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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
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        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>OTHER THEN THE EMPLOYERS 401(A), 403(B) AND 457(B) PLANS THERE ARE NO EMPLOYER CONTRIBUTIONS TO A RETIREMENT PLAN. OFFICERS WHO ARE COMPENSATED BY METHODIST HOSPITALS OF DALLAS (THE PARENT ORGANIZATION) MAY HAVE CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN AND THE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.</Explanation>
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        <ReturnReference>PART I, LINE 5</ReturnReference>
        <Explanation>OFFICERS WHO ARE PAID BY THE RELATED PARENT ORGANIZATION MAY HAVE BONUS CALCULATIONS WHICH INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH AND NET OPERATING INCOME MARGIN. THESE PAYMENTS ARE MADE AT THE METHODIST HOSPITALS OF DALLAS LEVEL AND NONE ARE PAID BY MEDHEALTH.</Explanation>
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        <Explanation>OFFICERS WHO ARE PAID BY THE RELATED PARENT ORGANIZATION MAY HAVE BONUS CALCULATIONS WHICH INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH AND NET OPERATING INCOME MARGIN. THESE PAYMENTS ARE MADE AT THE METHODIST HOSPITALS OF DALLAS LEVEL AND NONE ARE PAID BY MEDHEALTH.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
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      <GeneralExplanation>
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        <Explanation>ANNUAL QUESTIONAIRRE TO DIRECTORS, OFFICERS &amp; KEY EMPLOYEES ARE ALSO MONITORED BY INTERNAL AUDIT &amp; CORPORATE COMPLIANCE FUNCTIONS OF ITS PARENT ORGANIZATION METHODIST HEALTH SYSTEM.</Explanation>
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          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PHYSICAINS ASSOC OF SW DALLAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1441 N BECKLEY AVE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75203</ZIPCode>
        </AddressUS>
        <EIN>752966610</EIN>
        <PrimaryActivities>HEALTH SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>BOX 11 TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ASSOC OF SURGICAL CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1441 N BECKLEY AVE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75203</ZIPCode>
        </AddressUS>
        <EIN>262126265</EIN>
        <PrimaryActivities>HEALTH SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>BOX 11 TYPE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MHSR MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1441 N BECKLEY AVE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75203</ZIPCode>
        </AddressUS>
        <EIN>264193362</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>BOX 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH TEXAS HEALTH FACILITIES MANAGEMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1441 N BECKLEY AVE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75203</ZIPCode>
        </AddressUS>
        <EIN>751700994</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</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>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>2376051</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NORTH TEXAS HEALTH FACILITIES MGMT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>6007268</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>94000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PAVILION PROPERTIES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>735817</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>