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        <ExclusionAmount>7957</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>1022563</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
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        <ManagementAndGeneral>2152337</ManagementAndGeneral>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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      <PayrollTaxes>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>402835</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>102681</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>3504295</ProgramServices>
        <ManagementAndGeneral>15662945</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
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        <ProgramServices>2569</ProgramServices>
        <ManagementAndGeneral>332864</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>506206</ProgramServices>
        <ManagementAndGeneral>399342</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>155517</ProgramServices>
        <ManagementAndGeneral>255673</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
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      </Royalties>
      <Occupancy>
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        <ProgramServices>356402</ProgramServices>
        <ManagementAndGeneral>114688</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
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        <ProgramServices>173298</ProgramServices>
        <ManagementAndGeneral>43449</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>321945</Total>
        <ProgramServices>200420</ProgramServices>
        <ManagementAndGeneral>121525</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
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        <ManagementAndGeneral>560533</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
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        <ProgramServices>2132287</ProgramServices>
        <ManagementAndGeneral>301059</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>1682072</ProgramServices>
        <ManagementAndGeneral>283030</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>BILLING EXP</Description>
        <Total>1115254</Total>
        <ProgramServices>1115254</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>GENERAL &amp; ADMIN EXP</Description>
        <Total>873394</Total>
        <ProgramServices>873394</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BILLING EXP</Description>
        <Total>302894</Total>
        <ProgramServices>302894</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PURCHASE SERVICES EXP</Description>
        <Total>109484</Total>
        <ProgramServices>109484</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>56741931</Total>
        <ProgramServices>34011338</ProgramServices>
        <ManagementAndGeneral>22730593</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>182020</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>881411</EOY>
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        <EOY>7269126</EOY>
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      <InventoriesForSaleOrUse>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>109086</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>11748936</EOY>
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        <EOY>303837</EOY>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>11103796</EOY>
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      <TemporarilyRestrictedNetAssets>
        <EOY>600000</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>11703796</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
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        <EOY>33305469</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
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      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
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          <BusinessNameLine1>TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS</BusinessNameLine1>
        </Name>
        <EIN>751047527</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>BAYLOR UNIVERSITY MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <EIN>751837454</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
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      <SupportedOrgInformation>
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          <BusinessNameLine1>METHODIST HOSPITALS OF DALLAS</BusinessNameLine1>
        </Name>
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        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
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      <SupportedOrgInformation>
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        </Name>
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        <TypeOfOrganization>06</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>TARRANT COUNTY HOSPITAL DISTRICT</BusinessNameLine1>
        </Name>
        <EIN>752750086</EIN>
        <TypeOfOrganization>06</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>5</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksOfArtAmts />
      <Land />
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        <Depreciation>804381</Depreciation>
        <BookValue>424884</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
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        <Depreciation>5298145</Depreciation>
        <BookValue>2360986</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <Depreciation>9941853</Depreciation>
        <BookValue>21005754</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>23791624</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>303837</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>303837</TotalOfAmounts>
      <TotalRevenue>53769196</TotalRevenue>
      <TotalExpenses>56741931</TotalExpenses>
      <ExcessOrDeficitForYear>-2972735</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-2972735</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>53769196</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>53769196</RevenueSubtotal>
      <TotalRevenuePerForm990>53769196</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>56741931</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>56741931</ExpensesSubtotal>
      <TotalExpensesPerForm990>56741931</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>James Swartz</NamePerson>
        <BaseCompensationFilingOrg>259719</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>33850</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18050</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>311619</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Russell Kyler</NamePerson>
        <BaseCompensationFilingOrg>159075</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>159075</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>the organization has members or stockholders</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6:</ReturnReference>
        <Explanation>The board of director consists of 13 voting members. The president of the company and medical director are nonvoting members of the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>THE MEMBERS STOCKHOLDERS OR OTHER PERSONS WHO MAY ELECT ONE 0R MORE MEMBER</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7A:</ReturnReference>
        <Explanation>The organization have members or stockholders, or other persons who may elect one or more members of governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11:</ReturnReference>
        <Explanation>The 990 is forwarded to the finance committee of the board prior to being filed. It is also reviewed by the auditor who prepared the audited financial statements.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c:</ReturnReference>
        <Explanation>The Conflict of Interest statements are required in the annual staff performance review process. Also, annually, board members are required to file conflict of interest statements to the independent auditor as a requirement of the annual audit. Board members are required to recuse themselves from votes where an actual or perceived conflict of interest exists.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>the process for determining compensation</Identifier>
        <ReturnReference>PART VI, LINEs 15A &amp; 15B:</ReturnReference>
        <Explanation>For CEO, each year, Board evaluates CEO. A summary is given and discussed with CEO by board chair. Salary comparisons were reviewed utilizing the most recent Nonprofit Salary and Benefits Survey available for Dallas County. PERFORMANCE OBJECTIVES ARE ESTABLISHED AND EVALUATED ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19:</ReturnReference>
        <Explanation>The governning documents, conflict of interest policy, and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>