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        <ReportableCompFromOrgAmt>293824</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15967</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FADI NASRALLAH MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>810541</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15453</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAI XIAMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>1440017</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34402</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA O'HALLORANMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1503831</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15702</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MING LUMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER SIRIANNIMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>22508</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAMON KUMARMD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS HARGROVEMD</PersonNm>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>383235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44826</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOYCE HESTER</PersonNm>
        <TitleTxt>SVP/CFO (TERMED 04/2016)</TitleTxt>
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        <ReportableCompFromOrgAmt>292384</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1378382</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES GREGORY STOVALL</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>241981</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16651</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER FOWLER</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>384805</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36253</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MCCRADY MD</PersonNm>
        <TitleTxt>FORMER VP</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>156735</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>20707107</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1859467</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>625047</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>335</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DELTA LOCUM TENENS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 202940</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>2112126</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DAVID HARRISON MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4330 GILBERT AVE UNIT D</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75219</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>517585</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RICARDO VEGA DO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19225 OAKBROOK RD</AddressLine1Txt>
            <CityNm>TYLER</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75703</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>378510</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UT HEALTH CENTER AT TYLER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11937 US HWY 271</AddressLine1Txt>
            <CityNm>TYLER</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75708</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>900183</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JONATHAN W PINO MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4412 KELL W BLVD</AddressLine1Txt>
            <CityNm>WICHITA FALLS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>278738</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>18</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>62196</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>12874</AllOtherContributionsAmt>
      <TotalContributionsAmt>75070</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>127379827</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>127379827</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WELLNESS CENTER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>48000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>48000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ER COVERAGE NET CHARGE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>37428466</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37428466</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>164856293</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>296</TotalRevenueColumnAmt>
        <ExclusionAmt>296</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>3651750</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>WELLNESS SERVICE FEE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>276693</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PEDIATRIC TEACHING SERVICE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>100617</TotalRevenueColumnAmt>
        <ExclusionAmt>100617</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>14</ExclusionAmt>
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        <ExclusionAmt>4029370</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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        <TotalAmt>11852466</TotalAmt>
        <ProgramServicesAmt>10925011</ProgramServicesAmt>
        <ManagementAndGeneralAmt>927455</ManagementAndGeneralAmt>
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        <TotalAmt>2077481</TotalAmt>
        <ProgramServicesAmt>1914918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162563</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>127557573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10828931</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>12939598</ProgramServicesAmt>
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        <TotalAmt>1814593</TotalAmt>
        <ProgramServicesAmt>1154903</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>11868479</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>676</TotalAmt>
        <ManagementAndGeneralAmt>676</ManagementAndGeneralAmt>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>2714</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>262002</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>499584</ProgramServicesAmt>
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        <ProgramServicesAmt>29927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>140674</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1138020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16975</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>104983</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>80569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248746</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>2603480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84404</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <TotalAmt>3561740</TotalAmt>
        <ProgramServicesAmt>3552624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9116</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>9006364</TotalAmt>
        <ProgramServicesAmt>9006364</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INTERCOMPANY ALLOCATION</Desc>
        <TotalAmt>1441361</TotalAmt>
        <ProgramServicesAmt>1441361</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>463026</TotalAmt>
        <ProgramServicesAmt>397559</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65467</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>189943256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19399362</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>96016</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>0</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>13052970</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>985547</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>100594</BOYAmt>
        <EOYAmt>178598</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1413798</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1345564</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>378165</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1138244</BOYAmt>
        <EOYAmt>967399</EOYAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>LIABILITY FOR UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE D, PART X, LINE 2: THE AUTHORITATIVE GUIDANCE IN ACCOUNTING STANDARDS CODIFICATION TOPIC 740, INCOME TAXES, CREARES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THERSHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDENCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THE HEALTH SYSTEM HAS INTEREST IN VARIOUS TAXABLE ENTITIES WHICH MAY GIVE RISE TO U.S. TAX EXPOSURES. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2017 AND 2016.</ExplanationTxt>
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        <PersonNm>BRENDA MORRIS MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MING LUMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1756254</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4440</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9938</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13796</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1784428</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER SIRIANNIMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1529252</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4440</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11262</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11246</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1556200</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS HARGROVEMD</PersonNm>
        <TitleTxt>PHYSICIAN/FORMER VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>378570</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4665</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29262</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15564</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>428061</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>225</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAMON KUMARMD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1309562</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4440</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8612</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11246</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1333860</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOYCE HESTER</PersonNm>
        <TitleTxt>SVP/CFO (TERMED 04/2016)</TitleTxt>
        <BaseCompensationFilingOrgAmt>30317</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>142922</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>262067</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1235460</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsFilingOrgAmt>262</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1236</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>292646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1379618</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES GREGORY STOVALL</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>237967</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4014</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7598</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9053</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258632</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROGER FOWLER</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>378991</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5814</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29263</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6990</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>421058</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>3474</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FADI NASRALLAH MD</PersonNm>
        <TitleTxt>SR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>712801</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>82500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>15240</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8613</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6840</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>825994</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM MCCRADY MD</PersonNm>
        <TitleTxt>FORMER VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>54000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>102735</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156735</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>102735</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, LINE 1A: THE AMOUNT PAID FOR THE HOUSING ALLOWANCE IS INCLUDED AS TAXABLE COMPENSATION FOR WILLIAM DOOLEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, PART I, LINE 6A SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION FROM RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, PART II THE GOVERNING BOARD OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, UPON ADVICE FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS, WHO PERIODICALLY REVIEW ALL EXECUTIVE COMPENSATION, APPROVED A DEFERRED COMPENSATION PLAN THAT PROVIDES A 65% TOTAL RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTIONAND NON-COMPETITION CLAUSES THAT A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FOEREITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRULAS OF DEFERRED COMPENSATION ARE NOT INCLUDIBLE IN W-2 COMPENSATION UNTIL PAID. OTHER EMPLOYEE BENEFITS INCLUDE QUALIFIED PENSION PLANS, HEALTH, DENTAL, AND LIFE INSURANCE PLANS, DISABILITY INSURANCE, ETC. TAXABLE EXPENSES ARE INCLUDED IN THE W-2 PAID COMPENSATION SALARY AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPANTS IN 457(F) REPORTED IN W-2 --------------------------------------- STEVEN KEUER $108,005 WILLIAM MCCRADY $102,735 ROGER FOWLER $ 3,474 THOMAS HARGROVE $ 225 FAGG SANFORD NONE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SEVERANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, PART I, LINE 4A DURING CALENDAR YEAR 2016, JOYCE HESTER WAS PAID $1,198,050 AS SEVERANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOSHUA STEIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ANDRIA CARDINALLI-STEIN, DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>775076</TransactionAmt>
        <TransactionDesc>SEE SUPPLEMENTAL INFORMATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L, PART IV: WAGES OF $775,076 WERE PAID TO JOSHUA STEIN, HUSBAND OF DR. CARDINALLI-STEIN, FOR SERVICES TO TRINITY CLINIC DURING FY2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DOING BUSINESS AS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PAGE1, ITEM C, TRINITY CLINIC OPERATES UNDER THE FOLLOWING NAMES: TRINITY PATHOLOGY ASSOCIATES CHRISTUS TRINITY CLINIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 6: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, LINE 7A THE SOLE MEMBER, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. FORM 990, PART VI, LINE 7B THE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN MATTERS PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS TO REVIEW THE FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE CHRISTUS HEALTH TAX DEPARTMENT. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH THE TAX DEPARTMENT IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATIONS CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. ONCE PREPARED AND FILED, A COPY OF THE RETURN IS MADE AVAILABLE TO THE BOARD OF DIRECTORS UPON THEIR REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 12C THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. THE ORGANIZATIONS INTERNAL ACCOUNTANTS DISTRIBUTE AND REVIEW ANNUAL QUESTIONNAIRES TO IDENTIFY ANY POTENTIAL CONFLICTS OF THE BOARD MEMBERS, OFFICERS AND THE HIGHEST COMPENSATED EMPLOYEES. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS REMOVED FROM DISCUSSIONS AND CANNOT VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVIEW OF COMPENSATION OF CEO, OFFICER, OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 15A &amp; 15B THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATIONS GOVERNING BODY AND ULTIMATELY APPROVED BY CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. THE MOST RECENT REVIEW OF OFFICER COMPENSATION WAS CONDUCTED IN 2016 BY LAURA LOCKHART, CTMFHS DIRECTOR OF TOTAL REWARDS, AND CANDY LAND, CTMFHS COMPENSATION ANALYST. ALL REVIEWS ARE DOCUMENTED IN THE MARKET ADJUSTMENT FILES. THE ORGANIZATION UTILIZES MGMA NATIONAL COMPENSATION SURVEY TO DETERMINE THE COMPENSATION OF PROVIDERS (PHYSICIANS AND ADVANCED PRACTICE PROVIDERS). ON A BI-ANNUAL BASIS, THE ORGANIZATION ENGAGES AN OUTSIDE, NATIONAL PROVIDER COMPENSATION CONSULTING FIRM TO CONDUCT A FAIR MARKET VALUE ASSESSMENT OF THE TOTAL COMPENSATION OF ALL PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AVAILABILITY OF DOCUMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION FROM RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VII, LINE 1A THE GOVERNING BOARD OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, UPON ADVICE FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS, WHO PERIODICALLY REVIEW ALL EXECUTIVE COMPENSATION, APPROVED A DEFERRED COMPENSATION PLAN THAT PROVIDES A 65% TOTAL RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTIONAND NON-COMPETITION CLAUSES THAT A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FOEREITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRULAS OF DEFERRED COMPENSATION ARE NOT INCLUDIBLE IN W-2 COMPENSATION UNTIL PAID. OTHER EMPLOYEE BENEFITS INCLUDE QUALIFIED PENSION PLANS, HEALTH, DENTAL, AND LIFE INSURANCE PLANS, DISABILITY INSURANCE, ETC. TAXABLE EXPENSES ARE INCLUDED IN THE W-2 PAID COMPENSATION SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER CHANGES IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XI, LINE 9 TRANSFERS FROM AFFILIATE $50,987,863</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOTHER FRANCES HOSPITAL REGIONAL HC CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>750818167</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOTHER FRANCES HOSPITAL - JACKSONVILLE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>751976930</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS-TRINITY MOTHER FRANCES FDN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752028241</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGIONAL MEDICAL SERVICES ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752511459</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MFH REG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS TRINITY MF HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752616975</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12, TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOTHER FRANCES HOSPITAL - WINNSBORO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752771569</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALIGNED PROVIDERS OF EAST TEXAS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>465720165</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MFH REG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CSFN MISSION AND MINISTRY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4001 GRANT AVENUE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19114</ZIPCd>
        </USAddress>
        <EIN>205728802</EIN>
        <PrimaryActivitiesTxt>SPONSORSHIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>919 HIDDEN RIDGE</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75038</ZIPCd>
        </USAddress>
        <EIN>760590551</EIN>
        <PrimaryActivitiesTxt>SPT HLTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE FINANCIAL LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752728318</EIN>
        <PrimaryActivitiesTxt>DORMANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRINCARE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752161369</EIN>
        <PrimaryActivitiesTxt>RETAIL HEALTH SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTHPLAN OF TEXAS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>752636832</ZIPCd>
        </USAddress>
        <EIN>752636832</EIN>
        <PrimaryActivitiesTxt>THIRD PARTY ADMIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE REGIONAL HEALTHCARE ALLIANCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1315 DOCTORS DRIVE</AddressLine1Txt>
          <CityNm>TYLER</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75701</ZIPCd>
        </USAddress>
        <EIN>752484109</EIN>
        <PrimaryActivitiesTxt>PREFER PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CTMFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TEXAS HEALTH FACILITY INSUR CORP LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>POBOX 1109</AddressLine1Txt>
          <CityNm>BWI</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>980136025</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MFH REG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>74919</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CH WILKINSON PHYSICIAN NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>6041</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS HOPKINS HEALTH ALLIANCE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>248245</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS HOPKINS HEALTH ALLIANCE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>100997</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>109385</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GSHS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>21971</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GSHS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1983</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>904560</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1441361</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>