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    <Timestamp>2013-11-14T08:49:10-06:00</Timestamp>
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        <BusinessNameLine1>Texas Health Harris Methodist Hospital Azle</BusinessNameLine1>
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      <InCareOfName>% DAVID JACKSON</InCareOfName>
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      <Phone>8174448600</Phone>
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        <AddressLine1>108 Denver Trail</AddressLine1>
        <AddressLine2>Suite</AddressLine2>
        <City>Azle</City>
        <State>TX</State>
        <ZIPCode>76020</ZIPCode>
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    <Officer>
      <Name>RICK MCWHORTER</Name>
      <Title>Asst Secretary</Title>
      <DateSigned>2013-11-12</DateSigned>
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    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <Description>Texas Health Harris Methodist Hospital Azle (THAZ) is a 31 bed community based hospital serving Azle, Lake Worth, Springtown and the surrounding areas. Since 1954, THAZ has provided quality health care services to the northwest Tarrant County community. Located in Azle, the hospital offers many services such as cardiovascular, imaging, inpatient/outpatient surgery, Outpatient Sports and Rehabilitation Center and an intensive care unit. ******************************************************************* During the year, THAZ had 4,971 patient days, 1,630 discharges, 35,840 outpatient encounters and 26,953 emergency room visits. ******************************************************************* THAZ provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. ******************************************************************* ******* Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. Some of these programs include: * Various health screenings were offered to the community free of charge or for a nominal charge such as diabetes and breast cancer. * THAZ participated in community education regarding good hand hygiene to promote awareness of proper hand washing in an effort to slow the spread of infection and disease. * The Better Living through Improved Fitness and Education (L.I.F.E.) program senior adults are encouraged to focus on improving their health with a range of physical activities, health education and screenings. * THAZ provided healthy eating for children classes, smoking cessation classes and community health support groups.</Description>
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          <NamePerson>Texas Health Physicians Group</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>251 West Park Way 200</AddressLine1>
            <City>EULESS</City>
            <State>TX</State>
            <ZIPCode>76040</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>232646</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
      <RelatedOrganizations>107676</RelatedOrganizations>
      <GovernmentGrants>528671</GovernmentGrants>
      <TotalContributions>636347</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENUE</Description>
        <TotalRevenueColumn>29527676</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>29527676</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID REVENUE ADJUSTMENT</Description>
        <TotalRevenueColumn>346316</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>346316</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EDUCATION REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>5323</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHYSICAL THERAPY REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>142469</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PULMONARY REHAB REVENUE</Description>
        <TotalRevenueColumn>1950</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1950</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>30023734</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <ExclusionAmount>10196</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Personal>42613</Personal>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>42613</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>42613</TotalRevenueColumn>
        <ExclusionAmount>42613</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
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      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>66776</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
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        <ExclusionAmount>-27776</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
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      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
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      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>ELECTRONIC RECORDS</Description>
        <TotalRevenueColumn>1045833</TotalRevenueColumn>
        <ExclusionAmount>1045833</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA REVENUE</Description>
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        <ExclusionAmount>82339</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>NATURAL GAS TESTING FEE</Description>
        <TotalRevenueColumn>29166</TotalRevenueColumn>
        <ExclusionAmount>29166</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>154243</TotalRevenueColumn>
        <ExclusionAmount>154243</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1311581</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>31996695</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>30023734</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1336614</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>2550</Total>
        <ProgramServices>2550</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>188312</Total>
        <ProgramServices>188312</ProgramServices>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>13778344</Total>
        <ProgramServices>13268165</ProgramServices>
        <ManagementAndGeneral>510179</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>709826</Total>
        <ProgramServices>709826</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2112485</Total>
        <ProgramServices>2111774</ProgramServices>
        <ManagementAndGeneral>711</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>976472</Total>
        <ProgramServices>954924</ProgramServices>
        <ManagementAndGeneral>21548</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>3381775</Total>
        <ManagementAndGeneral>3381775</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>71365</Total>
        <ManagementAndGeneral>71365</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>25004</Total>
        <ManagementAndGeneral>25004</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1733969</Total>
        <ProgramServices>1625442</ProgramServices>
        <ManagementAndGeneral>108527</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>118473</Total>
        <ProgramServices>117948</ProgramServices>
        <ManagementAndGeneral>525</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>235961</Total>
        <ProgramServices>168963</ProgramServices>
        <ManagementAndGeneral>66998</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>248781</Total>
        <ProgramServices>230813</ProgramServices>
        <ManagementAndGeneral>17968</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>517241</Total>
        <ProgramServices>515441</ProgramServices>
        <ManagementAndGeneral>1800</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>32813</Total>
        <ProgramServices>28741</ProgramServices>
        <ManagementAndGeneral>4072</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>48784</Total>
        <ProgramServices>39611</ProgramServices>
        <ManagementAndGeneral>9173</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>250789</Total>
        <ProgramServices>13189</ProgramServices>
        <ManagementAndGeneral>237600</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1080233</Total>
        <ProgramServices>1080233</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>37811</Total>
        <ProgramServices>37725</ProgramServices>
        <ManagementAndGeneral>86</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>2421673</Total>
        <ProgramServices>2399162</ProgramServices>
        <ManagementAndGeneral>22511</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT SERVICES</Description>
        <Total>1675300</Total>
        <ProgramServices>1675300</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>288190</Total>
        <ProgramServices>288190</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>COMMUNITY OUTREACH</Description>
        <Total>141821</Total>
        <ProgramServices>141331</ProgramServices>
        <ManagementAndGeneral>490</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>126492</Total>
        <ProgramServices>111290</ProgramServices>
        <ManagementAndGeneral>15202</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>30204464</Total>
        <ProgramServices>25708930</ProgramServices>
        <ManagementAndGeneral>4495534</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>45383</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>4154514</EOY>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
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      </ReceivablesFromDisqualPersons>
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        <EOY>80042</EOY>
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      <InventoriesForSaleOrUse>
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      <LandBuildingsEquipmentBasis>17305657</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
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        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
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        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
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        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <GrantsPayable>
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      <DeferredRevenue>
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      </TaxExemptBondLiabilities>
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      <LoansFromOfficersDirectors>
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      </LoansFromOfficersDirectors>
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      <UnsecuredNotesLoansPayable>
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      </UnsecuredNotesLoansPayable>
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        <EOY>14303403</EOY>
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      <TotalLiabilities>
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        <EOY>17441380</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>1792231</ReconcilationRevenueExpenses>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
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        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
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      <TotalDirectLobbying />
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      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>true</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>true</MailingsMembers>
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      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Lobbying Activities</Identifier>
        <ReturnReference>Sch C, Part IV</ReturnReference>
        <Explanation>Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <CurrentYearMinus4Years />
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      <OtherLiabilities>
        <Description>INTERCOMPANY PAYABLE</Description>
        <Amount>14067367</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATIONS</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>14303403</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
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      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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      </CharityCareAtCost>
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      <TotalCommunityBenefits>
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      <CommunitySupport>
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      </Total>
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      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
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        </Name>
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        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>Patient Eligibility</Identifier>
        <ReturnReference>Part I, Line 3c</ReturnReference>
        <Explanation>Patients with family income at or below 200% of applicable FPG may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. All self pay patients who don't qualify for the organization's charity program, regardless of income, are eligible for a discount of 45% off the hospital's charge for general hospital services. In addition, a 60% discount is available on charges associated with certain implantable devices. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified "patient responsible amount" if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's charity care application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a charity care application.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Building</Identifier>
        <ReturnReference>Part II</ReturnReference>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Cost to Charge Ratio</Identifier>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>A cost to charge ratio is used in computing the amounts reported in Lines 7a-7c. The amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay or, in the case of reporting employee volunteer hours, by using an average national volunteer wage rate.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Bad Debt Expense</Identifier>
        <ReturnReference>Part III, Line 4</ReturnReference>
        <Explanation>Bad debt expense is not included as a community benefit for purposes of reporting community benefits to Texas. We treat each patient qualifying for charity care as a charity patient and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Allowance for Doubtful Accounts, that reads as follows. Patient accounts receivable are reported net of estimated allowances for doubtful accounts and contractual adjustments in the consolidated balance sheets. The provision for bad debts is based upon a combination of the aging of receivables and management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators. Management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. Patient accounts are also monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Medicare Shortfall</Identifier>
        <ReturnReference>Part III, Line 8</ReturnReference>
        <Explanation>The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care &amp; community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2012 is $5,829,306.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Debt Collection</Identifier>
        <ReturnReference>Part III, Line 9b</ReturnReference>
        <Explanation>During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Charity Care Program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Discounted Care</Identifier>
        <ReturnReference>Part V, Sec B, Line 11</ReturnReference>
        <Explanation>See response to Part I Line 3c</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Calculating Charges</Identifier>
        <ReturnReference>Part V, Sec B, Line 12h</ReturnReference>
        <Explanation>See response to Part I, Line 3c and Part V Sec B, Line 11</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Publicize FAP</Identifier>
        <ReturnReference>Part V, Sec B, Ln 14g</ReturnReference>
        <Explanation>A full copy of the Charity Care Policy is provided upon request. Notice of financial assistance and a summary of the policy are communicated to the public and to patients. A summary of the policy is in each of the following. - posted on the hospital's website, - attached to billing invoices, - posted at the emergency room and waiting rooms, - posted in Admissions office, and - provided, in writing, to patients on admission to the hospital</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>FAP Outreach</Identifier>
        <ReturnReference>Part V, Sec B, Ln 18e</ReturnReference>
        <Explanation>All uninsured patients who have not completed a charity care application are screened using analytics technology. Patients meeting the charity care qualifications using this methodology are granted a presumptive charity reduction and collection efforts will cease.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Needs Assessment</Identifier>
        <ReturnReference>Part VI, Line 2</ReturnReference>
        <Explanation>The organization is developing strategies to ensure that it is in full compliance with the 2013 Community Health Needs Assessment (CHNA) requirements, and has completed work on the community profile for the defined community or service area in preparation for conducting the CHNA. Special attention will be given to persons facing disproportionate unmet health related needs. The organization is in the process of identifying resources for strategic planning and community health improvement project planning. The CHNA process will result in the compilation of data, opinion, and observation about the health and well-being of the surrounding community. The goals identified for action at the end of this process will translate the organization's mission and priorities into a strategy with specific activities and projects focusing on a positive community impact that is demonstrative, sustainable and measurable. The organization's community health profile provides a snapshot of the service area using key health indicators, which facilitate comparisons locally, regionally and over time. National, state and local secondary and primary data sources are used to provide a current overview of local health needs, factors impacting disease and injury burden, socioeconomic status, access to health care, age distribution, indicators and lifestyle behaviors. This data is used to galvanize joint community health efforts to improve health, to reduce inequalities and to empower the greater community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Patient Education</Identifier>
        <ReturnReference>Part VI, Line 3</ReturnReference>
        <Explanation>A description of both the Charity Care program and application are available on the THR website at www.TexasHealth.org in English and Spanish. Signs alerting patients of charity care assistance and related contact information are posted in various areas of the hospital including admissions &amp; registration, the emergency room and other outpatient departments. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided with a Charity Care application and information flyer. The patient is informed that the hospital is a non-profit organization offering financial assistance to patients deemed medically or financially indigent. The financial counselors may assist the patient in completing the application and obtain available verification information. Once the patient is discharged, the counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and Charity Care have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the financial assistance program. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a charity care program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Information</Identifier>
        <ReturnReference>Part VI, Line 4</ReturnReference>
        <Explanation>The service area of Texas Health Harris Methodist Hospital Azle (THAZ) includes a suburban area of 137,198 people. The average household income for the service area is $66,031. During the year, 25.2% of THAZ's patients are uninsured and 18.1% are Medicaid recipients. THAZ's service area has an uninsured rate of 19.4% of the population. There are no other acute care hospitals in the service area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Promotion of Community Health</Identifier>
        <ReturnReference>Part VI, Line 5</ReturnReference>
        <Explanation>The board of trustees is comprised of community members including medical and business professionals. A majority of these trustees reside in the hospital's service area and volunteer their time to serve on the board. The hospital has an open medical staff and privileges are offered to qualified physicians in the community. The organization utilizes surplus funds to maintain access to patient services and to expand access to healthcare. The uses of these surplus funds include providing community benefit programs and expended capital improvements to the healthcare facilities of the organization. Of the $920,583 in contributions to community groups reported on Sch H, Part I, line 7i, $919,087 was contributed to or at the direction of Tarrant County Indigent Care Corporation, a charitable organization that provides various local organizations with funds to cover healthcare provided to indigent patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Affiliated Health Care System</Identifier>
        <ReturnReference>Part VI, Line 6</ReturnReference>
        <Explanation>The organization is part of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the US and the largest in North TX in terms of patients served. The system of 14 wholly controlled hospitals includes an organization for medical research and education. The system also includes two foundations that foster philanthropic relationships which support the programs and services of the hospitals they support. The mission of the hospitals in the THR system is to improve the health of the people in the communities we serve. THR takes its responsibility to its communities seriously and invests charitable resources to promote good health and prevent disease. Not only does THR provide health care to those who do not have the means to pay, its hospitals also conduct a variety of programs designed to improve health and prevent illness in the community. The community health strategies of THR and its affiliated healthcare organizations are driven by community health needs, are community-based and include confronting health problems at the source and emphasize health promotion, disease prevention, and early treatment of illness.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>State Community Benefit Report</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>The organization files a Texas an Annual Statement of Community Benefit Standard. Texas has established a minimum level of charity care and community benefit that must be provided by nonprofit hospitals in order to retain their Texas tax-exempt status. The standard set by the state is met when charity care and community benefits are provided in a combined amount equal to at least five percent of the hospital's or hospital system's net patient revenue, provided that charity care and government-sponsored indigent health care are provided are at least four percent of net patient revenue. The hospital is part of the THR system of healthcare organizations. During the year, the THR system, as a whole, reported to Texas the following charity care and community benefits amounts. $184,105,171 in patient charity care, $78,797,336 in support provided by others, $17,705,611 in unreimbursed Medicaid, $16,825,521 in other community benefits and $486,116,291 in unreimbursed Medicare</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <DiscretionarySpendingAccount>X</DiscretionarySpendingAccount>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Berdan Barclay</NamePerson>
        <Title>Corp Officer</Title>
        <CompBasedOnRelatedOrgs>588928</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>337234</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>163657</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>91374</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>23296</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1204489</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>140760</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Berenzweig MD Harold</NamePerson>
        <Title>Clinical Leader</Title>
        <CompBasedOnRelatedOrgs>366475</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>81748</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>76627</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>68470</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16092</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>609412</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Boes Charles</NamePerson>
        <Title>Assist. Secretary</Title>
        <CompBasedOnRelatedOrgs>365401</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>207256</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>99997</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>60068</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14060</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>746782</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>89313</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Canose MD Jeffrey</NamePerson>
        <Title>Ops. Leader</Title>
        <CompBasedOnRelatedOrgs>428906</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>214558</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>91617</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>67351</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>18020</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>820452</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>66895</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DeSio Terri</NamePerson>
        <Title>Assist. Secretary</Title>
        <CompBasedOnRelatedOrgs>171228</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>10512</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>7200</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10708</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>7468</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>207116</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kramer Kenneth</NamePerson>
        <Title>Assist. Secretary</Title>
        <CompBasedOnRelatedOrgs>236576</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>101817</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>59331</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>70750</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26539</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>495013</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>40686</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MitchellJohn D</NamePerson>
        <Title>Assist. Secretary</Title>
        <CompBasedOnRelatedOrgs>209594</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>43454</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>66550</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>34933</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>21003</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>375534</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>159</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EllzeyBob S</NamePerson>
        <Title>PRESIDENT THAZ</Title>
        <BaseCompensationFilingOrg>172256</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>32027</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15744</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12488</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>232515</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HumphreyRichard I</NamePerson>
        <Title>GRP FIN OFF THFW-THC-THAZ-THSH</Title>
        <CompBasedOnRelatedOrgs>211603</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>49011</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>57699</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>12119</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>25806</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>356238</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>285</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GilbertValarie G</NamePerson>
        <Title>Dir CNO THAZ</Title>
        <BaseCompensationFilingOrg>141641</BaseCompensationFilingOrg>
        <BonusFilingOrg>9087</BonusFilingOrg>
        <OtherCompensationFilingOrg>4762</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10956</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8663</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>175109</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SneadJeffrey C</NamePerson>
        <Title>PROFESSIONAL SVCS OFFICER THAZ</Title>
        <BaseCompensationFilingOrg>131305</BaseCompensationFilingOrg>
        <BonusFilingOrg>11526</BonusFilingOrg>
        <OtherCompensationFilingOrg>1675</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8223</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18898</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171627</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MiaoWinjie Tang</NamePerson>
        <Title>PRESIDENT THAL</Title>
        <CompBasedOnRelatedOrgs>183624</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>63145</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>34143</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>28907</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>7972</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>317791</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>20305</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>McClungBrett S</NamePerson>
        <Title>President</Title>
        <CompBasedOnRelatedOrgs>269568</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>118224</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>55175</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>79479</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19676</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>542122</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>38151</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Gross-Up Payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Discretionary Spending Account</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>Each Executive at the vice president level and above receives a perk allowance which is included in the taxable compensation of the employee.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Personal Services</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>Officers can use their discretionary spending account to pay for financial planning services. The organization does not directly pay for any officer's personal services.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>CEO Compensation</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's President. * THR has a compensation committee comprised of external Board Members that review compensation philosophy and design. * THR Board hired independent compensation consultants. * THR &amp; the independent compensation consultants utilize published third-party compensation surveys. An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: * Review and confirmation of the executive compensation philosophy. * Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. * Market review of benefits and perquisites, * Interview of selected officers and members of the Governance Committee (Compensation Committee) of the THR Board of Trustees, and * Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent compensation consultant meets directly with the executive compensation &amp; benefits sub-committee which is made up of six independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the executive compensation &amp; benefits sub-committee and the governance committee review a detailed report containing the below information. The Board reviews an executive summary of the detailed report. * Market analysis based on the results of the outside consultant's review * Officer base salary adjustments including merit and market/equity adjustments * Prior year executive annual incentive awards * Current year executive annual incentive plan targets, key performance indicators and potential payout amounts.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Nonqualified Retirement Plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>Participation in the plan is made available to a select group of management and highly compensated employees, as determined by the THR Board of Trustees, who are providing services to an employer in key positions of management and responsibility. Benefits are calculated for eligible employees when base pay and incentives exceed the IRS qualified plan compensation limit. SERP benefits vest while the participant is employed if the participant: reaches age 65, becomes disabled, dies, or reaches the following years of service: 2 years - 25%; 3 years -50%; 4 years - 75%; and 5 or more - 100%. For Frozen Restoration Accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Remaining employed by THR to age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his or her termination of employment. Payment is made following the before mentioned events, except in the case of involuntary separations for which the participant must wait until after 24 months to receive the previously taxed benefit. For the Active Restoration Account (account balances after 12/31/2009) participants must be employed on Dec 1 to qualify for the current year's SERP amount unless separation is due to death, disability, retirement (age 65) or early retirement (age 60 or above with 15 or more years of service). SERP amounts are calculated each Dec 1; vested balances are taxed; and the net balances can begin accruing earnings. Vested balances are paid in cash lump sums within the 90 day period commencing upon the earlier of death, disability, or separation from service. THR owns any investments purchased in connection with its obligations under the SERP Plan. If THR becomes insolvent, executives are unsecured creditors and will have no preferred claim to any assets.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Business Relationship</Identifier>
        <ReturnReference>Pt VI, Sec A, Ln 2</ReturnReference>
        <Explanation>Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Filing</Identifier>
        <ReturnReference>Pt VI, Sec B, Ln 11b</ReturnReference>
        <Explanation>A full copy of the Form 990 is provided to members of the governing board before filing. In addition, the Audit &amp; Compliance Committee of the Texas Health Resources (THR) Board of trustees is given the opportunity to review, comment, and ask questions regarding the Form 990s filed for THR and each of its wholly controlled affiliates.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of Interest</Identifier>
        <ReturnReference>Pt VI, Sec B, Ln 12c</ReturnReference>
        <Explanation>Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict Statement Form is distributed by the THR Chief Compliance Officer to all persons who are covered by this policy. All disclosed conflicts are reviewed by the THR Chief Compliance Committee. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation Determination</Identifier>
        <ReturnReference>Pt VI, Sec B, Line 15 a&amp;b</ReturnReference>
        <Explanation>An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: * Review and confirmation of the executive compensation philosophy. * Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. * Market review of benefits and perquisites, * Interview of selected officers and members of the Governance Committee (Compensation Committee) of the THR Board of Trustees, and * Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent compensation consultant meets directly with the executive compensation &amp; benefits sub-committee which is made up of six independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the executive compensation &amp; benefits sub-committee and the governance committee review a detailed report containing the below information. The Board reviews an executive summary of the detailed report. * Market analysis based on the results of the outside consultant's review * Officer base salary adjustments including merit and market/equity adjustments * Prior year executive annual incentive awards * Current year executive annual incentive plan targets, key performance indicators and potential payout amounts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure</Identifier>
        <ReturnReference>Pt VI, Sec C, Ln 19</ReturnReference>
        <Explanation>The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Consolidated Financial Statements</Identifier>
        <ReturnReference>Pt XII, Ln 2c</ReturnReference>
        <Explanation>Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.</Explanation>
      </GeneralExplanation>
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        <PrimaryActivities>Support Org.</PrimaryActivities>
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          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76012</ZIPCode>
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          <State>TX</State>
          <ZIPCode>75231</ZIPCode>
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        <PrimaryActivity>Outpatient Diagno</PrimaryActivity>
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          <BusinessNameLine1>Denton Surgery Center LLC</BusinessNameLine1>
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          <AddressLine1>3000 Riverchase Galleria Ste 500</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35244</ZIPCode>
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        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
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          <AddressLine1>14131 Midway Rd Ste 1050</AddressLine1>
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          <ZIPCode>75001</ZIPCode>
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        <EIN>260684968</EIN>
        <PrimaryActivity>Hospital</PrimaryActivity>
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          <BusinessNameLine1>Greenville Surgery Center Ltd</BusinessNameLine1>
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          <AddressLine1>3000 Riverchase Galleria Ste 500</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35244</ZIPCode>
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        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
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          <BusinessNameLine1>Health Imaging Partners LLC</BusinessNameLine1>
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          <State>CO</State>
          <ZIPCode>80920</ZIPCode>
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        <EIN>271385885</EIN>
        <PrimaryActivity>Outpatient Diagno</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Physician Medical Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>14131 Midway Road Ste 1050</AddressLine1>
          <City>Addison</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
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        <EIN>481281376</EIN>
        <PrimaryActivity>Hospital</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Presbyterian Cancer Center-Dallas LLC</BusinessNameLine1>
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          <AddressLine1>1221 Merit Dr Ste 500</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
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        <EIN>260422749</EIN>
        <PrimaryActivity>Medical Mgmt</PrimaryActivity>
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          <BusinessNameLine1>Rockwall Regional Hospital LLC</BusinessNameLine1>
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          <AddressLine1>14131 Midway Rd Ste 1050</AddressLine1>
          <City>Addison</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
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        <EIN>202848116</EIN>
        <PrimaryActivity>Hospital</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>ShermanGrayson Healthcare System LLC</BusinessNameLine1>
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          <AddressLine1>2400 Dallas Pkwy</AddressLine1>
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          <State>TX</State>
          <ZIPCode>75093</ZIPCode>
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        <PrimaryActivity>Hospital</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Southlake Specialty Hospital LLC</BusinessNameLine1>
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          <AddressLine1>14131 Midway Rd Ste 1050</AddressLine1>
          <City>Addison</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
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        <PrimaryActivity>Hospital</PrimaryActivity>
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          <BusinessNameLine1>Surgical Caregivers of Fort Worth LP</BusinessNameLine1>
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          <AddressLine1>3000 Riverchase Galleria Ste 500</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35244</ZIPCode>
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        <EIN>751925497</EIN>
        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Health Flower Mound Orthopedic Sur</BusinessNameLine1>
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          <AddressLine1>5000 Long Prairie Road</AddressLine1>
          <City>Flower Mound</City>
          <State>TX</State>
          <ZIPCode>75028</ZIPCode>
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        <EIN>800866449</EIN>
        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Health MedSynergies LLC</BusinessNameLine1>
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          <ZIPCode>75038</ZIPCode>
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        <PrimaryActivity>Mgmt Services</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Texas Health SingleSource Staffing LLC</BusinessNameLine1>
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          <AddressLine1>612 E Lamar Blvd Ste 1400</AddressLine1>
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          <State>TX</State>
          <ZIPCode>76011</ZIPCode>
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        <EIN>270324828</EIN>
        <PrimaryActivity>Temp Staffing</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Institute for Surgery LLP</BusinessNameLine1>
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          <AddressLine1>7715 Greenville Ave Ste 100</AddressLine1>
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          <State>TX</State>
          <ZIPCode>75231</ZIPCode>
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        <PrimaryActivity>Hospital</PrimaryActivity>
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          <BusinessNameLine1>THR-STT Rockwall ASC LLC</BusinessNameLine1>
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          <AddressLine1>1545 E Southlake Blvd</AddressLine1>
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          <State>TX</State>
          <ZIPCode>76092</ZIPCode>
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        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>THR-STT Southlake ASC LLC</BusinessNameLine1>
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          <AddressLine1>1545 E Southlake Blvd</AddressLine1>
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          <State>TX</State>
          <ZIPCode>76092</ZIPCode>
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        <PrimaryActivity>Amb Surg Ctr</PrimaryActivity>
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          <BusinessNameLine1>USMD Hospital at Arlington LP</BusinessNameLine1>
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          <AddressLine1>801 I -20 West</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76017</ZIPCode>
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          <BusinessNameLine1>USMD Hospital at Fort Worth LP</BusinessNameLine1>
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          <AddressLine1>6333 North State Hwy 161 Ste 200</AddressLine1>
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          <State>TX</State>
          <ZIPCode>75038</ZIPCode>
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          <City>Dallas</City>
          <State>TX</State>
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          <State>TX</State>
          <ZIPCode>76012</ZIPCode>
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          <State>TX</State>
          <ZIPCode>76011</ZIPCode>
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          <State>TX</State>
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</Return>