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        <FilingOrganizationsTotals>221049</FilingOrganizationsTotals>
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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
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        <CurrentYear>1000000</CurrentYear>
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        <CurrentYearMinus2>109914</CurrentYearMinus2>
        <CurrentYearMinus1>311106</CurrentYearMinus1>
        <CurrentYear>221049</CurrentYear>
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        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
        <Total>1000000</Total>
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      <GrassrootsCeilingAmount>1500000</GrassrootsCeilingAmount>
    </IRS990ScheduleC>
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      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART XII, LINE 2D</Identifier>
        <ReturnReference>OTHER CHANGE</ReturnReference>
        <Explanation>LOSS INCLUDED IN EXPENSE ON AUDIT $1,830,425 MANAGEMENT FEE REDUCTION $1,369,475 CCIC PREMIUM $ 207,055 -------------- $3,406,955</Explanation>
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        <SpecificServicesProvided>INVESTMENT</SpecificServicesProvided>
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      <RecipientTable>
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      <RecipientTable>
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        <PurposeOfGrant>ECONOMIC DEV.</PurposeOfGrant>
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      <RecipientTable>
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          <ZIPCode>76101</ZIPCode>
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        <EINOfRecipient>750868393</EINOfRecipient>
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        <PurposeOfGrant>PROVIDE JOBS</PurposeOfGrant>
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      <RecipientTable>
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        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
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        <Explanation>THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. IN ORDER TO BE ELIGIBLE FOR THE PRESIDENT'S SCHOLARSHIP AWARD THE APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: 1)BE A CHILD OF A FULL TIME EMPLOYEE WITH ONE YEAR FULL TIME EXPERIENCE 2)BE A FULL TIME STUDENT IN A BACCALAUREATE PROGRAM &amp; 3)PURSUING A DEGREE APPLICABLE TO THE HEALTHCARE WORKFORCE. THE SCHOLARSHIP RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE. THE SELECTION IS BASED ON ESSAYS SUBMITTED BY THE APPLICANTS, AS WELL AS GRADES. THE MINIMUM AWARD IS $5,000, $2,500 FOR REPEAT RECIPIENTS. SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE UNIVERSITIES.</Explanation>
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        <NamePerson>JAMES C CUNNINGHAM MD</NamePerson>
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        <NamePerson>RICHARD P GOODE</NamePerson>
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        <NamePerson>TIMOTHY M HANNERS</NamePerson>
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        <NamePerson>BILLY R KENNEDY</NamePerson>
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        <NamePerson>DAVID F LANCASTER</NamePerson>
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        <NamePerson>JOHN W MCNEY</NamePerson>
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        <NamePerson>RICK W MERRILL</NamePerson>
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        <NamePerson>GEORGE B MONTAGUE</NamePerson>
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        <NamePerson>FRANK J ROSSI</NamePerson>
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        <NamePerson>LARRY L TUBB</NamePerson>
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        <NamePerson>TRACY T WALLER</NamePerson>
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        <NamePerson>GREGORY K JIMERSON</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JAMES D MARSHALL</NamePerson>
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        <NamePerson>JOANN M SANDERS MD</NamePerson>
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        <NamePerson>JOSEPH GALLAGHER</NamePerson>
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        <NamePerson>RUSSELL K TOLMAN</NamePerson>
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        <NamePerson>JOHN A GRIGSON</NamePerson>
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        <BonusFilingOrg>161359</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J PART I LINE 4B</ReturnReference>
        <Explanation>RICK W. MERRILL-PARTICIPATES, BUT RECEIVED $0 PAYMENT DURING CALENDAR YEAR 2009. RUSSELL K. TOLMAN-PARTICIPATES AND RECEIVED $1,269,510 PAYMENT DURING CALENDAR YEAR 2009.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>ALLOCATION OF CEO AND CFO SALARIES</Identifier>
        <ReturnReference>SCHEDULE J PART II</ReturnReference>
        <Explanation>COOK CHILDREN'S HEALTH CARE SYSTEM IS COMPRISED OF 7 COMPANIES, INCLUDING A MEDICAL CENTER, PHYSICIAN NETWORK, HEALTH PLAN, HOME HEALTH, INDEMNITY COMPANY, FOUNDATION, 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>JOHN A. GRIGSON RECEIVED $402,522 AS A SEVERANCE PAYMENT DURING CALENDAR YEAR 2009.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACTIVITY CONTINUED</Identifier>
        <ReturnReference>FORM 990 PART III QUESTION 4A</ReturnReference>
        <Explanation>THE SYSTEM HAS 3,700 EMPLOYEES AND SERVES A PRIMARY AREA OF SIX NORTH TEXAS COUNTIES - TARRANT, JOHNSON, HOOD, PARKER, WISE, AND DENTON WITH AN ADDITIONAL 126 COUNTY REFERRAL MARKET - ENCOMPASSING 47 PERCENT OF THE STATE. CCHCS TRACES ITS ROOTS BACK TO 1918, WHEN THE FORT WORTH FREE BABY HOSPITAL WAS FOUNDED. THROUGHOUT ITS CONTINUAL CHANGE AND ROBUST GROWTH OVER THE LAST 91 YEARS, ONE THING HAS REMAINED CONSTANT - THE PROMISE OF COOK CHILDREN'S TO IMPROVE THE HEALTH OF EVERY CHILD IN ITS REGION. TO LIVE UP TO THIS PROMISE, COOK CHILDREN'S COMBINES THE ART OF CARING WITH STRONG INTERDISCIPLINARY COLLABORATION, A COMMITMENT TO EVIDENCE-BASED PRACTICE, PROVIDING LEADING CLINICAL RESEARCH, AND UTILIZING THE BEST AVAILABLE TECHNOLOGY. THE COMMITMENT AND EXPERTISE OF TRUSTEES, PHYSICIANS AND CCHCS STAFF COMBINED WITH THE SYSTEM'S VAST RESOURCES ENABLE THIS INSTITUTION TO BE RECOGNIZED AS SUSTAINABLE AND AMONG THE BEST FOR CLINICAL OUTCOMES. CCHCS RECORDS APPROXIMATELY ONE MILLION PATIENT ENCOUNTERS EACH YEAR THROUGH ITS MEDICAL CENTER, SPECIALTY CLINICS, NEIGHBORHOOD CLINICS, PHYSICIAN OFFICES, OUTPATIENT SETTINGS AND HOME CARE. IN 2009, COOK CHILDREN'S HEALTH CARE SYSTEM WAS THE ONLY EXCLUSIVELY PEDIATRIC NETWORK TO RANK AMONG THE TOP 100 MOST HIGHLY INTERGRATED HEALTHCARE NETWORKS IN THE UNITED STATES, ACCORDING TO MODERN HEALTHCARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SOLE MEMBER</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 6</ReturnReference>
        <Explanation>W.I. COOK FOUNDATION, INC., A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER ELECTION ABILITIES</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 7A</ReturnReference>
        <Explanation>AS THE SOLE-MEMBER OF THE ORGANIZATION W.I. COOK FOUNDATION HAS THE POWER TO DETERMINE THE NUMBER OF MEMBERS OF THE BOARD OF TRUSTEES AND TO ELECT THE MEMBERS OF THE BOARD OF TRUSTEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER DECISION ABILITIES</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 7B</ReturnReference>
        <Explanation>AS THE SOLE-MEMBER OF THE ORGANIZATION W.I. COOK FOUNDATION HAS THE POWER TO APPROVE REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES AND THE POWER TO APPROVE OTHER SIGNIFICANT ACTIVITY OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF THE FORM 990</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW AND APPROVAL OF COMPENSATION</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 15A &amp; 15B</ReturnReference>
        <Explanation>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 &amp; ASSOCIATES (EXECUTIVE COMPENSATION) AND SULLIVAN COTTER (PHYSICIAN COMPENSATION), 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 REGARD TO PHYSICIAN COMPENSATION, THE COMMITTEE ALSO RETAINS THE LAW FIRM OF MCDERMOTT, WILL &amp; EMERY OF CHICAGO, ILLINOIS, TO ISSUE A REASONABLENESS OPINION COVERING THE PHYSICIAN COMPENSATION PLAN FOR COOK CHILDREN'S PHYSICIAN NETWORK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS OF MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990 PART VI, QUESTION 19</ReturnReference>
        <Explanation>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. CONSOLIDATED FINANCIAL STATEMENTS ARE REPORTED ELECTRONICALLY FOR ALL COOK CHILDREN'S HEALTH CARE SYSTEM ENTITIES VIA THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") WEB SITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED COMPENSATION HOURS WORKED</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>AVG HOURS WORKED FOR RELATED ORG HOWARD M. KELFER, MD 40 KEVIN D. WYLIE, DO 40 KIMBERLY D. AARON, MD 40 MICHAEL J. DEITCHMAN, MD 40 RICK W. MERRILL 40 RICHARD P. GOODE 35 FRANK MCGEHEE, MD 40 JAMES P. MILLER, MD 40 JASON V. TERK, MD 40 M. SUZANNE WHITWORTH, MD 40 PAUL S. THORTON, MD 40 OTHER OFFICERS AND DIRECTORS LISTED IN PART VII MAY DEVOTE AN AVERAGE OF 1 TO 4 HOURS PER WEEK TO RELATED ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990 PART VI QUESTION 12C</ReturnReference>
        <Explanation>EVERY YEAR THE LEGAL DEPARTMENT SENDS OUT A FORM 990 QUESTIONNAIRE 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. ANY CORRECTIVE ACTION RELATED TO CONFLICTS OF INTEREST WOULD BE REPORTED TO THE AUDIT COMMITTEE FOR REVIEW, APPROVAL, AND MODIFICATION, AS NECESSARY.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S HEALTH PLAN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>760585240</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752485366</EIN>
        <PrimaryActivities>PHYSICIAN SVC</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WI COOK FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752051649</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752051646</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 SEVENTH AVE</AddressLine1>
          <City>FORT WORTH</City>
          <State>TX</State>
          <ZIPCode>76104</ZIPCode>
        </AddressUS>
        <EIN>752896983</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>COOK CHILDREN'S HOME HEALTH</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <AmountInvolved>210684</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <AmountInvolved>112616387</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>COOK CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1314275</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>196977</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1492578</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>501295</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COOK CHILDREN'S PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>14154932</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>