COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201332269349301723
Schema version: 2011v1.5
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-14T12:00:56-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752051646	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Cook Children's Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% CORY RHOADES	InCareOfName
Name Control	COOK	NameControl
Phone	6828854000	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	CORY RHOADES	Name
Title	VP & CHIEF ACCOUNTING OFFICER	Title
Date Signed	2013-08-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	M Paige Gerich	Name
Phone	7134994600	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NANCY CYCHOL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	829326181	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.COOKCHILDRENS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	3962	TotalNbrEmployees
Total Nbr Volunteers	1195	TotalNbrVolunteers
Total Gross UBI	110183	TotalGrossUBI
Contributions Grants Prior Year	5788048	ContributionsGrantsPriorYear
Contributions Grants Current Year	52805990	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	646232800	ProgramServiceRevenuePriorYear
Program Service Revenue CY	768719803	ProgramServiceRevenueCY
Investment Income Prior Year	79302	InvestmentIncomePriorYear
Investment Income Current Year	22895	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3885405	OtherRevenuePriorYear
Other Revenue Current Year	6070684	OtherRevenueCurrentYear
Total Revenue Prior Year	655985555	TotalRevenuePriorYear
Total Revenue Current Year	827619372	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	42862351	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	41592542	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	236534786	SalariesEtcPriorYear
Salaries Etc Current Year	270523068	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	245457158	OtherExpensePriorYear
Other Expenses Current Year	294897149	OtherExpensesCurrentYear
Total Expenses Prior Year	524854295	TotalExpensesPriorYear
Total Expenses Current Year	607012759	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	131131260	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	220606613	RevenuesLessExpensesCY
Total Assets BOY	717528502	TotalAssetsBOY
Total Assets EOY	842018414	TotalAssetsEOY
Total Liabilities BOY	414633348	TotalLiabilitiesBOY
Total Liabilities EOY	389375498	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	302895154	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	452642916	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	KNOWING THAT EVERY CHILD'S LIFE IS SACRED, IT IS THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	452909500	Expense
Grants	41592542	Grants
Revenue	773730775	Revenue
Description	SEE SCHEDULE O.	Description
Total Program Service Expense	452909500	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	195	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3962	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CORY RHOADES	NamePerson
Telephone Number	6828854480	TelephoneNumber

Address US AddressUS

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	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Highest Compensated EmployeeHighestCompensatedEmployee
CORLISS BALDWIN
TRUSTEE	1.0	X
JAMES F HERD SR MD
TRUSTEE	1.0	X
MARSHA HILCHER
TRUSTEE- CHAIRMAN	2.0	X	X
CHRISTOPHER M HUCKABEE
TRUSTEE	1.0	X
WM MACK LAWHON
TRUSTEE	1.0	X
PATTI MCCONNELL
TRUSTEE	1.0	X
ROGER NOBER
TRUSTEE	1.0	X
BONNIE PETSCHE
TRUSTEE	1.0	X
PETER L PHILPOTT
TRUSTEE	1.0	X
JERRY R CONATSER
TRUSTEE	1.0	X
ANDREW S WAYNE
TRUSTEE-SECRETARY/TREASURER	2.0	X	X
JOHN P BOSWELL
TRUSTEE/ VICE-CHAIRMAN	2.0	X	X
JAMES R DUNAWAY JR
TRUSTEE	1.0	X
SHARON S MAYES
TRUSTEE	1.0	X
JOHN M RICHARDSON MD
TRUSTEE	1.0	X
JOANN M SANDERS MD
TRUSTEE	1.0	X		345974	31297
DONALD K MURPHEY MD
TRUSTEE	1.0	X		270948	30706
ANGEL W HERNANDEZ-MULERO MD
TRUSTEE	1.0	X		518391	37086
DANA C KELLY
TRUSTEE	1.0	X
MICHELLE M MARLOW
TRUSTEE	1.0	X			0	0
NANCY C CYCHOL
PRESIDENT	40.0		X		27435	628943
STANLEY E DAVIS
VP, SUPPORT SERVICES	40.0		X		14509	234751
RICHARD P GOODE
CHIEF FINANCIAL OFFICER	20.0		X	336066	30910	322887
CARA MARTZ
SECRETARY	1.0		X	102876	7894
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	11.0		X	915047	166518	355851
GEORGE B MONTAGUE
VP, REAL ESTATE	2.0		X	293408	27079
PAULA J WEBB
VP, NURSING	40.0		X		21187	279773
JANELL P MASON-BRISCOE
VP-SPECIALTY SERVICES	2.0		X	229038	12972
ERIC PRESSON
VP-CLINICAL/FAMILY SUPPORT SVC	40.0		X		15213	160919
TERESA J CLARK
AVP-NURSING	40.0				20382	188603	X
KEVIN L DAHLE
PHARMACIST	40.0				24237	185580	X
MARY L HICKS
PHARMACIST	40.0				5071	190812	X
FREDERICK SMITH JR
PHARMACY INFORMATIC SPECIALIST	40.0				19191	184449	X
BARBARA GREER
DIRECTOR-NICU	40.0				17305	190140	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2922708	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3011748	TotalReportableCompFrmRltdOrgs
Total Other Compensation	508992	TotalOtherCompensation
Number Individuals GT100 K	215	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LINBECK GROUP LLC
201 MAIN STREET STE 1801	FORT WORTH	TX	76102	CONSTR CONTRACTOR	37321903
MEDTRONIC
PO BOX 848086	DALLAS	TX	752848086	MED SUPPLY SERVICES	3064237
PROLACTA BIOSCIENCE
757 BALDWIN PARK BLVD	CITY OF INDUSTRY	CA	91746	NUTRITION SERVICES	735422
PROGRESSIVE PARKING
201 W BROADWAY SUITE G-5	N LITTLE ROCK	AR	72114	PARKING SERVICES	701539
SPECIALTY CARE CARDIO VASCULAR
PO BOX 11407	BIRMINGHAM	AL	352461614	SURGICAL SERVICES	685320

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
Related Organizations	50778304	RelatedOrganizations
Government Grants	361069	GovernmentGrants
All Other Contributions	1666617	AllOtherContributions
Total Contributions	52805990	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	621110	720932074	720932074
OTHER OPERATING REVENUE	621110	33817862	33817862
JOINT VENTURE REVENUE	621110	13859684	13859684
LAB REFERRALS	621500	110183		110183

Field	Value	IRS element (for citing)
Total Program Service Revenue	768719803	TotalProgramServiceRevenue

Investment Income InvestmentIncome

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

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2640899	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1581187	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1059712	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1059712	TotalRevenueColumn
Exclusion	$1,059,712	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	148517	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	125622	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	22895	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	22895	TotalRevenueColumn
Exclusion	$22,895	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CCIC RETRO PREMIUM	Description
Business Code	900099	BusinessCode
Total Revenue Column	5010972	TotalRevenueColumn
Related Or Exempt Function Income	5010972	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5010972	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	827619372	TotalRevenueColumn
Related Or Exempt Function Income	773620592	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	110183	UnrelatedBusinessRevenue
Exclusion	$1,082,607	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	41513414	Total
Program Services	41513414	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	79128	Total
Program Services	79128	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2459986	Total
Management And General	2459986	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	204640022	Total
Program Services	184727592	ProgramServices
Management And General	19912430	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	63423060	Total
Program Services	57188460	ProgramServices
Management And General	6234600	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	89581645	Total
Program Services	2501615	ProgramServices
Management And General	87080030	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	186817	Total
Management And General	186817	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20947365	Total
Program Services	14247536	ProgramServices
Management And General	6699829	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	119302	Total
Program Services	112738	ProgramServices
Management And General	6564	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	66056730	Total
Program Services	64308319	ProgramServices
Management And General	1748411	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6011558	Total
Program Services	4758086	ProgramServices
Management And General	1253472	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1012221	Total
Program Services	839558	ProgramServices
Management And General	172663	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	551849	Total
Program Services	451970	ProgramServices
Management And General	99879	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9556917	Total
Program Services	9556917	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35080652	Total
Program Services	26170166	ProgramServices
Management And General	8910486	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2465225	Total
Program Services	2465225	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PHYSICIAN REMUNERATION	9804855	8678486	1126369	0
BAD DEBT EXPENSE	22676206	22676206
REPAIRS & MAINTENANCE	4864036	2080127	2783909
MINOR EQUIPMENT	15037821	2653791	12384030

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	10943950	Total
Program Services	7900166	ProgramServices
Management And General	3043784	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	607012759	Total
Program Services	452909500	ProgramServices
Management And General	154103259	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10832	BOY
EOY	11899	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	170399587	BOY
EOY	278158288	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	59005895	BOY
EOY	86434560	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4666661	BOY
EOY	6879321	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	980061	BOY
EOY	1104380	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	661922396	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	221351772	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	408147043	BOY
EOY	440570624	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48874181	BOY
EOY	7270941	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	7424990	BOY
EOY	7424990	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	18019252	BOY
EOY	14163411	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	717528502	BOY
EOY	842018414	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	81960202	BOY
EOY	60728075	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	590	BOY
EOY	9529	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	307668911	BOY
EOY	303309008	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25003645	BOY
EOY	25328886	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	414633348	BOY
EOY	389375498	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	302895154	BOY
EOY	452642916	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	302895154	BOY
EOY	452642916	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	717528502	BOY
EOY	842018414	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	220606613	ReconcilationRevenueExpenses
Reconcilation Other Changes	-70858851	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	82538362	BeginningOfYearBalance
Contributions	-256157	Contributions
Investment Earnings Or Losses	8800000	InvestmentEarningsOrLosses
Other Expenditures	547640	OtherExpenditures
End Of Year Balance	90534565	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	80357260	BeginningOfYearBalance
Contributions	18935	Contributions
Investment Earnings Or Losses	2595270	InvestmentEarningsOrLosses
Other Expenditures	433103	OtherExpenditures
End Of Year Balance	82538362	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70947601	BeginningOfYearBalance
Contributions	3803664	Contributions
Investment Earnings Or Losses	5976642	InvestmentEarningsOrLosses
Other Expenditures	370647	OtherExpenditures
End Of Year Balance	80357260	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	65867824	BeginningOfYearBalance
Contributions	7205558	Contributions
Investment Earnings Or Losses	-1698302	InvestmentEarningsOrLosses
Other Expenditures	427479	OtherExpenditures
End Of Year Balance	70947601	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.55000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.43000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.02000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11234574	OtherCostOrOtherBasis
Book Value	11234574	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	480545460	OtherCostOrOtherBasis
Depreciation	122411274	Depreciation
Book Value	358134186	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4582304	OtherCostOrOtherBasis
Depreciation	2580383	Depreciation
Book Value	2001921	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	148299158	OtherCostOrOtherBasis
Depreciation	91929371	Depreciation
Book Value	56369787	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17260900	OtherCostOrOtherBasis
Depreciation	4430744	Depreciation
Book Value	12830156	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	440570624	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	EST. PAYABLE (THIRD PARTY)	Description
Amount	$25,328,886	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	25328886	TotalOfAmounts
Total Revenue	827619372	TotalRevenue
Total Expenses	607012759	TotalExpenses
Excess Or Deficit For Year	220606613	ExcessOrDeficitForYear
Other	-$35,658,551	OtherAmount
Total Adjustments	-35658551	TotalAdjustments
Excess Or Deficit Per FS	184948062	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	822773546	TotRevenueEtcAuditedFinclStmt
Other Revenues	40754994	OtherRevenues
Revenue Not Rptd F990	40754994	RevenueNotRptdF990
Revenue Subtotal	782018552	RevenueSubtotal
Other Revenues Not Included	45600820	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	45600820	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	827619372	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	637825484	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	30812725	OtherExpensesIncluded
Expenses Not Rptd F990	30812725	ExpensesNotRptdF990
Expenses Subtotal	607012759	ExpensesSubtotal
Total Expenses Per Form990	607012759	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE D, PART XI, LINE 8	OTHER CHANGES IN NET ASSETS	INTEREST RATE SWAP ADJUSTMENT ($ 654,545) CONTRIBUTION FROM HS RECORDED TO NET ASSETS ($ 659,340) CONTRIBUTION FROM HF RECORDED TO NET ASSETS ($46,522,667) MINORITY INTEREST $12,178,001 ------------- TOTAL ($35,658,551)
SCHEDULE D, PART XII, LINE 2D	OTHER CHANGE	JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $41,433,660 INTEREST RATE SWAP ADJUSTMENT ($ 654,545) PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 1,226) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 22,895) ------------- TOTAL OTHER CHANGE $40,754,994
SCHEDULE D, PART XII, LINE 4B	OTHER CHANGE	CONTRIBUTION FROM HS RECORDED TO NET ASSETS $ 659,340 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 46,522,667 RENT EXPENSE ($ 1,581,187) --------------- TOTAL OTHER CHANGE $ 45,600,820
SCHEDULE D, PART XIII, LINE 2D	OTHER CHANGE	JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $41,433,660 MINORITY INTEREST ($12,178,001) RENT EXPENSE $ 1,581,187 PLANO GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 1,226) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 22,895) ------------- TOTAL OTHER CHANGE $30,812,725
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 PLACES 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.	FreeOtherPercentage

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

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	false	AmountsBudgetedForCharityCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4141897	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4141897	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	311831870	TotalCommunityBenefitExpense
Direct Offsetting Revenue	290279114	DirectOffsettingRevenue
Net Community Benefit Expense	21552756	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	315973767	TotalCommunityBenefitExpense
Direct Offsetting Revenue	290279114	DirectOffsettingRevenue
Net Community Benefit Expense	25694653	NetCommunityBenefitExpense
Percent Of Total Expense	0.04180	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3121969	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5856	DirectOffsettingRevenue
Net Community Benefit Expense	3116113	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	538370	TotalCommunityBenefitExpense
Direct Offsetting Revenue	212937	DirectOffsettingRevenue
Net Community Benefit Expense	325433	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1547493	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1547493	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41600263	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	41600263	NetCommunityBenefitExpense
Percent Of Total Expense	0.06780	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46808095	TotalCommunityBenefitExpense
Direct Offsetting Revenue	218793	DirectOffsettingRevenue
Net Community Benefit Expense	46589302	NetCommunityBenefitExpense
Percent Of Total Expense	0.07590	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	362781862	TotalCommunityBenefitExpense
Direct Offsetting Revenue	290497907	DirectOffsettingRevenue
Net Community Benefit Expense	72283955	NetCommunityBenefitExpense
Percent Of Total Expense	0.11770	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	20000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	20000	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	1622	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1622	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	25406	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	25406	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	134106	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	134106	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	252	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	252	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	181386	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	181386	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$22,676,206	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	1785904	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4277422	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2491518	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	CC NORTHEAST HOSP	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	FREESTANDING SURGICAL HOSP	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.55140	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.32960	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Childrens HospitalChildrensHospital
COOK CHILDREN'S MEDICAL CENTER
1	801 SEVENTH AVENUE	FORT WORTH	TX	76104	X
COOK CHILDREN'S NORTHEAST HOSPITAL
2	6316 Precinct Line Rd	Hurst	TX	76054	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
COOK CHILDREN'S MEDICAL CENTER
1	true	true	400.	true	500.	false	X	true	false	X	X	true	false	true	X	false	false
COOK CHILDREN'S NORTHEAST HOSPITAL
2	true	true	400.	true	500.	false	X	true	false	X	X	true	false	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CENTER FOR PEDIATRIC SURGERY	BusinessNameLine1

Address Address

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 Type	AMBULATORY SURGERY CENTER	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	COOK CHILDREN'S USES FPG TO DETERMINE ELIGIBILTY FOR FREE AND DISCOUNTED CARE.
PART I, LINE 6A	THE ANNUAL REPORT AND COMMUNITY BENEFITS ARE LOCATED ON THE COOK CHILDREN'S WEB SITE (WWW.COOKCHILDRENS.ORG). A HARD COPY OF THE REPORT IS ALSO AVAILABLE IN THE PUBLICATION "KEEPING OUR PROMISE".
PART I, LINE 7G	NOT APPLICABLE
PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE OF $22,676,206 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 III, LINE 4	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. AS PATIENTS ARE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THEY ARE NO LONGER CONSIDERED TO BE BAD DEBT. FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS AS FOLLOWS: COOK CHILDREN'S REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM GOVERNMENT PAYORS, MANAGED CARE PLANS, PATIENTS AND OTHERS. AMOUNTS DUE FROM PATIENTS INCLUDE BOTH AMOUNTS DUE FROM FULLY UNINSURED PATIENTS AND CO-PAYMENTS AND DEDUCTIBLES FOR WHICH INSURED PATIENTS ARE RESPONSIBLE. AS A SERVICE TO THE PATIENT, COOK CHILDREN'S BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. COOK CHILDREN'S PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 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 MEDICAL 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 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 MEDICAL INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH.
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.
NEEDS ASSESSMENT	IN 2009 COOK CHILDREN'S COMPLETED THE FIRST COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY. THIS RANDOM HOUSEHOLD SURVEY OF FAMILIES WITH A CHILD AGED 0 - 14 YEARS GENERATED 7,439 RESPONSES TO 200 QUESTIONS ABOUT THEIR CHILD'S HEALTH. THE CCHAPS EFFORT IS THE FIRST KNOWN PROJECT OF ITS KIND IN THIS STATE TO FOCUS SOLELY ON THE OVERALL HEALTH STATUS OF CHILDREN. COOK CHILDREN'S IS COMMITTED TO THE HEALTH AND WELL-BEING OF OUR CHILDREN, WHICH CAN ONLY BE ACHIEVED THROUGH ACTIONS BASED ON SOLID INFORMATION. WHILE A GREAT AMOUNT OF MEDICAL INFORMATION EXISTS ABOUT CHILDREN, THERE ARE LARGE GAPS IN UNDERSTANDING AND MEASUREMENT OF CHILDREN'S HEALTH. CCHAPS FILLS THAT VOID AND HELPS US HONOR OUR COMMITMENT. THE DATA GATHERED THROUGH CCHAPS ALLOWS OUR COMMUNITY TO: -EVALUATE CHILDREN'S HEALTH NEEDS WITHIN THE REGION BY REVIEWING MEASURES OF HEALTH STATUS, AS WELL AS FACTORS THAT INFLUENCE HEALTH STATUS. -IDENTIFY CHILDREN'S HEALTH PRIORITIES WITHIN OUR COMMUNITY. -PROMOTE AND SUPPORT COMMUNITY COLLABORATIONS THAT IDENTIFY AND IMPLEMENT SOLUTIONS TO SPECIFICALLY TARGETED CHILDREN'S HEALTH PRIORITIES. -CREATE AND MONITOR COMMUNITY BENCHMARKS TO MEASURE PROGRESS. ACCESS TO THE CHILDREN'S HEALTH DATA PROVIDES A VALUABLE COMMUNITY TOOL TO SUPPORT PLANNING AND FUNDRAISING EFFORTS ON BEHALF OF CHILDREN. HEALTH STATUS DATA CAN BE USED BY COMMUNITY PLANNING ORGANIZATIONS TO DEVELOP INITIATIVES FOR ACTION ON CHILDREN'S ISSUES, BY FOUNDATIONS FOR DETERMINING FUNDING PRIORITIES WHERE CHILDREN ARE AFFECTED AND BY FAITH-BASED ORGANIZATIONS TO FOCUS OUTREACH MINISTRY EFFORTS. THE DATA IS INSTRUMENTAL IN HELPING TO IDENTIFY ANY DISPARITIES IN CHILDREN'S HEALTHCARE. COOK CHILDREN'S HAS IDENTIFIED A GROUP OF "TOP-LINE" CHILDREN'S HEALTH ISSUES IN ITS SIX-COUNTY SERVICE REGION WHICH WILL BE THE FOCUS OF COOK CHILDREN'S INITIAL EFFORTS TO ACT ON THE DATA: ABUSE/NEGLECT, ACCIDENTAL INJURY, ACCESS TO HEALTHCARE, ASTHMA, DENTAL HEALTH, MENTAL HEALTH AND OBESITY. ASTHMA AND OBESITY PROVED TO BE ESPECIALLY PREVALENT IN THE SURVEY FINDINGS. AS STEWARDS OF THE DATA, WHICH WAS GATHERED FOR THE BENEFIT OF THE COMMUNITY, COOK CHILDREN'S WANTS TO BE SURE THE DATA IS NOT ONLY WIDELY AVAILABLE, BUT ALSO THAT ADDITIONAL RESOURCES ACCOMPANY IT FOR THOSE INDIVIDUALS AND ORGANIZATIONS THAT WANT TO PUT THE INFORMATION TO USE. COOK CHILDREN'S WILL CONTINUE ITS IN-DEPTH ANALYSIS OF THE CCHAPS DATA TO BETTER UNDERSTAND AND COMMUNICATE CHILDREN'S HEALTH ISSUES AND POTENTIAL SOLUTIONS IN OUR AREA. COOK CHILDREN'S WILL FOCUS ITS EFFORTS OVER THE NEXT 9 YEARS TO REALIZE OUR PROMISE ... "TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY." CCHAPS OFFERS THE POTENTIAL OF REGIONAL COLLABORATION ON CHILDREN'S HEALTH ISSUES. COOK CHILDREN'S RECOGNIZES THIS AND CALLS ON THE COMMUNITY TO PARTICIPATE IN A JOINT EFFORT. THE PLAN IS TO PARTNER WITH THE COMMUNITY AND THE VARIOUS ORGANIZATIONS THAT EMBRACE CHILDREN'S HEALTH. COOK CHILDREN'S WANTS TO PLAY THE ROLE IN THOSE EFFORTS THAT IS MOST APPROPRIATE FOR HELPING IMPROVE CHILDREN'S HEALTH - BE THAT LEADER, PARTNER, COLLABORATOR, FOLLOWER OR SUPPORTER. THE HOPE IS TO JOIN WITH MANY ALLIES AND PARTNERS IN THE QUEST TO BE ONE OF THE HEALTHIEST AREAS TO RAISE A CHILD IN THE COMING DECADE. THE GOAL OF IMPROVING CHILDREN'S HEALTH CAN ONLY BECOME A REALITY IF COMMUNITIES, COLLABORATIONS AND COALITIONS WORK TOGETHER TO USE CCHAPS TO SET AND ACHIEVE REALISTIC, QUANTITATIVE GOALS TO IMPROVE CHILDREN'S HEALTH IN AREAS OF SPECIFIC CONCERNS OR INTEREST TO THAT GROUP. COOK CHILDREN'S WILL CONTINUE TO OFFER SUPPORT AS NEEDED IN EFFORTS TO RESEARCH DATA, FOSTER SHARING INFORMATION AND BUILD A SOLID ENDURING FOUNDATION THAT CONTINUES THE WORK OF IMPROVING THE LIVES OF CHILDREN. A PUBLIC WEB SITE LAUNCHED ON JANUARY 15, 2010 THAT ALLOWS ANYONE DIRECT ACCESS TO THE DATA FROM THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY. WWW.CCHAPS.ORG DELIBERATELY PLACES THE DATA INTO THE HANDS OF EACH COMMUNITY WHERE IT CAN BE BEST UNDERSTOOD AND USED FOR PLANNING ACTIONS. COOK CHILDREN'S HEALTH CARE SYSTEM EMPLOYED THREE ADDITIONAL COMMUNITY OUTREACH WORKERS SPECIFICALLY ASSIGNED TO COUNTIES TO FOSTER THE USE OF THE DATA AND COORDINATE CHILD HEALTH SUMMITS IN EACH COUNTY. During 2010, the CCHAPS team presented data and information in each of the five outlying counties to diverse members from each community. Each, daylong summit, co-hosted by one or more local community sponsors, foreshadowed individual strategic planning efforts at the local community level to improve the health of children in each community planned during 2011. The CCHAPS data continues to be a source of new information. In 2010, the team calculated the age and gender specific BMI percentiles and reported this new information in a "CCHAPS Special Report on Childhood Obesity" available on the Web site. To give strategic focus to community-planning efforts, a novel Ecosystem Model for Children's Health provides a way TO identify the relevant factors and interaction affecting each child health issue. A "think-tank" provided participants from a wide-range of backgrounds the opportunity to understand the complex systems and interactions involved in childhood asthma.
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, 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. In all areas of Patient Registration, registration clerks offer a Medicaid application to all self pay registrations. Patient Registration staff will assist the family with the application for Medicaid, and then Charity if Medicaid is denied. 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.
COMMUNITY INFORMATION	The Medical Center provides primary, secondary, tertiary, and quaternary levels of pediatric care in Tarrant and contiguous counties and appropriate specialty care regionally throughout Texas. The Medical Center defines its 132-county service area into the major markets listed below: Six-County Area: The Six-County Area consists of Denton, Hood, Johnson, Parker, Tarrant, and Wise Counties. In 2011, the population of the Six-County Area was reported to be 2,886,518, approximately 23% of which are ages 0 to 14. Within the six counties, Tarrant County serves as Cook Children's Primary Service Area (PSA) generating approximately 75% of the Medical Center's inpatients each year. Referral Market: The Outlying Referral Markets stretch northwest from the panhandle, southward through Midland/Odessa into central Texas and the Killeen-Temple area, east to Tyler and due north to the Oklahoma/Texas border (126-counties to the south and west of the DFW metroplex). For fiscal year 2011, 2,964 inpatient discharges originated from this area. Regional outpatient pediatric specialty clinics are staffed in several locations in this area with multi-specialty clinics located in Abilene, Brownwood, Midland/Odessa, San Angelo and Waco.
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 access to care.
AFFILIATED HEALTH CARE SYSTEM ROLES	Cook Children's also operates five 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 outpatients 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 offers pediatric specific home care to assure care is provided in the most appropriate and lowest cost setting.
ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT	TX
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 THIS AREA. COMMUNITY SUPPORT: COOK CHILDREN'S STAFF PARTICIPATED ON THE SAFE COMMUNITIES TASK FORCE FOR CHILD INJURY PREVENTION AND THE CHILD ABUSE PREVENTION COMMITTEE. 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 CURRENT CO-CHAIR OF THE NETWORK IS A NURSING DIRECTOR AT COOK CHILDREN'S. 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 NON-PROFIT HOSPITALS, PUBLIC HEALTH AND LOCAL UNIVERSITIES. THE COLLABORATION EFFORTS INCLUDE 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 ADVISORY BOARDS AT LOCAL UNIVERSITIES AND COLLEGES TO PROVIDE GUIDANCE IN SPECIFIC AREAS OF STUDY.	PART II
PART V, LINE 11, COOK CHILDREN'S MEDICAL CENTER	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. DURING 2013 A REVISED POLICY WAS APPROVED WHICH 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 ABG 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, IN-PATIENT VERSES OUT-PATIENT 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).	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS
PART V, LINE 13, COOK CHILDREN'S MEDICAL CENTER	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. IN ALL AREAS OF PATIENT REGISTRATION, REGISTRATION CLERKS OFFER A MEDICAID APPLICATION TO ALL SELF-PAY REGISTRATIONS. PATIENT REGISTRATION STAFF WILL ASSIST THE FAMILY WITH THE APPLICATION FOR MEDICAID, AND THEN CHARITY IF MEDICAID IS DENIED. 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 NOW POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.	MEASURES USED TO PUBLICIZE THE POLICY
PART V, LINE 19, COOK CHILDREN'S MEDICAL CENTER	SEE RESPONSE TO SCHEDULE H, PART V, LINE 11.	MAXIMUM AMOUNTS CHARGEABLE TO FAP-ELIGIBLE PATIENTS FOR EMERGENCY CARE
PART V, LINE 11, COOK CHILDREN'S NORTHEAST HOSPITAL	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. DURING 2013 A REVISED POLICY WAS APPROVED WHICH 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 ABG 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, IN-PATIENT VERSES OUT-PATIENT 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).	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS
PART V, LINE 13, COOK CHILDREN'S NORTHEAST HOSPITAL	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. IN ALL AREAS OF PATIENT REGISTRATION, REGISTRATION CLERKS OFFER A MEDICAID APPLICATION TO ALL SELF-PAY REGISTRATIONS. PATIENT REGISTRATION STAFF WILL ASSIST THE FAMILY WITH THE APPLICATION FOR MEDICAID, AND THEN CHARITY IF MEDICAID IS DENIED. 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 NOW POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.	MEASURES USED TO PUBLICIZE THE POLICY
PART V, LINE 19, COOK CHILDREN'S NORTHEAST HOSPITAL	SEE RESPONSE TO SCHEDULE H, PART V, LINE 11.	MAXIMUM AMOUNTS CHARGEABLE TO FAP-ELIGIBLE PATIENTS FOR EMERGENCY CARE

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752485366	501(C)(3)	41266300	subsidize operations
AMERICAN HEART ASSOCIATION
2630 W FREEWAY 250	FORT WORTH	TX	76102	135613797	501(C)(3)	45000	SPONSOR
CAREITY FOUNDATION
PO BOX 126038	FORT WORTH	TX	76126	061704800	501(C)(3)	10000	SPONSOR
ARTS COUNCIL OF NE-ARTS LEAGUE
2819 R D HURT PKWY	BEDFORD	TX	76021	751586473	501(C)(3)	7500	SPONSOR
JUVENILE DIABETES RESEARCH FUND
3601 HULEN ST STE 102	FORT WORTH	TX	76107	231907729	501(C)(3)	11000	SPONSOR
JUNIOR LEAGE OF FORT WORTH
255 BAILEY AVE	FORT WORTH	TX	76107	756022377	501(C)(3)	25000	SPONSOR
RONALD MCDONALD
1004 7TH AVE	FORT WORTH	TX	76104	751754490	501(C)(3)		PURSUIT OF MISSION	114917	WROTE OFF NR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
MEDICATIONS	690	53320
TRANSPORTATION	232	13034
UTILITIES	4	1625
OTHER	4	1986
BABY ITEMS	21	7357
MEAL TICKETS	51	1000
GIFT CARDS	25	806

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY C CYCHOL
436989	149263	42691	18375	9060	656378
STANLEY E DAVIS
173676	59317	1758	0	14509	249260
RICHARD P GOODE
188982	78972	54933	7503	7642	338032	196694	82196	57176	7810	7955	351831
RICK W MERRILL
194469	118300	43082	42280	4345	402476	500069	304199	110779	108720	11173	1034940	73920	190080
GEORGE B MONTAGUE
						206653	67135	19620	15313	11766	320487
PAULA J WEBB
212672	63925	3176	12407	8780	300960
TERESA J CLARK
152848	21600	14155	8349	12033	208985
KEVIN L DAHLE
164142	0	21438	10540	13697	209817
JOANN M SANDERS MD
						292535	50025	3414	18375	12922	377271
DONALD K MURPHEY MD
						263901	5000	2047	16499	14207	301654
ANGEL W HERNANDEZ-MULERO MD
						499028	0	19363	15313	21773	555477
JANELL P MASON-BRISCOE
						171186	56302	1550	8320	4652	242010
MARY L HICKS
171629	0	19183	5071		195883
ERIC PRESSON
159382	0	1537	1523	13690	176132
FREDERICK SMITH JR
147027	0	37422	0	19191	203640
BARBARA GREER
148803	18123	23214	12494	4811	207445

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J PART I QUESTION 4B	RICK W. MERRILL PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2011.
ALLOCATION OF CEO AND CFO SALARIES	SCHEDULE J PART II	COOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 9 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH COMPANY, INDEMNITY COMPANY, HEALTH FOUNDATION, NORTHEAST HOSPITAL, PEDIATRIC SURGERY CENTER, AND HEALTH CARE SYSTEM COMPANY. THE CEO AND CFO ARE RESPONSIBLE FOR THE OVERSIGHT OF ALL FOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
751881060	875906MV8	2007-06-27	52156976	REFUNDING BONDS 2000 & 2005	false	false	false
BELL COUNTY HEALTH FACILITIES DEVELOPMENT CORP
742218760	078027HW2	2007-06-27	17523594	REFUNDING BONDS ISSUED 7/19/2000	false	false	false
TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT
751881060	875906NY1	2010-02-04	231948097	DEVELOPMENT, CONSTR, EQUIPMENT COS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
52156976	50833752	672932	650292	0	2007	true	false	true	true
17523594	17116642	229475	177477	0	2007	false	true	true	true
232805916	0	2686446	0	230119470	2011	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0.00000	0.00000	true
false	false	false	false	0.00000	0.00000	true
false	true	false	false	0.00960	0.00960	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	true	false	false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (28 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SOLE MEMBER	FORM 990 PART VI, QUESTION 6	COOK CHILDREN'S HEALTH CARE SYSTEM, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
MEMBER ELECTION ABILITIES	FORM 990 PART VI, QUESTION 7A	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.
MEMBER DECISION ABILITIES	FORM 990 PART VI, QUESTION 7B	As the sole member of the organization, Cook Children's Health Care System has the exclusive 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.
REVIEW PROCESS FOR FORM 990	FORM 990 PART VI, QUESTION 11B	The organization engages an outside 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. In addition, it is presented to the Cook Children's Health Care System Audit Committee for review. Subsequent to Audit Committee review, the Form 990 is filed with the Internal Revenue Service and made available to the public for review.
REVIEW AND APPROVAL OF COMPENSATION	FORM 990 PART VI, QUESTION 15A & 15B	Cook Children's Health Care System has established a Compensation Committee with oversight of executive and physician compensation. The Compensation Committee approves compensation arrangements in advance, which includes a review and approval by independent persons, 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 deliberation and decision. 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.
PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990 PART VI, QUESTION 19	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.
DELEGATION OF CONTROL OVER MANAGEMENT	FORM 990 PART VI QUESTION 3	A MANAGEMENT COMPANY MANAGES THE DAY TO DAY OPERATIONS OF BOTH OF OUR JOINT VENTURES.
WRITTEN CONFLICT OF INTEREST POLICY	FORM 990 PART VI, QUESTION 12C	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. 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 in force for 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.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	TRANSFERS BETWEEN AFFILIATES ($ 70,204,306) INTEREST RATE SWAP ADJUSTMENT ( 654,545) -------------- ($ 70,858,851)
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	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 83 percent of Tarrant County's pediatric admissions in 2011. With the culmination of a historic building initiative that began in 2009, the medical center is now licensed for 457 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 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) technology, which is a noninvasive, state-of-the-art imaging technology. 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 with 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. - Space for expanded research and participation in more clinical trials. - 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. A special lead-lined room for 1-131 metaiodobenzylguanidine (MIBG) therapy is for neuroblastoma patients. Cook Children's is the only pediatric facility in the Southwest to offer 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. 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 stressors that accompany a child's hospitalization. The medical center is home to the Cook Children's Emergency Department and Urgent Care Center and 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 largest pediatric transport programs in the nation, which brings more than 2,300 children to the medical center annually, primarily for critical 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 transport vehicles include a King Air B200 critical care transport airplane, an American Eurocopter 145 helicopter and four ambulances. Each means of transport is equipped to carry critical care patients and features pediatric-oriented technology. Our team of highly specialized nurses, respiratory therapists and paramedics begin giving care to your patient immediately upon our arrival to your location. Once they arrive at Cook Children's Medical Center, patients will be treated by our board certified physicians and nationally recognized nursing staff. Our Level IV NICU (a 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 (Y AC-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 Matusik Family Resource Center, Bomar Library, computers for parents and families and Ray's Place snack bar. However, the main attraction is the state-of-the-art recording and broadcast studio where patients can experience healing and escape through music and video creation.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES F. HERD, SR., MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARSHA HILCHER TITLE:TRUSTEE- CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTOPHER M. HUCKABEE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BONNIE PETSCHE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PETER L. PHILPOTT TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JERRY R. CONATSER TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN P. BOSWELL TITLE:TRUSTEE/ VICE-CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES R. DUNAWAY, JR. TITLE:TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN M. RICHARDSON, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOANN M. SANDERS, MD TITLE:TRUSTEE HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONALD K. MURPHEY, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANGEL W. HERNANDEZ-MULERO, MD TITLE:TRUSTEE HOURS:43
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DANA C. KELLY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD P. GOODE TITLE:CHIEF FINANCIAL OFFICER HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CARA MARTZ TITLE:SECRETARY HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICK W. MERRILL TITLE:CHIEF EXECUTIVE OFFICER HOURS:29
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GEORGE B. MONTAGUE TITLE:VP, REAL ESTATE HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JANELL P. MASON-BRISCOE TITLE:VP-SPECIALTY SERVICES HOURS:38

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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	HOUSTON	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	11C	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)	11C	CCHCS	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
COOK CHILDREN'S NORTHEAST HOSPITAL
801 SEVENTH AVE	FORT WORTH	TX	76104	205227064	HOSPITAL	TX	CCMC	RELATED	7100320	5883090	false	$0	true	0.55135
CENTER FOR PEDIATRIC SURGERY
801 SEVENTH AVE	FORT WORTH	TX	76104	470871715	ASC	TX	CCMC	RELATED	6039071	12495236	false	$0	false	0.50769
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871718	ASC	TX	CCMC	RELATED	30293	104681	false	$0	true	0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	COOK CHILDREN'S HEALTH SERVICES INC	BusinessNameLine1

Address US AddressUS

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 Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	C CORPORATION	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Percentage Ownership	0.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	true	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
R	6064862	FMV
CENTER FOR PEDIATRIC SURGERY LTD
R	6783000	FMV