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        <ExclusionAmount>14348</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>417809</Total>
        <ProgramServices>396919</ProgramServices>
        <ManagementAndGeneral>20890</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>5105945</Total>
        <ProgramServices>4850648</ProgramServices>
        <ManagementAndGeneral>255297</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>104444</Total>
        <ProgramServices>98177</ProgramServices>
        <ManagementAndGeneral>6267</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>923766</Total>
        <ProgramServices>868340</ProgramServices>
        <ManagementAndGeneral>55426</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>368597</Total>
        <ProgramServices>294878</ProgramServices>
        <ManagementAndGeneral>73719</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>185576</Total>
        <ProgramServices>115057</ProgramServices>
        <ManagementAndGeneral>70519</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>73000</Total>
        <ProgramServices>8760</ProgramServices>
        <ManagementAndGeneral>64240</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2252830</Total>
        <ProgramServices>1914906</ProgramServices>
        <ManagementAndGeneral>337924</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>29076</Total>
        <ProgramServices>29076</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>54043</Total>
        <ProgramServices>48098</ProgramServices>
        <ManagementAndGeneral>5945</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>42376</Total>
        <ProgramServices>21188</ProgramServices>
        <ManagementAndGeneral>21188</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>399670</Total>
        <ProgramServices>319736</ProgramServices>
        <ManagementAndGeneral>79934</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>25443</Total>
        <ProgramServices>12721</ProgramServices>
        <ManagementAndGeneral>12722</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>138028</Total>
        <ProgramServices>110422</ProgramServices>
        <ManagementAndGeneral>27606</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>282000</Total>
        <ManagementAndGeneral>282000</ManagementAndGeneral>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>541680</Total>
        <ProgramServices>433344</ProgramServices>
        <ManagementAndGeneral>108336</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>69787</Total>
        <ProgramServices>55830</ProgramServices>
        <ManagementAndGeneral>13957</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES (EXCL OFFICE SUPP)</Description>
        <Total>1575278</Total>
        <ProgramServices>1401997</ProgramServices>
        <ManagementAndGeneral>173281</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debts</Description>
        <Total>1323991</Total>
        <ProgramServices>1323991</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ALL OTHER EXPENSES</Description>
        <Total>956578</Total>
        <ProgramServices>860920</ProgramServices>
        <ManagementAndGeneral>95658</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>14869917</Total>
        <ProgramServices>13165008</ProgramServices>
        <ManagementAndGeneral>1704909</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>238052</BOY>
        <EOY>459748</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>87934</BOY>
        <EOY>1109624</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>946612</BOY>
        <EOY>1124961</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1287389</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>306455</BOY>
        <EOY>319330</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>212884</BOY>
        <EOY>222630</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>6858721</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5296905</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1509921</BOY>
        <EOY>1561816</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>400000</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>297721</BOY>
        <EOY>121894</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>4886968</BOY>
        <EOY>5320003</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1075426</BOY>
        <EOY>1085533</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>816693</BOY>
        <EOY>544624</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2250130</BOY>
        <EOY>2087164</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4142249</BOY>
        <EOY>3717321</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>693034</BOY>
        <EOY>1551103</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>51685</BOY>
        <EOY>51579</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>744719</BOY>
        <EOY>1602682</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4886968</BOY>
        <EOY>5320003</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </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">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>832</OtherCostOrOtherBasis>
        <BookValue>832</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>271145</OtherCostOrOtherBasis>
        <Depreciation>37104</Depreciation>
        <BookValue>234041</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>6563463</OtherCostOrOtherBasis>
        <Depreciation>5259801</Depreciation>
        <BookValue>1303662</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>23281</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>23281</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1561816</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTERCOMPANY NOTES &amp; CHARGES</Description>
        <Amount>2087164</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2087164</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>584911</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>270700</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>314211</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02320</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>15190598</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15714000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-523402</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03860</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>15775509</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15984700</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-209191</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01540</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>65700</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28200</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>37500</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00280</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>4000</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>69700</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28200</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>41500</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00310</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>15845209</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16012900</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-167691</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01230</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1323991</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>17744000</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>10264000</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>7480000</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Yoakum Community Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1200 Carl Ramert Drive</AddressLine1>
          <City>Yoakum</City>
          <State>TX</State>
          <ZIPCode>77995</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>We use the assets test in order to determine the amount of free/discounted care. We required pay stubs for patient &amp; spouse, last year's tax return, social security award letter if employed. If unemployed, we require food stamp approval/denial, unemployment approval/denial and last year's tax return. We also require the patient to submit a Financial Information Form showing bills, bank accounts, and any other support they may be receiving to determine if they are eligible for charity care.</IncomeBasedCriteria>
        <AnnualCommunityBenefitExpln>Our community benefit report for FY 2010 was prepared by Vivante Group, LLC with the assistance of our corporate office.</AnnualCommunityBenefitExpln>
        <PercentOfTotalExpenseExpln>Our total expense from Form 990, Part IX, Line 25, Column (A) was $14,869,917. The bad debt expense included in this amount was $1,323,991. This left a total expense of $13,545,926 for purposes of calculating Line 7, Column (F).</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>The hospital reports patient accounts receivable for services rendered at net realizable amounts from government payers, managed care plans, patients and others. Amounts due from patients include both amounts due from fully uninsured patients and co-payments and deductibles for which insured patients are responsible. A service to the patient, the hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. The hospital provides an allowance for doubtful accounts for estimated losses resulting from payers' inability to make payments on accounts. The hospital estimates its allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. Accounts are considered delinquent, and subsequently written off as bad debts, based on individual credit evaluation and specific circumstances of the account, estimates its allowance for doubtful accounts based upon a review of outstanding receivables.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The Medicare shortfall was computed using the annual Medicare cost report for the period 11/01/09 thru 10/31/10.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Our patients are sent a letter from the centralized business office informing them their balance due and that there are programs available for assistance. These accounts are reviewed by a vendor and the patients are then contacted regarding charity or financial assistance programs they may qualify for until they are either approved, denied or do not comply with the requirements for assistance.</DebtCollectionPolicy>
        <NeedsAssessment>As stated in our FY 2010 Community Benefits Plan, "As a not-for-profit hospital, part of YCH's mission is to engage in community benefit activities to improve the health status of the community as a whole. These activities are based on a specific community wide assessment of need using a variety of sources including discussions with leaders of community organizations, state and community data and hospital admission and ER trends."</NeedsAssessment>
        <PatientEducationAssistance>We have a copy of our charity care policy posted on our hospital website and have a Cardon Healthcare eligibility consultant on site who will screen all customers who are self pay for all programs they may be eligible for. Our insured customers are also referred to the eligibility consultant if they are not able to set up financial arrangements after they are moved to being self pay. We have signs posted in our registration area stating "YCH provides financial assistance through our charity or indigent programs to those who qualify. See registration clerk for more information." Our billing statements also have contact information for customers who cannot pay the claim in full to call to discuss more payment options.</PatientEducationAssistance>
        <CommunityInformation>Yoakum Community Hospital is centrally located approximately 200 miles from San Antonio &amp; Houston. Our service area covers approximately 2000 square miles and approximately 40,000 people (Dewitt &amp; Lavaca Counties combined). The entire population of Lavaca and Dewitt counties is classified as medically underserved. YCH serves Health Service Region 8.</CommunityInformation>
        <CommunityBuildingActivities>YCH hold various activities to promote health care to our community. We hold health fairs, Donna's Day (free health screenings for blood pressure, cholesterol, and glucose levels), and we have a diabetic clinic available in our outpatient clinic.</CommunityBuildingActivities>
        <AffiliatedHealthCareSystem>Yoakum Community Hospital is a 25 bed Critical Access Hospital offering general medical and surgical care to the citizens of Yoakum and the surrounding communities. Established in 1922, Yoakum Community Hospital has been an integral part of the community since its inception and continues to search for ways to better serve our community.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>TX</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Michael D Williams</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>595995</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>268869</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>138868</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>17200</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15185</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1036117</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Karen Barber RN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>116083</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>24975</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>25635</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11186</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>177879</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Foret</NamePerson>
        <BaseCompensationFilingOrg>63715</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>57790</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>18189</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>5758</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3892</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>5499</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1494</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>69101</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>87236</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Butler</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>244450</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>69153</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2852</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>16747</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18188</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>351390</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC), AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO ON JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO DAVID L. BUTLER - 10,204 MICHAEL D. WILLIAMS - 141,726 SCHEDULE J, PART I, LINE 7 NON-FIXED BONUSES WERE PAID AND REPORTED AT SCHEDULE J, PART II FOR: ROBERT FORET - $18,189</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>YOAKUM COMMUNITY HOSPITAL (YCH) IS A NOT-FOR-PROFIT, CRITICAL-ACCESS HOSPITAL DELIVERING COMPREHENSIVE SERVICES WITH COMPASSION AND COMMITMENT. HOSPITAL LEADERSHIP AND PHYSICIANS WORK TOGETHER TO GUIDE THE DIRECTION OF THE FACILITY. THE BUSY, 25-BED COMMUNITY HOSPITAL HAS SERVED NEIGHBORS IN YOAKUM AND THE SURROUNDING AREA FOR 86 YEARS. THE YCH MEDICAL STAFF OF 23 PHYSICIANS INCLUDES NOT ONLY FAMILY PHYSICIANS BUT ALSO THOSE CERTIFIED IN A NUMBER OF MAJOR HEALTH CARE SPECIALTIES. MORE THAN 80 YCH STAFF NURSES PROVIDE SPECIAL EXPERTISE AND A COMPASSIONATE BEDSIDE MANNER. THE HOSPITAL PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE LABORATORY, REHABILITATION, IMAGING, EMERGENCY, GENERAL MEDICINE, DIABETES EDUCATION, SLEEP DISORDER TREATMENT, SURGERY AND THE MANY MEDICAL SPECIALISTS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC. THE YCH TEAM TAKES PRIDE IN THE FACILITY'S QUALITY OF CARE AND OUR ONGOING COMMITMENT TO PATIENTS IN YOAKUM AND THE SURROUNDING COMMUNITIES. A FEW YCH FACTS FOR FISCAL YEAR ENDED JUNE 30, 2010: - THE HOSPITAL DELIVERED APPROXIMATELY 80 BABIES PERFORMED 461 LIFESAVING SURGERIES. - YCH ADMITTED 755 LOCAL PATIENTS IN THE ACUTE STATE OF ILLNESS AND MANAGED 4,672 EMERGENCY ROOM VISITS WITH THE RAPID, RELIABLE CARE OUR COMMUNITY DESERVES. - THE EMERGENCY SERVICES AT YCH HAVE EARNED THE HOSPITAL DISTINGUISHED RECOGNITION AS THE FIRST LEVEL IV TRAUMA CENTER IN THE AREA. - IN 2007, YOAKUM CHAMBER OF COMMERCE PRESENTED YCH WITH ITS BUSINESS OF THE YEAR AWARD, AND THE HOSPITAL ALSO RECEIVED THE 2007 TEXAS HEALTH CARE QUALITY IMPROVEMENT AWARD. HOSPITAL SERVICES: YCH PROVIDES A BROAD RANGE OF SERVICES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR COMMUNITY, WHICH INCLUDE: - UP-TO-DATE LABORATORY, PHYSICAL THERAPY AND RADIOLOGY SERVICES-INCLUDING MRI, MAMMOGRAPHY, CT, RADIOGRAPHY/FLUOROSCOPY AND ULTRASOUND DIAGNOSTIC SERVICES. - EMCARE PHYSICIANS IN YOAKUM COMMUNITY HOSPITAL'S EMERGENCY ROOM TREAT TRAUMA PATIENTS AT ANY TIME OF DAY OR NIGHT, SEVEN DAYS A WEEK. - MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, EAR NOSE AND THROAT, GASTROENTEROLOGY, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OB / GYN, PODIATRY AND UROLOGY PHYSICIANS WHO SCHEDULE PATIENT APPOINTMENTS AT THE YCH OUTPATIENT CLINIC ON A REGULAR BASIS. - SURGICAL SERVICES FOR MANY INPATIENT AND OUTPATIENT PROCEDURES IN OUR FULLY EQUIPPED OPERATING ROOMS. - CONVENIENT ACCESS TO NUMEROUS OUTPATIENT SERVICES FOR PATIENTS WITH SLEEP DISORDERS, DIABETES AND PULMONARY REHABILITATION NEEDS. YCH MISSION AND VISION MISSION: TO ENHANCE OUR TRADITION OF COMPASSIONATE, QUALITY, AND COST-EFFECTIVE SERVICE, WHICH RESULTS IN MEASURABLE BENEFITS TO OUR PATIENTS, OUR EMPLOYEES AND OUR MEDICAL STAFF VISION: TO PROVIDE FOR THE HEALTHCARE NEEDS OF ALL INDIVIDUALS IN OUR COMMUNITY THROUGHOUT THEIR LIFE SPAN WITH SELFLESS COMMITMENT AND IN HARMONY WITH THE RESOURCES THAT EXIST. COMMITMENT TO COMMUNITY BENEFIT: AS A NOT-FOR-PROFIT HOSPITAL, PART THE YCH MISSION IS TO ENGAGE IN COMMUNITY BENEFIT ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AS A WHOLE. THESE ACTIVITIES ARE BASED ON A SPECIFIC COMMUNITY WIDE ASSESSMENT OF NEED USING A VARIETY OF SOURCES INCLUDING DISCUSSIONS WITH LEADERS OF COMMUNITY ORGANIZATIONS, STATE AND COMMUNITY DATA AND HOSPITAL ADMISSION AND ER TRENDS. THE COMMUNITY BENEFITS PLAN IS DESIGNED IN ACCORDANCE WITH THE TEXAS STATUTES AND CODES OF HEALTH AND SAFETY, TITLE 4F. HEALTH FACILITIES, POWERS AND DUTIES OF HOSPITALS, CHAPTER 311. POWERS AND DUTIES OF HOSPITALS, SUBCHAPTER C. HOSPITAL DATA REPORTING AND COLLECTION SYSTEM AND SUBCHAPTER D. COMMUNITY BENEFITS AND CHARITY CARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF MANAGEMENT ARRANGEMENT</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 3</ReturnReference>
        <Explanation>VHA SOUTHWAST COMMUNITY HEALTH CORPORATION D/B/A COMMUNITY HOSPITAL CORPORATION PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 VHA SOUTHWEST COMMUNITY HOSPITAL CORPORATION ("CHC") IS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH"). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A VHA SOUTHWEST COMMUNITY HOSPITAL CORPORATION ("CHC") AS THE SOLE MEMBER OF YOAKUM COMMUNITY HOSPITAL ("YCH") ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES OF YCH AND IS EMPOWERED WITH THE ABILITY TO REMOVE TRUSTEES, WITH OR WITHOUT CAUSE. DESCR CLASSES OF PERSONS, DECISIONS REQUIR APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B ARTICLES OF INCORPORATION - BOARD OF DIRECTORS SECTION 7.1 POWERS. THE AFFAIRS OF THIS CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES (HERINAFTER SOMETIMES CALLED THE "BOARD") PROVIDED THAT THE APPROVAL OF THE MEMBER OF THIS CORPORATION SHALL BE NECESSARY FOR EACH OF THE FOLLOWING MATTERS: A. THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; B. ANY AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; C. ANY AMENDMENTS OR REVISIONS OF THE ARTICLE OF INCORPORATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; D. THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; E. ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY, TO WHICH THE CORPORATION IS A PARTY; F. THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; G. ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING BUDGET; H. ALL EXPENDITURE DEVIATIONS FROM THE ANNUAL CAPITAL BUDGET; I. THE PURCHASE OR ACQUISITION OF ANY REAL, PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; J. THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; K. ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY "TRANSFER") OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $50,000; L. ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUSAL AND CUSTOMARY TRADE DEBTS, WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; M. SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; N. THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; O. THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT WITH AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; P. ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; Q. THE ELECTION OF THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION OR THE REMOVAL OF SAID TRUSTEE, WHETHER WITH OR WITHOUT CAUSE; R. THE ENGAGEMENT OF OR REMOVAL OF THE HOSPITAL ADMINISTRATOR; S. THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; T. THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND U. THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM OF THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A A REVIEW OF THE 990 FORM IS PERFORMED BY THE CFO OF THE HOSPITAL FOLLOWING FORM PREPARATION. ELECTRONIC COPIES ARE GIVEN TO EACH BOARD MEMBER UPON COMPLETION OF THE FORM. THE FORMS ARE THEN FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C CONFLICT OF INTEREST STATEMENTS ARE FILLED OUT BY GOVERNING BOARD MEMBERS, ADMINISTRATIVE TEAM, AND OTHER KEY EMPLOYEES ON A YEARLY BASIS. IF A CONFLICT OF INTEREST IS DISCLOSED, IT IS REVIEWED BY MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION, AND ANSWER QUESTIONS POSED BY THE GOVERNING BODY AT THE COMMITTEE MEETING BUT MUST LEAVE AFTER THE PRESENTATION, DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT OF INTEREST. IF DEEMED NECESSARY, A DISINTERESTED PERSON CAN BE APPOINTED TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND THE ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLE, THE GOVERNING BODY SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION/ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION. THE COMPLIANCE OFFICER ALONG WITH THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR CONDUCTING AUDITS AND MONITORING REVIEWS OF INTERNAL CONTROLS TO MAKE SURE THEY ARE FREE FROM ANY CONFLICTS OF INTEREST/INFLUENCES THAT WOULD IMPAIR THEIR ABILITY TO OBJECTIVELY CARRY OUT THEIR WORK WITHOUT BIAS. IF FOR ANY REASON THERE IS BELIEF THAT A BOARD /COMMITTEE MEMBER/EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE MEMBER/EMPLOYEE WILL BE INFORMED AND GIVEN AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND MAKING FURTHER INVESTIGATION IT IS DETERMINED THERE WAS FAILURE TO DISCLOSE, APPROPRIATE DISCIPLINARY ACTION WHICH CAN INCLUDE WITHOUT LIMITATION, TERMINATION OF THE PERSON'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A &amp; 15B THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY THE PARENT ORGANIZATION, CHC, AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO ON JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. AVAIL GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. RELATED HOURS DISCLOSURE FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: MICHAEL D. WILLIAMS: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF CARSON TAHOE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 30 HOURS COMMUNITY HOSPITAL CONSULTING, INC. - 6 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOUR WALKER COUNTY HOSPITAL - 1 HOUR DAVID BUTLER: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF TYLER - 1 HOUR HMH PHYSICIANS ORGANIZATION - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 38 HOURS COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOURS WALKER COUNTY HOSPITAL - 1 HOUR FORM 990, PART XI, QUESTION 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH IS THE PARENT ORGANIZATION OF YOAKUM COMMUNITY HOSPITAL, IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAPTIST HOSPITALS OF SE TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>POST OFFICE BOX 1591</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77704</ZIPCode>
        </AddressUS>
        <EIN>741303720</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAPTIST PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3080 COLLEGE STREET</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77701</ZIPCode>
        </AddressUS>
        <EIN>760453250</EIN>
        <PrimaryActivities>PRIMARY CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ARTESIA GENERAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>702 NORTH 13TH STREET</AddressLine1>
          <City>ARTESIA</City>
          <State>NM</State>
          <ZIPCode>88210</ZIPCode>
        </AddressUS>
        <EIN>742851819</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAIRD MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>020643367</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WALKER COUNTY HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 4001</AddressLine1>
          <City>HUNTSVILLE</City>
          <State>TX</State>
          <ZIPCode>77342</ZIPCode>
        </AddressUS>
        <EIN>203069241</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HMH PHYSICIAN ORGANIZATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3000 INTERSTATE 45</AddressLine1>
          <City>HUNTSVILLE</City>
          <State>TX</State>
          <ZIPCode>77340</ZIPCode>
        </AddressUS>
        <EIN>760500960</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHWEST COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752725353</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUECARE HOSPITAL OF TYLER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 E DAWSON STREET</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </AddressUS>
        <EIN>200991990</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUECARE HOSPITAL OF SE TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>201150480</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUECARE HOSPITAL OF CARSON TAHOE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>261635881</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHC COMMUNITY CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>371485773</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VHASW COMMUNITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752638469</EIN>
        <PrimaryActivities>SUPPORT ORG.</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH ASSURANCE SPC LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>CAYMAN ISLANDS GRAND CAYMAN</AddressLine1>
          <Country>CJ</Country>
          <PostalCode>POB 69GT</PostalCode>
        </AddressForeign>
        <PrimaryActivity>CAPTIVE INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHC ACQUISITION CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PARKWAY STE 500</AddressLine1>
          <City>Plano</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752750360</EIN>
        <PrimaryActivity>CONSULTING</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HOSPITAL CONSULTING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PARKWAY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>204710183</EIN>
        <PrimaryActivity>MGMT CONSULTING</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>