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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF CHILDREN'S MEDICAL CENTER RESEARCH INSTITUTE AT THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (CMCRI) RECEIVES COMPENSATION ACCORDING TO A CONSULTING AGREEMENT EXECUTED AND UNDER THE AUTHORITY OF CHILDREN'S HEALTH CLINICAL OPERATIONS (EIN 75-0800628). CMCRI'S PRESIDENT HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHILDREN'S HEALTH CLINICAL OPERATION. MICHAEL SERBER, AN OFFICER OF CMCRI, IS NEITHER AN EMPLOYEE OF NOR COMPENSATED BY CMCRI. MR. SERBER IS AN EMPLOYEE OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSWMC). UTSWMC IS NOT A RELATED ORGANIZATION OF CMCRI. THEREFORE, THERE IS NO COMPENSATION REPORTED FOR MR. SERBER ON CMCRI'S FORM 990. CERTAIN INDIVIDUALS IDENTIFIED HEREIN AS DIRECTOR OR OFFICERS OF THE CMCRI ARE EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE INDIVIDUALS PERFORM SERVICES FOR THE CMCRI, AND IN SOME CASES OTHER RELATED ORGANIZATIONS, BY ARRANGEMENT BETWEEN CHST AND SUCH ORGANIZATION(S). THEREFORE, COMPENSATION DECISIONS FOR THE DIRECTOR AND OFFICERS WERE DETERMINED BY THE RELATED ORGANIZATION FOLLOWING CHST COMPENSATION'S POLICY. IN THEIR DUTIES AS DIRECTOR AND OFFICERS OF THE CMCRI, THEY HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST. THE CHST PROCESS FOR DETERMINING EXECUTIVE COMPENSATION IS AS FOLLOWS: THE HUMAN RESOURCES COMMITTEE (COMMITTEE) OF THE CHST BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR EXECUTIVES. THE COMMITTEE IS COMPRISED OF INDEPENDENT, NONEMPLOYEE DIRECTORS. A WRITTEN COMPENSATION PHILOSOPHY HAS BEEN DEVELOPED BY THE HUMAN RESOURCES COMMITTEE FOR TIMELINESS AND APPROPRIATENESS AND DEFINES THE DESIRED PEER GROUPS FOR COMPENSATION SURVEYS. THE HR COMMITTEE ENGAGES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT FOR EXECUTIVE COMPENSATION. COMPENSATION PROGRAM COMPONENTS: THE ELEMENTS OF TOTAL COMPENSATION PROVIDED TO CHST EXECUTIVES INCLUDE: - CASH COMPENSATION (I.E., BASE SALARY, SHORT-TERM AND LONG-TERM INCENTIVE COMPENSATION, AND/OR OTHER CASH COMPENSATION), DETERMINED IN CONSIDERATION OF COMPETITIVE MARKET PRACTICES, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE, RECRUITMENT AND RETENTION CONSIDERATIONS, AND OTHER RELEVANT FACTORS. - STANDARD BENEFITS, ASSISTING IN EACH EXECUTIVE'S MEDICAL, DENTAL, DISABILITY, LIFE INSURANCE, TIME OFF, AND RETIREMENT NEEDS, REFLECTIVE OF THE EMPLOYMENT STATUS (I.E., FULL OR PART TIME) OF THE EXECUTIVE. - SUPPLEMENTAL BENEFITS, INCLUDING SUPPLEMENTAL INSURANCE, RETIREMENT BENEFITS, AND/OR OTHER SUPPLEMENTAL BENEFITS DETERMINED BY THE COMMITTEE TO BE APPROPRIATE AND REASONABLE IN RELATION TO MARKETPLACE PRACTICES. COMPENSATION AND BENEFITS DECISIONS ARE MADE IN CONSIDERATION OF EACH EXECUTIVE'S POSITION, RESPONSIBILITIES, SKILLS, EFFORT, AND PERFORMANCE, IN RELATION TO DOCUMENTED PRACTICES WITHIN THE APPROPRIATE COMPARATOR GROUP(S). PEER GROUP: THE COMMITTEE HAS DEFINED ITS PRIMARY PEER GROUP FOR EXECUTIVES AS NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SIMILAR IN SIZE, STRUCTURE, AND COMPLEXITY. THIS GROUP WILL INCLUDE LEADING PEDIATRIC HEALTH SYSTEMS AS WELL AS INTEGRATED HEALTH SYSTEMS AND ACADEMIC MEDICAL CENTERS. - DATA WILL BE COMPILED IN A MANNER CONSISTENT WITH THE IRS INTERMEDIATE SANCTIONS RULES OF FEDERAL TAX LAW, TO REFLECT WHAT IS DINARILY PAID TO LIKE EXECUTIVES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES." - IN CERTAIN CIRCUMSTANCES, MARKET DATA FROM ADDITIONAL COMPARATOR GROUPS (E.G., RESEARCH INSTITUTIONS, INSURANCE INDUSTRY, AND GENERAL INDUSTRY COMPANIES) MAY ALSO BE REFERENCED. - THE SPECIFIC NATURE OF THE ROLE AT CHST WILL BE CONSIDERED WHEN ADDING COMPARATOR GROUPS OUTSIDE OF THE PRIMARY PEER GROUP, AND THE COMMITTEE WILL DISCUSS AND AGREE ON THE APPROPRIATENESS OF ADDING COMPARATOR GROUPS WHENEVER THE SPECIFIC NATURE OF THE CHST ROLE REQUIRES ADDITIONAL COMPARATOR GROUPS TO BE USED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>PETER PERIALAS - $1,654,200</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DEFINED CONTRIBUTION RETIREMENT PLAN (EDCRP): EMPLOYEES WHO RECEIVED TAXABLE INCOME FROM THE EDCRP INCLUDE: PETER PERIALAS - $878,664 AMY YEAGER - $209,214 ROBERT FRIES - $25,021 EMPLOYEES WHO PARTICIPATED IN AND HAVE CONTRIBUTIONS TO THE EDCRP INCLUDE: PETER PERIALAS - $50,898 AMY YEAGER - $169,059 ROBERT FRIES - $216,462 TERESA EGAN - $21,874</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b COMMITTEES</FormAndLineReferenceDesc>
        <ExplanationTxt>Children's Health System of Texas Board of Directors has established four standing committees, which have the authority to act for and on behalf of the CHST Board of Directors to fulfill the responsibilities designated in their respective committee charters. The CHST Board of Directors has established two special committees that do not have delegated authority; however, the special committees provide oversight as provided for in their respective charters. Written minutes are prepared and maintained for all Board of Directors and board committee meetings, and actions by written consent are also prepared and maintained as they occur.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF CHILDREN'S MEDICAL CENTER RESEARCH INSTITUTE AT THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (CMCRI) RECEIVES COMPENSATION ACCORDING TO A CONSULTING AGREEMENT EXECUTED AND UNDER THE AUTHORITY OF CHILDREN'S HEALTH CLINICAL OPERATIONS (EIN 75-0800628). CMCRI'S PRESIDENT HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHILDREN'S HEALTH CLINICAL OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL SERBER, AN OFFICER OF CMCRI, IS NEITHER AN EMPLOYEE OF NOR COMPENSATED BY CMCRI. MR. SERBER IS AN EMPLOYEE OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSWMC). UTSWMC IS NOT A RELATED ORGANIZATION OF CMCRI. THEREFORE, THERE IS NO COMPENSATION REPORTED FOR MR. SERBER ON CMCRI'S FORM 990. CERTAIN INDIVIDUALS IDENTIFIED HEREIN AS DIRECTORS/OFFICERS OF THE CORPORATION ARE EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST). THE INDIVIDUALS PERFORM SERVICES FOR CMCRI, AND IN SOME CASES OTHER RELATED ORGANIZATIONS, BY ARRANGEMENT BETWEEN CHST AND SUCH ORGANIZATION(S). AS SET FORTH IN THE SCHEDULE R, CMCRI AND CHST ARE RELATED ORGANIZATIONS. IN THEIR DUTIES AS DIRECTORS/OFFICERS OF CMCRI, THEY HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY CHST, WHICH IS EXPLAINED ON SCHEDULE J, PART I, LINE 3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTOPHER DUROVICH, PETER C. PERIALAS, AND ROBERT FRIES - Business relationship, AMY YEAGER, PETER C. PERIALAS, AND ROBERT FRIES - Business relationship, AMY YEAGER AND PETER C. PERIALAS - Business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM OF TEXAS (CHST) IS THE SOLE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM OF TEXAS AND THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER EACH APPOINT THREE OF THE SEVEN VOTING DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER RESERVE POWERS ARE SPECIFIED IN THE ORGANIZATION'S BYLAWS AND REPRESENT THOSE ACTIONS BY THE ORGANIZATION WHICH REQUIRE MEMBER APPROVAL. THESE POWERS GENERALLY ENCOMPASS CHANGES IN THE MISSION OF THE ORGANIZATION, ADDITION OF NEW MEMBERS, CERTAIN DISPOSITIONS OF ASSETS, AMENDMENTS TO THE ORGANIZATION'S CERTIFICATE OF FORMATION AND BYLAWS, AND APPOINTMENT OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS PRESENTED TO THE CHST AUDIT COMMITTEE FOR REVIEW. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE DIRECTORS OF THE ORGANIZATION'S PARENT CORPORATION, CHILDREN'S HEALTH SYSTEM OF TEXAS, THROUGH OUR BOARD PORTAL BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES RECEIVE ANNUALLY A COPY OF THE CHILDREN'S HEALTH STATEMENT OF INTEREST FORM TO COMPLETE. DISCLOSURES MADE ARE REVIEWED BY THE CHST LEGAL DEPARTMENT AND THE CHIEF COMPLIANCE OFFICER, WHO ARE AUTHORIZED UNDER THE CHILDREN'S HEALTH CONFLICT OF INTEREST POLICY TO MAKE DETERMINATIONS UNDER THE POLICY REGARDING PERSONS WHO ARE MEDICAL STAFF MEMBERS OR EMPLOYEES OF CHILDREN'S HEALTH AND ITS AFFILIATES. DISCLOSURES MADE BY SENIOR OFFICERS (AS DEFINED IN THE POLICY) ARE REVIEWED BY THE COMPLIANCE OFFICER, THE CHIEF LEGAL OFFICER, AND CHST'S PRESIDENT AND CHIEF EXECUTIVE OFFICER TO DETERMINE IF A CONFLICT EXISTS. DISCLOSURES MADE BY DIRECTORS OF CHST AND ITS AFFILIATES, AS WELL AS BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CHST, ARE DISCUSSED AS NECESSARY WITH THE APPROPRIATE DELEGATED BOARD COMMITTEE AND, IF REQUIRED PURSUANT TO THE POLICY, BY THE APPROPRIATE BOARD OF DIRECTORS AT MEETINGS TO DETERMINE IF FURTHER ACTION IS NEEDED. A STATEMENT OF INTEREST MUST BE COMPLETED ANNUALLY AND BOARD MEMBERS ARE REQUESTED TO REPORT CHANGES IF THEY OCCUR. A COMMITTEE OR BOARD MEMBER WITH A POTENTIAL CONFLICT IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS REGARDING THE TRANSACTION IN QUESTION AND WILL RECUSE THEMSELVES FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>IRC SECTION 6104 DOES NOT REQUIRE DISCLOSURE OF THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS. THE CERTIFICATE OF FORMATION, CONSOLIDATED FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING &amp; PROFESSIONAL FEES - Total Expense: 4111485, Program Service Expense: 3179810, Management and General Expenses: 931675, Fundraising Expenses: ;</ExplanationTxt>
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          <AddressLine1Txt>1939 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALTERNATIVE CARE SYSTEMS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
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        <EIN>752244475</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NTPSS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TEXAS BLUEBONNET INSURANCE COMPANY</BusinessNameLine1Txt>
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          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
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        <EIN>475032893</EIN>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>TEXAS TRINITY RIVER ASSURANCE COMPANY</BusinessNameLine1Txt>
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          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11102</ForeignPostalCd>
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        <EIN>981318151</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
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        <EIN>833809987</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CHFH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
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          <ZIPCd>75235</ZIPCd>
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        <EIN>831336111</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S HEALTH CARE NETWORK</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1935 MEDICAL DISTRICT DRIVE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75235</ZIPCd>
        </USAddress>
        <EIN>834560427</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>