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      <Desc>CHARITY CARE PROGRAM: HENDRICK MEDICAL CENTER, IN KEEPING WITH ITS MISSION, VISION, AND VALUES AS A BAPTIST ORGANIZATION, HAS ALWAYS MAINTAINED A GENEROUS CHARITY CARE PROGRAM TO ASSURE THAT THOSE WITH THE INABILITY TO PAY HAVE ACCESS TO THE SERVICES PROVIDED BY HENDRICK. THE CHARITY POLICY IN EFFECT DURING THE PERIOD COVERED BY THIS REPORT PROVIDES THAT FAMILIES WITH INCOMES BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SERVICES, WITH NO PERSONAL FINANCIAL RESPONSIBILITY. FAMILIES WITH INCOMES ABOVE 250% OF THE FEDERAL POVERTY GUIDELINES RECEIVE CARE WITH PARTIAL FINANCIAL RESPONSIBILITY INCREASING AS THE FAMILY INCOME EXCEEDS THE FEDERAL POVERTY GUIDELINES. HENDRICK PROVIDES FINANCIAL COUNSELORS AND SOCIAL WORKERS TO HELP PATIENTS WITH HEALTHCARE NEEDS BY IDENTIFYING COMMUNITY RESOURCES AVAILABLE AND BY ASSISTING THEM IN THEIR EFFORTS TO IDENTIFY AND QUALIFY FOR GOVERNMENT-SPONSORED PROGRAMS. PROVIDING GOVERNMENT PROGRAMS BELOW COST: HENDRICK IS ALSO COMMITTED TO PARTICIPATING IN GOVERNMENT FUNDED PROGRAMS SUCH AS MEDICARE, MEDICAID, TRICARE, COUNTY INDIGENCY, ETC. THE COST OF SERVICES OFTEN EXCEEDS THE REIMBURSEMENT PROVIDED BY THESE PROGRAMS.</Desc>
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        <Desc>PROFESSIONAL HEALTH EDUCATION: HENDRICK MEDICAL CENTER HAS AFFILIATION AGREEMENTS AND PROVIDES FINANCIAL SUPPORT TO MANY PROFESSIONAL HEALTH EDUCATIONAL EFFORTS FOR THE PURPOSES OF ENHANCING THE KNOWLEDGE OF EXISTING HEALTH PROFESSIONALS AND EDUCATING NEW HEALTH PROFESSIONALS TO MEET THE INCREASING DEMAND. HENDRICK'S EFFORTS ARE FOCUSED IN AREAS OF STUDY WHERE SHORTAGES COULD POTENTIALLY LIMIT THE CAPACITY OF THE HEALTHCARE SYSTEM TO MEET THE NEEDS OF THE TEXAS MIDWEST. HENDRICK HAS PROVIDED FUNDING AND HAS ENTERED INTO EDUCATIONAL RELATED AFFILIATIONS AGREEMENTS. SOME OF WHICH ARE IDENTIFIED: 1. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SCHOOL OF PHARMACY, BSN 2ND DEGREE PROGRAM AND BSN TRADITIONAL PROGRAM. 2. PATTY HANKS SHELTON SCHOOL OF NURSING - RN, BSN, MSN AND MSN/FNP PROGRAMS. 3. CISCO JR. COLLEGE - LVN/ADN, SURGERY TECHNICIAN, PHARMACY TECHNICIAN, MEDICAL ASSISTANT AND RESPIRATORY THERAPY PROGRAMS. 4. TEXAS STATE TECHNICAL COLLEGE - ADN, EMT, TRANSCRIPTION, NURSE CLERK, NURSE AIDE AND PHLEBOTOMY PROGRAMS. 5. ABILENE CHRISTIAN UNIVERSITY - SPEECH/LANGUAGE PATHOLOGY, SOCIAL WORK, PSYCHOLOGY, EXERCISE HEALTH SCIENCE, BIBLE AND FAMILY STUDIES, BODY AND SOUL. 6. HARDIN-SIMMONS UNIV. - DOCTOR OF PHYSICAL THERAPY, SOCIAL WORK, THEOLOGY, COMMUNICATION, ATHLETIC TRAINING. 7. TEXAS STATE UNIVERSITY - RESPIRATORY THERAPY PROGRAM 8. HENDRICK SCHOOL OF RADIOGRAPHY. A STUDENT LOAN PROGRAM IS AVAILABLE FOR STUDENTS ENROLLED IN THE SCHOOL. STUDENTS CAN APPLY FOR A LOAN UP TO $6,332 FOR THE COST OF THE TUITION, BOOKS, UNIFORMS AND EXAMS. 9. ABILENE IND SCHOOL DISTRICT - HOLLAND MEDICAL HIGH SCHOOL. A TUITION REIMBURSEMENT PROGRAM IS PROVIDED FOR STUDENTS IN CRITICAL NEED POSITIONS AT HENDRICK MEDICAL CENTER UPON VERIFICATION OF STUDENT LOAN DEBT.</Desc>
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        <PersonNm>ARCHANA GHIMIRE</PersonNm>
        <TitleTxt>REGISTERED NURSE BSN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK CANADA</PersonNm>
        <TitleTxt>VICE PRESIDENT/COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE L EBERSOLE</PersonNm>
        <TitleTxt>REGISTERED NURSE BSN</TitleTxt>
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        <PersonNm>AMERICA FARRELL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <PersonNm>STALINE M REDWOOD-THOMPSON</PersonNm>
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        <PersonNm>JUDITH LAFRANCE</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
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        <PersonNm>TREVA BRODERICK</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT</TitleTxt>
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        <PersonNm>TAVE L KELLY</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT</TitleTxt>
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        <PersonNm>HEATHER RAY</PersonNm>
        <TitleTxt>CNO</TitleTxt>
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        <PersonNm>DEANNA M PALMER</PersonNm>
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        <PersonNm>DEBORAH PRESTON</PersonNm>
        <TitleTxt>MARKET DIRECTOR, PHARMACY</TitleTxt>
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        <PersonNm>MIKE HART</PersonNm>
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        <PersonNm>CHRIS FORD</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT</TitleTxt>
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        <PersonNm>COURTNEY HEAD</PersonNm>
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        <PersonNm>ANGELA WAGNER</PersonNm>
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        <PersonNm>ADAM WOOD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK HUFFINGTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM M EDWARDS</PersonNm>
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        <PersonNm>JOE MELSON</PersonNm>
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        <PersonNm>RANDY LLOYD</PersonNm>
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        <PersonNm>LEIGH BLACK</PersonNm>
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        <PersonNm>DIANE LEGGETT</PersonNm>
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        <PersonNm>CATHY ASHBY</PersonNm>
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        <PersonNm>RICHARD DARDEN</PersonNm>
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        <PersonNm>RICHARD FLORES</PersonNm>
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        <PersonNm>RON FOGLE</PersonNm>
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        <PersonNm>EVAN HARRIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT HIBBS</PersonNm>
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        <PersonNm>MATT HIGGINS</PersonNm>
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        <PersonNm>SHANNON NIX</PersonNm>
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        <PersonNm>JANET O'DELL</PersonNm>
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        <PersonNm>RICK WALDRAFF</PersonNm>
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        <PersonNm>PAUL WALDROP</PersonNm>
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          <PersonNm>ALLSCRIPTS HEALTHCARE LLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>24630 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLEN TEINERT CONSTRUCTION</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO BOX 5327</AddressLine1Txt>
            <CityNm>LUBBOCK</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79408</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SVCS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>OBHG TEXAS HOLDINGS PA</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO BOX 16717</AddressLine1Txt>
            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29606</ZIPCd>
          </USAddress>
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        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>2022787</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LOCUMTENENS HOLDINGS LLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO BOX 405547</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
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        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TEXAS HEALTHCARE LINEN LLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1349 N ARNOLD BLVD</AddressLine1Txt>
            <CityNm>ABILENE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79603</ZIPCd>
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        <ServicesDesc>LAUNDRY SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>100</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>79679</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1639151</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>64022</AllOtherContributionsAmt>
      <TotalContributionsAmt>1782852</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>751386152</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>746860772</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4525380</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>28905754</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28905754</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>10247223</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10247223</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>790539129</TotalProgramServiceRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>193627</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11199056</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <LessRentalExpensesGrp>
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      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
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      <GainOrLossGrp>
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        <OtherAmt>127489</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-7744385</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3917495</TotalRevenueColumnAmt>
        <ExclusionAmt>3917495</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1741965</TotalRevenueColumnAmt>
        <ExclusionAmt>1741965</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER MISC REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>8466900</RelatedOrExemptFuncIncomeAmt>
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      <GrantsToDomesticIndividualsGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>217635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2115824</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>36974</ProgramServicesAmt>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>937194</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>44872637</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>769291</TotalAmt>
        <ProgramServicesAmt>331553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437738</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>5776769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1619616</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>18139009</TotalAmt>
        <ProgramServicesAmt>10863383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7275626</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>11918188</TotalAmt>
        <ProgramServicesAmt>7407807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4510381</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>659042</TotalAmt>
        <ProgramServicesAmt>399097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259945</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7637576</TotalAmt>
        <ProgramServicesAmt>2179177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5458399</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>30074736</TotalAmt>
        <ProgramServicesAmt>24143915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5930821</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>340605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1210649</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>137607420</TotalAmt>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>14261854</TotalAmt>
        <ProgramServicesAmt>13466161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>795693</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY EXPENSE</Desc>
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        <ProgramServicesAmt>636626</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5071153</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT EXPENSES</Desc>
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        <ProgramServicesAmt>3282753</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>7525813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>764228</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>698866181</TotalAmt>
        <ProgramServicesAmt>565582018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133284163</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>57307851</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>13034625</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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      <TotalLiabilitiesGrp>
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      <OtherChangesInNetAssetsAmt>-838152</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1I</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1G</FormAndLineReferenceDesc>
        <ExplanationTxt>HMC's Director OF Legislative and Public Policy may contact and meet with legislators or attend legislative meetings. The amount reported in Part II-B, Question 1G represents expenses related to these meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      </CYMinus3YrEndwmtFundGrp>
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        <ContributionsAmt>256270</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>134371</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6473</OtherExpendituresAmt>
        <EndYearBalanceAmt>11856560</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.40180</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.59820</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
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        <BookValueAmt>33046850</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>201409474</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92213203</DepreciationAmt>
        <BookValueAmt>109196271</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>12059350</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7221329</DepreciationAmt>
        <BookValueAmt>4838021</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>362760629</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>238969806</DepreciationAmt>
        <BookValueAmt>123790823</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>24587611</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>24587611</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>295459576</TotalBookValueLandBuildingsAmt>
      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp />
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN TMSC</Desc>
        <BookValueAmt>7583732</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HENDRICK URGENT</Desc>
        <BookValueAmt>67480</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HMCF NET ASSETS</Desc>
        <BookValueAmt>75643729</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HMC BROWNWOOD</Desc>
        <BookValueAmt>74865751</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>SECTION 457B INVESTMENT</Desc>
        <BookValueAmt>13521687</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>SECTION 457F INVESTMENT</Desc>
        <BookValueAmt>1387798</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BOND FUNDS</Desc>
        <BookValueAmt>59782173</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HENDRICK SURGERY</Desc>
        <BookValueAmt>5495736</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HSWHDC</Desc>
        <BookValueAmt>12215594</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>FIRST NATIONAL BANK INVESTMENT</Desc>
        <BookValueAmt>154458822</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CORPORATE JOINT VENTURES</Desc>
        <BookValueAmt>2935187</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HHN</Desc>
        <BookValueAmt>-238431</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HMOB</Desc>
        <BookValueAmt>61455335</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN HMCS</Desc>
        <BookValueAmt>158333453</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>OTHER INVESTMENTS</Desc>
        <BookValueAmt>729175</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>628237221</TotalBookValueSecuritiesAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Taxable Revenue Bonds</Desc>
        <Amt>281006175</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Annuity Payable</Desc>
        <Amt>112437</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>15932853</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Pension Liability</Desc>
        <Amt>14909486</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Reserves for Self Insurance</Desc>
        <Amt>19893354</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to 3rd Party Payors</Desc>
        <Amt>3833340</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>7968086</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Finance Lease Liabilities</Desc>
        <Amt>76982</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>343732713</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>875951473</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>27372575</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>40739747</OtherRevenueAmt>
      <RevenueNotReportedAmt>68112322</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>807839151</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>929194</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>1328294</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2257488</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>810096639</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>699766197</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3178178</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3178178</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>696588019</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>929194</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>1348968</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2278162</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>698866181</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS CAPITAL PROJECTS AND OPERATIONS OF HENDRICK MEDICAL CENTER AND HENDRICK MEDICAL CENTER BROWNWOOD INCLUDING CHILDREN'S HOSPITAL, MAINTENANCE, CANCER, NURSING, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON BOOKS, NOT ON RETURN: EQUITY IN EARNINGS OF SUBSIDIARY $ 31,442,855 CHANGE IN INTEREST IN HMCF NET ASSETS 4,857,612 RE-EVALUATION OF ANNUITIES PAYABLE 1,000,000 TMSC REVENUE NOT INCLUDED 3,439,280 ----------- $ 40,739,747</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON RETURN, NOT ON BOOKS: CLASSIFICATION DIFFERENCES $ 1,348,968 CONTRIBUTIONS RECORDED TO NET ASSETS (20,674) ---------- $ 1,328,294</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON BOOKS, NOT ON RETURN: TMSC EXPENSES NOT INCLUDED $ 3,178,178</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON RETURN, NOT ON BOOKS: CLASSIFICATION DIFFERENCES $ 1,348,968</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>130344</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>4873000</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>5003344</SubtotalSpentAmt>
      <TotalSpentAmt>5003344</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>METHOD OF ACCOUNTING INVESTMENTS ARE REPORTED USING THE ACCRUAL METHOD AS USED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>250.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>35917454</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>22140678</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4523276</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00650</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>72085911</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>67464160</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4621751</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00660</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>108003365</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>89604838</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9145027</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01310</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>604187</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>410574</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>193613</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>867040</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>867040</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1471227</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>410574</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1060653</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>109474592</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>90015412</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10205680</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01460</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CoalitionBuildingGrp>
        <TotalCommunityBenefitExpnsAmt>588917</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>588917</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>483332</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>73197</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>410135</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>410402</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>410402</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>1482651</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>73197</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1409454</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>163791421</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>9827485</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>130467460</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>154158142</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-23690682</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENDRICK MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1900 PINE STREET</AddressLine1Txt>
          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79601</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HENDRICKHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>00500</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>REHABILITATION CTR</OtherDesc>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENDRICK MEDICAL CENTER SOUTH</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>6250 US HWY 83 SOUTH</AddressLine1Txt>
          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79606</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.HENDRICKHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>00500</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HENDRICK MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF COMMUNITY STAKEHOLDERS. THE INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UN-INSURED PERSONS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND THE COMMUNITY AS A WHOLE. COMMUNITY SURVEYS WERE ALSO CONDUCTED ALONG WITH MARKETING AND TREND ANALYSIS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY ARE POSTED AT THE FOLLOWING WEBSITE: WWW.HENDRICKHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>HMC'S CHNA IDENTIFIED 34 COMMUNITY NEEDS. THE IMPLEMENTATION PLAN ESTABLISHED THE FOLLOWING CATEGORIES TO ADDRESS THE NEEDS THAT FALL UNDER HMC'S PROGRAMS: 1. ACCESS TO APPROPRIATE CARE, 2. AWARENESS, PREVENTION, AND SCREENING, AND 3. CRISIS, EMERGENCY, AND BEHAVIORIAL SERVICES. HMC IS ACTIVELY WORKING TO ADDRESS THE NEEDS INCLUDED IN THE THREE CATEGORIES. THERE WERE COMMUNITY NEEDS IDENTIFIED THAT ARE OUTSIDE OF THE HMC'S CORE PURVIEW THAT ARE NOT BEING ADDRESSED DIRECTLY BY HMC. HMC WILL COLLABORATE WITH COMMUNITY AGENCIES, AS APPROPRIATE, TO ASSIST IN COORDINATION OF CARE AND EDUCATION WHEN NEEDED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINES 16A, 16B,&amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE AT THE FOLLOWING WEBSITE: https://www.hendrickhealth.org/patients-visitors/billing/financial-assista nce/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TEXAS MIDWEST SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>751 N 18TH STREET</AddressLine1Txt>
            <CityNm>ABILENE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79601</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO USING FEDERAL POVERTY GUIDELINES FOR ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, HMC USES MEDICAL INDIGENCY, INSURANCE STATUS, AND RESIDENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER USES A COMBINATION OF COST-TO-CHARGE RATIO AND COST ACCOUNTING SYSTEM FIGURES FOR CALCULATING THE COMMUNITY BENEFIT AMOUNTS REPORTED FOR EACH LINE. THE RATIO CALCULATED IN SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED FOR LINES 7A AND 7B. AN INTERNAL COST ACCOUNTING SYSTEM WAS USED FOR LINES 7F AND 7I. HENDRICK MEDICAL CENTER RECEIVED APPROXIMATELY $9.3M FOR THE TEXAS QUALITY INCENTIVE PROGRAM IN FISCAL 2023 FOR WHICH HENDRICK QUALIFIED FOR THE INCENTIVE IN PREVIOUS YEARS. HAD HENDRICK RECEIVED THE ADDITIONAL $9.3M IN THE FISCAL YEARS FOR WHICH IT QUALIFIED INSTEAD OF IN FY 2023, THE FY 2023 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE IN PART 1, LINE 7K, COLUMN (F) WOULD HAVE BEEN 2.88%. COMBINING THE ABOVE 2.88% WITH THE MEDICARE SHORTFALL IN PART III, SECTION B., LINE 7, THE TOTAL COMMUNITY BENEFITS AT COST AS A PERCENTAGE OF TOTAL EXPENSE FOR PART 1, LINE 7K, COLUMN (F) WOULD BE 6.38% FOR FY 2023. HENDRICK TREATS THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS IS ESTIMATED AT 6%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN FASB ASC 606-10-50-14(A) AND, THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT IS LOCATED ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENT REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $23,690,682. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE ORGANIZATION, NOR THIRD PARTIES AUTHORIZED BY THE ORGANIZATION, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER (HENDRICK) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN JANUARY THROUGH JUNE OF 2021, WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP. THE ASSESSMENT DETERMINED THE MOST PRESSING HEALTH NEEDS OF TAYLOR, JONES AND CALLAHAN COUNTIES. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE TAKEN AS PART OF HENDRICK'S CHNA: - THE COMMUNITY SERVED WAS DEFINED UTILIZING INPATIENT DATA REGARDING PATIENT ORIGIN. - POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. - HEALTH STATUS OF THE COMMUNITY WAS REVIEWED. - AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. - COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF COMMUNITY STAKEHOLDERS. THE INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UN-INSURED PERSONS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND THE COMMUNITY AS A WHOLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON HENDRICK'S WEBSITE, SIGNS AND BROCHURES ARE AT EVERY REGISTRATION POINT, PRE-ADMIT LETTERS ARE SENT TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION, AND APPLICATIONS ARE GIVEN TO EVERY UNINSURED TRAUMA CENTER PATIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK IS ACTIVELY DELIVERING CARE FOR A 24 COUNTY SERVICE AREA WITH A BROAD RANGE OF DEMOGRAPHICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BUILDING ACTIVITIES ARE USED TO POSITIVELY IMPACT THE COMMUNITY AND EDUCATE THE COMMUNITY ON HEALTH TOPICS. THESE ARE DESIGNED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER IS PART OF AN ORGANIZATION OF AFFILIATED COMPANIES THAT PROVIDE MEDICAL AND OTHER HEALTH CARE RELATED SERVICES TO TAYLOR COUNTY AND SURROUNDING COUNTY SERVICE AREAS. THE PRIMARY BUSINESS AREAS ARE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, SUB-ACUTE CARE, INPATIENT AND OUTPATIENT REHABILITATION, LONG-TERM CARE, NURSING HOME CARE, HOME HEALTH CARE, HOSPICE CARE, MEDICAL OFFICE BUILDING LEASING, DURABLE MEDICAL EQUIPMENT SALES AND LEASING, PHYSICIAN PRACTICES AND A REGIONAL HEALTH MAINTENANCE ORGANIZATION. AFFILIATES INCLUDE HENDRICK MEDICAL CENTER FOUNDATION, HENDRICK PROVIDER NETWORK, HENDRICK MEDICAL OFFICE BUILDINGS, LLC, HENDRICK ANESTHESIA NETWORK, HENDRICK HOSPICE CARE, HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION, HENDRICK HEALTH NETWORK, HENDRICK SURGERY CENTER, HMC HOSPICE PROPERTIES AND HENDRICK MEDICAL CENTER BROWNWOOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK'S COMMUNITY BUILDING ACTIVITIES SERVE TO HELP MEMBERS OF THE COMMUNITY IDENTIFY WAYS TO SELF-MANAGE ILLNESS AND IDENTIFY EARLY SIGNS OF HIGH HEALTH-RISK. HENDRICK'S COMMUNITY IS BETTER PREPARED FOR MASS CASUALTY INCIDENTS. SURROUNDING COUNTIES' MEDICAL COMMUNITY WORK IN TANDEM WITH HENDRICK IN SERVING THE HEALTH NEEDS OF THEIR INDIVIDUAL COUNTY RESIDENTS. HENDRICK'S PIPELINE FOR HEALTHCARE WORKERS IS ENHANCED.</ExplanationTxt>
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          <BusinessNameLine1Txt>PATTY HANKS SCHOOL OF NURSING</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2149 HICKORY STREET</AddressLine1Txt>
          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79601</ZIPCd>
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        <RecipientEIN>202173923</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <NonCashAssistanceDesc>MONTHLY RENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SUPPORT NURSING EDUCATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>PRESBYTERIAN MEDICAL CARE MISSION</BusinessNameLine1Txt>
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          <CityNm>ABILENE</CityNm>
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          <CityNm>ABILINE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79601</ZIPCd>
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        <RecipientEIN>751910600</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SUPP HEALTH CLINIC</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79601</ZIPCd>
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        <RecipientEIN>756000440</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
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      <Total501c3OrgCnt>3</Total501c3OrgCnt>
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        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>ASSISTANT VICE PRESIDENT</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32591</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>298998</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEANNA M PALMER</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>269808</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DEBORAH PRESTON</PersonNm>
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        <BaseCompensationFilingOrgAmt>192465</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>25248</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251516</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA WAGNER</PersonNm>
        <TitleTxt>SR. DIRECTOR CARDIOLOGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>184222</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2010</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>5225</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>227635</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NORM ARCHIBALD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>340855</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12374</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353229</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN 457(F) REPORTED IN W-2 DEF. COMPENSATION PAID BY ---------------------- --------------- ----------------- ------- SUSAN WADE 25,224 27,572 HMC WILLIAM M. EDWARDS NONE 1,032 HMC JEREMY WALKER 34,781 40,666 HMC BRIAN BESSENT 18,746 24,646 HMC BRAD HOLLAND 129,526 164,012 HMC ADAM WOOD 7,198 9,566 HMC COURTNEY HEAD 7,553 10,057 HMC HEATHER RAY 10,174 12,271 HMC JUDITH LAFRANCE 8,442 12,261 HMC KIRK CANADA 8,030 16,211 HMC MARK HUFFINGTON 7,244 9,621 HMC MIKE HART NONE 7,040 HMC RONALD DAVID EVANS 20,180 27,193 HMC SUSAN GREENWOOD 15,585 26,404 HMC TAVE KELLY 8,926 11,930 HMC CHRIS FORD 1,458 10,396 HMC ROB WILEY 20,231 44,976 HMC DAVID STEPHENSON 13,051 16,592 HPN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE A SEVERANCE PAYMENT TO MIKE HART DURING THE YEAR FOR $150,344.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>043833551</BondIssuerEIN>
        <CUSIPNum>87638QJX8</CUSIPNum>
        <BondIssuedDt>2013-12-05</BondIssuedDt>
        <IssuePriceAmt>64002831</IssuePriceAmt>
        <PurposeDesc>REFUND 2009C AND FINANCE CONSTRUCT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>043833551</BondIssuerEIN>
        <CUSIPNum>87638QLA5</CUSIPNum>
        <BondIssuedDt>2015-01-13</BondIssuedDt>
        <IssuePriceAmt>16233299</IssuePriceAmt>
        <PurposeDesc>REFUND 2009B BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>60167768</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>64002831</TotalProceedsAmt>
        <InReserveFundAmt>878504</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1129201</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>35052877</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>23373030</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>2292575</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>16233299</TotalProceedsAmt>
        <InReserveFundAmt>1631987</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>326563</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>14283406</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2011</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS PLANS TO ESTABLISH WRITTEN PROCEDURES FOR THIS QUESTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY ARTICLE 1, SECTION 4 OF THE BYLAWS PROVIDES, IN PART, THAT THE BAPTIST GENERAL CONVENTION OF TEXAS APPOINTS AT LEAST 75% OF THE MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS ARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT OF ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW THE FORM 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND ADMINISTRATIVE MANAGEMENT. THE FORM IS THEN POSTED ON A GOVERNANCE PORTAL FOR THE BOARD TO ACCESS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO ALL TRUSTEES OF THE BOARD AND TO THE EXECUTIVE EMPLOYEES. THE QUESTIONNAIRES ARE REVIEWED BY OUR OUTSIDE AUDITORS PRIOR TO THE ANNUAL AUDIT AND BY THE ORGANIZATION'S DIRECTOR OF COMPLIANCE TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS UNDER THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THE REVIEW WAS CONDUCTED IN FALL OF 2023 BY GALLAGHER BENEFIT SERVICES, INC. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKS WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH SYSTEM'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT-FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE. THE HENDRICK HEALTH SYSTEM PERSONNEL COMMITTEE IS DELEGATED THE RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT AND CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT AND CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: TRANSFERS BETWEEN AFFILIATES $ (53,918,704) CHANGE IN UNRESTRICTED HMCF NET ASSETS 4,857,614 CHANGE IN UNRESTRICTED HMOB NET ASSETS 2,399,367 CHANGE IN INTEREST OF TMSC NET ASSETS 6,527,226 CHANGE IN INTEREST OF HMCF NET ASSETS 6,853,490 EQUITY EARNINGS IN SUBSIDIARIES 31,442,855 RE-EVALUATION OF ANNUITIES PAYABLE 1,000,000 ------------ $ (838,152)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HMC HAS CONTRACTS FOR THIRD PARTIES TO MANAGE THE FOLLOWING: URGENT CARE CLINIC IS MANAGED BY PREMIER HEALTH CONSULTANTS, WHICH IS PAID THROUGH THE CLINICS' OPERATING EXPENSES. ICU OPERATIONS ARE MANAGED BY PITTSBURGH CRITICAL CARE ASSOCIATES INC, WHICH IS PAID $2,439,808 FOR SERVICES. EMERGENCY DEPARTMENT IS MANAGED BY QUANTUM PLUS, LLC &amp; TEXAS MIDWEST EMERGENCY PHYSICIANS, P.A., WHICH IS PAID $323,862 FOR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR - NURSING TOTAL FEES:17112372</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR - OTHER TOTAL FEES:2030836</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR - INT'L TRAVEL TOTAL FEES:21754715</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTACT LABOR - THERAPY TOTAL FEES:21271</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTACT LABOR - PHARMACISTS TOTAL FEES:70718</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SVC - MEDICAL TOTAL FEES:8635061</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SVC - LAB/DIAG TOTAL FEES:3519796</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SVC - COLLECTIONS TOTAL FEES:2263871</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SCV - CONSULTING TOTAL FEES:16620</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SVC - AFFILIATES TOTAL FEES:2579435</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCH SVC - LAUNDRY/LINEN TOTAL FEES:2099488</ExplanationTxt>
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      <SupplementalInformationDetail>
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        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>97719</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART I &amp; III</FormAndLineReferenceDesc>
        <ExplanationTxt>HMC OWNED A PARTNERSHIP INTEREST IN TEXAS MIDWEST SURGERY CENTER, LLC (TMSC) 07/01/2022 TO 12/31/2022, AS REPORTED IN SCH R, PART III. TMSC BECAME A WHOLLY OWNED LLC DISREGARDED FOR FEDERAL TAX PURPOSES AS OF 01/01/2023, AS REPORTED IN SCH R, PART I.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
