COOK CHILDRENS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: COOK CHILDRENS MEDICAL CENTER (EIN 75-2051646)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-14
IRS object ID: 201202279349303935
Schema version: 2010v3.7
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	2012-08-14T18:39:06-05:00	Timestamp
Tax Period End Date	2011-09-30	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	2010-10-01	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)
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	2012-08-15	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	2010	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	657673218	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	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	3551	TotalNbrEmployees
Total Nbr Volunteers	1192	TotalNbrVolunteers
Total Gross UBI	37046	TotalGrossUBI
Contributions Grants Prior Year	5735863	ContributionsGrantsPriorYear
Contributions Grants Current Year	5788048	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	561457980	ProgramServiceRevenuePriorYear
Program Service Revenue CY	646232800	ProgramServiceRevenueCY
Investment Income Prior Year	1962612	InvestmentIncomePriorYear
Investment Income Current Year	79302	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7023290	OtherRevenuePriorYear
Other Revenue Current Year	3885405	OtherRevenueCurrentYear
Total Revenue Prior Year	576179745	TotalRevenuePriorYear
Total Revenue Current Year	655985555	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	36628234	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	42862351	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	215700718	SalariesEtcPriorYear
Salaries Etc Current Year	236534786	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	232016571	OtherExpensePriorYear
Other Expenses Current Year	245457158	OtherExpensesCurrentYear
Total Expenses Prior Year	484345523	TotalExpensesPriorYear
Total Expenses Current Year	524854295	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	91834222	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	131131260	RevenuesLessExpensesCY
Total Assets BOY	761990272	TotalAssetsBOY
Total Assets EOY	717528502	TotalAssetsEOY
Total Liabilities BOY	404033064	TotalLiabilitiesBOY
Total Liabilities EOY	414633348	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	357957208	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	302895154	NetAssetsOrFundBalancesEOY
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	397030619	Expense
Grants	42862351	Grants
Revenue	648847942	Revenue
Description	Cook CHILDREN'S MEDICAL CENTER IS RANKED IN THE TOP 6 PERCENT OF THE NATION'S hospitals 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 81% of Tarrant County's pediatric admissions in 2008. CONTINUED ON SCHEDULE O	Description
Total Program Service Expense	397030619	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
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	true	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	172	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3551	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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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 (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
CORLISS BALDWIN
TRUSTEE	1.0	X	0	0	0
JAMES F HERD SR MD
TRUSTEE	1.0	X	0	0	0
MARSHA HILCHER
TRUSTEE-VICE CHAIRMAN	2.0	X	0	0	0	X
CHRISTOPHER M HUCKABEE
TRUSTEE	1.0	X	0	0	0
WM MACK LAWHON
TRUSTEE	1.0	X	0	0	0
PATTI MCCONNELL
TRUSTEE	1.0	X	0	0	0
ROGER NOBER
TRUSTEE	1.0	X	0	0	0
BONNIE PETSCHE
TRUSTEE	1.0	X	0	0	0
PETER L PHILPOT
TRUSTEE-CHAIRMAN	2.0	X	0	0	0	X
G DOUGLAS TATUM MD
TRUSTEE	1.0	X	0	0	0
ANDREW S WAYNE
TRUSTEE-SECRETARY/TREASURER	2.0	X	0	0	0	X
JOHN P BOSWELL
TRUSTEE	1.0	X	0	0	0
JAMES R DUNAWAY JR
TRUSTEE	1.0	X	0	0	0
GRETCHEN EAMES MD
TRUSTEE	1.0	X	0	296710	12156
SHARON S MAYES
TRUSTEE	1.0	X	0	0	0
JOHN M RICHARDSON MD
TRUSTEE	1.0	X	0	0	0
JOANN M SANDERS MD
TRUSTEE	1.0	X	0	346541	30701
DONALD K MURPHEY MD
TRUSTEE	1.0	X	0	297404	32461
ANGEL W HERNANDEZ-MULERO MD
TRUSTEE	1.0	X	0	512850	35949
WILLIAM H CRAIG
VP, CLINICAL SUPPORT	40.0		107988	0	2853	X
NANCY C CYCHOL
PRESIDENT	40.0		615305	0	26678	X
STANLEY E DAVIS
VP, SUPPORT SERVICES	40.0		215130	0	26385	X
RICHARD P GOODE
CHIEF FINANCIAL OFFICER	20.0		272138	283246	30985	X
CARA MARTZ
SECRETARY	1.0		0	95216	7326	X
RICK W MERRILL
CHIEF EXECUTIVE OFFICER	11.0		344839	886728	156115	X
GEORGE B MONTAGUE
VP, REAL ESTATE	2.0		0	278703	26894	X
PAULA J WEBB
VP, NURSING	40.0		264613	0	20452	X
TERESA J CLARK
AVP-NURSING	40.0		182567	0	14427	X
JANELL P MASON-BRISCOE
VP-SPECIALTY SERVICES	38.0		167751	0	11196	X
ERIC PRESSON
VP-CLINICAL/FAMILY SUPPORT SVC	40.0		40278	0	3072	X
KEVIN L DAHLE
PHARMACIST	40.0		183209	0	24727		X
EDWIN VIRGIL EASON
PHARMACY SYSTEMS SPECIALIST	40.0		170692	0	24920		X
MIKE SMITH
PHARMACIST	40.0		183627	0	19606		X
DONALD K FAISON
DIRECTOR-NURSING ADMIN	40.0		168776	0	20302		X
MARY L HICKS
PHARMACIST	40.0		167916	0	17075		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3084829	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2997398	TotalReportableCompFrmRltdOrgs
Total Other Compensation	544280	TotalOtherCompensation
Number Individuals GT100 K	186	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 ST STE 1801	FORT WORTH	TX	76102	CONST. CONTRACTOR	89954150
FKP ARCHITECTS INC
8 GREENWAY PLAZE 300	HOUSTON	TX	77046	CONST. ARCHITECTS	4580969
PRO ACTION FIRE ALARM INC
1933 SILVER CREEK ROAD	AZLE	TX	76020	PROFESSIONAL SERVICE	1401370
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001 DEPT 0733	DALLAS	TX	75312	CONTR SERVICES/R&M	1319128
NATIONAL MARROW DONOR PROGRAM
NW 8428 PO BOX 1450	MINNEAPOLIS	MN	55485	REFERAL LAB	1112709

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	64	NumberOfContractorsGT100K
Related Organizations	4598757	RelatedOrganizations
Government Grants	288649	GovernmentGrants
All Other Contributions	900642	AllOtherContributions
Total Contributions	5788048	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	621110	603633096	603633096
OTHER OPERATING REVENUE	621110	28623729	28623729
JOINT VENTURE REVENUE	621110	13938929	13938929
LAB REFERRALS	621500	37046		37046

Field	Value	IRS element (for citing)
Total Program Service Revenue	646232800	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	2931782	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1661519	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1270263	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1270263	TotalRevenueColumn
Exclusion	$1,270,263	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	105446	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	26144	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	79302	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	79302	TotalRevenueColumn
Exclusion	$79,302	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	2615142	TotalRevenueColumn
Related Or Exempt Function Income	2615142	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2615142	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	655985555	TotalRevenueColumn
Related Or Exempt Function Income	648810896	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	37046	UnrelatedBusinessRevenue
Exclusion	$1,349,565	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	42788659	Total
Program Services	42788659	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	73692	Total
Program Services	73692	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	2669058	Total
Management And General	2669058	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	184501255	Total
Program Services	165408266	ProgramServices
Management And General	19092989	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	49364473	Total
Program Services	44332100	ProgramServices
Management And General	5032373	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	75316675	Total
Program Services	2569627	ProgramServices
Management And General	72747048	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	121411	Total
Management And General	121411	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	19200833	Total
Program Services	13214172	ProgramServices
Management And General	5986661	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	59845	Total
Program Services	49046	ProgramServices
Management And General	10799	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	61724044	Total
Program Services	60096652	ProgramServices
Management And General	1627392	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	4798107	Total
Program Services	3752268	ProgramServices
Management And General	1045839	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1015337	Total
Program Services	821503	ProgramServices
Management And General	193834	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	463914	Total
Program Services	343335	ProgramServices
Management And General	120579	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6244610	Total
Program Services	6244610	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23556593	Total
Program Services	16866520	ProgramServices
Management And General	6690073	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2746500	Total
Program Services	2746500	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIAN REMUNERATION	8950056	7765974	1184082
BAD DEBT EXPENSE	17920430	17920430	0
MINOR EQUIPMENT	8645179	2456767	6188412
REPAIRS & MAINTENANCE	3693603	1906618	1786985
FOOD/LINENS	3522735	3236964	285771

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7477286	Total
Program Services	4436916	ProgramServices
Management And General	3040370	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	524854295	Total
Program Services	397030619	ProgramServices
Management And General	127823676	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8887	BOY
EOY	10832	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	112756159	BOY
EOY	170399587	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	52427080	BOY
EOY	59005895	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4840500	BOY
EOY	4666661	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	594316890	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	186169847	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	290360263	BOY
EOY	408147043	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	277460608	BOY
EOY	48874181	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	15731724	BOY
EOY	18019252	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	761990272	BOY
EOY	717528502	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	60258395	BOY
EOY	81960202	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	590	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	310673876	BOY
EOY	307668911	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	33100793	BOY
EOY	25003645	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	404033064	BOY
EOY	414633348	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	357957208	BOY
EOY	302895154	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	357957208	BOY
EOY	302895154	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	761990272	BOY
EOY	717528502	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	131131260	ReconcilationRevenueExpenses
Reconcilation Other Changes	-186193314	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	80357260	BeginningOfYearBalance
Contributions	18935	Contributions
Investment Earnings Or Losses	2595270	InvestmentEarningsOrLosses
Other Expenditures	433103	OtherExpenditures
End Of Year Balance	82538362	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.54000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.46000	PermanentEndowmentEOYBalance
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	245824436	OtherCostOrOtherBasis
Depreciation	103200356	Depreciation
Book Value	142624080	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4497023	OtherCostOrOtherBasis
Depreciation	1924177	Depreciation
Book Value	2572846	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	111700345	OtherCostOrOtherBasis
Depreciation	76768252	Depreciation
Book Value	34932093	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	221060512	OtherCostOrOtherBasis
Depreciation	4277062	Depreciation
Book Value	216783450	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	408147043	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
EST. PAYABLE (THIRD PARTY)	$22,986,369
DUE TO AFFILIATES	$2,017,276

Field	Value	IRS element (for citing)
Total Of Amounts	25003645	TotalOfAmounts
Total Revenue	655985555	TotalRevenue
Total Expenses	524854295	TotalExpenses
Excess Or Deficit For Year	131131260	ExcessOrDeficitForYear
Other	$10,345,206	OtherAmount
Total Adjustments	10345206	TotalAdjustments
Excess Or Deficit Per FS	141476466	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	697196432	TotRevenueEtcAuditedFinclStmt
Other Revenues	41363949	OtherRevenues
Revenue Not Rptd F990	41363949	RevenueNotRptdF990
Revenue Subtotal	655832483	RevenueSubtotal
Other Revenues Not Included	153072	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	153072	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	655985555	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	555719966	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	30865671	OtherExpensesIncluded
Expenses Not Rptd F990	30865671	ExpensesNotRptdF990
Expenses Subtotal	524854295	ExpensesSubtotal
Total Expenses Per Form990	524854295	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE D, PART XI, LINE 8	OTHER CHANGE	INTEREST RATE SWAP ADJUSTMENT ($1,793,056) CONTR. FROM HF RECORDED TO NET ASSETS ($ 138,843) CONTR. FROM HS RECORDED TO NET ASSETS ($ 14,229) MINORITY INTEREST $12,291,334 ----------- TOTAL $10,345,206
SCHEDULE D, PART XII, LINE 2D	OTHER CHANGE	JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $41,606,076 INTEREST RATE SWAP ADJUSTMENT ($ 1,793,056) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 31,290) GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP) ($ 79,300) Rental Expense $ 1,661,519 ------------- TOTAL OTHER CHANGE $ 41,363,949
SCHEDULE D, PART XII, LINE 4B	OTHER CHANGE	CONTRIBUTION FROM HS RECORDED TO NET ASSETS $ 138,843 CONTRIBUTION FROM HF RECORDED TO NET ASSETS $ 14,229 ------------- TOTAL OTHER CHANGE $ 153,072
SCHEDULE D, PART XIII, LINE 2D	OTHER CHANGE	JOINT VENTURE ACCOUNTS NOT INCLUDED ON 990 $41,606,076 MINORITY INTEREST ($12,291,334) NE GAIN ON SALE OF ASSET (IN AUDIT EXP) ($ 31,290) RENTAL EXPENSE $ 1,661,519 GAIN ON SALE/DISPOSAL OF ASSET (IN AUDIT EXP)($ 79,300) ------------- TOTAL OTHER CHANGE $30,865,671
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
INTENDED USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, QUESTION 4	COOK CHILDREN'S HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER COOK CHILDREN'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE AN AMOUNT THAT IS EQUAL TO A RETURN HURDLE DEFINED AS THE SPENDING RATE, INFLATION RATE AND THE MANAGEMENT COST OF THE ENDOWMENT ON AN ANNUAL BASIS WHILE ASSUMING A PRUDENT LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, COOK CHILDREN'S RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED. COOK CHILDREN'S TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACED A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. COOK CHILDREN'S HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR 5% OF THE FOUNDATION'S INVESTMENTS AVERAGE FAIR VALUE OVER THE PRIOR 5 YEARS ENDED JUNE 30 PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED. IN ESTABLISHING THIS POLICY, COOK CHILDREN'S CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, COOK CHILDREN'S EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT THE RETURN HURDLE. THIS IS CONSISTENT WITH COOK CHILDREN'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.

Schedule 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	2414460	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2414460	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	274987634	TotalCommunityBenefitExpense
Direct Offsetting Revenue	255531254	DirectOffsettingRevenue
Net Community Benefit Expense	19456380	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	277402094	TotalCommunityBenefitExpense
Direct Offsetting Revenue	255531254	DirectOffsettingRevenue
Net Community Benefit Expense	21870840	NetCommunityBenefitExpense
Percent Of Total Expense	0.04080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2905016	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6222	DirectOffsettingRevenue
Net Community Benefit Expense	2898794	NetCommunityBenefitExpense
Percent Of Total Expense	0.00540	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	295312	TotalCommunityBenefitExpense
Direct Offsetting Revenue	115147	DirectOffsettingRevenue
Net Community Benefit Expense	180165	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	823934	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	823934	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43069548	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	43069548	NetCommunityBenefitExpense
Percent Of Total Expense	0.08040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47093810	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121369	DirectOffsettingRevenue
Net Community Benefit Expense	46972441	NetCommunityBenefitExpense
Percent Of Total Expense	0.08760	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	324495904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	255652623	DirectOffsettingRevenue
Net Community Benefit Expense	68843281	NetCommunityBenefitExpense
Percent Of Total Expense	0.12840	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
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	8071	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8071	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	47402	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	47402	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	129480	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	129480	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1114	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1114	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	206067	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	206067	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$8,277,880	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	2346591	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4243327	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1896736	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
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
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
COOK CHILDREN'S MEDICAL CENTER
1
COOK CHILDREN'S NORTHEAST HOSPITAL
2

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 SUITE 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 (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	COOK CHILDREN'S USES FPG TO DETERMINE ELIGIBILITY 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 $17,920,430 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. Bad debt expense at cost was calculated using an overall cost to charge ratio calculated by the hospital's cost accounting system. We are unable to calculate an accurate estimate for this category. 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 10 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.
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 2010, the population of the Six-County Area was reported to be 2,820,112, 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 2010, 2,517 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. Other Markets: As a result of aggressive and targeted marketing, new volume comes from Other Markets outside the Referral Markets (OUTSIDE OF THE TRADITIONAL 132-COUNTIES AND INCLUDES OUT OF STATE PATIENTS). Some larger markets with tertiary, commercial referral potential (Houston, San Antonio, etc.) are marketed for referral volume, particularly quaternary care. Patient volume from these areas is significantly smaller than from the Six-County Area and Referral Markets due to the presence of other children's hospitals. The hospitals that serve the pediatric population and compete with the Medical Center for market share differ for each of the markets.
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: MORE THAN 24 COOK CHILDREN'S EMPLOYEES PARTICIPATE AT A NEARBY ELEMENTARY SCHOOL AS MENTORS THROUGH THE JUNIOR ACHIEVEMENT PROGRAM. THESE EMPLOYEES SPENT 120 HOURS DURING WORK TIME TEACHING CLASSES TO HELP INSPIRE THE STUDENTS TO "DREAM BIG AND REACH THEIR POTENTIAL. THE EXPERIENTIAL PROGRAM DEVELOPS AND STRENGTHENS THE YOUTHS' ASSETS AS THE STUDENTS LEARN KEY CONCEPTS RELATED TO WORK READINESS, ENTREPRENEURSHIP, AND FINANCIAL LITERACY. 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. THE CURRENT VICE-CHAIR OF THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES NEEDS COUNCIL OF TARRANT COUNTY IS A DIRECTOR OF PSYCHIATRIC SERVICES AT COOK CHILDREN'S. 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
FACILITY INFORMATION	THE ORGANIZATION HAS ELECTED NOT TO COMPLETE THE OPTIONAL SCHEDULE H, PART V, SECTION B FOR THE 2010 TAX YEAR FORM 990.	SCHEDULE H, PART V, SECTION B

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVENUE	FORT WORTH	TX	76104	752485366	501(C)(3)	42661100	subsidize operations
AMERICAN HEART ASSOCIATION
2630 W FREEWAY 250	FORT WORTH	TX	76104	135613797	501(C)(3)	70000	SPONSOR
CAREITY FOUNDATION
PO BOX 126038	FORT WORTH	TX	76126	061704800	501(C)(3)	15000	SPONSOR
ARTS COUNCIL OF NE- ARTS LEAGUE
2819 R D HURT PKY	BEDFORD	TX	76126	751586473	501(C)(3)	7000	SPONSOR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
MEDICATIONS	216	31053
TRANSPORTATION	343	16505
RENT/MORTGAGE	22	12356
UTILITIES	14	5386
OTHER	66	6352
MEAL TICKETS	103	2040

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	true	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 (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY C CYCHOL
359887	0	151549	0	103869	0	18375	0	8303	0	641983	0	0	0
STANLEY E DAVIS
165450	0	47936	0	1744	0	8955	0	17430	0	241515	0	0	0
RICHARD P GOODE
170675	177643	54258	56473	47205	49130	6464	6729	8718	9074	287320	299049	0	0
RICK W MERRILL
186794	480325	106301	273346	51744	133057	39704	102096	4008	10307	388551	999131	36960	95040
GEORGE B MONTAGUE
0	202686	0	57069	0	18948	0	15313	0	11581	0	305597	0	0
PAULA J WEBB
207686	0	53802	0	3125	0	12513	0	7939	0	285065	0	0	0
TERESA J CLARK
151109	0	21291	0	10167	0	8451	0	5976	0	196994	0	0	0
KEVIN L DAHLE
172098	0	0	0	11111	0	10681	0	14046	0	207936	0	0	0
EDWIN VIRGIL EASON
150345	0	0	0	20347	0	11158	0	13762	0	195612	0	0	0
MIKE SMITH
163768	0	0	0	19859	0	12408	0	7198	0	203233	0	0	0
GRETCHEN EAMES MD
0	295000	0	0	0	1710	0	12156	0	0	0	308866	0	0
JOANN M SANDERS MD
0	283921	0	59286	0	3334	0	18375	0	12326	0	377242	0	0
DONALD K MURPHEY MD
0	275504	0	20000	0	1900	0	18375	0	14086	0	329865	0	0
ANGEL W HERNANDEZ-MULERO MD
0	495632	0	0	0	17218	0	15313	0	20636	0	548799	0	0
JANELL P MASON-BRISCOE
166210	0	0	0	1541	0	6679	0	4517	0	178947	0	0	0
DONALD K FAISON
133898	0	18333	0	16545	0	12812	0	7490	0	189078	0	0	0
MARY L HICKS
166167	0	0	0	1749	0	12136	0	4939	0	184991	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 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 2010.
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 AFOREMENTIONED COMPANIES. AS A RESULT, THEIR SALARIES ARE ALLOCATED PRO-RATA, BASED ON THE AMOUNT OF TIME THEY SPEND WITH EACH COMPANY.
SEVERANCE PAYMENTS RECEIVED FROM ORGANIZATION	SCHEDULE J PART I QUESTION 4A	WILLIAM H. CRAIG RECEIVED A SEVERANCE PAYMENT OF $94,640 DURING CALENDAR YEAR 2010.

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 CORP
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 CORP
751881060	875906NY1	2010-02-04	231948097	DEVELOPMENT, CONSTR, EQUIP COST	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
52156976	50833752	672932	650292	0	0	2007	true	false	true	true
17523594	17116642	229475	177477	0	0	2007	false	true	true	true
232664094	0	2691188	0	187884787	42088119	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	0.00000	0.00000	true
false	false	false	false	false	0.00000	0.00000	true
false	true	false	false	true	0.00260	0.00260	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	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	true	false	false	false	false

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 corporation; c. Approve any merger, acquisition, liquidation, winding up, termination or consolidation of the corporation; d. Approve the persons who are to be elected by the corporation to fill any vacancies on the board of trustees; e. Approve the sale, gift, or other disposition of all or substantially all of the property of the corporation; f. Approve the creation of, or investment in, any subsidiary entity; and g. Approve the removal of a member of the board of trustees.
REVIEW PROCESS FOR FORM 990	FORM 990 PART VI, QUESTION 11	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 FORMS ARE PREPARED, THEY ARE REVIEWED BY COMPANY EXECUTIVES AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THEY ARE PRESENTED TO THE BOARD AUDIT COMMITTEE FOR REVIEW. SUBSEQUENT TO AUDIT COMMITTEE REVIEW, THE FORMS ARE 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 committee approves compensation arrangements in advance, relying upon comparable market data relating to compensation, which is provided by Mercer & Associates (executive compensation) and Sullivan Cotter (physician compensation), both independent, nationally recognized compensation consultants. The committee documents the basis for its determinations, and requires the compensation consultants to update market data periodically, usually every two years, with interim reviews being conducted as needed. With regard to physician compensation, the 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 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.
EXEMPT PURPOSE ACHIEVEMENTS CONTINUED	990 PART III QUESTION 4A (CONT.)	With the culmination of a historic building initiative that began in 2009, the medical center is now licensed for 429 beds, making it one of the largest children's hospitals in the country. The 530,000 square foot expansion includes a conversion to a private layout for the hospital's 106 Neonatal Intensive Care unit rooms, 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 and classrooms, a parent business center, an indoor/outdoor playground, and 1,300 additional parking spaces. This expansion has positioned Cook Children's to continue to provide the outstanding quality of care that is the cornerstone of its market dominance, in response to the challenges of an ever-growing 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 500 physicians and dentists who provide primary, secondary, tertiary, and quaternary levels of pediatric care. Child Life staff, 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 Cook Children's Emergency Department and Urgent Care Center and the only EMS-designated pediatric trauma center in Tarrant County, Texas. More than 100,000 patients present to the Emergency Department and Urgent Care Center for treatment each year. Cook Children's Medical Center is supported by one of the nation's largest and award winning pediatric transport programs, which brings more than 2,200 children to the medical center annually, primarily for critical care. Services include ambulance, helicopter, and fixed-wing airplane transportation. During Hurricane Ike, in 2006, Cook Children's transport team helped to evacuate intensive care patients from a pediatric hospital in Corpus Christi, Texas.
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 sends out a Form 990 questionnaire/Conflict of Interest Disclosure Statement to officers, directors, trustees and key employees. 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 are provided to the 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 entities 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 ($184,662,972) AMORTIZATION OF BOND SWAP EFFECTIVENESS $ 262,714 INTEREST RATE SWAP ADJUSTMENT ($ 1,793,056) ---------------- TOTAL CHANGE IN NET ASSETS ($186,193,314)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES F. HERD, SR., MD TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARSHA HILCHER TITLE:TRUSTEE-VICE 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. PHILPOT TITLE:TRUSTEE-CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:G. DOUGLAS TATUM, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN P. BOSWELL TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES R. DUNAWAY, JR. TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GRETCHEN EAMES, MD TITLE:TRUSTEE HOURS:41
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: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:2

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
COOK CHILDREN'S PHYSICIAN NETWORK
801 SEVENTH AVE	FORT WORTH	TX	76104	752485366	PHYSICIAN SVC	TX	501(C)(3)	3	NA
WI COOK FOUNDATION
801 SEVENTH AVE	FORT WORTH	TX	76104	752056149	FUNDRAISING	TX	501(C)(3)	11D	NA
COOK CHILDREN'S HOME HEALTH
801 SEVENTH AVE	HOUSTON	TX	76104	752896983	HEALTHCARE	TX	501(C)(3)	11C	NA
COOK CHILDREN'S HEALTH CARE SYSTEM
801 SEVENTH AVE	FORT WORTH	TX	76104	752705881	HLTH CARE SUP	TX	501(C)(3)	11C	NA
COOK CHILDREN'S HEALTH PLAN
801 SEVENTH AVE	FORT WORTH	TX	76104	760585240	INSURANCE	TX	501(C)(3)	11C	NA

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	NA	RELATED	4788523	4910619	false	$0	true	0.55140
CENTER FOR PEDIATRIC SURGERY
801 SEVENTH AVE	FORT WORTH	TX	76104	470871715	ASC	TX	NA	RELATED	5774289	12683295	false	$0	false	0.50770
CPS PEDIATRICS LLC
11221 ROE AVE SUITE 320	LEAWOOD	KS	66211	470871718	ASC	TX	NA	RELATED	29936	105541	false	$0	true	0.51000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	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
COOK CHILDREN'S NORTHEAST HOSPITAL LLC
R	4252143
CENTER FOR PEDIATRIC SURGERY LTD
R	6883962