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      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
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      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
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        <ReturnReference>FORM 990, PART VI, QUESTION 11A</ReturnReference>
        <Explanation>THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 12C</ReturnReference>
        <Explanation>THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION FROM RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII &amp; SCHEDULE J</ReturnReference>
        <Explanation>THE GOVERNING BOARD OF TRINITY MOTHER FRANCES HEALTH SYSTEM UPON ADVICE FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS, WHO PERIODICALLY REVIEW ALL EXECUTIVE COMPENSATION, APPROVED A DEFERRED COMPENSATION PLAN THAT PROVIDES A 65% TOTAL RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTION AND NON-COMPETITION CLAUSES THAT CREATE A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FORFEITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRUALS OF DEFERRED COMPENSATION ARE NOT INCLUDIBLE IN W-2 COMPENSATION UNTIL PAID. OTHER EMPLOYEE BENEFITS INCLUDE QUALIFIED PENSION PLANS, HEALTH, DENTAL AND LIFE INSURANCE PLANS, DISABILITY INSURANCE, ETC. TAXABLE EXPENSES ARE INCLUDED IN THE W-2 PAID COMPENSATION SALARY AMOUNT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>AVG HOURS WORKED FOR RELATED ORG ROYAL BECKER MD 40 DAVID TEEGARDEN MD 40 LINDSEY BRADLEY 40 RAY THOMPSON 41 STEVEN KEUER MD 40 BILL BELLENFANT 41 ANDY NAVARRO 40</Explanation>
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      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTIONS 15A AND 15B</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT COMPENSATE ANY INDIVIDUALS; THEREFORE, THESE TWO QUESTIONS ARE NOT APPLICABLE.</Explanation>
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      <GeneralExplanation>
        <Identifier>1099S REPORTED BY ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART V, QUESTION 1</ReturnReference>
        <Explanation>NO 1099S WERE ISSUED BY THE FILING ORGANIZATION. THE ORGANIZATION'S 1099S ARE ISSUED BY A RELATED ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, WHO REPORTS ALL 1099S FOR THE ENTIRE SYSTEM AND ALLOCATES EXPENSES TO THE APPROPRIATE RELATED ORGANIZATION; THEREFORE, THIS QUESTION IS ANSWERED AS "NONE" FOR THIS FILING ORGANIZATION.</Explanation>
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          <AddressLine1>1021 E IDEL</AddressLine1>
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          <AddressLine1>1021 E IDEL</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
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        <AddressUS>
          <AddressLine1>1021 E IDEL</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
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        <EIN>752161369</EIN>
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          <BusinessNameLine1>HEALTHPLAN OF TEXAS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>514 S BECKHAM</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
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        <EIN>752636832</EIN>
        <PrimaryActivity>THIRD PARTY ADMIN</PrimaryActivity>
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          <AddressLine1>1021 E IDEL</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
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        <EIN>752484109</EIN>
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          <Country>CJ</Country>
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          <AddressLine1>1021 E IDEL</AddressLine1>
          <City>TYLER</City>
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          <City>TYLER</City>
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          <AddressLine1>1021 E IDEL</AddressLine1>
          <City>TYLER</City>
          <State>TX</State>
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</Return>