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        <ManagementAndGeneral>18434</ManagementAndGeneral>
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        <ProgramServices>59168</ProgramServices>
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        <ProgramServices>55181</ProgramServices>
        <ManagementAndGeneral>4013</ManagementAndGeneral>
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        <Total>16026</Total>
        <ProgramServices>16026</ProgramServices>
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        <ProgramServices>179647</ProgramServices>
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        <EOY>17436613</EOY>
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        <EOY>-15420711</EOY>
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        <CurrentTaxYearMinus3Years>3911186</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4313772</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5386611</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5140076</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>3911186</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4313772</CurrentTaxYearMinus2Years>
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        <CurrentTaxYearMinus3Years>3911186</CurrentTaxYearMinus3Years>
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        <Explanation>PHYLLIS COWLING $42,800 URHCS OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION.</Explanation>
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        <Explanation>PART I, LINE 3: THE ORGANIZATION RELIED ON UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS ON PART I, LINE 3 TO ESTABLISH PHYLLIS COWLING'S COMPENSATION.</Explanation>
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        <Explanation>PHYLLIS COWLING, PRESIDENT/CEO, IS COMPENSATED BY UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION, FOR SERVICES PROVIDED TO THE HOSPITAL.</Explanation>
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        <NameOfInterestedPerson>
          <NamePerson>TABITHA TOWNLEY</NamePerson>
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        <Relationship>DAUGHER-IN-LAW TO VICE PRESIDENT OF BOARD</Relationship>
        <AmountOfTransaction>14080</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATION</DescriptionOfTransaction>
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        <ReturnReference>PART I, ITEM B</ReturnReference>
        <Explanation>THE TAX RETURN HAS BEEN AMENDED FOR THE FOLLOWING REASONS: PART VII: ADDED PAYMENTS PAID BY A RELATED ENTITY AND REPORTED ON FORM 1099 DETAIL FOR CERTAIN BOARD MEMBERS. SCHEDULE O: UPDATED WORDING FOR HOURS DEVOTED TO RELATED ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 1</Identifier>
        <Explanation>THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, CONSISTING OF THE PRESIDENT AND SECRETARY/TREASURER, WHICH HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN SCHEDULED MEETINGS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>OFFICERS, PHYLLIS COWLING, PRESIDENT/CEO; NANCY TOWNLEY, VICE PRESIDENT; ROBERT PERT, SECRETARY/TREASURER; AND A BOARD MEMBER, DR. JOHN SCOTT HOYER, ARE EMPLOYED BY UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS. PHYLLIS COWLING, NANCY TOWNLEY, AND ROBERT PERT HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>UNITED REGIONAL PHYSICIAN GROUP HAS ONE MEMBER, UNITED REGIONAL HEALTH CARE SYSTEM, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>UNITED REGIONAL HEALTH CARE SYSTEM, INC. MAY ELECT OR REMOVE MEMBERS OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE SOLE MEMBER, UNITED REGIONAL HEALTH CARE SYSTEM, INC. HAS FULL AUTHORITY TO ACT ON THE FOLLOWING MATTERS. 1. DEVELOPMENT, APPROVAL, ADOPTION AND MODIFICATION OF ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; 2. APPROVAL OF ANY NON-BUDGETED FINANCIAL COMMITMENT BELOW A PREDETERMINED AMOUNT; 3. BORROWING OR LENDING OF MONEY OR THE INCURRENCE OR GUARANTEE OF ANY DEBT OR OTHER FINANCIAL OBLIGATION, DIRECTLY OR INDIRECTLY; 4. CREATION, OWNERSHIP, OR ACQUISITION AND DISSOLUTION OF ANY SUBSIDIARIES OF THE CORPORATION; 5. CREATION, OWNERSHIP, ACQUISITION OF OR AFFILIATION WITH, ANY OTHER ORGANIZATION AND THE DISSOLUTION OF OR TERMINATION OF AFFILIATION WITH SUCH ORGANIZATION; 6. ANY ACQUISITION, PURCHASE, SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OF ANY REAL PROPERTY; 7. ANY TRANSFER OF ANY PERSONAL PROPERTY OF THE CORPORATION; 8. ANY DISSOLUTION, MERGER, CONSOLIDATION, SALE, OR OTHER CORPORATE RESTRUCTURING OF THE CORPORATION; 9. ESTABLISHMENT, MODIFICATION, CARRYING ON AND TERMINATION BY THE CORPORATION OF ANY CORPORATE COMPLIANCE PROGRAM; 10. THE GIVING, SEEKING OR RECEIVING AND OVERSIGHT OF ADMINISTRATION OR USE OF GRANTS AND OTHER CONTRIBUTIONS AND GIFTS; 11. DEVELOP, ADOPT, APPROVE AND AMEND SALARIES AND OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) AND BENEFITS AND THE OTHER TERMS OF EMPLOYMENT OR ENGAGEMENT OF THE OFFICERS AND EMPLOYEES, INCLUDING PHYSICIAN EMPLOYEES OF THE CORPORATION, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION; 12. THE COMMENCEMENT OR SETTLEMENT OF LITIGATION OR OTHER CLAIMS, OR ALTERNATIVE DISPUTE RESOLUTION, INCLUDING BUT NOT LIMITED TO MEDIATION OR ARBITRATION; 13. ESTABLISHMENT, ADOPTION OR APPROVAL OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES AND OTHER SERVICES PROVIDED BY THE CORPORATION, ITS EMPLOYEES AND CONTRACTORS; 14. APPROVAL OF ANY MATERIAL CHANGES IN THE SCOPE OF SERVICES OFFERED BY THE CORPORATION, INCLUDING THE RANGE OF PHYSICIAN SPECIALTIES EMPLOYED BY OR CONTRACTED BY THE CORPORATION; 15. APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION PLAN OF THE CORPORATION; 16. APPOINTMENT AND REMOVAL OF THE CORPORATION'S DIRECTORS; 17. DETERMINE, AUTHORIZE AND APPROVE CONTRIBUTIONS TO THE MEMBER, OR ANY OTHER ORGANIZATION THAT IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OFTHE CODE AND DELIVERS OR SUPPORTS THE DELIVERY OF HEALTH CARE SERVICES TO THE PUBLIC; 18. THE FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR ANY OTHER PETITION OR PLEADING SEEKING ANY REORGANIZATION, RECEIVERSHIP OR SIMILAR RELIEF UNDER FEDERAL OR STATE LAW; 19. APPROVAL OF THE CREATION AND STRUCTURE OF OPERATING UNITS AND APPOINTMENT OF ANY OPERATING UNIT DIRECTOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE RETURN IS REVIEWED INITALLY BY THE PRESIDENT AND SECRETARY/TREASURER. IT IS THEN REVIEWED BY THE EXECUTIVE COMMITTEE OF UNITED REGIONAL HEALTH CARE SYSTEM, WHICH HAS BEEN DESIGNATED RESPONSIBILITY BY THE BOARD OF DIRECTORS, PRIOR TO FILING OF RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15B</ReturnReference>
        <Explanation>UNITED REGIONAL PHYSICIAN GROUP DOES NOT DETERMINE COMPENSATION FOR THE PRESIDENT/CEO AND OTHER OFFICERS. THEIR COMPENSATION IS DETERMINED BY UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION. UNITED REGIONAL HEALTH CARE SYSTEM USES THESE METHODS TO DETERMINE COMPENSATION. PHYSICIAN COMPENSATION CONSULTANTS AND THE LATEST COMPENSATION SURVEYS ARE USED TO DETERMINE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEE. COMPENSATION IS ALSO REVIEWED BY THE EXECUTIVE COMMITTEE OF UNITED REGIONAL HEALTH CARE SYSTEM. THE PROCESS FOR DETERMINING COMPENSATION IS PERFORMED ANNUALLY AND DOCUMENTED THROUGH EXCHANGES WITH INDEPENDENT COMPENSATION CONSULTANTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AD RUN IN PAPER ANNUALLY THAT STATES THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITH ADDRESS. OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>ADJUST BEGINNING NET ASSETS BALANCE -2. TOTAL TO FORM 990, PART XI, LINE 5: -2.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A:</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS DEVOTED TIME PROVIDING SERVICES TO THE FOLLOWING RELATED ORGANIZATIONS. UNITED REGIONAL HEALTH CARE SYSTEM PHYLLIS COWLING 40 HOURS PER WEEK ROBERT PERT 40 HOURS PER WEEK NANCY TOWNLEY 40 HOURS PER WEEK JOHN SCOTT HOYER 40 HOURS PER WEEK UNITED REGIONAL PROFESSIONAL SERVICES CORPORATION PHYLLIS COWLING ONE HALF HOUR PER WEEK ROBERT PERT ONE HALF HOUR PER WEEK NANCY TOWNLEY ONE HALF HOUR PER WEEK</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>UNITED REGIONAL HEALTH CARE SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 ELEVENTH STREET</AddressLine1>
          <City>WICHITA FALLS</City>
          <State>TX</State>
          <ZIPCode>76301</ZIPCode>
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        <EIN>751912147</EIN>
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          <AddressLine1>1600 ELEVENTH STREET</AddressLine1>
          <City>WICHITA FALLS</City>
          <State>TX</State>
          <ZIPCode>76301</ZIPCode>
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          <BusinessNameLine1>RATHGEBER HOSPITALITY HOUSE</BusinessNameLine1>
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          <AddressLine1>1615 12TH STREET</AddressLine1>
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        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED REGIONAL HEALTH CARE SYSTEM</BusinessNameLine1>
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          <AddressLine1>1600 ELEVENTH STREET</AddressLine1>
          <City>WICHITA FALLS</City>
          <State>TX</State>
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        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNITED REGIONAL HEALTH CARE SYSTEM</BusinessNameLine1>
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          <BusinessNameLine1>UNITED REGIONAL PROFESSIONAL SERVICES CORPORATION</BusinessNameLine1>
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          <City>WICHITA FALLS</City>
          <State>TX</State>
          <ZIPCode>76301</ZIPCode>
        </AddressUS>
        <EIN>752549298</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TEXOMA INSURANCE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1600 8TH STREET</AddressLine1>
          <City>WICHITA FALLS</City>
          <State>TX</State>
          <ZIPCode>76301</ZIPCode>
        </AddressUS>
        <EIN>422683761</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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</Return>