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      <MissionDesc>FOCUS ON THE DELIVERY OF COMMUNITY BENEFIT THROUGH WELL-BEING IMPROVEMENT INITIATIVES. COMMITTED TO PROVIDING FOR THE HEALTH OF THE COMMUNITY, NORTH TEXAS HEALTHY COMMUNITIES PLANS TO BE INVOLVED IN A VARIETY OF PROJECTS WHICH WILL HELP THE COMMUNITY AT LARGE.</MissionDesc>
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      <Desc>Following certification of Fort Worth as a Blue Zones Community in 2019, North Texas Healthy Communities (NTHC) - a well-being outreach arm of Texas Health that implements Blue Zones Project and other best practices - has continued to greatly expand its community health efforts throughout North Texas. Affiliating with under-resourced schools, faith communities, workplaces, and neighborhoods identified by Texas Health's Community Health Needs Assessment, NTHC supports community well-being by fostering equitable and affordable access to healthy foods, promoting mental health, and enhancing literacy success. These three priority areas are integrated with existing Texas Health initiatives to positively impact social determinants of health. Major efforts in 2023 included: * Surpassed more than 1 million pounds of fresh fresh fruits and vegetables provided to high-need communities throughout North Texas since 2020, serving in excess of 157,000 residents. * Doubled its Good For You fresh produce pantry program from 10 to 20 Fort Worth schools and community-based sites through an American Rescue Plan Act grant of $646,000. * Expanded Double Up Food Bucks to seven additional farmers markets and food stands with funding from the Gus Schumacher Nutrition Incentive Program. * Provided more than 42,900 youth, seniors and residents with 238,354 pounds of fresh fruit and vegetables through Fresh Access fresh produce distribution across 21 community centers. * Expanded the Produce Recovery Program and diverted over 190,000 pounds of produce from landfills. * Conducted six school learning garden builds/makeovers, bringing the total number of school gardens supported across North Texas to 38. * Conducted Mental Health First Aid training for 235 participants, bringing the number trained since 2021 to 451. * Supported literacy by putting 19,654 books in the hands of 9,827 students in underserved areas across four counties and six school districts, largely through the hosting of 24 Scholastic Book Fairs. participants, bringing the number trained since 2021 to 451. *Supported literacy by putting 19,654 books in the hands of 9,827 students in underserved areas across four counties and six school districts, largely through the hosting of 24 Scholastic Book Fairs.</Desc>
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        <PersonNm>Lowe John</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pickens Andrea</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Skaggs Christopher</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stream Kathryn</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Trong Tran</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Turner Wesley</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>8318520</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>2112157</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Texas Health Resources</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Management Svc</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ShareCare Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Management Svc</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Mindstream Media Group LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Marketing</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Gallup Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
        <CompensationAmt>200000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>M Gigi Westerman</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6031 W I20 STe 227</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76107</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>11565433</RelatedOrganizationsAmt>
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      <TotalContributionsAmt>11595433</TotalContributionsAmt>
      <TotalProgramServiceRevenueAmt>0</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>4164701</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>5256529</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>596114</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>75353</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>4911</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>68447</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ManagementAndGeneralAmt>18277</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>514947</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>375235</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>275564</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>INTERCOMPANY AFFILIATE SVC</Desc>
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        <ProgramServicesAmt>40097</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>101011</ProgramServicesAmt>
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        <ProgramServicesAmt>11137372</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>0</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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        <CurrentTaxYearMinus3YearsAmt>8103936</CurrentTaxYearMinus3YearsAmt>
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      <PublicSupportTotal170Amt>47210044</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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      <UnrelatedBusinessNetIncm170Grp>
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      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>true</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>true</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <Desc>RECEIVABLES OTHER CONSOL AFFIL</Desc>
        <BookValueAmt>420</BookValueAmt>
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          <AddressLine1Txt>4525 Lemon Ave</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75219</ZIPCd>
        </USAddress>
        <RecipientEIN>751494691</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <AddressLine1Txt>1416 N Church St</AddressLine1Txt>
          <CityNm>McKinney</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        </USAddress>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Plano ISD Education Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>2700 West 15th St</AddressLine1Txt>
          <CityNm>Plano</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Depression on campus</PurposeOfGrantTxt>
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          <CityNm>Dallas</CityNm>
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        <PurposeOfGrantTxt>Mental Health</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <AddressLine1Txt>6688 N Central Expy Ste 1023</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
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          <CityNm>Fort Worth</CityNm>
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        <PurposeOfGrantTxt>Food Programs</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Part I - Grant Monitoring</FormAndLineReferenceDesc>
        <ExplanationTxt>North Texas Healthy Communities (NTHC) is a member of the Texas Health Resources Healthcare System and managed by the Texas Health Resources Foundation (THRF). The majority of the grants distributed by this entity are to community tax exempt organizations, which will further the exempt purposes of NTHC. NTHC does not specifically monitor the use of grants, but relies on the management of THRF to monitor the use of and maintain records for these grants.</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>40599</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>796586</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>69518</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DufreneMatthew Paul</PersonNm>
        <TitleTxt>VP Nrth TX Healthy Communities</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>176474</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>27653</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>25943</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9018</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>51780</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>290868</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>McWhorterRicky E</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>932223</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>437883</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>145666</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>285038</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>39968</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>197608</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FarrarEdward A</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>248982</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12457</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4541</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18940</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>47929</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>332849</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3 - Officer Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's Top Executive Officer who is responsible for the daily operations of the entity. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board to approve the overall payment philosophy. * An Independent compensation consultant may be hired. * Compensation surveys or studies are utilized. * Board or Governance committee approves the executive compensation parameters within the executive compensation philosophy. The president is a corporate officer providing oversight of the Executive VP North Texas Healthy Communities and whose compensation is paid and determined by THR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, LIne 4B - Nonqualified Retirement Plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Participation in the THR plans is made available to a select group of management and highly compensated employees who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2, 3 or 4 years. Payouts are made over 2, 3, or 4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval must be obtained and a non-compete must be satisfied prior to the end of year payout. Retention: A retention agreement may be offered to an executive in a key position or based on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,476 Jackson,David W. 53,142 Kramer,Kenneth J. 174,260 McWhorter,Ricky E. 197,608 Tesmer, David J. 69,518</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part V, Line 1a - Number reported in Box 3 of Form 1096</FormAndLineReferenceDesc>
        <ExplanationTxt>The taxpayer is a part of a healthcare system that centralizes all payments and Form 1099 filings under the parent, Texas Health Resources (THR). This is part of the System's effort toward overall centralization of vendor relations and other shared services as well as seeking to consolidate where and how its vendors are paid. This service is included in the management service agreement that THR has with its subsidiaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section A, Line 2 - Business Relationship</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section A, Lines 6&amp;7a - Members</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Health Resources (THR) is the sole member of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section A, Line 7b - Governance Decisions Reserved</FormAndLineReferenceDesc>
        <ExplanationTxt>The following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (c) Merger or consolidation of the Corporation. (d) Dissolution of the Corporation. (e) Election of members of the Board of Trustees (f) Removal of a member of the Board of Trustees (g) Creation of affiliates or subsidiaries and approval of the initial governing documents. (h) Incurrence of debt not included in the budgets. (i) Discontinuing the operations of a licensed health care facility controlled by the corporation. (j) Activities involving winding up, distribution, conversion or exchange under Chapter 11</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section B, Line 11b - Form 990 Filing</FormAndLineReferenceDesc>
        <ExplanationTxt>The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to the Financial Reporting department to review and to ensure that the financial information is accurate and up to date. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity before the Form 990 is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section B, Line 12c - Conflict of Interest</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section B, Line 15 - Officer Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organization's officers. A more in-depth discussion of executive compensation review can be found on Sch J, Part III.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part VI, Section C, Line 19 - Public Disclosures</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part XI, Other Changes in Net Assets</FormAndLineReferenceDesc>
        <ExplanationTxt>Allowances and Discounts $20,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, Part XII, Line 2c - Consolidated Financial Statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11400</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:901571</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CLINICAL PROF FEES TOTAL FEES:6489</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:ENVIRONMENTAL PURCH SVC TOTAL FEES:579107</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PURCH SVC TOTAL FEES:3757962</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Huguley Medical Assoc Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>11801 South Freeway</AddressLine1Txt>
          <CityNm>Burleson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76028</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>North Texas Healthy Communities</BusinessNameLine1Txt>
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          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>Southwestern Health Resources JOC</BusinessNameLine1Txt>
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          <AddressLine1Txt>5323 Harry Hines Blvd</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75390</ZIPCd>
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        <EIN>811575989</EIN>
        <PrimaryActivitiesTxt>Mgmt Org</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Texas Health Arlington Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 West Randol Mill Rd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76012</ZIPCd>
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        <EIN>750972805</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Texas Health Back Care</BusinessNameLine1Txt>
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          <AddressLine1Txt>9250 Amberton Pkwy</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75243</ZIPCd>
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        <EIN>474724257</EIN>
        <PrimaryActivitiesTxt>Phys. Clinic</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TH Phys Grp</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Texas Health Alliance</BusinessNameLine1Txt>
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          <AddressLine1Txt>10864 Texas Health Trail</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76244</ZIPCd>
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        <EIN>451502252</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <AddressLine1Txt>108 Denver Trail</AddressLine1Txt>
          <CityNm>Azle</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76020</ZIPCd>
        </USAddress>
        <EIN>751748586</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Texas Health Cleburne</BusinessNameLine1Txt>
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          <AddressLine1Txt>201 Walls Dr</AddressLine1Txt>
          <CityNm>Cleburne</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76033</ZIPCd>
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        <EIN>751977850</EIN>
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          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76104</ZIPCd>
        </USAddress>
        <EIN>756001743</EIN>
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          <BusinessNameLine1Txt>Texas Health Hurst-Euless-Bedford</BusinessNameLine1Txt>
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          <AddressLine1Txt>1600 Hospital Parkway</AddressLine1Txt>
          <CityNm>Bedford</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76022</ZIPCd>
        </USAddress>
        <EIN>751438726</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Texas Health Southwest Fort Worth</BusinessNameLine1Txt>
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          <AddressLine1Txt>6100 Harris Parkway</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76132</ZIPCd>
        </USAddress>
        <EIN>752678857</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Stephenville</BusinessNameLine1Txt>
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          <AddressLine1Txt>411 Belknap</AddressLine1Txt>
          <CityNm>Stephenville</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76401</ZIPCd>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Frisco</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>12400 Dallas Parkway</AddressLine1Txt>
          <CityNm>Frisco</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75033</ZIPCd>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Mansfield</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TH Huguley</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>11801 S Freeway</AddressLine1Txt>
          <CityNm>Burleson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76028</ZIPCd>
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        <EIN>452694620</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Medical Support</BusinessNameLine1Txt>
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          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Physicians Group</BusinessNameLine1Txt>
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          <AddressLine1Txt>9250 Amberton Pkwy</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Phys. Clinic</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Allen</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1105 Central Expressway N</AddressLine1Txt>
          <CityNm>Allen</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75013</ZIPCd>
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        <EIN>752890358</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Dallas</BusinessNameLine1Txt>
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          <AddressLine1Txt>8200 Walnut Hill Ln</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Denton</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Texas Health Kaufman</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Texas Health Plano</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TH Recovery and Wellness Center</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>TX Health Research &amp; Education Institute</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Texas Health Resources Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>2010 W Katherine P Raines Blvd St</AddressLine1Txt>
          <CityNm>Cleburne</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76033</ZIPCd>
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        <EIN>203742012</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Cross Timbers Surgery Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1001 N Waldrop Dr Ste 705</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Denton Surgery Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>207 North Bonnie Brea</AddressLine1Txt>
          <CityNm>Denton</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Flower Mound Hospital Partners LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4400 Long Prairie Rd</AddressLine1Txt>
          <CityNm>Flower Mound</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75028</ZIPCd>
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        <EIN>260684968</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblPartnershipGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Fort Worth Endoscopy Centers LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>900 W Magnolia Ave 101</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76104</ZIPCd>
        </USAddress>
        <EIN>770368346</EIN>
        <PrimaryActivitiesTxt>Endoscopy Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Greenville Surgery Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7150 Greenville Ave Ste 200</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Rockwall Regional Hospital LLC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Texas Health Huguley Surgery Center LLC</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center Alliance LLC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Texas Health Surgery Center Irving LLC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Texas Health Surgery Center Preston Plaz</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Texas Health Surgery Center Waxahachie</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center Willow Park</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Institute for Surgery LLP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>THR-STT Rockwall ASC LLC</BusinessNameLine1Txt>
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        <EIN>731662763</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>USMD Hospital at Fort Worth LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5900 Altamesa Blvd</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76132</ZIPCd>
        </USAddress>
        <EIN>203571243</EIN>
        <PrimaryActivitiesTxt>Hospital Closed</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Walnut Hill Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5494 Glen Lakes Dr</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <EIN>364499777</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Willow Park Endoscopy Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>130 Jimma Drive</AddressLine1Txt>
          <CityNm>Willow Park</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76087</ZIPCd>
        </USAddress>
        <EIN>881643733</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Wilson Creek Surigcal Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8855 Synergy Drive</AddressLine1Txt>
          <CityNm>McKinney</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75070</ZIPCd>
        </USAddress>
        <EIN>274816583</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Women's Specialty Surgery Center of Dall</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8230 Walnut Hill Ln Ste 101</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <EIN>262310072</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Grace Indemnity Company SPC Ltd</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>1159 Caribbean Plaza</AddressLine1Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY 1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981209573</EIN>
        <PrimaryActivitiesTxt>Captive Insur</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Biomedical Advancement Cent</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
        <EIN>752636884</EIN>
        <PrimaryActivitiesTxt>Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>See Part VII for Explanation</BusinessNameLine1Txt>
        </OtherOrganizationName>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 2 - Related Transactions</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription, and strategic planning. In addition, THR does daily cash sweeps of all controlled tax-exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax-exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax-exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>