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      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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        <FormAndLineReferenceDesc>fin 48</FormAndLineReferenceDesc>
        <ExplanationTxt>schedule d, part x, line 2: the plan is a not-for-profit corporation exempt from federal income taxes under internal revenue code sections 115 and 501(c)(4). from its inception in 1995, the plan has filed form 990 return for organization exempt from income tax with the internal revenue service (IRS).</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Frederick P Cerise MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Wendling</PersonNm>
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        <PersonNm>Jane Stegall</PersonNm>
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        <TotalCompensationFilingOrgAmt>187398</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Shapiro</PersonNm>
        <TitleTxt>Chief Operating Officer/VP Ope</TitleTxt>
        <BaseCompensationFilingOrgAmt>241622</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30853</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272475</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Ryan</PersonNm>
        <TitleTxt>VP, IT &amp; BI</TitleTxt>
        <BaseCompensationFilingOrgAmt>225541</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14676</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>240217</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Waziri</PersonNm>
        <TitleTxt>VP/CFO - PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>242816</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9181</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5854</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257851</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicholas Smith</PersonNm>
        <TitleTxt>VP, Net Dev-Provider Rel</TitleTxt>
        <BaseCompensationFilingOrgAmt>217887</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14557</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31829</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264273</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Graham Keever</PersonNm>
        <TitleTxt>VP, Policy&amp;Gover Relation-PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>208513</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13405</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10147</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232065</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nakia Smith</PersonNm>
        <TitleTxt>VP, Chief Compl&amp;Ethics-PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>199399</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13911</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213310</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ava Norris</PersonNm>
        <TitleTxt>VP, Healthcare Services, PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>190841</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12065</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11253</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214159</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Reigen Lox</PersonNm>
        <TitleTxt>VP&amp;Chief of Govt Prog-PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>223634</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8491</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35707</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>267832</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Clanton</PersonNm>
        <TitleTxt>Chief Medical Officer - PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>257841</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11083</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>268924</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Humphrey</PersonNm>
        <TitleTxt>EVP &amp; Chief Financial Officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>674222</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>42410</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>23127</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>739759</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cheryl Edwards</PersonNm>
        <TitleTxt>Dir. Pharmacy - PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>174996</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11789</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18182</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204967</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amrita Waingankar</PersonNm>
        <TitleTxt>Interim CMO - PCHP</TitleTxt>
        <BaseCompensationFilingOrgAmt>253632</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12601</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1038</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>267271</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paula Turicchi</PersonNm>
        <TitleTxt>VP, Chief Strategy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>326233</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19860</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10436</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>356529</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>METHODS USED TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 3: Parkland's jobs to include those at PCHP. Specifically, we utilize the following for Executive compensation (Vice President and above)-external compensation consultants review every two years based on very specific market match of academic and teaching hospitals and health systems at market median base rates between P50-P75.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SEVERANCE PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, PART I, LINE 4A: Peter Waziri - $89,774</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 11B: The 990 is prepared by an external CPA firm, then reviewed by the Executive Director of the organization and distributed to the Board members before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 12C: Conflict of interest statements are required as part of the annual staff performance review process. Also, Board members are required to file conflict of interest statements with the independent auditors as a requirement of the annual audit. All Board Members are asked to address possible conflicts of interest before every meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>THE PROCESS OF DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 15A AND 15B: As employees are actually employees of Dallas County Hospital District, Dallas County Hospital District approves all compensation paid to staff. A compensation committee at Dallas County Hospital District reviews market data annually in order to determine that salary ranges meet market guidelines, and benchmark salaries against similar hospital systems. Compensation is reviewed and approved by the Parkland Health Plan Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION C, LINE 19: The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHANGE IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>form 990, part xi, line 9: change in nonadmitted assets: $-5,412,548</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SIGNIFICANT CHANGE IN GOVERNING DOCUMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, PART VI, line 4: More flexibility in increasing to next $100k increment on previously approved board approvals.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>DALLAS COUNTY HOSPITAL DISTRICT</BusinessNameLine1Txt>
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          <AddressLine1Txt>5201 HARRY HINES BLVD</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75235</ZIPCd>
        </USAddress>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>PARKLAND FOUNDATION</BusinessNameLine1Txt>
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          <CityNm>DALLAS</CityNm>
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      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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