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        <State>TX</State>
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      <Description>See Schedule OScott &amp; White provides personalized, comprehensive, high quality health care services enhanced by medical education and research through 13 acute care hospital facilities, one additional announced facility, a 215,000+ member regional health plan serving residents in a 29,000-square mile service area, and one of the nation's largest multi-specialty group practices with more than 140 clinics at over 70 clinic locations providing care in 46 medical specialties. Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547) is parent corporation of the Scott &amp; White Healthcare System (the "System"). The Scott &amp; White Healthcare Foundation ("SWF")(EIN: 27-3513154), a subsidiary of SWHC, raises funds for the priority programs and services of the entire Scott &amp; White System. The Scott &amp; White Healthcare System had more than 14,000 employees, including over 1,200 physicians and scientists and 300+ advanced practice professionals during the fiscal year ending August 31, 2013, and served over 537,000 patients accounting for 2.5 million patient visits. Scott &amp; White Memorial Hospital ("SWMH"), located in Temple, Texas, is the flagship hospital of the Scott &amp; White Healthcare System and is the only Level I Trauma Center between Dallas and Austin, Texas. The McLane Children's Hospital Scott &amp; White is the only stand-alone children's hospital between Dallas and Austin, Texas. Scott &amp; White Hospital Round Rock ("SWRR") was at 63 percent occupancy, with 20,256 patient observation days (excluding newborns), 5,501 surgical cases, 4,925 admissions and 22,740 emergency room visits for the fiscal year ending August 31, 2013. SWRR completed a 58,000 square-foot expansion in April of 2012 which added 26 hospital beds, which are a combination of ICU and general medical surgical beds, four new operating rooms (increasing to a total of nine), an endoscopy suite (resulting in a total of three suites), and eight additional Emergency Department beds to increase from 11 to 19. Scott &amp; White Hospital Round Rock reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $42,506,927. All hospitals in the Scott &amp; White Healthcare System reported combined community benefits under this same methodology of $223,575,612.</Description>
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        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
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        <OtherCompensation>51101</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dudley P Baker MD</NamePerson>
        <Title>Former Officer</Title>
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        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>294029</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48074</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Judith A Dolce</NamePerson>
        <Title>Former Chief Nursing Officer</Title>
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        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>127402</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20709</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Peter S Brumleve</NamePerson>
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        <AverageHoursPerWeekRelated>40.00</AverageHoursPerWeekRelated>
        <Former>X</Former>
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        <ReportableCompFromRelatedOrgs>199976</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14740</OtherCompensation>
      </Form990PartVIISectionA>
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      <TotalReportableCompFrmRltdOrgs>9216164</TotalReportableCompFrmRltdOrgs>
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      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
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      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Scott &amp; White Healthcare</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2401 S 31st Street</AddressLine1>
            <City>Temple</City>
            <State>TX</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Corporate Services</DescriptionOfServices>
        <Compensation>5236002</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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            <State>TX</State>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Scott &amp; White Memorial Hospital</BusinessNameLine1>
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          <AddressUS>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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        </AddressOfContractor>
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        <RelatedOrExemptFunctionIncome>141917103</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
        <Description>Other</Description>
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        <ExclusionAmount>184</ExclusionAmount>
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      <TotalRevenue>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
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        <ProgramServices>5060742</ProgramServices>
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      <CompCurrentOfficersDirectors>
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      <OtherEmployeeBenefits>
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        <ManagementAndGeneral>872</ManagementAndGeneral>
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      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>14665</ManagementAndGeneral>
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        <ManagementAndGeneral>1035</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>384549</ProgramServices>
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        <ProgramServices>9120791</ProgramServices>
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        <Description>Medical Supplies</Description>
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        <ProgramServices>29256752</ProgramServices>
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      <OtherExpenses>
        <Description>Dues &amp; Publications</Description>
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        <ProgramServices>196361</ProgramServices>
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      <OtherExpenses>
        <Description>Outreach</Description>
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        <ProgramServices>76720</ProgramServices>
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      <OtherExpenses>
        <Description>Gift Shop</Description>
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        <ProgramServices>56771</ProgramServices>
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      <AllOtherExpenses>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>18529448</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>224078</EOY>
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      <TotalLiabilities>
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        <EOY>93173324</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalNetAssetsFundBalances>
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        <EOY>46874194</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>140047518</EOY>
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      <ReconcilationRevenueExpenses>9734347</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-540922</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
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    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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    </IRS990ScheduleA>
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      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>7006</TotalLobbyingExpendituresIIB>
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      <Form990ScheduleCPartIV>
        <Identifier>Part IV, Supplemental Information:</Identifier>
        <Explanation>Part II-B, Line 1(f): Scott &amp; White Hospital Round Rock ("SWRR") maintains membership in the American Hospital Association and the Texas Hospital Association. A percentage of the dues paid to these organizations are attributed to lobbying activities and are reported as grants to other organizations for lobbying purposes.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <BookValue>144503</BookValue>
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      <OtherLiabilities>
        <Description>Due to Related Organization</Description>
        <Amount>91715275</Amount>
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      <TotalOfAmounts>91715275</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>Fin 48 (ASC 740) Footnote: Scott &amp; White evaluates its income tax positions in accordance with ASC 740, Income Taxes, regarding accounting for uncertainty in income taxes. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There are no material uncertain income tax positions as of August 31, 2013 or 2012.</Explanation>
      </Form990ScheduleDPartXIII>
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      <Form990ScheduleHPartIV>
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        </Name>
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          <City>Round Rock</City>
          <State>TX</State>
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        </Address>
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        <Name>
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        <Address>
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          <City>Cedar Park</City>
          <State>TX</State>
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        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
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        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
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        <InsuranceStatus>X</InsuranceStatus>
        <StateRegulation>X</StateRegulation>
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        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
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        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
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        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Cedar Park Emergency Hospital</BusinessNameLine1>
        </HospitalFacilityName>
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        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>14</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Round Rock Primary Care and Specialty</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>425 University Blvd</AddressLine1>
            <City>Round Rock</City>
            <State>TX</State>
            <ZIPCode>78665</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Round Rock Specialty Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>302 University Blvd</AddressLine1>
            <City>Round Rock</City>
            <State>TX</State>
            <ZIPCode>78665</ZIPCode>
          </Address>
          <FacilityType>Specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Georgetown Clinic-Sun City</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4945 Williams Dr</AddressLine1>
            <City>Georgetown</City>
            <State>TX</State>
            <ZIPCode>78633</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Taylor Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>403 Mallard Lane</AddressLine1>
            <City>Taylor</City>
            <State>TX</State>
            <ZIPCode>76574</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cedar Park Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>900 Quest Parkway</AddressLine1>
            <City>Cedar Park</City>
            <State>TX</State>
            <ZIPCode>78613</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Round Rock West Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>16420 RR 620 Suite 104</AddressLine1>
            <City>Round Rock</City>
            <State>TX</State>
            <ZIPCode>78681</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Georgetown Central Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>603 W University</AddressLine1>
            <City>Georgetown</City>
            <State>TX</State>
            <ZIPCode>78626</ZIPCode>
          </Address>
          <FacilityType>Family medicine</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Pflugerville Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1701 Pflugerville Parkway</AddressLine1>
            <City>Pflugerville</City>
            <State>TX</State>
            <ZIPCode>78660</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Hutto Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>120 Ed Schmidt Blvd</AddressLine1>
            <City>Hutto</City>
            <State>TX</State>
            <ZIPCode>78634</ZIPCode>
          </Address>
          <FacilityType>Family medicine</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cedar Park West</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>12129 FM 620 Suite 600-E</AddressLine1>
            <City>Austin</City>
            <State>TX</State>
            <ZIPCode>78750</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Leander Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1007 S US Hwy 183</AddressLine1>
            <City>Leander</City>
            <State>TX</State>
            <ZIPCode>78641</ZIPCode>
          </Address>
          <FacilityType>General and specialty clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Round Rock South Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1800 S AW Grimes Rd</AddressLine1>
            <City>Round Rock</City>
            <State>TX</State>
            <ZIPCode>78664</ZIPCode>
          </Address>
          <FacilityType>Family medicine</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Avery Ranch Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10526 West Parmer Lane Bldg 4</AddressLine1>
            <City>Austin</City>
            <State>TX</State>
            <ZIPCode>78717</ZIPCode>
          </Address>
          <FacilityType>Family medicine</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Georgetown Sports Medicine &amp; Rehab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5353 Williams Dr Ste 100</AddressLine1>
            <City>Georgetown</City>
            <State>TX</State>
            <ZIPCode>78633</ZIPCode>
          </Address>
          <FacilityType>Physical Therapy</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 3c: Scott &amp; White provides free or discounted care to uninsured patients who are considered Financially Indigent. In order to qualify for financial assistance a patient must live within the 31 county service area of the Scott &amp; White Health Care System. To determine eligibility for free or discounted care, in addition to income and residency; net assets, other financial resources, credit report, and other relevant information are considered. The Scott &amp; White financial assistance policy also provides for exceptional circumstances in which a patient with income over 375% FPG could qualify for financial assistance if the cost exceeds two times their annual household income.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: The organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. These reports are made available through the organization's website at www.sw.org.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The costing method used for Schedule H is the cost to charge ratio, as calculated in Schedule H, Worksheet 2. This method was applied to the costs reported on lines 7a, 7b, 7c and 7g.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: Audited financial statement footnote Page 18: The presentation of the provision for bad debts as a reduction of patient service revenue is based on an entity-wide assessment of the significance of patient revenue that is recognized without assessing patients' ability to pay. As stated in the combined audited financial statements, the organization maintains allowances for uncollectible accounts for estimated losses resulting from a payers inability to make payments on accounts. The organization assesses the reasonableness of the allowance account based on the historical write-offs, cash collections, the aging of the accounts and other economic factors. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowance associated with its receivable. Bad debt does not include amounts for patients who are known to qualify under the organizations charity care policy. The amount of bad debt attributable to patient's accounts is net of contractual allowance, payments received and recoveries of bad debt previously written off. The organization has entered zero on Schedule H, Part III, Line 3; however, based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses (estimated to range from 1-5%) would be attributable to patients that would otherwise qualify for charity care. Despite all of the effort and ways the organization educates patients about qualifying for its charity care program as demonstrated in Part VI, question 3 below, many uninsured patients either refuse or fail to complete a charity care application or provide sufficient information at the time of admission, during their stay or after being discharged to qualify for assistance under the organization's charity care policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The amount reported on Part III, Section B, line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost report based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality care to these patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded as allowable cost in the cost reports. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H Worksheets) would result in a shortfall higher than the shortfall reported on Part III, Section B, Line 7. The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely continue to increase, and rest on the shoulders of, nonprofit hospitals and/or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: The Scott &amp; White Healthcare Financial Assistance Policy has as section for coordination with collection policies. It states: "not withstanding any other provision of any other policy or provision at S&amp;W regarding billing and collection matters, S&amp;W will not engage in extraordinary collection actions before it makes reasonable efforts to determine whether an individual who has an unpaid billing from S&amp;W is eligible for financial assistance under this Policy. "Reasonable efforts" includes notification to the patient by S&amp;W of this Policy upon admission or discharge and in written and oral communications with the patient regarding the patient's billings, including invoices, telephone calls, and such other communications as may be set forth in future guidance from the U.S. Department of the Treasury or Internal Revenue Service."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 3: Community input and opinions were obtained through activities initiated by the WilCo Wellness Alliance. The Alliance, formed in 2009, is a health and wellness coalition that works to build healthier communities in Williamson County through policy, systems and environmental change. Current efforts have focused primarily on decreasing obesity, diabetes, and heart disease as well as increasing healthful eating, physical activity, and smoke free environments. The Alliance has used a healthy communities' model since its inception and officially adopted the Mobilizing for Action through Planning and Partnerships (MAPP) model in 2011. There is broad representation from the community: local government, community organizations, schools, healthcare, faith-based, businesses, and residents. Currently 146 organizations and 402 individuals make up the countywide WilCo Wellness Alliance. Approximately 74 individuals participate at the leadership level on the Community Health Improvement Steering Committee.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Cedar Park Emergency Hospital</Identifier>
        <Explanation>Part V, Section B, Line 3: Community input and opinions were obtained through activities initiated by the WilCo Wellness Alliance. The Alliance, formed in 2009, is a health and wellness coalition that works to build healthier communities in Williamson County through policy, systems and environmental change. Current efforts have focused primarily on decreasing obesity, diabetes, and heart disease as well as increasing healthful eating, physical activity, and smoke free environments. The Alliance has used a healthy communities' model since its inception and officially adopted the Mobilizing for Action through Planning and Partnerships (MAPP) model in 2011. There is broad representation from the community: local government, community organizations, schools, healthcare, faith-based, businesses, and residents. Currently 146 organizations and 402 individuals make up the countywide WilCo Wellness Alliance. Approximately 74 individuals participate at the leadership level on the Community Health Improvement Steering Committee.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 4: Scott &amp; White Hospital-TaylorSeton Medical CenterSt. David's Georgetown HospitalSt. David's Round Rock Medical Center</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Cedar Park Emergency Hospital</Identifier>
        <Explanation>Part V, Section B, Line 4: Scott &amp; White Hospital-TaylorSeton Medical CenterSt. David's Georgetown HospitalSt. David's Round Rock Medical Center</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 7: Although the Hospital recognizes the importance of all needs identified by the community, the Hospital will not directly address the following focus area/needs identified in the CHNA at this time:Children with Health InsuranceProstate Cancer IncidenceLinguistic IsolationThese priorities did not meet the defined evaluation criteria:1. Severity or prevalence of the issue2. Notable health disparities in specific populations3. Feasibility of possible interventions to affect change4. Community population readiness to change5. Ability to evaluate outcomes6. Resources available to impact the needIt was also determined internally that the Hospital does not have the ability to directly affect change within these needs nor are the System resources available to influence change. It was also determined there are other community (or governmental) organizations better aligned to address this priority. One of which is the major collaborative effort, the WilCo Wellness Alliance, which the Hospital is a part of. There are numerous other community, and government organizations that are working to improve the health of the community and targeting other areas of need. One major collaborative effort, the WilCo Wellness Alliance, which Scott &amp; White Healthcare is a part of and is constantly determining new ways to address health concerns across Williamson County.The Alliance is made up of healthcare organizations like Scott &amp; White, community organizations, government agencies, local businesses, schools, and community residents. It was organized by and now managed through the Williamson County and Cities Health District (WCCHD). Approximately 30 organizations currently make up the coalition which has a vision of people living in a healthy, active and tobacco-free environment. The WilCo Wellness Alliance is currently working on the following specific community initiatives: Be Healthy! Live Well!: Empowering the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives. Exercise is Medicine: Encourages health care providers to include exercise in their treatment plans for patients. Exercise is Medicine is committed to the belief that physical activity is integral to the prevention and treatment of disease and, as such, should be routinely assessed and prescribed in all medical care. Por Vida/For Life: Encourages local restaurants to increase their offerings of healthy menu items and promotes the selection of healthier menu items by diners. Por Vida/For Life provides support to restaurant owners including nutrition education, assistance with modifying menu items, and tools for promoting healthier menu items. Worksite Wellness: Provides employers with recommendations for policy and environmental changes that will benefit the health of employees. Assistance with the implementation of change strategies is provided as needed. Heart &amp; Stroke Healthy City: Assesses cities on ten policy systems and environmental change indicators, and then recognizes them for their role in reducing cardiovascular disease and stroke among residents. Developed by the Texas Council on Cardiovascular Disease &amp; Stroke and the Cardiovascular Disease &amp; Stroke Program at Texas Department of State Health Services. Faith-Based Community Gardens: Increases community access to nutritious foods through the building of community gardens on church properties and provides education on using gardens to support a healthy diet. Get Fit, Get Healthy, Get Movin' (G3) School: Assesses current school policies and environments related to physical activity and nutrition and recommends strategies to improve these areas. An after-school nutrition and physical activity program for middle schools was also developed by this committee as a resource for this initiative. Produce in Convenience Stores: Increases access to fresh fruits and vegetables where grocery stores or other limitations are present. WilCo Walking Trails: Encourages residents to utilize existing walking trails more frequently by adding enhancements such as beautification projects and signage (i.e., health education, Fit Trails). The WilCo Wellness Alliance is utilizing the same recent community health needs assessment to form a community health improvement plan with the participating partners to ensure that resources are utilized effectively and that services are amplified instead of duplicated.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Cedar Park Emergency Hospital</Identifier>
        <Explanation>Part V, Section B, Line 7: Although the Hospital recognizes the importance of all needs identified by the community, the Hospital will not directly address the following focus area/needs identified in the CHNA at this time:Children with Health InsuranceProstate Cancer IncidenceLinguistic IsolationThese priorities did not meet the defined evaluation criteria:1. Severity or prevalence of the issue2. Notable health disparities in specific populations3. Feasibility of possible interventions to affect change4. Community population readiness to change5. Ability to evaluate outcomes6. Resources available to impact the needIt was also determined internally that the Hospital does not have the ability to directly affect change within these needs nor are the System resources available to influence change. It was also determined there are other community (or governmental) organizations better aligned to address this priority. One of which is the major collaborative effort, the WilCo Wellness Alliance, which the Hospital is a part of. There are numerous other community, and government organizations that are working to improve the health of the community and targeting other areas of need. One major collaborative effort, the WilCo Wellness Alliance, which Scott &amp; White Healthcare is a part of and is constantly determining new ways to address health concerns across Williamson County.The Alliance is made up of healthcare organizations like Scott &amp; White, community organizations, government agencies, local businesses, schools, and community residents. It was organized by and now managed through the Williamson County and Cities Health District (WCCHD). Approximately 30 organizations currently make up the coalition which has a vision of people living in a healthy, active and tobacco-free environment. The WilCo Wellness Alliance is currently working on the following specific community initiatives: Be Healthy! Live Well!: Empowering the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives. Exercise is Medicine: Encourages health care providers to include exercise in their treatment plans for patients. Exercise is Medicine is committed to the belief that physical activity is integral to the prevention and treatment of disease and, as such, should be routinely assessed and prescribed in all medical care. Por Vida/For Life: Encourages local restaurants to increase their offerings of healthy menu items and promotes the selection of healthier menu items by diners. Por Vida/For Life provides support to restaurant owners including nutrition education, assistance with modifying menu items, and tools for promoting healthier menu items. Worksite Wellness: Provides employers with recommendations for policy and environmental changes that will benefit the health of employees. Assistance with the implementation of change strategies is provided as needed. Heart &amp; Stroke Healthy City: Assesses cities on ten policy systems and environmental change indicators, and then recognizes them for their role in reducing cardiovascular disease and stroke among residents. Developed by the Texas Council on Cardiovascular Disease &amp; Stroke and the Cardiovascular Disease &amp; Stroke Program at Texas Department of State Health Services. Faith-Based Community Gardens: Increases community access to nutritious foods through the building of community gardens on church properties and provides education on using gardens to support a healthy diet. Get Fit, Get Healthy, Get Movin' (G3) School: Assesses current school policies and environments related to physical activity and nutrition and recommends strategies to improve these areas. An after-school nutrition and physical activity program for middle schools was also developed by this committee as a resource for this initiative. Produce in Convenience Stores: Increases access to fresh fruits and vegetables where grocery stores or other limitations are present. WilCo Walking Trails: Encourages residents to utilize existing walking trails more frequently by adding enhancements such as beautification projects and signage (i.e., health education, Fit Trails). The WilCo Wellness Alliance is utilizing the same recent community health needs assessment to form a community health improvement plan with the participating partners to ensure that resources are utilized effectively and that services are amplified instead of duplicated.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 12h: The Scott &amp; White Healthcare Patient Financial Assistance Policy ("PFAP") requires patients to be a Permanent Resident of the Scott &amp; White Provider Service Area. Permanent Resident is defined as "an individual who has established and maintained residency within a Scott &amp; White Provider Service Area for a period of at least six (6) months immediately prior to submitting an application for financial assistance." The Scott &amp; White Provider Service Area as defined in the PFAP "is the geographic area, defined by Texas counties and determined by Scott &amp; White, in which a patient must be a Permanent Resident in order to be eligible to receive financial assistance under this Policy." Schedule A of the PFAP lists the 31 Texas Counties that Scott &amp; White has defined as their service area to meet the residency requirement.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 14g: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the charity care policy in the emergency departments, admitting areas and business offices located throughout the organization, 2) annual posting regarding the organization's charity care program in the local newspapers, 3) information regarding financial assistance, including the organization's charity care policy, is posted on the organization's website, 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance, and 5) the organization provides free financial counselors to help patients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's charity care program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. Though the most often needed alternate language is Spanish.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Scott &amp; White Hospital Round Rock</Identifier>
        <Explanation>Part V, Section B, Line 20d: The organization's financial assistance policy is developed to provide discounted care to those qualifying for financial assistance to where the amount charged under this policy will always be equal to or lower than the Medicare rates. However, for those qualifying as medically indigent and whose income level is over 375% of the federal poverty level shall not be billed more than 2 times their annual household income, which is generally lower than the methodology listed above and the three methods listed in Schedule H Part V, Line a-c.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Data collection is critical to understanding and meeting community health needs. Scott &amp; White continually monitors local health trends, reviews hospitalization inpatient and outpatient records, and takes feedback from community leaders and public health officials as to what the current needs are. S&amp;W staff members participate regularly in exchanges with government, education, and human service organizations to learn what other issues are in the community that are perhaps underlying causes of healthcare problems. S&amp;W executives assist with strategic planning processes for other organizations that provide healthcare services for the medically underserved. In an effort to get regular feedback from the community, Scott &amp; White created a new department to actively engage the patients and community in continuous dialogue to provide an opportunity for them to share what their unmet needs are when they seek medical care. We believe this platform will allow the opportunity to view shortcomings from the community perspective. Additionally a strategic plan for conducting lengthy assessments on a 3 year cyclical basis has been made for upcoming years. Data pertaining to the changing demographics, hospitalization rates for the top 15 conditions, and 100 health and quality of life indicators will be collected, monitored and reported on a regular basis on the hospital's website. The data will show how counties within the Scott &amp; White service area stand in relation to other Texas Counties, U.S. Counties and Healthy People 2020 goals for the indicators. Also, gaps in information in the current collection of data will be identified and targeted for future exploration in the form of surveys, key informant interviews and focus groups. The 2013 community health needs assessment and corresponding implementation strategy to address identified health needs was presented to and adopted by the Hospital Board of Directors.The CHNA was posted onto the Scott &amp; White website: http://assets.thehcn.net/content/sites/sw/FINAL_2013_CHNA_RRTAYLOR.pdfThe Implementation Strategy was posted onto the Scott &amp; White website: http://assets.thehcn.net/content/sites/sw/FINAL_2013_IMPLEMENTATION_ STRATEGY_ROUND_ROCK.pdfThe Implementation Strategy for Cedar Park Emergency Hospital was posted onto the Scott &amp; White website:http://www.sw.org/community-benefit/community-health-needs-assessment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the charity care policy in the emergency departments, admitting areas and business offices located throughout the organization, 2) annual posting regarding the organization's charity care program in the local newspapers, 3) information regarding financial assistance, including the organization's charity care policy, is posted on the organization's website, 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance, and 5) the organization provides free financial counselors to help patients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's charity care program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. Though the most often needed alternate language is Spanish.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Scott &amp; White Hospital Round Rock has identified Williamson County as the primary community served, as it is the county where the majority of our patients reside. The communities and people of Williamson County reflect recent dramatic economic and business growth, unique environment and geography, and the county's history of perseverance and resiliency in the face of natural disasters and other events. Over the past ten years, the population of the county grew 69%. The most recent population estimate for the county was 442,782 in 2011. With the exception of Liberty Hill, population has increased in the incorporated areas of cities throughout the county since 2000. The eastern region of the county has many areas still considered rural, but is transitioning away from an economy dominated by agriculture. Strong support of farmer's markets throughout the county may help sustain some level of diversified agriculture. Overall, growth has occurred in eastern Williamson but at a slower pace than in western Williamson. The notable exception to this is the City of Hutto, which grew 1075% from 2000 to 2010 according to the US Census. Outside of Hutto, the population in eastern Williamson tends to be older and medically underserved.Demographic ProfileSignificant demographic changes countywide include growth of the Hispanic, Non-White population, which grew from 17% of the population in 2000 to 23% of the population in 2010. Countywide, the median age increased from 30 to 32 from 2000 to 2010. Approximately 25,000 individuals in the county speak English less than "very well."When considering the countywide measures that can affect health, it is important to understand demographic, educational and income variations across our county:The City of Georgetown has the highest median age at 44 years, while Hutto has the lowest median age at 29 years.The percentage of households in Hutto that have children is 53%, while only 27% of households do in Georgetown.The Hispanic, non-White population ranges from 19% in Cedar Park and Liberty Hill to 43% in Taylor.The percentage of individuals speaking English less than "very well" ranges from 4% in Hutto to 12% in Taylor.The percentage with less than a high school degree (age 25 and over) ranges from 5% in Georgetown and Hutto to 20% in Liberty Hill and Taylor.Individuals in Taylor and Liberty Hill have on average lower educational attainment; high school or less than high school was the most education received by 51% of residents of Liberty Hill and by 60% of residents of Taylor.Higher educational attainment and income are closely correlated. Liberty Hill and Taylor are the cities with the lowest median income. The city with the highest median income is Cedar Park. Round Rock, where 37% earned a bachelor's degree or higher, also has a high median income</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: All Scott &amp; White Healthcare System facilities are operated in a manner that furthers exempt purposes. Scott &amp; White Healthcare officers and executives plan and direct the activities of all System facilities under the direction and oversight of the Scott &amp; White Healthcare Board of Trustees. The Scott &amp; White Hospital Round Rock ("SWRR") Board of Directors is comprised of persons residing in the service area. As explained in response to Form 990 Part VI, Section A, Question 7b, the SWRR Board of Directors does not consist of a majority of independent directors because SWRR relies on the Scott &amp; White Healthcare Board of Trustees, which is controlled by a majority of community trustees, to meet community board standards. Surplus funds are reinvested in facilities, equipment and programs to further SWRR's exempt purposes. SWRR is operated for the benefit of the public and no part of income inures to any private individual or serves a private interest. Surplus funds are used to improve the quality of patient care, expand facilities, advance medical training and education and fund research. Scott &amp; White Healthcare has a Financial Assistance Policy that all hospitals in the Scott &amp; White Healthcare System, including SWRR, follow, which provides assistance to individuals with incomes up to 375% of the Federal Poverty Guidelines.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Scott &amp; White provides personalized, comprehensive, high quality health care services enhanced by medical education and research through 13 acute care hospital facilities, one additional announced facility, a 215,000+ member regional health plan serving residents in a 29,000-square mile service area, and one of the nation's largest multi-specialty group practices with more than 140 clinics at over 70 clinic locations providing care in 46 medical specialties. Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547) is parent corporation of the Scott &amp; White Healthcare System (the "System"). The Scott &amp; White Healthcare Foundation ("SWF")(EIN: 27-3513154), a subsidiary of SWHC, raises funds for the priority programs and services of the entire Scott &amp; White System. The Scott &amp; White Healthcare System had more than 14,000 employees, including over 1,200 physicians and scientists and 300+ advanced practice professionals during the fiscal year ending August 31, 2013, and served over 537,000 patients accounting for 2.5 million patient visits. Scott &amp; White Memorial Hospital ("SWMH"), located in Temple, Texas, is the flagship hospital of the Scott &amp; White Healthcare System and is the only Level I Trauma Center between Dallas and Austin, Texas. The McLane Children's Hospital Scott &amp; White is the only stand-alone children's hospital between Dallas and Austin, Texas. Scott &amp; White Hospital Round Rock was at 63 percent occupancy, with 20,256 patient observation days (excluding newborns), 5,501 surgical cases, 4,925 admissions and 22,740 emergency room visits for the fiscal year ending August 31, 2013. SWRR completed a 58,000 square-foot expansion in April of 2012 which added 26 hospital beds, which are a combination of ICU and general medical surgical beds, four new operating rooms (increasing to a total of nine), an endoscopy suite (resulting in a total of three suites), and eight additional Emergency Department beds to increase from 11 to 19. Scott &amp; White Hospital Round Rock reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $42,506,927. The combined hospital reported community benefits of the entire Scott &amp; White Healthcare System under this same methodology was $223,575,612.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>TX</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Scott &amp; White Clinic</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2401 S 31st Street</AddressLine1>
          <City>Temple</City>
          <State>TX</State>
          <ZIPCode>76508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742958277</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>5000000</AmountOfCashGrant>
        <PurposeOfGrant>Patient financial assistance, Medicaid and other means-tested governmental health programs, community health improvement services, community benefit operations, health professions education, research, subsidized health services, and other qualifying communit benefit expenditures</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Cancer Society</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2433 Ridgepoint Dr</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78754</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741185665</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>14000</AmountOfCashGrant>
        <PurposeOfGrant>Cancer Research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CASA of Williamson County</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 1904</AddressLine1>
          <City>Georgetown</City>
          <State>TX</State>
          <ZIPCode>78627</ZIPCode>
        </AddressUS>
        <EINOfRecipient>264371605</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>7000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Faith in Action Caregivers-Georgetown</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 743</AddressLine1>
          <City>Georgetown</City>
          <State>TX</State>
          <ZIPCode>78627</ZIPCode>
        </AddressUS>
        <EINOfRecipient>203414707</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>4</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will fulfill an identified community need, serve an underserved population, be in line with the mission of the organization, or provide the organization opportunities to build relationships with the community members and nonprofit organizations serving the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by Scott &amp; White Healthcare which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are given as a restricted gift and the receiving organization must sign a statement indicating they will use the funds for the stated purpose.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Patricia M Currie</NamePerson>
        <Title>Director, Vice President</Title>
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        <BonusRelatedOrgs>192500</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2848</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>32500</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Ernest L Bovio</NamePerson>
        <Title>Director, President, Chief Executive</Title>
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        <OtherCompensationRelatedOrgs>367</OtherCompensationRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Franklin Chang MD</NamePerson>
        <Title>Director, Chairman</Title>
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        <NamePerson>Dick L Dixon</NamePerson>
        <Title>Director, System Chief Financial Off</Title>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>L Gill Naul MD</NamePerson>
        <Title>Director</Title>
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        <OtherCompensationRelatedOrgs>3653</OtherCompensationRelatedOrgs>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>784950</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jason R Cole</NamePerson>
        <Title>Vice-President Finance</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Carroll</NamePerson>
        <Title>Executive Vice-President, System Chi</Title>
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        <OtherCompensationRelatedOrgs>3501</OtherCompensationRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Cynthia B Dunlap</NamePerson>
        <Title>System Chief Nursing Executive</Title>
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        <CompBasedOnRelatedOrgs>245315</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Glen R Couchman MD</NamePerson>
        <Title>System Chief Medical Officer</Title>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Robert W Pryor MD</NamePerson>
        <Title>System Chief Executive Officer</Title>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robin Watson MD</NamePerson>
        <Title>Chief Medical Officer</Title>
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        <OtherCompensationRelatedOrgs>402</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Matthew L Chambers</NamePerson>
        <Title>System Chief Information Officer</Title>
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        <NamePerson>Marc R Hallee</NamePerson>
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        <NamePerson>Stephen F Sullivan</NamePerson>
        <Title>System Chief Strategy Officer</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Bernardine Patterson</NamePerson>
        <Title>Pharmacy Director</Title>
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        <NamePerson>Alfred B Knight MD</NamePerson>
        <Title>Former Officer</Title>
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        <NamePerson>Dudley P Baker MD</NamePerson>
        <Title>Former Officer</Title>
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        <NamePerson>Judith A Dolce</NamePerson>
        <Title>Former Chief Nursing Officer</Title>
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        <NamePerson>Peter S Brumleve</NamePerson>
        <Title>Former Key Employee, System Chief St</Title>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 3</ReturnReference>
        <Explanation>The compensation review process is performed annually. All physician compensation is reviewed including pay, production data and total compensation. The physician compensation is then benchmarked against industry standards using data from ten different industry surveys. This review is performed by an independent consultant and presented to the Scott &amp; White Healthcare Board of Trustees Compensation Committee. Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of the Scott &amp; White Healthcare System (the "System"). System Officers along with regional Chief Executive Officers and Chief Medical Officers are reviewed annually. An independent consultant compares total compensation to benchmark surveys. The Scott &amp; White Healthcare Board of Trustees Compensation Committee reviews the compensation and comparability data annually.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Discretionary bonuses are an element of various Scott &amp; White Healthcare System (the "System") compensation plans. The Scott &amp; White Healthcare Board of Trustees, which is the governing body of the Scott &amp; White Healthcare System and the Board Compensation Committee have approved plans designed to measure performance based on differing job functions. The Board of Trustees approves the bonus pools reserved for the various plans. The Board of Trustees determines and approves the bonus, if any, for the System's Chief Executive Officers and other executive level personnel.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Explanation>Form 990, Part V, Line 1a: Scott &amp; White Hospital Round Rock ("SWRR") does not file Forms 1096 or 1099. All expenditures for goods and services are made by Scott &amp; White Memorial Hospital, which has filed all required reporting forms.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part V, Line 2a: Employees of the Scott &amp; White Healthcare System are employed by Scott &amp; White Memorial Hospital ("SWMH")(EIN: 74-1166904) or Scott &amp; White Clinic ("SWC")(EIN: 74-2958277). This is done to achieve parity and consistency in compensation and benefits offered to employees and to reduce administration costs. Consistent with this practice, employee Form W-2's are filed by Scott &amp; White Memorial Hospital or Scott &amp; White Clinic. For financial reporting purposes, compensation, benefits and other employee costs are assigned to the Scott &amp; White entity for which services are rendered. Oversight of and responsibility for the activities of employees are vested in the board of directors and management of the Scott &amp; White entity to which such employees are assigned. All required employment forms have been filed by Scott &amp; White Memorial Hospital and Scott &amp; White Clinic.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member. Election of the Hospital Board of Directors requires the approval of the Scott &amp; White Healthcare Board of Trustees, by majority vote. The majority of the Scott &amp; White Healthcare Board of Trustees is comprised of individuals who are representative of the community.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member. Actions taken by the Hospitals Board of Directors are subject to oversight and approval of the Scott &amp; White Healthcare Board of Trustees. The majority of the Scott &amp; White Healthcare Board of Trustees is comprised of individuals who are representative of the community.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Form 990 is prepared and reviewed by Scott &amp; White Healthcare's ("SWHC") tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Persons with an actual or perceived ability to influence the organization have a duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. Scott &amp; White Healthcare ("SWHC")Board of Trustees Audit and Compliance Committee and the SWHC Corporate Compliance Committee reviewed all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The compensation review process is performed annually. All physician compensation is reviewed; including pay, production data, and total compensation. The physician compensation is then benchmarked against industry standards using data from ten different industry surveys. This review is performed by an independent consultant and presented to the Scott &amp; White Healthcare Board of Trustees Compensation Committee. Scott &amp; White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of the Scott &amp; White Healthcare System (the "System"). System Officers along with regional Chief Executive Officers and Chief Medical Officers are reviewed annually. An independent consultant compares total compensation to benchmark surveys. The Scott &amp; White Healthcare Board of Trustees Compensation Committee reviews the compensation and comparability data annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Scott &amp; White governing documents and Conflict of Interest Policy (Tax) are available to the public upon request. This entity does not have separately audited financial statements. The audited financial statements of the Scott &amp; White Healthcare System are available at http://www.dacbond.com and upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Part VI, Line 16b: To protect the assets of the exempt organization one or both of the following actions may be taken: Board of director representation or majority ownership. While not formally adopted as of the organizations tax year end, the organization is in the process of formalizing a written policy to incorporate the previous measures, and take additional steps to safeguard the assets in these ventures. The organization anticipates these procedures will be adopted within the next fiscal year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Part VI, Line 14: While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to written document retention and destruction compliance. The organization anticipates these procedures will be adopted within the next fiscal year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part VII: Average hours per week recorded in column B for the Officers, Directors, Key Employees and Highly Compensated Employees represent total hours worked for the entire Scott &amp; White Healthcare System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Corporate Services: Program service expenses 0. Management and general expenses 17,126,676. Fundraising expenses 0. Total expenses 17,126,676. Repairs: Program service expenses 2,012,013. Management and general expenses 40,074. Fundraising expenses 0. Total expenses 2,052,087. Contract Labor: Program service expenses 1,416,415. Management and general expenses 28,211. Fundraising expenses 0. Total expenses 1,444,626. Lab: Program service expenses 5,093,559. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,093,559. Other Purchased Services: Program service expenses 3,590,938. Management and general expenses 71,522. Fundraising expenses 0. Total expenses 3,662,460.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Subsidiary Earnings -540,922.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 5471</ReturnReference>
        <Explanation>Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: Under the constructive ownership rules of IRC Sections 958(a) and (b). The taxpayer is required to file Forms 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 5 filer with respect to certain controlled foreign corporations (CFCs). These filing requirements are or will be satisfied through the filing of Forms 5471 for these CFCs by other U.S. taxpayers identified below who have the same filing requirement. Taxpayer Name: Scott &amp; White Memorial Hospital Taxpayer Address: 2401 S. 31st Street Temple, TX 76508 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 74-1166904 IRS Service Center where U.S. tax return was or will be filed: efile</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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