I agree. The only issue seems to be the ancillary stuff (techs/nurses being trained in Pedi, child sized "stuff", etc). Most "newer" hospitals (ours opened in 2000) do have child specific things, even though they may have to share a CT scanner with adults (shudder). However, a good question is "Where is L&D?", since you will have to go there to GET your newest patients. I've seen good and bad things about both set-ups. I think my preference is more "newness of hospital" versus built-in/stand-alone. Also, some stand-alone may not have a large enough population to have their own equipment (a helipad, for example), so kiddos might have to be transfered to a larger adult hospital to receive certain treatments (like trauma resus).