INDOOR PLAYGROUND IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER BEHIND CAMELOT COURT. - AN OUTDOOR PLAYGROUND IS LOCATED OUTSIDE OF THE MAIN MEDICAL CENTER ENTRANCE ON THE FRONT GROUNDS. - OUTSIDE THE DODSON SPECIALTY CLINIC, ACROSS FROM THE OUTDOOR PLAY AREA, THERE IS A SPECIAL PLACE FOR QUIET MEDITATION OR RELAXATION WHEN YOU NEED A BREAK. THE GARDEN FEATURES TOPIARIES, FLOWERS AND SEATING AREAS. - DILLARD FAMILY GARDEN GIVES FAMILIES A QUIET AND TRANQUIL PLACE TO VISIT OUTDOORS OR SIMPLY RELAX, JUST STEPS FROM THE MEDICAL CENTER. STARBUCKS COFFEE: THE STARBUCKS GIVES FAMILIES TIME TO TAKE A BREAK AND ENJOY A COFFEE, LATTE, ESPRESSO, FRAPPUCCINO, HOT AND ICED TEAS, CHOCOLATE BEVERAGES, BOTTLED DRINKS, PASTRIES AND MUCH MORE. ZOOTY FRUITY YOGURT SHOP: FAMILIES CAN ENJOY A REFRESHING FROZEN TREAT RIGHT IN THE MEDICAL CENTER. ZOOTY FRUITY OFFERS: - 18 FROZEN YOGURT FLAVORS INCLUDING SEASONAL FLAVORS (MOST ARE GLUTEN-FREE) - DELICIOUS SMOOTHIES MADE WITH FRESH FRUITS AND EVEN VEGGIES - ENJOY SORBET IN YOUR CHOICE OF GREAT FLAVORS, INCLUDING THREE NO-ADDED-SUGAR FLAVORS - OVER 40 YUMMY TOPPINGS - PLUS, 23 VARIETIES OF CANDY INCLUDING SUGAR-FREE, NO-ADDED SUGAR, GLUTEN-FREE AND PROBIOTIC OPTIONS. TRANSPORT: COOK CHILDREN'S MEDICAL CENTER IS SUPPORTED BY ONE OF THE LARGEST NEONATAL/PEDIATRIC TRANSPORT PROGRAMS IN THE NATION, TEDDY BEAR TRANSPORT, WHICH BRINGS MORE THAN 4,000 CHILDREN TO THE MEDICAL CENTER ANNUALLY. SERVICES INCLUDE FIVE AMBULANCES, ONE HELICOPTER, ONE FIXED-WING AIRPLANE, AND ONE JET. COOK CHILDREN'S TEDDY BEAR TRANSPORT HAS A STAFF OF 76 CONSISTING OF CROSS-TRAINED NEONATAL/PEDIATRIC NURSES, RESPIRATORY THERAPISTS, PILOTS, MECHANICS, PARAMEDICS AND A COMMUNICATION SPECIALIST. THEY ARE PROUD TO HAVE MORE THAN 500 COMBINED YEARS OF TRANSPORT EXPERIENCE. THIS TEAM IS DEDICATED TO GETTING THE MOST MEDICALLY FRAGILE CHILDREN AND NEONATES TO OUR AWARD-WINNING MEDICAL CENTER QUICKLY AND SAFELY. OUR TRANSPORT VEHICLES INCLUDE A KING AIR B200 TWIN ENGINE CRITICAL CARE TRANSPORT AIRPLANE AND AN ENCORE + CESSNA CITATION 560 TWIN ENGINE JET, AN AMERICAN EUROCOPTER 145 HELICOPTER AND FIVE AMBULANCES. EACH MEANS OF TRANSPORT IS EQUIPPED TO CARRY CRITICAL CARE PATIENTS AND FEATURES NEONATAL/PEDIATRIC-ORIENTED TECHNOLOGY. THE TEAM HAS ALSO ADDED THE CAPABILITY TO TRANSPORT PATIENTS ON ECMO THIS YEAR. THE TEAM BEGINS GIVING CARE TO PATIENTS IMMEDIATELY UPON ARRIVAL TO THEIR LOCATION, BRINGING COOK CHILDREN'S TO OUR REFERRING FACILITIES. NICU: COOK CHILDREN'S NATIONALLY RECOGNIZED LEVEL IV NICU, DESIGNATED BY THE STATE OF TEXAS, PROVIDES THE HIGHEST LEVEL OF CARE FOR OUR TINY PATIENTS. LEVEL IV NICUS MAINTAIN A FULL RANGE OF ON-SITE PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALISTS AND PEDIATRIC ANESTHESIOLOGISTS. COOK CHILDREN'S IS ONE OF ONLY A HANDFUL OF NICUS NATIONWIDE TO PROVIDE SINGLE PATIENT ROOMS. THE INDIVIDUAL ROOMS ENABLE STAFF TO PROVIDE THE HIGHLY SPECIALIZED INTENSIVE CARE SERVICES AND ATTENTION THAT MEDICALLY FRAGILE BABIES NEED. THE TWO-LEVEL, ALL-SINGLE ROOM ENVIRONMENT IS STAFFED WITH A TEAM OF NEONATOLOGISTS AND SPECIALISTS WHO COMBINE EXPERTISE WITH THE LATEST TECHNOLOGY TO PROVIDE THE HIGHEST LEVEL OF NEONATAL CARE AVAILABLE. STUDIES SHOW THAT PREMATURE AND CRITICALLY ILL INFANTS CARED FOR IN A SINGLE ROOM SETTING HAVE BETTER OUTCOMES. THESE TINY PATIENTS ARE SHOWN TO GROW BETTER, GET MORE OXYGEN AND GO HOME QUICKER. COOK CHILDREN'S ALL-SINGLE ROOM NICU WAS THE LARGEST IN THE NATION AT THE TIME OF COMPLETION, AND ONE OF THE FEW ABLE TO ACCOMMODATE TWINS, TRIPLETS AND EVEN QUADS IN A SINGLE ROOM. TRAUMA: COOK CHILDREN'S IS A DESIGNATED LEVEL II	Desc
Total Program Service Expenses	$551,948,779	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	218	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4655	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CORY RHOADES	PersonNm
Phone	6828854000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 SEVENTH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN P BOSWELL
TRUSTEE/CHAIRMAN	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW S WAYNE
TRUSTEE/VICE-CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FRANK ANDERSON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN BATTON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ANNE CARVALHO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JERRY R CONATSER
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
JEFFREY H CONNER
TRUSTEE-SECRETARY/TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MARSHA HILCHER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DANA C KELLY
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
LEAH KING
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
W M LAWHON
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
MICHELLE M MARLOW
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
BONNIE PETSCHE
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
PETER L PHILPOTT
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
BILLIE R PUGH JR MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RYAN SENTER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GARY G WALSH
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	12.0	28.0		Yes (X)	$444,028	$1,036,065	$205,294
CHERYL PETERSEN
VP-NURSING	40.0	0.0		Yes (X)	$237,533	$0	$19,489
NANCY C CYCHOL
PRESIDENT	40.0	0.0		Yes (X)	$814,281	$0	$37,121
STAN E DAVIS
V PRESIDENT-SUPPORT SVCS	40.0	0.0		Yes (X)	$282,429	$0	$43,165
STEPHEN W KIMMEL
CFO	20.0	20.0		Yes (X)	$361,166	$375,907	$99,556
GEORGE B MONTAGUE
V PRESIDENT-REAL ESTATE	1.0	39.0		Yes (X)	$0	$324,952	$43,690
JACK SOSEBEE
V PRES-FAMILY SUPPORT SVCS	40.0	0.0		Yes (X)	$222,713	$0	$33,148
CARA MARTZ
SECRETARY	1.0	35.0		Yes (X)	$0	$139,777	$15,489
ORLANDO CHAPA
AVP - NURSING	40.0	0.0			$218,601	$0	$25,795	Yes (X)
KEVIN L DAHLE
PHARMACIST	40.0	0.0			$200,515	$0	$34,631	Yes (X)
MARY L HICKS
PHARMACIST	40.0	0.0			$223,472	$0	$23,298	Yes (X)
BRADLEY HORN
PHARMACIST II	40.0	0.0			$193,539	$0	$29,084	Yes (X)
TAMMIE SIBLEY
AVP - FINANCE	40.0	0.0			$201,513	$0	$39,080	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,399,790	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,876,701	TotReportableCompRltdOrgAmt
Total Other Compensation	$648,840	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	289	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LINBECK GROUP LLC
201 MAIN ST STE 1801	FORT WORTH	TX	76102	CONSTR CONTRACTOR	$90,557,354
RTKL ASSOCIATES INC
PO BOX 402336	ATLANTA	GA	30384	CONSTR CONTRACTOR	$3,877,866
MEDTRONIC
PO BOX 848086	DALLAS	TX	75284	MED SUPPLY SERVICES	$3,845,770
METRO AVIATION
PO BOX 7008	SHREVEPORT	LA	71137	AIRCRAFT MAINTENANCE	$2,573,547
PEDIATRIX MEDICAL SERVICES
PO BOX 281034	ATLANTA	GA	30384	MEDICAL SERVICES	$1,132,517

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,851,015	RelatedOrganizationsAmt
Government Grants	$724,770	GovernmentGrantsAmt
All Other Contributions	$219,757	AllOtherContributionsAmt
Total Contributions	$9,795,542	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621110	$863,325,627	$863,325,627
OTHER OPERATING REVENUE	621110	$68,334,701	$68,334,701
JOINT VENTURE REVENUE	621110	$12,827,615	$12,827,615
PHARMACY SERVICES	621110	$232,957		$232,957

Field	Value	IRS element (for citing)
Total Program Service Revenue	$944,720,900	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,196	TotalRevenueColumnAmt
Exclusion	$242,196	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,778,368	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,790,987	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$987,381	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$987,381	TotalRevenueColumnAmt
Exclusion	$987,381	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$364,838	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$364,838	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$364,838	TotalRevenueColumnAmt
Exclusion	$364,838	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CCIC RETRO PREMIUM	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,000,620	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,000,620	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,000,620	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$957,111,477	TotalRevenueColumnAmt
Related Or Exempt Func Income	$945,488,563	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$232,957	UnrelatedBusinessRevenueAmt
Exclusion	$1,594,415	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$64,674,347	TotalAmt
Program Services	$64,674,347	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$282,154	TotalAmt
Program Services	$282,154	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,672,913	TotalAmt
Management And General	$2,672,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$39,422	TotalAmt
Program Services	$39,422	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$243,058,331	TotalAmt
Program Services	$217,084,349	ProgramServicesAmt
Management And General	$25,973,982	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$80,800,984	TotalAmt
Program Services	$72,888,096	ProgramServicesAmt
Management And General	$7,912,888	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$129,365,019	TotalAmt
Program Services	$1,268,892	ProgramServicesAmt
Management And General	$128,096,127	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$23,617	TotalAmt
Program Services	$1,000	ProgramServicesAmt
Management And General	$22,617	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,169,827	TotalAmt
Program Services	$17,096,301	ProgramServicesAmt
Management And General	$8,073,526	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$53,077	TotalAmt
Program Services	$40,046	ProgramServicesAmt
Management And General	$13,031	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,537,701	TotalAmt
Program Services	$3,719,734	ProgramServicesAmt
Management And General	$1,817,967	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,915,765	TotalAmt
Program Services	$5,544,817	ProgramServicesAmt
Management And General	$1,370,948	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,180,310	TotalAmt
Program Services	$1,025,127	ProgramServicesAmt
Management And General	$155,183	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$496,703	TotalAmt
Program Services	$402,360	ProgramServicesAmt
Management And General	$94,343	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,233,577	TotalAmt
Program Services	$16,171,286	ProgramServicesAmt
Management And General	$62,291	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,529,704	TotalAmt
Program Services	$30,126,543	ProgramServicesAmt
Management And General	$10,403,161	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,658,692	TotalAmt
Program Services	$1,658,692	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIAN REMUNERATION	$9,303,666	$7,265,055	$2,038,611
BAD DEBT EXPENSE	$21,724,577	$21,724,577
MEDICAL SUPPLIES	$76,739,213	$76,739,213
REPAIRS & MAINTENANCE	$10,948,937	$2,332,043	$8,616,894

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,582,849	TotalAmt
Program Services	$11,864,725	ProgramServicesAmt
Management And General	$10,718,124	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$759,991,385	TotalAmt
Program Services	$551,948,779	ProgramServicesAmt
Management And General	$208,042,606	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,428	BOYAmt
EOY	$15,528	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$232,459,973	BOYAmt
EOY	$280,508,238	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,650,294	BOYAmt
EOY	$104,099,531	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$24,219,660	BOYAmt
EOY	$24,219,660	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,317,048	BOYAmt
EOY	$8,959,532	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$123,734	BOYAmt
EOY	$148,578	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,025,102,044	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$362,252,605	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$576,621,540	BOYAmt
EOY	$662,849,439	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,358,583	BOYAmt
EOY	$7,243,099	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,424,990	BOYAmt
EOY	$7,424,990	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,782,771	BOYAmt
EOY	$23,296,577	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,047,972,021	BOYAmt
EOY	$1,118,765,172	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$64,520,959	BOYAmt
EOY	$71,645,090	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$27,482	BOYAmt
EOY	$33,061	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$460,650,436	BOYAmt
EOY	$453,178,090	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,942,216	BOYAmt
EOY	$2,132,771	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$527,141,093	BOYAmt
EOY	$526,989,012	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$520,830,928	BOYAmt
EOY	$591,776,160	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$520,830,928	BOYAmt
EOY	$591,776,160	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,047,972,021	BOYAmt
EOY	$1,118,765,172	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$197,120,092	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$126,174,860	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$71,855,341	BeginningYearBalanceAmt
Contributions	$190,488	ContributionsAmt
Investment Earnings Or Losses	$4,883,138	InvestmentEarningsOrLossesAmt
Other Expenditures	$372,801	OtherExpendituresAmt
End Year Balance	$76,556,166	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,022,698	BeginningYearBalanceAmt
Contributions	$12,820,675	ContributionsAmt
Investment Earnings Or Losses	-$2,241,266	InvestmentEarningsOrLossesAmt
Other Expenditures	$746,766	OtherExpendituresAmt
End Year Balance	$71,855,341	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$56,839,390	BeginningYearBalanceAmt
Contributions	$336,613	ContributionsAmt
Investment Earnings Or Losses	$5,450,280	InvestmentEarningsOrLossesAmt
Other Expenditures	$603,585	OtherExpendituresAmt
End Year Balance	$62,022,698	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$90,534,565	BeginningYearBalanceAmt
Contributions	$29,553	ContributionsAmt
Investment Earnings Or Losses	$9,201,059	InvestmentEarningsOrLossesAmt
Other Expenditures	$42,925,787	OtherExpendituresAmt
End Year Balance	$56,839,390	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$82,538,362	BeginningYearBalanceAmt
Contributions	-$256,157	ContributionsAmt
Investment Earnings Or Losses	$8,800,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$547,640	OtherExpendituresAmt
End Year Balance	$90,534,565	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.35000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.62000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,480,320	OtherCostOrOtherBasisAmt
Book Value	$13,480,320	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$678,789,562	OtherCostOrOtherBasisAmt
Depreciation	$213,565,241	DepreciationAmt
Book Value	$465,224,321	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,205,848	OtherCostOrOtherBasisAmt
Depreciation	$3,916,914	DepreciationAmt
Book Value	$288,934	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,775,296	OtherCostOrOtherBasisAmt
Depreciation	$139,978,050	DepreciationAmt
Book Value	$58,797,246	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,851,017	OtherCostOrOtherBasisAmt
Depreciation	$4,792,399	DepreciationAmt
Book Value	$125,058,618	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$662,849,439	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
EST. PAYABLE (THIRD PARTY)	$2,228,482
DUE TO/FROM AFFILIATES	-$95,711

Field	Value	IRS element (for citing)
Total Liability	$2,132,771	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$974,773,006	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$19,100,624	OtherRevenueAmt
Revenue Not Reported	$19,100,624	RevenueNotReportedAmt
Revenue Subtotal	$955,672,382	RevenueSubtotalAmt
Other Revenues Not Included	$1,439,095	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,439,095	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$957,111,477	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$771,242,033	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$32,975,225	OtherExpensesIncludedAmt
Expenses Not Reported	$32,975,225	ExpensesNotReportedAmt
Expenses Subtotal	$738,266,808	ExpensesSubtotalAmt
Other Expenses Not Included	$21,724,577	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$21,724,577	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$759,991,385	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2D	RECONCILIATION OF AUDITED REVENUE TO FORM 990 REVENUE: JOINT VENTURE REVENUE NOT INCLUDED ON 990 $42,375,987 INTEREST RATE SWAP ADJUSTMENT ($ 1,174,860) BAD DEBT DEDUCTION FROM REVENUE ($21,724,577) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 11,088) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 364,838) --------------- TOTAL $19,100,624
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF AUDITED REVENUE TO FORM 990 REVENUE: CONTRIBUTION FROM HS RECORDED TO NET ASSETS $ 66,759 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 3,163,323 RENT EXPENSE ($ 1,790,987) ---------------- TOTAL $ 1,439,095
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $ 42,375,987 MINORITY INTEREST ($ 10,815,823) RENT EXPENSE $ 1,790,987 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 364,838) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 11,088) -------------- TOTAL $ 32,975,225
SCHEDULE D, PART V, QUESTION 4	INTENDED USE OF ENDOWMENT FUNDS: COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACED A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: BAD DEBT DEDUCTION FROM REVENUE $21,724,577

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,365,790	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,365,790	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$391,048,095	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$317,498,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,549,108	NetCommunityBenefitExpnsAmt
Total Expense	0.09960	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$395,413,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$317,498,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,914,898	NetCommunityBenefitExpnsAmt
Total Expense	0.10550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,513,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,505,705	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$311,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$207,310	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$409,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$430,029	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,799,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,799,587	NetCommunityBenefitExpnsAmt
Total Expense	0.08780	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,034,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$542,402	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,512,602	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$463,448,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$318,041,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,427,500	NetCommunityBenefitExpnsAmt
Total Expense	0.19700	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,393	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,393	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,786	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,786	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$78,179	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,025,017	BadDebtExpenseAmt
Reimbursed By Medicare	$3,036,507	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,933,748	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,897,241	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	CC NORTHEAST HOSP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	FREESTANDING SURGICAL HOSP	PrimaryActivitiesTxt
Org Profit Or Ownership	0.57	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.3464	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Childrens HospitalChildrensHospitalInd
COOK CHILDREN'S MEDICAL CENTER
1	801 SEVENTH AVENUE	FORT WORTH	TX	76104	www.cookchildrens.org	000332	Yes (X)
COOK CHILDREN'S NORTHEAST HOSPITAL
2	6316 PRECINCT LINE RD	HURST	TX	76054	www.cookchildrens.org	008502	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
COOK CHILDREN'S MEDICAL CENTER
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	WWW.CENTERFORCHILDRENSHEALTH.ORG	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V SECTION C	false	false	Yes (true)	Yes (X)	400.	500.	Yes (true)	Yes (true)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (true)	Yes (X)	false	false
COOK CHILDREN'S NORTHEAST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	WWW.CENTERFORCHILDRENSHEALTH.ORG	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V SECTION C	false	false	Yes (true)	Yes (X)	400.	500.	Yes (true)	Yes (true)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5, COOK CHILDREN'S MEDICAL CENTER	INPUT FROM THE COMMUNITY: THE COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) CONDUCTED IN 2008-2009 INCLUDED A HOUSEHOLD SURVEY OF THE STATUS OF CHILDREN'S HEALTH AGES 0-14 (7,439 COMPLETED SURVEYS), A COMMUNITY LEADER SURVEY, SECONDARY DATA REVIEW, AND MULTIPLE FOCUS GROUPS WITH COMMUNITY LEADERS, 20 COMMUNITY GROUP/COALITION MEETINGS, 12 LISTENING SESSIONS AND 7 INTERNAL MEETINGS. ALL OF THIS WAS DONE TO OBTAIN FEEDBACK FROM APPROXIMATELY 486 EXTERNAL AND 59 INTERNAL COMMUNITY MEMBERS. FEEDBACK FROM GROUP MEETINGS WAS OBTAINED THROUGH DISCUSSION AND A WRITTEN SURVEY. A SECOND CCHAPS WAS CONDUCTED IN 2011-2012 TO UPDATE THE ORIGINAL DATA AND INCLUDED A PARENT SURVEY (8,394 COMPLETED SURVEYS) AND ONE-ON-ONE SURVEY INTERVIEWS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER. THE RESULTS OF THE SURVEY WERE COMPARED TO THE 2008 DATA TO SEE HOW CHILDREN'S HEALTH IN THE REGION CHANGED. DISCUSSION GROUPS WERE CONDUCTED WITH THE CHILDREN OF PARENTS WHO PARTICIPATED IN THE SURVEY TO PROVIDE FURTHER INFORMATION ABOUT SURVEY FINDINGS IN PARTNERSHIP WITH COOK CHILDREN'S CHILD LIFE SPECIALISTS. A COMMUNITY LEADER SURVEY AND SPECIAL REPORTS ON PARENTING PRACTICES IN HOOD AND WISE COUNTIES BASED ON ADDITIONAL CCHAPS SURVEYS WERE CONDUCTED IN 2012 AND 2013. A THIRD CCHAPS WAS CONDUCTED IN 2014-2015 TO CONTINUE TO IDENTIFY TRENDS IN THE COMMUNITY PERCEPTION ABOUT CHILDREN'S HEALTH NEEDS. THAT SURVEY INCLUDED A PARENT SURVEY (8,661 COMPLETE SURVEYS), ONE-ON-ONE SURVEYS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER (373 INTERVIEWS COMPLETED), FOCUS GROUPS WITH PARENTS WHO PARTICIPATED IN THE SURVEY (113 PARTICIPANTS), DISCUSSION GROUPS WITH CHILDREN OF THOSE PARENTS (104 CHILDREN) AND A COMMUNITY LEADER SURVEY ABOUT CHILDREN'S HEALTH ISSUES FROM 301 INDIVIDUALS FROM CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE. THE RESULTS OF THE SURVEY WERE COMPARED TO THE 2009 AND 2012 SURVEY FINDINGS TO SEE HOW CHILDREN'S HEALTH AND THEIR HEALTH NEEDS HAVE CHANGED WITHIN THE REGION.
PART V, SECTION B, LINE 6A COOK CHILDREN'S MEDICAL CENTER	OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL
PART V, SECTION B, LINE 6B, COOK CHILDREN'S MEDICAL CENTER	OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NO ONE ELSE WAS INVOLVED IN THE CONDUCT OF THE SURVEY OTHER THAN THE CONTRACTED SURVEYOR ENTITIES, MEANING THEY AREN'T ABLE TO USE THIS CHNA TO FULFILL ANY CHNA REQUIREMENTS THEY MIGHT HAVE. OUR CONTRACTORS WERE: ETC, INC. AND MHMR TARRANT.
PART V, SECTION B, LINE 11, COOK CHILDREN'S MEDICAL CENTER	HOW WE ARE ADDRESSING SIGNIFICANT NEEDS: ABUSE: COOK CHILDREN'S-LED COALITIONS IN HOOD AND WISE COUNTIES PROMOTE HEALTHY PARENTING PRACTICES BY SUPPORTING IMPLEMENTATION OF THE PERIOD OF PURPLE CRYING(R) AND THE NURTURING PARENTING(TM) PROGRAMS THROUGH EVENTS LIKE PARENT CAFES. SEXUAL ABUSE AWARENESS IN ELEMENTARY SCHOOLS IS INCREASING WITH THE STEWARDS OF CHILDREN TRAINING. PLUS, THE CENTER FOR PREVENTION OF CHILD MALTREATMENT PROVIDES: EARLY DETECTION TRAINING, SAFE SLEEP PROGRAM, FOSTER FAMILY/FOSTER CHILD MATCHING, RISK ASSESSMENT PROJECTS AND A "SAFE FAMILY" WEB SITE. ACCESS: COOK CHILDREN'S HEALTH PLAN PROVIDES ACCESS TO 130,000 MEDICAID AND CHIP ELIGIBLES. SIX NEIGHBORHOOD CLINICS PROVIDE ACCESS IN OTHERWISE UNDERSERVED AREAS WITHIN FORT WORTH. THE HOMELESS INITIATIVE PROVIDES CHILD MEDICAL AND DENTAL CARE TO CHILDREN WHOSE FAMILIES ARE IN SHELTERS IN FORT WORTH. THREE PEDIATRIC URGENT CARE CENTERS PROVIDE ACCESS AROUND TARRANT COUNTY AS ALTERNATIVES TO SEEKING CARE IN AN ER, AND THE MEDICAL CENTER'S SOUTH TOWER EXPANSION OPENED IN 2016. ASTHMA: NEW INFORMATIONAL VIDEOS IN ENGLISH AND SPANISH ARE AVAILABLE FOR SCHOOL NURSES, TEACHERS AND PARENTS TO BETTER UNDERSTAND CHILDHOOD ASTHMA. THE VIDEOS CAN BE FOUND AT CENTERFORCHILDRENSHEALTH.ORG/ASTHMA. THE CENTER ALSO SUPPORTS THE NORTH TEXAS ASTHMA CONSORTIUM'S AIR QUALITY AWARENESS FLAG PROGRAM. SHARED MEDICAL APPOINTMENTS FOR CHILDREN WITH ASTHMA AND THEIR FAMILIES ARE AVAILABLE. DENTAL HEALTH: THE CHILDREN'S ORAL HEALTH COALITION AND SAVE A SMILE, BOTH LED BY COOK CHILDREN'S, EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF GOOD ORAL HEALTH, BEGINNING AT AN EARLY AGE. SAVE A SMILE WORKS IN OUR SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN. AGE-APPROPRIATE DENTAL HYGIENE KITS ARE ALSO DISTRIBUTED AT ALL COOK CHILDREN'S NEIGHBORHOOD CLINICS. AGE-APPROPRIATE ORAL HYGIENE KITS ARE PROVIDED AT NO CHARGE FOR ALL WELL-CHILD VISITS TO A COOK CHILDREN'S NEIGHBORHOOD CLINIC. HEALTHY LIFESTYLES: COOK CHILDREN'S-LED COALITIONS IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT WELLNESS PROGRAMS LIKE 5-2-1-0 AND GO, SLOW AND WHOA! TO ENCOURAGE CHILDREN TO EAT HEALTHY AND GET PLENTY OF PHYSICAL ACTIVITIES. SCHOOL-BASED GARDENS ARE SPONSORED IN BOTH COUNTIES. FREE ACCESS IS PROVIDED TO WEB BASED HEALTHY RECIPES WITH KID ORIENTED VIDEO CONTENT TO PROMOTE HEALTHY MEAL PREPARATION. FOR THE 56 ISD'S, 692 ELEMENTARY SCHOOLS IN OUR SIX-COUNTY REGION, THE CENTER ALSO PROVIDES AT NO COST TO THE SCHOOL OR STUDENT, GONOODLE, AN ONLINE INTERACTIVE MODULE TO HELP TEACHERS ENGAGE THEIR STUDENTS IN CLASSROOM-BASED PHYSICAL ACTIVITY. MENTAL HEALTH: MENTAL HEALTH COEXISTS WITH MANY OTHER HEALTH ISSUES, LIKE OBESITY AND BULLYING. THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, LED BY COOK CHILDREN'S, WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH A WEBSITE, FACILITATES EDUCATIONAL EVENTS AND STRENGTHENS COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. SAFETY: SAFE KIDS TARRANT COUNTY, LED BY COOK CHILDREN'S, FOCUSES ON PREVENTING UNINTENTIONAL CHILDHOOD INJURIES THROUGH FREE CAR SEAT CHECKS, MEDICATION TAKE-BACK EVENTS AND DROWNING PREVENTION EFFORTS. OTHER COMMUNITY CHILD HEALTH INITIATIVES: WHILE NOT SPECIFICALLY IDENTIFIED IN THE CHNA, IMMUNIZATION IS SUCH A UNIVERSALLY ACCEPTED HEALTH STRATEGY THAT COOK CHILDREN'S REMAINS ACTIVELY INVOLVED IN CHILDHOOD IMMUNIZATION EFFORTS. COOK CHILDREN'S MEDICAL CENTER CO-FOUNDED THE IMMUNIZATION COLLABORATIVE OF TARRANT COUNTY (ICTC) IN 1991 WITH THE GOAL OF PROVIDING MORE CHILDREN EASY ACCESS TO VACCINATIONS, THUS PROTECTING AGAINST ILLNESS, PROTECTING OTHERS IN THE COMMUNITY WHO ARE NOT VACCINATED AND PREVENTING THE RE-EMERGENCE OF MANY SERIOUS DISEASES. THE HEALTH AND HUMAN SERVICES INITIATIVE, HEALTHY PEOPLE 2020'S GOAL FOR CHILDHOOD IMMUNIZATION IS TO ACHIEVE 90 PERCENT COVERAGE FOR EACH OF THE UNIVERSALLY RECOMMENDED VACCINES AMONG YOUNG CHILDREN. PEDSPAL IS AN OPERATING DIVISION OF COOK CHILDREN'S HEALTH CARE SYSTEM, WHICH HAS MORE THAN 2,500 PHYSICIANS IN 34 STATES COMBINING THEIR PURCHASING POWER TO MAXIMIZE SAVINGS FOR ALL MEMBERS WITH A SPECIAL FOCUS ON IMPROVING VACCINE ACQUISITION COSTS AND REIMBURSEMENT. CHILD HEALTH ISSUES THAT COOK CHILDREN'S IS UNABLE TO DIRECTLY ADDRESS: CHILDREN AND THEIR FAMILIES FACE NUMEROUS HEALTH ISSUES MANY OF WHICH ARE BEYOND THE SCOPE, RESOURCES AND CAPACITY FOR COOK CHILDREN'S TO DEVELOP ACTIVE COMMUNITY PROGRAMS. MOST OF THOSE ISSUES ARE BEING ADDRESSED IN THE COMMUNITY AND BOTH CCMC AND CCNH TAKE SUPPORTING ROLES IN SUCH CHILD HEALTH ISSUES AS INFANT MORTALITY, TEEN PREGNANCY, CHILD DRUG USE AND SUBSTANCE ABUSE, GANG VIOLENCE, SCHOOL GRADUATION RATES, VISION AND HEARING SCREENING AND OTHERS.
PART V, SECTION B, LINE 20E, COOK CHILDREN'S MEDICAL CENTER	NONE OF THE ACTIONS LISTED IN LINE 19 WERE PERFORMED.
PART V, SECTION B, LINE 22, COOK CHILDREN'S MEDICAL CENTER	CHARGES TO INDIVIDUALS ELIGIBLE FOR ASSISTANCE UNDER THE FAP: THE HOSPITAL FACILITY USED THE AVERAGE OF MEDICAID, MEDICARE AND ALL PRIVATE HEALTH INSURERS.
PART V, SECTION B, LINE 5, COOK CHILDREN'S NORTHEAST HOSPITAL	INPUT FROM THE COMMUNITY: THE COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) CONDUCTED IN 2008-2009 INCLUDED A HOUSEHOLD SURVEY OF THE STATUS OF CHILDREN'S HEALTH AGES 0-14 (7,439 COMPLETED SURVEYS), A COMMUNITY LEADER SURVEY, SECONDARY DATA REVIEW, AND MULTIPLE FOCUS GROUPS WITH COMMUNITY LEADERS, 20 COMMUNITY GROUP/COALITION MEETINGS, 12 LISTENING SESSIONS AND 7 INTERNAL MEETINGS. ALL OF THIS WAS DONE TO OBTAIN FEEDBACK FROM APPROXIMATELY 486 EXTERNAL AND 59 INTERNAL COMMUNITY MEMBERS. FEEDBACK FROM GROUP MEETINGS WAS OBTAINED THROUGH DISCUSSION AND A WRITTEN SURVEY. A SECOND CCHAPS WAS CONDUCTED IN 2011-2012 TO UPDATE THE ORIGINAL DATA AND INCLUDED A PARENT SURVEY (8,394 COMPLETED SURVEYS) AND ONE-ON-ONE SURVEY INTERVIEWS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER. THE RESULTS OF THE SURVEY WERE COMPARED TO THE 2008 DATA TO SEE HOW CHILDREN'S HEALTH IN THE REGION CHANGED. DISCUSSION GROUPS WERE CONDUCTED WITH THE CHILDREN OF PARENTS WHO PARTICIPATED IN THE SURVEY TO PROVIDE FURTHER INFORMATION ABOUT SURVEY FINDINGS IN PARTNERSHIP WITH COOK CHILDREN'S CHILD LIFE SPECIALISTS. A COMMUNITY LEADER SURVEY AND SPECIAL REPORTS ON PARENTING PRACTICES IN HOOD AND WISE COUNTIES BASED ON ADDITIONAL CCHAPS SURVEYS WERE CONDUCTED IN 2012 AND 2013. A THIRD CCHAPS WAS CONDUCTED IN 2014-2015 TO CONTINUE TO IDENTIFY TRENDS IN THE COMMUNITY PERCEPTION ABOUT CHILDREN'S HEALTH NEEDS. THAT SURVEY INCLUDED A PARENT SURVEY (8,661 COMPLETE SURVEYS), ONE-ON-ONE SURVEYS WITH PARENTS WHO ARE HOMELESS OR WHO HAVE AT LEAST ONE UNDOCUMENTED FAMILY MEMBER (373 INTERVIEWS COMPLETED), FOCUS GROUPS WITH PARENTS WHO PARTICIPATED IN THE SURVEY (113 PARTICIPANTS), DISCUSSION GROUPS WITH CHILDREN OF THOSE PARENTS (104 CHILDREN) AND A COMMUNITY LEADER SURVEY ABOUT CHILDREN'S HEALTH ISSUES FROM 301 INDIVIDUALS FROM CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE. THE RESULTS OF THE SURVEY WERE COMPARED TO THE 2009 AND 2012 SURVEY FINDINGS TO SEE HOW CHILDREN'S HEALTH AND THEIR HEALTH NEEDS HAVE CHANGED WITHIN THE REGION.
PART V, SECTION B, LINE 6A, COOK CHILDREN'S NORTHEAST HOSPITAL	OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL
PART V, SECTION B, LINE 6B, COOK CHILDREN'S NORTHEAST HOSPITAL	OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NO ONE ELSE WAS INVOLVED IN THE CONDUCT OF THE SURVEY OTHER THAN THE CONTRACTED SURVEYOR ENTITIES, MEANING THEY AREN'T ABLE TO USE THIS CHNA TO FULFILL ANY CHNA REQUIREMENTS THEY MIGHT HAVE. OUR CONTRACTORS WERE: ETC, INC. AND MHMR TARRANT.
PART V, SECTION B, LINE 11, COOK CHILDREN'S NORTHEAST HOSPITAL	HOW WE ARE ADDRESSING SIGNIFICANT NEEDS: ABUSE: COOK CHILDREN'S-LED COALITIONS IN HOOD AND WISE COUNTIES PROMOTE HEALTHY PARENTING PRACTICES BY SUPPORTING IMPLEMENTATION OF THE PERIOD OF PURPLE CRYING(R) AND THE NURTURING PARENTING(TM) PROGRAMS THROUGH EVENTS LIKE PARENT CAFES. SEXUAL ABUSE AWARENESS IN ELEMENTARY SCHOOLS IS INCREASING WITH THE STEWARDS OF CHILDREN TRAINING. PLUS, THE CENTER FOR PREVENTION OF CHILD MALTREATMENT PROVIDES: EARLY DETECTION TRAINING, SAFE SLEEP PROGRAM, FOSTER FAMILY/FOSTER CHILD MATCHING, RISK ASSESSMENT PROJECTS AND A "SAFE FAMILY" WEB SITE. ACCESS: COOK CHILDREN'S HEALTH PLAN PROVIDES ACCESS TO 130,000 MEDICAID AND CHIP ELIGIBLES. SIX NEIGHBORHOOD CLINICS PROVIDE ACCESS IN OTHERWISE UNDERSERVED AREAS WITHIN FORTH WORTH. THE HOMELESS INITIATIVE PROVIDES CHILD MEDICAL AND DENTAL CARE TO CHILDREN WHOSE FAMILIES ARE IN SHELTERS IN FORT WORTH. THREE PEDIATRIC URGENT CARE CENTERS PROVIDE ACCESS AROUND TARRANT COUNTY AS ALTERNATIVES TO SEEKING CARE IN AN ER, AND THE MEDICAL CENTER'S SOUTH TOWER EXPANSION OPENED IN 2016. ASTHMA: NEW INFORMATIONAL VIDEOS IN ENGLISH AND SPANISH ARE AVAILABLE FOR SCHOOL NURSES, TEACHERS AND PARENTS TO BETTER UNDERSTAND CHILDHOOD ASTHMA. THE VIDEOS CAN BE FOUND AT CENTERFORCHILDRENSHEALTH.ORG/ASTHMA. THE CENTER ALSO SUPPORTS THE NORTH TEXAS ASTHMA CONSORTIUM'S AIR QUALITY AWARENESS FLAG PROGRAM. SHARED MEDICAL APPOINTMENTS FOR CHILDREN WITH ASTHMA AND THEIR FAMILIES ARE AVAILABLE. DENTAL HEALTH: THE CHILDREN'S ORAL HEALTH COALITION AND SAVE A SMILE, BOTH LED BY COOK CHILDREN'S, EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF GOOD ORAL HEALTH, BEGINNING AT AN EARLY AGE. SAVE A SMILE WORKS IN OUR SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN. AGE-APPROPRIATE DENTAL HYGIENE KITS ARE ALSO DISTRIBUTED AT ALL COOK CHILDREN'S NEIGHBORHOOD CLINICS. AGE-APPROPRIATE ORAL HYGIENE KITS ARE PROVIDED AT NO CHARGE FOR ALL WELL-CHILD VISITS TO A COOK CHILDREN'S NEIGHBORHOOD CLINIC. HEALTHY LIFESTYLES: COOK CHILDREN'S-LED COALITIONS IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT WELLNESS PROGRAMS LIKE 5-2-1-0 AND GO, SLOW AND WHOA! TO ENCOURAGE CHILDREN TO EAT HEALTHY AND GET PLENTY OF PHYSICAL ACTIVITIES. SCHOOL-BASED GARDENS ARE SPONSORED IN BOTH COUNTIES. FREE ACCESS IS PROVIDED TO WEB BASED HEALTHY RECIPES WITH KID ORIENTED VIDEO CONTENT TO PROMOTE HEALTHY MEAL PREPARATION. FOR THE 56 ISD'S, 692 ELEMENTARY SCHOOLS IN OUR SIX-COUNTY REGION, THE CENTER ALSO PROVIDES AT NO COST TO THE SCHOOL OR STUDENT, GONOODLE, AN ONLINE INTERACTIVE MODULE TO HELP TEACHERS ENGAGE THEIR STUDENTS IN CLASSROOM-BASED PHYSICAL ACTIVITY. MENTAL HEALTH: MENTAL HEALTH COEXISTS WITH MANY OTHER HEALTH ISSUES, LIKE OBESITY AND BULLYING. THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, LED BY COOK CHILDREN'S, WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH A WEBSITE, FACILITATES EDUCATIONAL EVENTS AND STRENGTHENS COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. SAFETY: SAFE KIDS TARRANT COUNTY, LED BY COOK CHILDREN'S, FOCUSES ON PREVENTING UNINTENTIONAL CHILDHOOD INJURIES THROUGH FREE CAR SEAT CHECKS, MEDICATION TAKE-BACK EVENTS AND DROWNING PREVENTION EFFORTS. OTHER COMMUNITY CHILD HEALTH INITIATIVES: WHILE NOT SPECIFICALLY IDENTIFIED IN THE CHNA, IMMUNIZATION IS SUCH A UNIVERSALLY ACCEPTED HEALTH STRATEGY THAT COOK CHILDREN'S REMAINS ACTIVELY INVOLVED IN CHILDHOOD IMMUNIZATION EFFORTS. COOK CHILDREN'S MEDICAL CENTER CO-FOUNDED THE IMMUNIZATION COLLABORATIVE OF TARRANT COUNTY (ICTC) IN 1991 WITH THE GOAL OF PROVIDING MORE CHILDREN EASY ACCESS TO VACCINATIONS, THUS PROTECTING AGAINST ILLNESS, PROTECTING OTHERS IN THE COMMUNITY WHO ARE NOT VACCINATED AND PREVENTING THE RE-EMERGENCE OF MANY SERIOUS DISEASES. THE HEALTH AND HUMAN SERVICES INITIATIVE, HEALTHY PEOPLE 2020'S GOAL FOR CHILDHOOD IMMUNIZATION IS TO ACHIEVE 90 PERCENT COVERAGE FOR EACH OF THE UNIVERSALLY RECOMMENDED VACCINES AMONG YOUNG CHILDREN. PEDSPAL IS AN OPERATING DIVISION OF COOK CHILDREN'S HEALTH CARE SYSTEM, WHICH HAS MORE THAN 2,500 PHYSICIANS IN 34 STATES COMBINING THEIR PURCHASING POWER TO MAXIMIZE SAVINGS FOR ALL MEMBERS WITH A SPECIAL FOCUS ON IMPROVING VACCINE ACQUISITION COSTS AND REIMBURSEMENT. CHILD HEALTH ISSUES THAT COOK CHILDREN'S IS UNABLE TO DIRECTLY ADDRESS: CHILDREN AND THEIR FAMILIES FACE NUMEROUS HEALTH ISSUES MANY OF WHICH ARE BEYOND THE SCOPE, RESOURCES AND CAPACITY FOR COOK CHILDREN'S TO DEVELOP ACTIVE COMMUNITY PROGRAMS. MOST OF THOSE ISSUES ARE BEING ADDRESSED IN THE COMMUNITY AND BOTH CCMC AND CCNH TAKE SUPPORTING ROLES IN SUCH CHILD HEALTH ISSUES AS INFANT MORTALITY, TEEN PREGNANCY, CHILD DRUG USE AND SUBSTANCE ABUSE, GANG VIOLENCE, SCHOOL GRADUATION RATES, VISION AND HEARING SCREENING AND OTHERS.
PART V, SECTION B, LINE 20E, COOK CHILDREN'S NORTHEAST HOSPITAL	NONE OF THE ACTIONS LISTED IN LINE 19 WERE PERFORMED.
PART V, SECTION B, LINE 22, COOK CHILDREN'S NORTHEAST HOSPITAL	CHARGES TO INDIVIDUALS ELIGIBLE FOR ASSISTANCE UNDER THE FAP: THE HOSPITAL FACILITY USED THE AVERAGE OF MEDICAID, MEDICARE AND ALL PRIVATE HEALTH INSURERS.
PART V, SECTION B, LINE 7A	COMMUNITY HEALTH NEEDS ASSESSMENT: THE ORGANIZATION'S CHNA IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/2015_CHNA_REPOR T_9-27-2016.PDF
PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY: THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/CHNA-IMPLEMENTA TION-STRATEGIES2015.PDF
PART V, SECTION B, LINES 16A, 16B AND 16C	THE FAP, FAP APPLICATION FORM AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-AS SISTANCE.ASPX

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTER FOR PEDIATRIC SURGERY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7000 W PLANO PARKWAY STE 100	AddressLine1Txt
City	PLANO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75093	ZIPCd

Field	Value	IRS element (for citing)
Facility	AMBULATORY SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	COOK CHILDREN'S USES FPG TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE. PART I, LINE 6A: NOT APPLICABLE PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $21,724,577 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. PART II - COMMUNITY BUILDING ACTIVITIES PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. DURING FY 2014 COOK CHILDREN'S BECAME A PARTNER IN THE RENAISSANCE DEVELOPMENT GROUP, A PURPOSE-BUILT COMMUNITY PROJECT AROUND THE COOK CHILDREN'S RENAISSANCE NEIGHBORHOOD CLINIC. THE ORGANIZATIONS IN THE PARTNERSHIP ARE COMMITTED TO IMPROVE THE QUALITY OF LIFE AND OPPORTUNITIES FOR FUTURE AFFORDABLE HOUSING RESIDENTS AND ARE WILLING TO COMMIT SPECIFIC SERVICES AND RESOURCES TO THE FUTURE RESIDENTS. COALITION BUILDING: COOK CHILDREN'S IS A CO-FOUNDING MEMBER OF THE INFANT MORTALITY NETWORK ORGANIZED TO ADDRESS THE HIGH RATES OF INFANT MORTALITY IN THE COUNTY. THE NETWORK HAS RAISED COMMUNITY AWARENESS OF THE PROBLEM AND WORKED WITH LEGISLATORS TO CREATE PUBLIC POLICY TO HELP ADDRESS THE PROBLEM. COOK CHILDREN'S IS ALSO AN ACTIVE MEMBER OF THE HEALTHY TARRANT COUNTY COLLABORATION, A HEALTH PROMOTION NETWORK OF NONPROFIT HOSPITALS, PUBLIC HEALTH ENTITIES, AND LOCAL UNIVERSITIES. THE COLLABORATION EFFORTS INCLUDED HEALTH EDUCATION AT A SUMMER CAMP FOR UNDERSERVED CHILDREN. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ASSESSMENT OF COMMUNITY NEEDS, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY ON SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES ARE AMONG THE ISSUES ADDRESSED. PART III, LINE 2: WE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE. PART III, LINE 3: BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH. PART III, LINE 4: FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGES 15 AND 16 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM. PART III, LINE 8: THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT. PART III, LINE 9B: THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
PART VI, ITEM 2	NEEDS ASSESSMENT: THERE ARE NO NEEDS ASSESSMENTS RELEVANT TO THE CHILD POPULATION IN OUR COMMUNITY THAT WOULD BE IN ADDITION TO THE ONE ALREADY REPORTED IN PART V, SECTION B.
PART VI, ITEM 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.
PART VI, ITEM 4	COMMUNITY INFORMATION: COOK CHILDREN'S HEALTH CARE SYSTEM (COOK CHILDREN'S) IS ONE OF THE COUNTRY'S LEADING VERTICALLY INTEGRATED PEDIATRIC HEALTHCARE ORGANIZATIONS. BASED IN FORT WORTH, TEXAS, COOK CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION WHICH INCLUDES THE MEDICAL CENTER (443 BEDS), PHYSICIAN NETWORK (387 PEDIATRIC SPECIALISTS), NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, HOME HEALTH, HEALTH PLAN (135,115 COVERED LIVES) AND THE HEALTH FOUNDATION. THE SYSTEM HAS A SIX-COUNTY PRIMARY SERVICE AREA THAT REPRESENTS 84% OF ITS TOTAL VOLUME COVERING 4,711 MILES. IT ALSO PROVIDES TERTIARY AND QUATERNARY PEDIATRIC MEDICAL CARE TO 122 COUNTIES IN WEST AND NORTH CENTRAL TEXAS, COVERING 257,086 MILES AND TO OUT-OF-STATE PATIENTS. THE SYSTEM HAS MORE THAN 1.5 MILLION PATIENT ENCOUNTERS PER YEAR ACROSS THE CONTINUUM OF PEDIATRIC CARE. 57.4% OF THE SYSTEM'S PATIENT CARE IS PROVIDED TO MEDICAID MANAGED CARE AND CHIP BENEFICIARIES. THE SIX-COUNTY PRIMARY SERVICE AREA CONSISTS OF DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES IN TEXAS. THIS AREA IS HOME TO 681,178 CHILDREN AGES BIRTH TO 14 YEARS WHO REPRESENT 22.0% OF THE TOTAL POPULATION AND WHOSE NUMBERS ARE EXPECTED TO GROW TO 692,159 BY 2020 OR A 5-YEAR GROWTH RATE OF 1.6%. THERE ARE 1,125,395 HOUSEHOLDS WITHIN THAT GEOGRAPHY WITH 18.7% HAVING INCOME AT OR BELOW THE FEDERAL POVERTY LEVEL; HOWEVER, THERE IS WIDE VARIATION AMONG COMMUNITIES WITHIN THESE GEOGRAPHIC BOUNDS. SIMILARLY, WIDE VARIATION ALSO EXISTS IN RACE AND ETHNICITY AMONG THE DIFFERENT COMMUNITIES. THE ENTIRE AREA'S POPULATION OF 3,101,334 PEOPLE CONSISTS OF 56.5% WHITE NON-HISPANIC, 24.4% HISPANIC, 11.7% BLACK NON-HISPANIC AND 5.0% ASIAN AND PACIFIC ISLANDERS.
PART VI, ITEM 5	PROMOTION OF COMMUNITY HEALTH: COOK CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF, AND THE GOVERNING BODIES OF THE VARIOUS COMPANIES ARE MADE UP (UNLESS CONSTRAINED BY THE TEXAS MEDICAL PRACTICE ACT) OF VOLUNTARY COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE ORGANIZATION CARES FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE CHILDREN IN APPROPRIATE PROGRAMS TO IMPROVE THEIR ACCESS TO CARE.
PART VI, ITEM 6	AFFILIATED HEALTH CARE SYSTEM: COOK CHILDREN'S ALSO OPERATES SEVEN NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER AND INNER CITY TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENT SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND SCHIP, PROVIDING AN OPEN PROVIDER PANEL FOR ALL ELIGIBLE CHILDREN IN THE SIX-COUNTY PRIMARY SERVICE AREA. COOK CHILDREN'S HOME HEALTH OFFERS PEDIATRIC-SPECIFIC HOME CARE TO ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE AND LOWEST COST SETTING.
PART VI, ITEM 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752485366	501(C)(3)	$64,491,429	subsidize operations
THE WARM PLACE
809 LIPSCOMB ST	FORT WORTH	TX	76104	752220859	501(C)(3)	$25,000	SPONSOR
AMERICAN HEART ASSOCIATION
2630 W FREEWAY 250	FORT WORTH	TX	76102	135613797	501(C)(3)	$35,000	SPONSOR
CAREITY FOUNDATION
PO BOX 126038	FORT WORTH	TX	76126	061704800	501(C)(3)	$10,000	SPONSOR
JUNIOR LEAGUE OF FORT WORTH
255 BAILEY AVE	FORT WORTH	TX	76107	756022377	501(C)(3)	$25,000	SPONSOR
RONALD MCDONALD HOUSE
1001 8TH AVE	FORT WORTH	TX	76104	751754490	501(C)(3)	$10,000	PURSUIT OF MISSION
MARCH OF DIMES
555 HEMPHILL STREET	FORT WORTH	TX	76104	131846366	501(C)(3)	$15,000	SPONSOR
TWO LUMPS OF SUGAR
10030 GREEN LEVEL CH RD	CARY	NC	27519	274004156	501 (C)(3)	$24,030	SPONSOR

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (10 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
TRANSPORTATION	1026	$36,132
LODGING	189	$36,994
BABY SUPPLIES	112	$4,095
GIFT CARDS	261	$13,655
MEALS	520	$8,219
UTILITIES	15	$6,860
MEDICATIONS	1614	$173,317
MEDICAL EQUIPMENT	10	$1,417
FUNERAL	2	$750
OTHER	2	$715

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I PART I QUESTION 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE US: THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	$256,486	$598,464	$132,034	$308,079	$55,508	$129,522	$53,569	$124,994	$8,019	$18,712	$505,616	$1,179,771	$0	$0
CHERYL PETERSEN
VP-NURSING	$194,360	$0	$40,607	$0	$2,566	$0	$10,673	$0	$8,816	$0	$257,022	$0	$0	$0
NANCY C CYCHOL
PRESIDENT	$497,430	$0	$194,964	$0	$121,887	$0	$19,875	$0	$17,246	$0	$851,402	$0	$0	$0
STAN E DAVIS
V PRESIDENT-SUPPORT SVCS	$208,910	$0	$63,501	$0	$10,018	$0	$16,260	$0	$26,905	$0	$325,594	$0	$0	$0
STEPHEN W KIMMEL
CFO	$237,898	$247,609	$93,857	$97,687	$29,411	$30,611	$36,135	$37,609	$12,648	$13,164	$409,949	$426,680	$0	$0
GEORGE B MONTAGUE
V PRESIDENT-REAL ESTATE	$0	$238,575	$0	$71,405	$0	$14,972	$0	$19,788	$0	$23,902	$0	$368,642	$0	$0
JACK SOSEBEE
V PRES-FAMILY SUPPORT SVCS	$170,352	$0	$50,574	$0	$1,787	$0	$18,830	$0	$14,318	$0	$255,861	$0	$0	$0
ORLANDO CHAPA
AVP - NURSING	$177,724	$0	$36,376	$0	$4,501	$0	$16,443	$0	$9,352	$0	$244,396	$0	$0	$0
KEVIN L DAHLE
PHARMACIST	$175,222	$0	$450	$0	$24,843	$0	$11,385	$0	$23,246	$0	$235,146	$0	$0	$0
MARY L HICKS
PHARMACIST	$173,555	$0	$450	$0	$49,467	$0	$12,963	$0	$10,335	$0	$246,770	$0	$0	$0
BRADLEY HORN
PHARMACIST II	$190,211	$0	$750	$0	$2,578	$0	$12,412	$0	$16,672	$0	$222,623	$0	$0	$0
TAMMIE SIBLEY
AVP - FINANCE	$165,447	$0	$35,500	$0	$566	$0	$15,341	$0	$23,739	$0	$240,593	$0	$0	$0
CARA MARTZ
SECRETARY	$0	$106,020	$0	$22,753	$0	$11,004	$0	$7,162	$0	$8,327	$0	$155,266	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 4B	PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP IN W-2 DEF COMP PAID BY -------------------- -------- -------- -------- RICK W. MERRILL 135,821 162,000 CCHS STEPHEN KIMMEL 18,000 63,144 CCHS NANCY C. CYCHOL 76,795 NONE CCMC
SCHEDULE J, PART II	ALLOCATION OF CEO AND CFO SALARIES: SALARIES FOR THE CEO AND CFO 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
SCHEDULE J, PART I, QUESTION 1A	KEVIN L. DAHLE $113 GROSS-UP BRADLEY HORN $188 GROSS-UP MARY HICKS $113 GROSS-UP CARA MARTZ $113 GROSS-UP
SCHEDULE J, PART I, QUESTIONS 1A & 1B	GENERAL GROSS UP PAYMENTS DISCLOSURE 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 EXTREMELY UNUSUAL CIRCUMSTANCES AND THEN ONLY IF APPROVED BY SENIOR MANAGEMENT FOLLOWED BY REVIEW OF THE COMPANY'S COMPLIANCE AND LEGAL DEPARTMENTS. THESE TYPE 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, QUESTION 3	METHODS USED BY CCHCS TO ESTABLISH COMPENSATION OF THE CEO/EXEC DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
A	751881060	875906MV8	2007-06-27	$52,156,976	REFUNDING BONDS 2000 & 2005	false	false	false
BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP
B	742218760	078027HW2	2007-06-27	$17,523,594	REFUNDING BONDS ISSUED 7/19/2000	false	false	false
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
C	751881060	875906NY1	2010-02-24	$231,948,097	DEVELOPMENT, CONSTR, EQUIPMENT COS	false	false	false
TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINAN
D	043833551	87638QJC4	2013-08-01	$71,222,592	REFUNDING PORTION OF 2010 BOND SER	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$52,156,976	$0	$0	$50,833,752	$672,932	$650,292	$0	$0	$0	$0	2007	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$17,523,594	$0	$0	$17,116,642	$229,475	$177,477	$0	$0	$0	$0	2007	false	Yes (true)	Yes (true)	Yes (true)
C	$70,110,000	$0	$232,805,916	$0	$0	$0	$2,686,446	$0	$0	$230,119,470	$0	$0	2011	false	false	Yes (true)	Yes (true)
D	$0	$0	$71,222,592	$0	$0	$70,145,033	$1,077,553	$0	$0	$0	$0	$0	2013	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)
C	false	Yes (true)	false	false	0.00260	Yes (true)	false	false	Yes (true)	0.00260
D	false	false	false	false	0.00080	Yes (true)	false	false	Yes (true)	0.00080

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, COLUMN A & B, LINE 2C	NO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 6/27/2012.
PART IV, COLUMN D, LINE 2C	NO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 2/4/2014.
PART III, LINE 7, COLUMNS C & D	FOR THE PURPOSES OF CALCULATING THE PRIVATE SECURITY OR PAYMENT TEST, COOK CHILDREN'S MEDICAL CENTER (CCMC) HAS INCLUDED GROSS RECEIPTS FROM CERTAIN ACTIVITIES THAT CCMC HAS CONCLUDED GENERATE PRIVATE PAYMENTS. CALCULATED IN THAT MANNER, CCMC HAS CONCLUDED THAT THE PRIVATE PAYMENT TEST HAS BEEN MET WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D. HOWEVER, THE AMOUNT OF PRIVATE BUSINESS USE WITH RESPECT TO THE BOND ISSUES DESCRIBED IN COLUMNS C & D IS LESS THAN 5%, IN EACH CASE, SO THAT EACH OF THOSE BOND ISSUES FAILS THE PRIVATE BUSINESS USE TEST AND CONTINUES TO MEET THE REQUIREMENTS IMPOSED ON "QUALIFIED 501(C)(3) BONDS."
PART II, COLUMN C, LINE 3	TOTAL PROCEEDS OF ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
PART IV, COLUMN C, LINE 2C	NO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 2/4/2014.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	TARRANT COUNTY CULTURAL EDUCATION FACILITIES FINAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043833551	BondIssuerEIN
CUSIP	87638QKX6	CUSIPNum
Bond Issued	2014-02-28	BondIssuedDt
Issue Price	$176,767,688	IssuePriceAmt
Purpose	CONSTRUCTION AND EQUIPMENT COSTS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$177,571,254	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,755,350	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$175,794,000	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$21,904	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, COLUMN A, LINE 3 (2014 ISSUE)	TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
PART IV, COLUMN A, LINE 2C (2014 ISSUE)	NO REBATE DUE THE REBATE COMPUTATION WAS PERFORMED AS OF 2/28/2016.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KEELIE MONTAGUE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$39,422	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	KEELIE MONTAGUE IS DAUGHTER-IN-LAW OF GEORGE MONTAGUE, AN OFFICER OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES.
FORM 990, PART VI, SECTION A, LINE 6	SOLE MEMBER: COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBER ELECTION ABILITIES: 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, SECTION A, LINE 7B	MEMBER DECISION ABILITIES: 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; AND, F. APPROVE THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW PROCESS FOR FORM 990: 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 PRESENTED TO THE COOK CHILDREN'S HEALTH CARE SYSTEM AUDIT COMMITTEE FOR REVIEW AND COMMENT. SUBSEQUENT TO 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, SECTION B, LINE 12C	WRITTEN CONFLICT OF INTEREST POLICY: EVERY YEAR THE LEGAL DEPARTMENT OF THE COOK CHILDREN'S HEALTH CARE SYSTEM ("SYSTEM") SENDS OUT A FORM 990 QUESTIONNAIRE/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. 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 HOT-LINE 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, SECTION B, LINE 15A & 15B	REVIEW AND APPROVAL OF COMPENSATION: COOK CHILDREN'S HEALTH CARE SYSTEM HAS ESTABLISHED A COMPENSATION COMMITTEE WITH OVERSIGHT OF EXECUTIVE AND PHYSICIAN COMPENSATION, WHICH INCLUDES THE ORGANIZATION'S CEO AND 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., 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 MCDERMOTT, WILL & EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.
FORM 990, PART VI, SECTION C, LINE 19	PROCESS OF MAKING GOVERNING 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 SECRETARY OF STATE OF TEXAS. 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.
FORM 990 PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFERS BETWEEN AFFILIATES $125,000,000 INTEREST RATE SWAP ADJUSTMENT 1,174,860 --------------- TOTAL $126,174,860

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	PHYSICIAN SVC	TX	501(C)(3)	3	CCHCS	Yes (true)
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752056149	FUNDRAISING	TX	501(C)(3)	07	NA	false
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FT WORTH	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	09	CCHCS	Yes (true)
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVE	FORT WORTH	TX	76104	752705881	HLTH CARE SUP	TX	501(C)(3)	11C	CCHF	false
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240	INSURANCE	TX	501(C)(3)	09	CCHCS	Yes (true)
ROSEDALE OFFICE BUILDING INC
1500 W ROSEDALE	FORT WORTH	TX	76104	460866421	TITLE HOLDING	TX	501(C)(2)	N/A	CCHF	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
COOK CHILDREN'S NORTHEAST HOSPITAL
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	205227064	HOSPITAL	TX	NA	RELATED	$4,623,227	$4,583,758	false	$0	Yes (true)	0.56983
CENTER FOR PEDIATRIC SURGERY
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871715	ASC	TX	NA	RELATED	$5,972,978	$12,660,214	false	$0	false	0.52319
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871718	ASC	TX	NA	RELATED	$30,702	$101,581	false	$0	Yes (true)	0.52565

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S HEALTH SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 7TH AVENUE	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76104	ZIPCd

Field	Value	IRS element (for citing)
EIN	454024843	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CCHCS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORPORATION	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (true)	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
R	$4,521,081	FMV
CENTER FOR PEDIATRIC SURGERY LTD
R	$6,295,204	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O	$6,808,798	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
A	$1,017,120	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
R	$2,045,910	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
Q	$425,522	FMV
COOK CHILDREN'S HOME HEALTH
P	$137,075	FMV
COOK CHILDREN'S HOME HEALTH
R	$1,265,560	FMV
COOK CHILDREN'S HEALTH PLAN
S	$67,970,970	FMV
COOK CHILDREN'S HEALTH PLAN
Q	$555,110	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
O	$124,181	FMV
COOK CHILDREN'S PHYSICIAN NETWORK
B	$64,491,429	FMV