COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-13
IRS object ID: 201532259349303918
Schema version: 2013v4.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-13T21:29:54-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Post Oak Blvd Ste 3200	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77056	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1

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	AddressLine1
Address Line2	Suite	AddressLine2
City	Fort Worth	City
State	TX	State
ZIP Code	76104	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Cory Rhoades	PersonNm
Person Title	VP & Chief Accounting Officer	PersonTitleTxt
Phone	6828854000	PhoneNum
Signature	2015-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	M P Gerich	PreparerPersonNm
PTIN	P00226776	PTIN
Phone	6828854000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	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	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76104	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$858,011,121	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, IT IS THE PROMISE OF COOK 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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4530	TotalEmployeeCnt
Total Volunteers	1467	TotalVolunteersCnt
Total Gross UBI	$138,077	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$104,304	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,605,462	PYContributionsGrantsAmt
CY Contributions Grants	$11,021,381	CYContributionsGrantsAmt
PY Program Service Revenue	$812,298,871	PYProgramServiceRevenueAmt
CY Program Service Revenue	$842,058,390	CYProgramServiceRevenueAmt
PY Investment Income	$542,569	PYInvestmentIncomeAmt
CY Investment Income	$384,343	CYInvestmentIncomeAmt
PY Other Revenue	$3,739,334	PYOtherRevenueAmt
CY Other Revenue	$2,845,462	CYOtherRevenueAmt
PY Total Revenue	$828,186,236	PYTotalRevenueAmt
CY Total Revenue	$856,309,576	CYTotalRevenueAmt
PY Grants And Similar Paid	$47,236,427	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$51,133,835	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$289,635,935	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$298,199,145	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$330,831,092	PYOtherExpensesAmt
CY Other Expenses	$326,406,844	CYOtherExpensesAmt
PY Total Expenses	$667,703,454	PYTotalExpensesAmt
CY Total Expenses	$675,739,824	CYTotalExpensesAmt
PY Revenues Less Expenses	$160,482,782	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$180,569,752	CYRevenuesLessExpensesAmt
Total Assets BOY	$854,499,605	TotalAssetsBOYAmt
Total Assets EOY	$1,217,738,885	TotalAssetsEOYAmt
Total Liabilities BOY	$383,129,428	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$558,969,359	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$471,370,177	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$658,769,526	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	$498,454,255	ExpenseAmt
Grant	$51,133,835	GrantAmt
Revenue	$843,671,102	RevenueAmt
Desc	COOK CHILDREN'S MEDICAL CENTER HAS NATIONALLY RESPECTED NURSING STAFF WITH MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER SINCE 2006 AND RE-DESIGNATED IN 2011. THIS RECOGNITION OF QUALITY PATIENT CARE AND NURSING EXCELLENCE HAS BEEN ACHIEVED BY 7 PERCENT OF ALL HEALTHCARE ORGANIZATIONS NATIONWIDE. COOK CHILDREN'S IS KNOWN FOR ITS NURSING EXCELLENCE AND HAS A DISTINGUISHED INTERNATIONAL REPUTATION FOR PROVIDING EXTRAORDINARY CARE AND ACHIEVING POSITIVE OUTCOMES IN ITS NEUROLOGY, NEUROSURGERY, CARDIOLOGY, CARDIOTHORACIC SURGERY, HEMATOLOGY AND ONCOLOGY, NEONATOLOGY AND PULMONOLOGY PROGRAMS. THE MEDICAL CENTER ACCOUNTED FOR 84 PERCENT OF TARRANT COUNTY'S PEDIATRIC ADMISSIONS IN 2014. WITH THE CULMINATION OF A HISTORIC BUILDING INITIATIVE THAT BEGAN IN 2009, THE MEDICAL CENTER IS NOW LICENSED FOR 430 BEDS, MAKING IT ONE OF THE LARGEST CHILDREN'S HOSPITALS IN THE COUNTRY. THE 530,000 SQUARE FOOT EXPANSION INCLUDES A LEVEL IV NICU, MORE ROOMS IN THE HEMATOLOGY AND ONCOLOGY UNIT AND THE TRANSITIONAL CARE AND REHABILITATION CARE UNITS, TWO NEW HELIPADS, A FOOD COURT, A PATIENT LIBRARY WITH CLASSROOMS, A PATIENT BUSINESS CENTER, AN INDOOR/OUTDOOR PLAYGROUND AND 1,300 ADDITIONAL PARKING SPACES. THE DODSON SPECIALTY CLINICS BUILDING HOUSES 18 PEDIATRIC SUBSPECIALTY CLINICS, INCLUDING THE SURGERY CENTER, A CANCER CENTER, HEART CENTER AND NEUROSCIENCES. THE DODSON SURGERY CENTER OPENED IN MARCH 2012 AND SERVES PEDIATRIC PATIENTS NEEDING OUTPATIENT PROCEDURES SUCH AS TREATING ISSUES WITH EYES, EAR/NOSE/THROAT, MINOR ORTHOPEDICS AND GENERAL SURGERY. IT INCLUDES: - SIX ACUTE BEDS AND 22 PREP/RECOVERY BEDS. - SIX STATE OF THE ART OPERATING SUITES FOR OUTPATIENT PROCEDURES, INCLUDING TWO EYE SURGERY SUITES. - COMPLIMENTARY VALET PARKING ON THE DAY OF SURGERY FOR THE FAMILIES. IN ADDITION TO THE DODSON SURGERY CENTER, THE LOWER LEVEL HOUSES RADIOLOGY OUTPATIENT SERVICES AND THE MAGNETOENCEPHALOGRAPHY (MEG); BOTH ARE NONINVASIVE, ADVANCED IMAGING TECHNOLOGIES. THE MEG, COUPLED WITH COOK CHILDREN'S MRI AND IMRI TECHNOLOGY, KEEPS THE MEDICAL CENTER AT THE FOREFRONT AMONG THE NATION'S BEST STATE-OF-THE-ART FACILITIES. - THE FIRST LEVEL OF THE BUILDING IS THE ENTRY POINT FOR ALL CLINICAL SERVICES. IT INCLUDES CENTRALIZED REGISTRATION/CHECK-IN, DIALYSIS, INFECTIOUS DISEASE, NEPHROLOGY, ORTHOPEDICS AND OUTPATIENT LAB SERVICES. - THE SECOND LEVEL PROVIDES CLINIC SPACE FOR PATIENTS NEEDING ENDOCRINOLOGY, GASTROENTEROLOGY AND PULMONOLOGY SERVICES. - THE THIRD LEVEL IS THE HOME TO COOK CHILDREN'S HEART CENTER WHICH INCLUDES CLINICS, DIAGNOSTICS AND OFFICE SPACE. PEDIATRIC SURGERY AND NICU OFFICES ARE ON THE THIRD FLOOR AS WELL TO TAKE ADVANTAGE OF THE DIRECT CONNECTION TO THE NEW NICU SPACE ON LEVEL 3 OF THE NORTH TOWER. - THE FOURTH LEVEL IS PART OF THE JANE AND JOHN JUSTIN NEUROSCIENCES CENTER AND INCLUDES CLINICS, DIAGNOSTICS AND OFFICE SPACE FOR NEUROLOGY, NEUROSURGERY, PAIN MANAGEMENT, CRANIOFACIAL AND CLEFT SURGERY, RHEUMATOLOGY, PALLIATIVE CARE AND NEUROPSYCHOLOGY. - THE NEURODIAGNOSTICS CENTER HAS A DUAL FUNCTION AS A SLEEP STUDY CENTER AND A DIRECT CONNECTION TO TRANSITIONAL CARE UNIT AND REHABILITATION CARE UNIT BEDS IN THE NORTH TOWER AND NORTH PAVILION. - THE FIFTH LEVEL IS THE CANCER CENTER. IT INCLUDES: - AN EXPANDED INFUSION AREA, DEDICATED LABORATORY AND DEDICATED, FULL-TIME PHARMACY. - ACCESS TO HEMATOLOGY AND ONCOLOGY INPATIENT BEDS THROUGH A DIRECT CONNECTION TO THE NORTH TOWER. - NEW, PRIVATE FAMILY SPACES FOR NEEDED BREAKS. - NEW MEDITATIVE GARDEN AND FAMILY SUITE FOR PALLIATIVE CARE PATIENTS. - DEDICATED OFFICES AND SPACE TO PROMOTE COLLABORATIVE CARE AND COMPREHENSIVE CARE. - A TELEMEDICINE ROOM FOR CONSULTATIONS. - STATE-OF-THE-ART WIRELESS NETWORKING INFRASTRUCTURE. COOK CHILDREN'S IS THE ONLY PEDIATRIC FACILITY IN THE SOUTHWEST TO OFFER I-131 METAIODOBENZYLGUANIDINE (MIBG) THERAPY. THIS EXPANSION HAS POSITIONED COOK CHILDREN'S TO CONTINUE TO PROVIDE THE OUTSTANDING QUALITY THAT IS THE CORNERSTONE OF ITS CARE, IN RESPONSE TO THE CHALLENGES OF AN EVERGROWING POPULATION. IN ADDITION, COOK CHILDREN'S MEDICAL CENTER WAS SELECTED AS A LEAPFROG TOP CHILDREN'S HOSPITAL. THIS DISTINCTION IS ONLY ACHIEVED BY AN ELITE GROUP OF HOSPITALS THAT MEET THE NATION'S TOUGHEST STANDARDS FOR SAFETY AND QUALITY. AS PART OF THIS DISTINCTION, COOK CHILDREN'S WAS RECOGNIZED FOR THE IMPLEMENTATION OF COMPUTERIZED PROVIDER ORDER ENTRY (CPOE) AND BAR CODED MEDICATION ADMINISTRATION. THE MEDICAL CENTER OFFERS ADVANCED TECHNOLOGICAL EQUIPMENT, LEADING SURGICAL TECHNIQUES, REHABILITATION FACILITIES AND ANCILLARY SERVICES DESIGNED TO MEET THE SPECIAL NEEDS OF CHILDREN. ADDITIONALLY, THE CAMPUS BOASTS A PROFESSIONAL AND HIGHLY SKILLED STAFF OF NURSES, TECHNOLOGISTS, THERAPISTS AND OTHER CLINICIANS, AS WELL AS MORE THAN 600 PHYSICIANS AND DENTISTS WHO PROVIDE PRIMARY, SECONDARY, TERTIARY AND QUATERNARY LEVELS OF PEDIATRIC CARE. CHILD LIFE SPECIALISTS, CHAPLAINS, TEACHERS, SOCIAL SERVICES COORDINATORS AND TRANSLATORS HELP PATIENTS AND FAMILIES COPE WITH THE STRESSES THAT ACCOMPANY A CHILD'S HOSPITALIZATION. THE MEDICAL CENTER IS HOME TO THE ONLY EMS-DESIGNATED, LEVEL II PEDIATRIC TRAUMA CENTER IN TARRANT COUNTY, TEXAS. IN 2012, 127,941 PATIENTS WERE TREATED IN THE EMERGENCY DEPARTMENT AND URGENT CARE CENTER AT COOK CHILDREN'S. THE AWARD-WINNING COOK CHILDREN'S MEDICAL CENTER IS SUPPORTED BY ONE OF THE BUSIEST NEONATAL/PEDIATRIC TRANSPORT PROGRAMS IN THE NATION, TEDDY BEAR TRANSPORT, WHICH BRINGS MORE THAN 3,000 CHILDREN TO THE MEDICAL CENTER ANNUALLY FOR A HIGHER LEVEL OF CARE. SERVICES INCLUDE AMBULANCE, HELICOPTER AND FIXED-WING AIRPLANE TRANSPORTATION. COOK CHILDREN'S TEDDY BEAR TRANSPORT STAFF OF 52 NEONATAL/PEDIATRIC NURSES, RESPIRATORY THERAPISTS AND PARAMEDICS IS PROUD TO HAVE MORE THAN 400 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 TEAM OF HIGHLY SPECIALIZED NURSES, RESPIRATORY THERAPISTS AND PARAMEDICS BEGIN GIVING CARE TO PATIENTS IMMEDIATELY UPON ARRIVAL TO THEIR LOCATION. ONCE THEY ARRIVE AT COOK CHILDREN'S MEDICAL CENTER, PATIENTS ARE TREATED BY OUR BOARD CERTIFIED PHYSICIANS AND NATIONALLY RECOGNIZED NURSING STAFF. COOK CHILDREN'S IS THE ONLY LEVEL IV NICU IN TARRANT COUNTY, THE HIGHEST QUALIFICATION FOR SUCH PROGRAMS AS ESTABLISHED BY THE AMERICAN ACADEMY OF PEDIATRICS. LEVEL IV NICUS MAINTAIN A FULL RANGE OF PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALISTS AND PEDIATRIC ANESTHESIOLOGISTS ON-SITE. 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 WHO ARE CARED FOR IN A SINGLE ROOM SETTING HAVE BETTER LONG-TERM 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 THAT CAN ACCOMMODATE TWINS, TRIPLETS AND EVEN QUADS IN A SINGLE ROOM. COOK CHILDREN'S DESIGNATED LEVEL II TRAUMA CENTER IS STAFFED AND EQUIPPED TO PROVIDE COMPREHENSIVE EMERGENCY MEDICAL SERVICES TO PATIENTS SUFFERING TRAUMATIC INJURIES 24 HOURS A DAY, 7 DAYS A WEEK. COOK CHILDREN'S OPENED THE CHILD LIFE ZONE IN THE MEDICAL CENTER ON MAY 15, 2012. COUNTRY MUSIC LEGEND GARTH BROOKS AND FORMER DALLAS COWBOYS QUARTERBACK AND NFL HALL OF FAMER TROY AIKMAN WERE ON HAND TO HELP WITH THE CELEBRATION. THEY REPRESENTED THE GARTH BROOKS/TROY AIKMAN TEAMMATES FOR KIDS FOUNDATION THAT WAS A DRIVING FORCE BEHIND THE PROJECT. THE NEW AREA WITHIN COOK CHILDREN'S MEDICAL CENTER WAS DESIGNED TO BE A PLACE WHERE KIDS CAN HAVE FUN, HANG OUT WITH EACH OTHER AND FORGET ABOUT BEING PATIENTS FOR A WHILE. TEENS FROM THE YOUTH ADVISORY COUNCIL- PATIENTS ADVOCATING FOR CHANGE (YAC-PAC) WERE INSTRUMENTAL IN HELPING TO DESIGN THE SPACE. THE 4,000-SQUARE-FOOT ADDITION HOUSES A TEENS-ONLY ROOM WITH ARCADE GAMES, POOL AND FOOSBALL TABLES, A JUKE BOX, SEVERAL GAMING SYSTEMS AND MORE. IN ADDITION, THE CHILD LIFE ZONE ALSO CONSISTS OF THE MATUSTIK FAMILY RESOURCE CENTER, BOMAR LIBRARY, COMPUTERS FOR PARENTS AND FAMILIES AND RAY'S PLACE SNACK BAR. HOWEVER, THE MAIN ATTRACTION IS THE RECORDING AND BROADCAST STUDIO, OFFERING THE MOST CONTEMPORARY TECHNOLOGY, WHERE PATIENTS CAN EXPERIENCE HEALING AND ESCAPE THROUGH MUSIC AND VIDEO CREATION.	Desc
Total Program Service Expenses	$498,454,255	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	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	233	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4530	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76104	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Other CompensationOtherCompensationAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES F HERD SR MD
TRUSTEE	1.0	1.0	Yes (X)
MARSHA HILCHER
TRUSTEE-CHAIRMAN	2.0	1.0	Yes (X)	Yes (X)
CHRISTOPHER M HUCKABEE
TRUSTEE	1.0	1.0	Yes (X)
WM MACK LAWHON
TRUSTEE	1.0	1.0	Yes (X)
ROGER NOBER
TRUSTEE	1.0	0.0	Yes (X)
BONNIE PETSCHE
TRUSTEE	1.0	1.0	Yes (X)
PETER L PHILPOTT
TRUSTEE	1.0	4.0	Yes (X)
JERRY R CONATSER
TRUSTEE-SECRETARY/TREASURER	2.0	1.0	Yes (X)	Yes (X)
JOHN P BOSWELL
TRUSTEE/VICE-CHAIRMAN	2.0	4.0	Yes (X)	Yes (X)
SHARON S MAYES
TRUSTEE	1.0	0.0	Yes (X)
DANA C KELLY
TRUSTEE	1.0	1.0	Yes (X)
MICHELLE M MARLOW
TRUSTEE	1.0	0.0	Yes (X)
JEFF CONNOR
TRUSTEE	1.0	0.0	Yes (X)
GARY G WALSH
TRUSTEE	1.0	0.0	Yes (X)
NANCY C CYCHOL
PRESIDENT	40.0	0.0		Yes (X)	$703,378	$28,533
STANLEY E DAVIS
VP, SUPPORT SERVICES	40.0	0.0		Yes (X)	$251,806	$27,676
RICHARD P GOODE
CHIEF FINANCIAL OFFICER	22.0	18.0		Yes (X)	$367,824	$29,091	$300,947
CARA MARTZ
SECRETARY	1.0	39.0		Yes (X)		$8,771	$111,349
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	12.0	28.0		Yes (X)	$401,414	$190,582	$936,632
GEORGE B MONTAGUE
VP, REAL ESTATE	2.0	38.0		Yes (X)		$31,571	$307,293
PAULA J WEBB
VP, NURSING	40.0	0.0		Yes (X)	$307,027	$22,575
TARESA J CLARK
VP, NURSING/CNO	40.0	0.0		Yes (X)	$248,230	$22,917
JACK SOSEBEE
VP, FAMILY SUPPORT SVCS	40.0	0.0		Yes (X)	$183,124	$23,696
STEPHEN W KIMMEL
CHIEF FINANCIAL OFFICER	22.0	18.0		Yes (X)
BRADLEY HORN
PHARMACIST	40.0	0.0			$191,864	$22,036		Yes (X)
ROSANNE THURMAN
DIRECTOR, PHARMACY	40.0	0.0			$178,448	$19,481		Yes (X)
KEVIN L DAHLE
PHARMACIST	40.0	0.0			$177,278	$23,225		Yes (X)
KIMBERLY JONES
AVP-PERIOPERATIVE SVCS	40.0	0.0			$276,125	$27,516		Yes (X)
SHARON SMITH
DIRECTOR-AMBULATORY SURG SVCS	40.0	0.0			$201,009	$9,405		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,487,527	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,656,221	TotReportableCompRltdOrgAmt
Total Other Compensation	$487,075	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	213	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
LINBECK GROUP LLC
201 MAIN STREET STE 1801	FORT WORTH	TX	76102	CONSTR CONTRACTOR	$16,819,397
MEDTRONIC
PO BOX 848086	DALLAS	TX	752848086	MED SUPPLY SERVICES	$3,295,946
PROGRESSIVE PARKING SOLUTIONS
201 W BROADWAY SUITE G-5	N LITTLE ROCK	AR	72114	PARKING SERVICES	$781,911
MAQUET CARDIOVASCULAR US SALES
3615 SOLUTIONS CENTER	CHICAGO	IL	606773006	MED SUPPLY SERVICES	$776,343
DUNAWAY ASSOCIATES LP
550 BAILEY AVE STE 400	FORT WORTH	TX	76107	CONSTR CONTRACTOR	$704,913

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,688,533	RelatedOrganizationsAmt
Government Grants	$310,183	GovernmentGrantsAmt
All Other Contributions	$1,022,665	AllOtherContributionsAmt
Total Contributions	$11,021,381	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621110	$775,709,383	$775,709,383
OTHER OPERATING REVENUE	621110	$55,157,489	$55,157,489
JOINT VENTURE REVENUE	621110	$11,053,441	$11,053,441
LAB REFERRALS	621500	$138,077		$138,077

Field	Value	IRS element (for citing)
Total Program Service Revenue	$842,058,390	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$237,294	TotalRevenueColumnAmt
Exclusion	$237,294	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	$2,884,295	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,651,545	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,232,750	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,232,750	TotalRevenueColumnAmt
Exclusion	$1,232,750	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$197,049	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$50,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$147,049	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,049	TotalRevenueColumnAmt
Exclusion	$147,049	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	$1,612,712	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,612,712	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,612,712	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$856,309,576	TotalRevenueColumnAmt
Related Or Exempt Func Income	$843,533,025	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$138,077	UnrelatedBusinessRevenueAmt
Exclusion	$1,617,093	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,960,970	TotalAmt
Program Services	$50,960,970	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$172,865	TotalAmt
Program Services	$172,865	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	$2,775,730	TotalAmt
Management And General	$2,775,730	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$220,648,665	TotalAmt
Program Services	$198,549,005	ProgramServicesAmt
Management And General	$22,099,660	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	$74,774,750	TotalAmt
Program Services	$67,259,175	ProgramServicesAmt
Management And General	$7,515,575	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	$118,804,857	TotalAmt
Program Services	$4,622,772	ProgramServicesAmt
Management And General	$114,182,085	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$111,157	TotalAmt
Management And General	$111,157	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	$20,763,577	TotalAmt
Program Services	$15,380,468	ProgramServicesAmt
Management And General	$5,383,109	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$97,674	TotalAmt
Program Services	$71,724	ProgramServicesAmt
Management And General	$25,950	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,494,210	TotalAmt
Program Services	$73,183,100	ProgramServicesAmt
Management And General	$2,311,110	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	$5,795,085	TotalAmt
Program Services	$4,425,297	ProgramServicesAmt
Management And General	$1,369,788	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,239,950	TotalAmt
Program Services	$1,087,394	ProgramServicesAmt
Management And General	$152,556	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	$528,483	TotalAmt
Program Services	$394,261	ProgramServicesAmt
Management And General	$134,222	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,194,972	TotalAmt
Program Services	$13,114,235	ProgramServicesAmt
Management And General	$80,737	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$34,934,423	TotalAmt
Program Services	$25,432,026	ProgramServicesAmt
Management And General	$9,502,397	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,869,250	TotalAmt
Program Services	$1,869,250	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIAN REMUNERATION	$8,196,792	$6,681,316	$1,515,476
BAD DEBT EXPENSE	$22,469,045	$22,469,045
MINOR EQUIPMENT	$4,933,893	$1,563,191	$3,370,702
REPAIRS & MAINTENANCE	$5,803,726	$2,144,855	$3,658,871

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,169,750	TotalAmt
Program Services	$9,073,306	ProgramServicesAmt
Management And General	$3,096,444	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$675,739,824	TotalAmt
Program Services	$498,454,255	ProgramServicesAmt
Management And General	$177,285,569	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,260	BOYAmt
EOY	$12,995	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$269,263,512	BOYAmt
EOY	$373,121,277	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	$74,744,066	BOYAmt
EOY	$80,026,528	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	$18,870,960	BOYAmt
EOY	$24,219,660	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,927,758	BOYAmt
EOY	$7,588,405	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$838,931	BOYAmt
EOY	$272,583	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$788,518,922	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$289,577,801	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$436,783,028	BOYAmt
EOY	$498,941,121	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,009,418	BOYAmt
EOY	$182,340,486	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	$31,624,682	BOYAmt
EOY	$43,790,840	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$854,499,605	BOYAmt
EOY	$1,217,738,885	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,700,555	BOYAmt
EOY	$86,961,995	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	$6,832	BOYAmt
EOY	$15,982	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$295,407,851	BOYAmt
EOY	$467,295,766	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	$24,014,190	BOYAmt
EOY	$4,695,616	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$383,129,428	BOYAmt
EOY	$558,969,359	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$471,370,177	BOYAmt
EOY	$658,769,526	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	$471,370,177	BOYAmt
EOY	$658,769,526	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$854,499,605	BOYAmt
EOY	$1,217,738,885	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$180,569,752	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$6,829,597	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$80,357,260	BeginningYearBalanceAmt
Contributions	$18,935	ContributionsAmt
Investment Earnings Or Losses	$2,595,270	InvestmentEarningsOrLossesAmt
Other Expenditures	$433,103	OtherExpendituresAmt
End Year Balance	$82,538,362	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,947,601	BeginningYearBalanceAmt
Contributions	$3,803,664	ContributionsAmt
Investment Earnings Or Losses	$5,976,642	InvestmentEarningsOrLossesAmt
Other Expenditures	$370,647	OtherExpendituresAmt
End Year Balance	$80,357,260	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.23000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.74000	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	$13,464,223	OtherCostOrOtherBasisAmt
Book Value	$13,464,223	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$513,395,879	OtherCostOrOtherBasisAmt
Depreciation	$164,015,909	DepreciationAmt
Book Value	$349,379,970	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,923,080	OtherCostOrOtherBasisAmt
Depreciation	$3,075,868	DepreciationAmt
Book Value	$847,212	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,159,511	OtherCostOrOtherBasisAmt
Depreciation	$117,886,857	DepreciationAmt
Book Value	$53,272,654	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,576,230	OtherCostOrOtherBasisAmt
Depreciation	$4,599,167	DepreciationAmt
Book Value	$81,977,063	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$498,941,122	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
EST. PAYABLE (THIRD PARTY)	$4,822,016
DUE TO/FROM AFFILIATES	-$126,400

Field	Value	IRS element (for citing)
Total Liability	$4,695,616	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$869,416,361	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$15,728,498	OtherRevenueAmt
Revenue Not Reported	$15,728,498	RevenueNotReportedAmt
Revenue Subtotal	$853,687,863	RevenueSubtotalAmt
Other Revenues Not Included	$2,621,713	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,621,713	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$856,309,576	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$684,437,219	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$31,166,441	OtherExpensesIncludedAmt
Expenses Not Reported	$31,166,441	ExpensesNotReportedAmt
Expenses Subtotal	$653,270,778	ExpensesSubtotalAmt
Other Expenses Not Included	$22,469,046	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$22,469,046	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$675,739,824	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2D	RECONCILATION OF AUDITED REVENUE TO FORM 990 REVENUE: JOINT VENTURE REVENUE NOT INCLUDED ON 990 $39,062,288 INTEREST RATE SWAP ADJUSTMENT ($ 715,896) BAD DEBT DEDUCTION FROM REVENUE ($22,469,045) PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 1,800) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 147,049) --------------- TOTAL $15,728,498
SCHEDULE D, PART XI, LINE 4B	RECONCILATION OF AUDITED REVENUE TO FORM 990 REVENUE: CONTRIBUTION FROM HS RECORDED TO NET ASSETS $ 7,973 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 4,265,285 RENT EXPENSE ($ 1,651,545) ---------------- TOTAL $ 2,621,713
SCHEDULE D, PART XII, LINE 2D	RECONCILATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $39,062,288 MINORITY INTEREST ($ 9,398,543) RENT EXPENSE $ 1,651,545 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 147,049) PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 1,800) -------------- TOTAL $31,166,441
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	RECONCILATION OF AUDITED EXPENSE TO FORM 990 EXPENSE: BAD DEBT DEDUCTION FROM REVENUE $22,469,046

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	$4,194,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,194,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$348,588,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$301,034,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,554,062	NetCommunityBenefitExpnsAmt
Total Expense	0.07280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$352,782,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$301,034,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,748,100	NetCommunityBenefitExpnsAmt
Total Expense	0.07920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,072,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,164	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,055,608	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$575,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$188,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$387,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$642,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$710,762	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$68,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,195,795	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,195,795	NetCommunityBenefitExpnsAmt
Total Expense	0.07840	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,486,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$916,060	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,570,384	NetCommunityBenefitExpnsAmt
Total Expense	0.08660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$410,269,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$301,950,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,318,484	NetCommunityBenefitExpnsAmt
Total Expense	0.16580	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,757	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,935	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,935	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,306	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,985	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$136,985	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,798	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$226,781	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$226,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,588,453	BadDebtExpenseAmt
Reimbursed By Medicare	$2,649,945	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,929,513	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,279,568	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	FREESTANDING SURGICAL HOSP	PrimaryActivitiesTxt
Org Profit Or Ownership	0.46000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.36720	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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	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 Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Other FactorsOtherFactorsInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
COOK CHILDREN'S MEDICAL CENTER
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.COOKCHILDRENS.ORG	Yes (X)	WWW.CENTERFORCHILDRENSHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	400.	Yes (true)	500.	Yes (true)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (true)	Yes (X)	false	false
COOK CHILDREN'S NORTHEAST HOSPITAL
2	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.COOKCHILDRENS.ORG	Yes (X)	WWW.CENTERFORCHILDRENSHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	400.	Yes (true)	500.	Yes (true)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3, 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. PART V, SECTION B, LINE 4 COOK CHILDREN'S MEDICAL CENTER OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL. PART V, SECTION B, LINE 12I, COOK CHILDREN'S MEDICAL CENTER CALCULATING AMOUNTS CHARGED TO PATIENTS: THE HOSPITAL FACILITY USED FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT TO DETERMINE AMOUNTS DUE DURING THE TAX YEAR. HOUSEHOLD GROSS INCOME AND FAMILY SIZE ARE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY STATES AND USES THE FOLLOWING DEFINITION TO DETERMINE AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. FOLLOWING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY, AN INDIVIDUAL WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICAL CARE PROVIDED TO INDIVIDUALS WITH INSURANCE COVERING THAT CARE. AT COOK CHILDREN'S THE AGB IS DETERMINED THROUGH THE "LOOK-BACK METHOD" WHICH IS CALCULATED AS FOLLOWS: 1. THE AGB IS CALCULATED BY REVIEWING ALL PAST CLAIMS THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL FACILITY FOR MEDICALLY NECESSARY CARE BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL IN A PRIOR 12-MONTH PERIOD. THIS AMOUNT CAN INCLUDE COINSURANCE, COPAYMENTS AND DEDUCTIBLES. 2. THE AGB FOR EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED TO A FINANCIAL ASSISTANCE-ELIGIBLE INDIVIDUAL IS DETERMINED BY MULTIPLYING GROSS CHARGES FOR THAT CARE BY ONE OR MORE PERCENTAGES OF GROSS CHARGES (CALLED "AGB PERCENTAGES"). a. THE PERCENTAGES ARE CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF CERTAIN CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. b. MULTIPLE AGB PERCENTAGES MAY BE CALCULATED FOR SEPARATE CATEGORIES OF CARE (FOR EXAMPLE, INPATIENT VERSUS OUTPATIENT CARE; OR CARE PROVIDED BY DIFFERENT DEPARTMENTS) OR FOR SEPARATE ITEMS OR SERVICES. 3. THE PERCENTAGES ARE APPLIED BY THE 45TH DAY AFTER THE END OF THE 12-MONTH PERIOD THE HOSPITAL FACILITY USED IN CALCULATING THE AGB PERCENTAGE(S).
PART V, SECTION B, LINE 14G, COOK CHILDREN'S MEDICAL CENTER	MEASURES TO PUBLICIZE THE POLICY: ALTHOUGH THE POLICY DID NOT SPECIFICALLY STATE HOW THE POLICY WOULD BE PUBLICIZED WITHIN THE COMMUNITY DURING THE TAX YEAR, THE FOLLOWING PROCESS HAS BEEN FOLLOWED. 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, NIGHT CLINIC, 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 V, SECTION B, LINE 18E, COOK CHILDREN'S MEDICAL CENTER	COLLECTION ACTIONS TAKEN: THE HOSPITAL FACILITY DID NOT TAKE ANY OF THE ACTIONS LISTED ON LINE 17. PART V, SECTION B, LINE 20D, COOK CHILDREN'S MEDICAL CENTER AMOUNTS CHARGED: SEE RESPONSE TO SCHEDULE H, PART V, SECTION B, LINE 12I LISTED ABOVE.
PART V, SECTION B, LINE 3, 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. PART V, SECTION B, LINE 4 COOK CHILDREN'S NORTHEAST HOSPITAL OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL. PART V, SECTION B, LINE 12I, COOK CHILDREN'S NORTHEAST HOSPITAL CALCULATING AMOUNTS CHARGED TO PATIENTS: THE HOSPITAL FACILITY USED FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT TO DETERMINE AMOUNTS DUE DURING THE TAX YEAR. HOUSEHOLD GROSS INCOME AND FAMILY SIZE ARE CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY STATES AND USES THE FOLLOWING DEFINITION TO DETERMINE AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. FOLLOWING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY, AN INDIVIDUAL WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICAL CARE PROVIDED TO INDIVIDUALS WITH INSURANCE COVERING THAT CARE. AT COOK CHILDREN'S THE AGB IS DETERMINED THROUGH THE "LOOK-BACK METHOD" WHICH IS CALCULATED AS FOLLOWS: 1. THE AGB IS CALCULATED BY REVIEWING ALL PAST CLAIMS THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL FACILITY FOR MEDICALLY NECESSARY CARE BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL IN A PRIOR 12-MONTH PERIOD. THIS AMOUNT CAN INCLUDE COINSURANCE, COPAYMENTS AND DEDUCTIBLES. 2. THE AGB FOR EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED TO A FINANCIAL ASSISTANCE-ELIGIBLE INDIVIDUAL IS DETERMINED BY MULTIPLYING GROSS CHARGES FOR THAT CARE BY ONE OR MORE PERCENTAGES OF GROSS CHARGES (CALLED "AGB PERCENTAGES"). a. THE PERCENTAGES ARE CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF CERTAIN CLAIMS PAID TO THE HOSPITAL FACILITY BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. b. MULTIPLE AGB PERCENTAGES MAY BE CALCULATED FOR SEPARATE CATEGORIES OF CARE (FOR EXAMPLE, INPATIENT VERSUS OUTPATIENT CARE; OR CARE PROVIDED BY DIFFERENT DEPARTMENTS) OR FOR SEPARATE ITEMS OR SERVICES. 3. THE PERCENTAGES ARE APPLIED BY THE 45TH DAY AFTER THE END OF THE 12-MONTH PERIOD THE HOSPITAL FACILITY USED IN CALCULATING THE AGB PERCENTAGE(S).
PART V, SECTION B, LINE 14G, COOK CHILDREN'S NORTHEAST HOSPITAL	MEASURES TO PUBLICIZE THE POLICY: ALTHOUGH THE POLICY DID NOT SPECIFICALLY STATE HOW THE POLICY WOULD BE PUBLICIZED WITHIN THE COMMUNITY DURING THE TAX YEAR, THE FOLLOWING PROCESS HAS BEEN FOLLOWED. 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, NIGHT CLINIC, 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 V, SECTION B, LINE 18E, COOK CHILDREN'S NORTHEAST HOSPITAL	COLLECTION ACTIONS TAKEN: THE HOSPITAL FACILITY DID NOT TAKE ANY OF THE ACTIONS LISTED ON LINE 17. PART V, SECTION B, LINE 20D, COOK CHILDREN'S NORTHEAST HOSPITAL AMOUNTS CHARGED: SEE RESPONSE TO SCHEDULE H, PART V, SECTION B, LINE 12I LISTED ABOVE.
PART V, SECTION B, LINE 6A	IMPLEMENTATION STRATEGY: THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUTUS/CHNA-IMPLEMEN TATION-STRATEGIES.PDF

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7000 W PLANO PARKWAY STE 100	AddressLine1
City	PLANO	City
State	TX	State
ZIP Code	75093	ZIPCode

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 7G: NOT APPLICABLE PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $22,469,045 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 I, LINE 7: COSTS FOR LINE 7 WERE CALCULATED USING AN OVERALL COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM. 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. COMMUNITY SUPPORT: COOK CHILDREN'S LEADERSHIP HAD THE OPPORTUNITY TO SERVE ON A FACILITIES STEERING COMMITTEE TASKED WITH THE SELECTION OF A GENERAL CONTRACTOR TO BUILD A COMMUNITY CENTER. 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. WORKFORCE DEVELOPMENT: COOK CHILDREN'S HAS REPRESENTATION ON THE TEXAS NURSES' ASSOCIATION BOARD OF DIRECTORS. COOK CHILDREN'S STAFF ALSO PARTICIPATED IN A COLLEGE CAREER EXPO REPRESENTING CAREERS IN NURSING. 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 (430 BEDS), PHYSICIAN NETWORK (343 PEDIATRIC SPECIALISTS), NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, HOME HEALTH, HEALTH PLAN (113,091 MEDICAID AND CHIP COVERED LIVES) AND THE HEALTH FOUNDATION. THE SYSTEM HAS A SIX-COUNTY PRIMARY SERVICE AREA THAT REPRESENTS 86% 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 1.3 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 682,528 CHILDREN AGES BIRTH TO 14 YEARS WHO REPRESENT 22.4% OF THE TOTAL POPULATION AND WHOSE NUMBERS ARE EXPECTED TO GROW TO 705,268 BY 2019 OR A 5-YEAR GROWTH RATE OF 3.3%. THERE ARE 1,109,453 HOUSEHOLDS WITHIN THAT GEOGRAPHY WITH 19.6% 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 2,847,650 PEOPLE CONSISTS OF 56.7% WHITE NON-HISPANIC, 24.9% HISPANIC, 11.3% BLACK NON-HISPANIC AND 4.7% 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 INTO APPROPRIATE PROGRAMS TO IMPROVE THEIR ACCESS TO CARE.
PART VI, ITEM 6	AFFILIATED HEALTH CARE SYSTEM: COOK CHILDREN'S ALSO OPERATES SIX 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
Total501c3 Org	7	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (11 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
TRANSPORTATION	657	$30,510
LODGING	66	$16,522
MEDICAL EQUIPMENT	14	$12,075
BABY SUPPLIES	84	$5,851
GIFT CARDS	108	$4,720
MEALS	220	$4,490
UTILITIES	12	$3,666
MEDICATIONS	4	$438
FUNERAL	4	$1,950
OTHER	4	$19
CITIZENSHIP	1	$1,170

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	Yes (true)	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	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NANCY C CYCHOL
PRESIDENT	$396,807	$186,002	$120,569	$19,125	$9,408	$731,911
STANLEY E DAVIS
VP, SUPPORT SERVICES	$184,302	$65,487	$2,017	$11,869	$15,807	$279,482
RICHARD P GOODE
CHIEF FINANCIAL OFFICER	$171,338	$98,001	$98,485	$8,766	$7,234	$383,824	$140,186	$80,183	$80,578	$7,172	$5,919	$314,038
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	$218,943	$128,746	$53,725	$52,425	$4,750	$458,589	$510,869	$300,406	$125,357	$122,325	$11,082	$1,070,039	$48,600	$113,400
GEORGE B MONTAGUE
VP, REAL ESTATE							$216,368	$69,281	$21,644	$19,125	$12,446	$338,864
PAULA J WEBB
VP, NURSING	$223,553	$77,922	$5,552	$13,131	$9,444	$329,602
TARESA J CLARK
VP, NURSING/CNO	$170,818	$60,521	$16,891	$11,198	$11,719	$271,147
JACK SOSEBEE
VP, FAMILY SUPPORT SVCS	$143,138	$32,480	$7,506	$14,106	$9,590	$206,820
BRADLEY HORN
PHARMACIST	$181,743		$10,121	$12,052	$9,984	$213,900
ROSANNE THURMAN
DIRECTOR, PHARMACY	$150,592	$20,571	$7,285	$7,290	$12,191	$197,929
KEVIN L DAHLE
PHARMACIST	$164,136		$13,142	$11,061	$12,164	$200,503
KIMBERLY JONES
AVP-PERIOPERATIVE SVCS	$220,913	$54,052	$1,160	$10,200	$17,316	$303,641
SHARON SMITH
DIRECTOR-AMBULATORY SURG SVCS	$41,629		$159,380	$7,131	$2,274	$210,414

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, QUESTION 4B	PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- RICK W. MERRILL $ 136,311 $ 162,000 NANCY C. CYCHOL $ 81,745 NONE RICHARD P. GOODE $ 71,371 NONE
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
PART I, QUESTION 4A	RECEIVED SEVERANCE PAYMENTS: NAME AMOUNT ------------ --------- SHARON SMITH $ 106,111
PART I, QUESTIONS 1A & 1B	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: 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-UPS IN TAX PAYMENTS EXCEPT IN UNUSUAL CIRCUMSTANCES AND ONLY THEN IF APPROVED BY SENIOR MANAGEMENT. IN THIS CASE, $500.00 GIFT CARDS WERE DISTRIBUTED AT CHRISTMAS TO NON-EXECUTIVE EMPLOYEES. THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES APPROVED THE GROSS-UP OF $125.00 PER CARD SO THAT EMPLOYEES WOULD RECEIVE THE FULL STATED BENEFIT OF THE GIFT CARD.
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	2010-02-04	$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	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	false	false	false	false	0	false	false	Yes (true)
B	false	false	false	false	0	false	false	Yes (true)
C	false	Yes (true)	false	false	0.00260	false	false	Yes (true)	0.00260	Yes (true)
D	false	false	false	false	0.00080	false	false	Yes (true)	0.00080	Yes (true)	0.00000

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/BusinessNameLine1	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 II, COLUMN C, LINE 3	TOTAL PROCEEDS OF ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
PART IV, COLUMN A & B, LINE 2C	NO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 6/27/2012.
PART IV, COLUMN C, LINE 2C	NO REBATE DUE THE FINAL REBATE COMPUTATION WAS PERFORMED AS OF 2/4/2014.
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."

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	BusinessNameLine1

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	$177,057,170	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	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
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
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
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	BusinessNameLine1

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	BusinessNameLine1

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 2/28/2015.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART VI, SECTION A, QUESTION 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, QUESTION 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, QUESTION 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, QUESTION 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, QUESTION 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, QUESTION 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 VI, SECTION B, QUESTION 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 A, QUESTION 3	A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES.
FORM 990 PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFERS BETWEEN AFFILIATES ($ 7,545,493) INTEREST RATE SWAP ADJUSTMENT 715,896 --------------- TOTAL ($ 6,829,597)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	PHYSICIAN SVC	TX	501(C)(3)	3	CCHCS	false
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752056149	FUNDRAISING	TX	501(C)(3)	11D	NA	false
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	FT WORTH	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	9	CCHCS	false
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)	9	CCHCS	false
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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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
801 SEVENTH AVE	FORT WORTH	TX	76104	205227064	HOSPITAL	TX	NA	RELATED	$3,836,523	$5,722,948	false	$0	Yes (true)	0.56354
CENTER FOR PEDIATRIC SURGERY
801 SEVENTH AVE	FORT WORTH	TX	76104	470871715	ASC	TX	NA	RELATED	$6,759,016	$12,627,089	false	$0	false	0.52319
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871718	ASC	TX	NA	RELATED	$34,512	$103,336	false	$0	Yes (true)	0.52646

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 7TH AVENUE	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76104	ZIPCode

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	BusinessNameLine1

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
S	$4,295,004	FMV
CENTER FOR PEDIATRIC SURGERY LTD
S	$7,528,728	FMV