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        <Desc>PROFESSIONAL HEALTH EDUCATION: HENDRICK MEDICAL CENTER HAS AFFILIATION AGREEMENTS AND PROVIDES FINANCIAL SUPPORT TO MANY PROFESSIONAL HEALTH EDUCATIONAL EFFORTS FOR THE PURPOSES OF ENHANCING THE KNOWLEDGE OF EXISTING HEALTH PROFESSIONALS AND EDUCATING NEW HEALTH PROFESSIONALS TO MEET THE INCREASING DEMAND. HENDRICK'S EFFORTS ARE FOCUSED IN AREAS OF STUDY WHERE SHORTAGES COULD POTENTIALLY LIMIT THE CAPACITY OF THE HEALTHCARE SYSTEM TO MEET THE NEEDS OF THE TEXAS MIDWEST. HENDRICK HAS PROVIDED FUNDING AND HAS ENTERED INTO EDUCATIONAL RELATED AFFILIATIONS AGREEMENTS. SOME OF WHICH ARE IDENTIFIED: 1. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SCHOOL OF PHARMACY, BSN 2ND DEGREE PROGRAM AND BSN TRADITIONAL PROGRAM. 2. PATTY HANKS SHELTON SCHOOL OF NURSING - RN, BSN, MSN AND MSN/FNP PROGRAMS. 3. CISCO JR. COLLEGE - LVN/ADN, SURGERY TECHNICIAN, PHARMACY TECHNICIAN, MEDICAL ASSISTANT AND RESPIRATORY THERAPY PROGRAMS. 4. TEXAS STATE TECHNICAL COLLEGE - ADN, EMT, TRANSCRIPTION, NURSE CLERK, NURSE AIDE AND PHLEBOTOMY PROGRAMS. 5. ABILENE CHRISTIAN UNIVERSITY - SPEECH/LANGUAGE PATHOLOGY, SOCIAL WORK, PSYCHOLOGY, EXERCISE HEALTH SCIENCE, BIBLE AND FAMILY STUDIES, BODY AND SOUL. 6. HARDIN-SIMMONS UNIV. - DOCTOR OF PHYSICAL THERAPY, SOCIAL WORK, THEOLOGY, COMMUNICATION, ATHLETIC TRAINING. 7. TEXAS STATE UNIVERSITY - RESPIRATORY THERAPY PROGRAM 8. HENDRICK SCHOOL OF RADIOGRAPHY. A STUDENT LOAN PROGRAM IS AVAILABLE FOR STUDENTS ENROLLED IN THE SCHOOL. STUDENTS CAN APPLY FOR A LOAN UP TO $6,332 FOR THE COST OF THE TUITION, BOOKS, UNIFORMS AND EXAMS. 9. ABILENE IND SCHOOL DISTRICT - HOLLAND MEDICAL HIGH SCHOOL. A TUITION REIMBURSEMENT PROGRAM IS PROVIDED FOR STUDENTS IN CRITICAL NEED POSITIONS AT HENDRICK MEDICAL CENTER UPON VERIFICATION OF STUDENT LOAN DEBT.</Desc>
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        <PersonNm>MIKE WOODARD</PersonNm>
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        <PersonNm>NORM ARCHIBALD</PersonNm>
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        <PersonNm>PAUL WALDROP</PersonNm>
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        <PersonNm>RICHARD DARDEN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <PersonNm>RICHARD FLORES</PersonNm>
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        <PersonNm>RICK WALDRAFF</PersonNm>
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        <PersonNm>RON FOGLE</PersonNm>
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        <PersonNm>SHANNON NIX</PersonNm>
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        <PersonNm>Adam Wood</PersonNm>
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        <PersonNm>Brad Holland</PersonNm>
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        <PersonNm>Brian Bessent</PersonNm>
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        <PersonNm>Christie Eckhardt</PersonNm>
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        <PersonNm>Christopher Ford</PersonNm>
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        <PersonNm>Courtney Head</PersonNm>
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        <PersonNm>David Stephenson</PersonNm>
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        <PersonNm>Heather Ray</PersonNm>
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        <PersonNm>Jeremy Walker</PersonNm>
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        <PersonNm>Judith Lafrance</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kirk Canada</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Huffington</PersonNm>
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        <PersonNm>Michael Murphy</PersonNm>
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        <PersonNm>Rob Wiley</PersonNm>
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        <PersonNm>RONALD DAVID EVANS</PersonNm>
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        <PersonNm>Susan E Greenwood</PersonNm>
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        <PersonNm>Susan Wade</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tave L Kelly</PersonNm>
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        <PersonNm>Treva Broderick</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William M Edwards</PersonNm>
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        <PersonNm>Angela Wagner</PersonNm>
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        <PersonNm>Deborah Preston</PersonNm>
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        <PersonNm>Archana Ghimire</PersonNm>
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        <PersonNm>Caroline L Ebersole</PersonNm>
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        <PersonNm>Joshua Reed</PersonNm>
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        <PersonNm>Karin Mossack</PersonNm>
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        <PersonNm>Michael Surber</PersonNm>
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          <BusinessName>
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          <BusinessName>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>398442191</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>253772090</DepreciationAmt>
        <BookValueAmt>144670101</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>22621617</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>22621617</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>308969564</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Investment in TMSC</Desc>
        <BookValueAmt>8773209</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Investment in Hendrick Urgent Care</Desc>
        <BookValueAmt>134969</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Investment in HMCF Net Assets</Desc>
        <BookValueAmt>79598010</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Investment in HMC Brownwood</Desc>
        <BookValueAmt>94309108</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Section 457B Investment</Desc>
        <BookValueAmt>17522912</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Section 457F Investment</Desc>
        <BookValueAmt>1952378</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Bond Funds</Desc>
        <BookValueAmt>62279303</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Investment in Hendrick Surgery Center</Desc>
        <BookValueAmt>5175266</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Investment in HSWHDC</Desc>
        <BookValueAmt>12308089</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>First National Bank Investment Trust</Desc>
        <BookValueAmt>170740745</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Corporate Joint Ventures</Desc>
        <BookValueAmt>3266355</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Investment in HHN</Desc>
        <BookValueAmt>-369414</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Other investments</Desc>
        <BookValueAmt>729175</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Investment in HMCS</Desc>
        <BookValueAmt>184182843</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>Investment in HMOB</Desc>
        <BookValueAmt>62912195</BookValueAmt>
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        <Desc>Taxable Revenue Bonds</Desc>
        <Amt>276442050</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Annuity Payable</Desc>
        <Amt>905765</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>16779050</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Pension Liability</Desc>
        <Amt>19475290</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Reserves for Self Insurance</Desc>
        <Amt>28376612</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to 3rd Party Payors</Desc>
        <Amt>12716083</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>8233635</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Finance Lease Liabilities</Desc>
        <Amt>6090991</Amt>
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      <TotalLiabilityAmt>369019476</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1036535147</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>55695261</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>45007219</OtherRevenueAmt>
      <RevenueNotReportedAmt>100702480</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>935832667</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>997004</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>3935292</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4932296</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>940764963</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>774406138</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>366651</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>366651</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>774039487</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>997004</InvestmentExpensesNotIncld2Amt>
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        <FormAndLineReferenceDesc>Schedule D, Part X</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>PROJECTS AND OPERATIONS OF HENDRICK MEDICAL CENTER AND HENDRICK MEDICAL CENTER BROWNWOOD INCLUDING CHILDREN'S HOSPITAL, MAINTENANCE, CANCER, NURSING, ETC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Classification differences - 513183 Contributions recorded to net assets - 3422109</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Investment Expenses - 366651</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Classification differences - 513183</ExplanationTxt>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>5781075</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>5781075</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual</ExplanationTxt>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>300</FreeCareOtherPct>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
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        <BusinessName>
          <BusinessNameLine1Txt>HENDRICK MEDICAL CENTER</BusinessNameLine1Txt>
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        <StateLicenseNum>00500</StateLicenseNum>
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        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>REHABILITATION CTR, SKILLED NURSING FACILITY, AND DIALYSIS</OtherDesc>
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        <BusinessName>
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        <USAddress>
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        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - HENDRICK MEDICAL CENTER. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF COMMUNITY STAKEHOLDERS. THE INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UN-INSURED PERSONS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND THE COMMUNITY AS A WHOLE. COMMUNITY SURVEYS WERE ALSO CONDUCTED ALONG WITH MARKETING AND TREND ANALYSIS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - HENDRICK MEDICAL CENTER. HMC'S CHNA IDENTIFIED 34 COMMUNITY NEEDS. THE IMPLEMENTATION PLAN ESTABLISHED THE FOLLOWING CATEGORIES TO ADDRESS THE NEEDS THAT FALL UNDER HMC'S PROGRAMS: 1. ACCESS TO APPROPRIATE CARE, 2. AWARENESS, PREVENTION, AND SCREENING, AND 3. CRISIS, EMERGENCY, AND BEHAVIORIAL SERVICES. HMC IS ACTIVELY WORKING TO ADDRESS THE NEEDS INCLUDED IN THE THREE CATEGORIES. THERE WERE COMMUNITY NEEDS IDENTIFIED THAT ARE OUTSIDE OF THE HMC'S CORE PURVIEW THAT ARE NOT BEING ADDRESSED DIRECTLY BY HMC. HMC WILL COLLABORATE WITH COMMUNITY AGENCIES, AS APPROPRIATE, TO ASSIST IN COORDINATION OF CARE AND EDUCATION WHEN NEEDED.</ExplanationTxt>
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      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TEXAS MIDWEST SURGERY CENTER</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>751 N 18TH STREET</AddressLine1Txt>
            <CityNm>ABILENE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79601</ZIPCd>
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          <FacilityTxt>SURGERY CENTER</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Hendrick Urgent Care</BusinessNameLine1Txt>
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            <AddressLine1Txt>1900 PINE ST</AddressLine1Txt>
            <CityNm>ABILENE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79601</ZIPCd>
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          <FacilityTxt>URGENT CARE</FacilityTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO USING FEDERAL POVERTY GUIDELINES FOR ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, HMC USES MEDICAL INDIGENCY, INSURANCE STATUS, AND RESIDENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER USES A COMBINATION OF COST-TO-CHARGE RATIO AND COST ACCOUNTING SYSTEM FIGURES FOR CALCULATING THE COMMUNITY BENEFIT AMOUNTS REPORTED FOR EACH LINE. THE RATIO CALCULATED IN SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED FOR LINES 7A AND 7B. AN INTERNAL COST ACCOUNTING SYSTEM WAS USED FOR LINES 7F AND 7I. HENDRICK MEDICAL CENTER RECEIVED APPROXIMATELY $18.6M FOR THE TEXAS QUALITY INCENTIVE PROGRAM IN FISCAL 2024 FOR WHICH HENDRICK QUALIFIED FOR THE INCENTIVE IN PREVIOUS YEARS. HAD HENDRICK RECEIVED THE ADDITIONAL $18.6M IN THE FISCAL YEARS FOR WHICH IT QUALIFIED INSTEAD OF IN FY2024, THE FY 2024 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE IN PART 1, LINE 7K, COLUMN (F) WOULD remain at 4.8%. HENDRICK TREATS THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK'S COMMUNITY BUILDING ACTIVITIES SERVE TO HELP MEMBERS OF THE COMMUNITY IDENTIFY WAYS TO SELF-MANAGE ILLNESS AND IDENTIFY EARLY SIGNS OF HIGH HEALTH-RISK. HENDRICK'S COMMUNITY IS BETTER PREPARED FOR MASS CASUALTY INCIDENTS. SURROUNDING COUNTIES' MEDICAL COMMUNITY WORK IN TANDEM WITH HENDRICK IN SERVING THE HEALTH NEEDS OF THEIR INDIVIDUAL COUNTY RESIDENTS. HENDRICK'S PIPELINE FOR HEALTHCARE WORKERS IS ENHANCED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS IS ESTIMATED AT 6%.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>See Page 15 of the Audited Financial Statements, paragraph titled "Patients and Uninsured Payors."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $27,595,716. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE ORGANIZATION, NOR THIRD PARTIES AUTHORIZED BY THE ORGANIZATION, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - HENDRICK MEDICAL CENTER: Line 16a URL: HTTPS://WWW.HENDRICKHEALTH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - HENDRICK MEDICAL CENTER: Line 16b URL: HTTPS://WWW.HENDRICKHEALTH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - HENDRICK MEDICAL CENTER: Line 16c URL: HTTPS://WWW.HENDRICKHEALTH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER (HENDRICK) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN JANUARY THROUGH JUNE OF 2021, WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP. THE ASSESSMENT DETERMINED THE MOST PRESSING HEALTH NEEDS OF TAYLOR, JONES AND CALLAHAN COUNTIES. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE TAKEN AS PART OF HENDRICK'S CHNA: - THE COMMUNITY SERVED WAS DEFINED UTILIZING INPATIENT DATA REGARDING PATIENT ORIGIN. - POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. - HEALTH STATUS OF THE COMMUNITY WAS REVIEWED. - AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. - COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF COMMUNITY STAKEHOLDERS. THE INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UN-INSURED PERSONS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND THE COMMUNITY AS A WHOLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON HENDRICK'S WEBSITE, SIGNS AND BROCHURES ARE AT EVERY REGISTRATION POINT, PRE-ADMIT LETTERS ARE SENT TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION, AND APPLICATIONS ARE GIVEN TO EVERY UNINSURED TRAUMA CENTER PATIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK IS ACTIVELY DELIVERING CARE FOR A 24 COUNTY SERVICE AREA WITH A BROAD RANGE OF DEMOGRAPHICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BUILDING ACTIVITIES ARE USED TO POSITIVELY IMPACT THE COMMUNITY AND EDUCATE THE COMMUNITY ON HEALTH TOPICS. THESE ARE DESIGNED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>HENDRICK MEDICAL CENTER IS PART OF AN ORGANIZATION OF AFFILIATED COMPANIES THAT PROVIDE MEDICAL AND OTHER HEALTH CARE RELATED SERVICES TO TAYLOR COUNTY AND SURROUNDING COUNTY SERVICE AREAS. THE PRIMARY BUSINESS AREAS ARE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, SUB ACUTE CARE, INPATIENT AND OUTPATIENT REHABILITATION, LONG-TERM CARE, HOME HEALTH CARE, HOSPICE CARE, MEDICAL OFFICE BUILDING LEASING, DURABLE MEDICAL EQUIPMENT SALES AND LEASING, AND PHYSICIAN PRACTICES. AFFILIATES INCLUDE HENDRICK MEDICAL CENTER FOUNDATION, HENDRICK PROVIDER NETWORK, HENDRICK MEDICAL OFFICE BUILDINGS, LLC, HENDRICK ANESTHESIA NETWORK, HENDRICK HOSPICE CARE, HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION, HENDRICK HEALTH NETWORK, HENDRICK SURGERY CENTER, HMC HOSPICE PROPERTIES AND HENDRICK MEDICAL CENTER BROWNWOOD.</ExplanationTxt>
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        <PersonNm>Karin Mossack</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <PersonNm>Joshua Reed</PersonNm>
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        <PersonNm>Michael Surber</PersonNm>
        <TitleTxt>Registered Nurse-BSN</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPANTS IN 457(F) | REPORTED IN W-2 | DEF. COMP | PAID BY ------------------------------------------------------------------------ SUSAN WADE | 27,625 | 28,951 | HMC WILLIAM M. EDWARDS | NONE | 8,595 | HMC JEREMY WALKER | 40,287 | 44,735 | HMC BRIAN BESSENT | 23,855 | 27,113 | HMC BRAD HOLLAND | 147,735 | 173,855 | HMC ADAM WOOD | 9,749 | 9,854 | HMC COURTNEY HEAD | 10,157 | 12,069 | HMC HEATHER RAY | 12,087 | 12,886 | HMC JUDITH LAFRANCE | 12,440 | 12,875 | HMC KIRK CANADA | 16,265 | 23,304 | HMC MARK HUFFINGTON | 9,805 | 9,911 | HMC SUSAN GREENWOOD | 31,192 | 27,726 | HMC TAVE KELLY | 11,944 | 12,289 | HMC CHRIS FORD | 9,526 | 11,435 | HMC ROB WILEY | 43,525 | 46,775 | HMC DAVID STEPHENSON | 16,146 | 17,256 | HPN RONALD EVANS | NONE | 9,790 | HMC CHRISTIE ECKHARDT | none | 4,317 | HMC</ExplanationTxt>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <FormAndLineReferenceDesc>Schedule K, Part V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS PLANS TO ESTABLISH WRITTEN PROCEDURES FOR THIS QUESTION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP The calculation for computing no rebate due was performed on 12/16/2024</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>HMC HAS CONTRACTS FOR THIRD PARTIES TO MANAGE THE FOLLOWING: URGENT CARE CLINIC IS MANAGED BY PREMIER HEALTH CONSULTANTS, WHICH IS PAID THROUGH THE CLINICS' OPERATING EXPENSES. ICU OPERATIONS ARE MANAGED BY PITTSBURGH CRITICAL CARE ASSOCIATES INC. EMERGENCY DEPARTMENT IS MANAGED BY QUANTUM PLUS, LLC &amp; TEXAS MIDWEST EMERGENCY PHYSICIANS, P.A. There is no reportable compensation to current or former officers, directors, trustee, key employees or highest compensated employees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE 1, SECTION 4 OF THE BYLAWS PROVIDES, IN PART, THAT THE BAPTIST GENERAL CONVENTION OF TEXAS APPOINTS AT LEAST 75% OF THE MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT OF ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND ADMINISTRATIVE MANAGEMENT. THE FORM IS THEN POSTED ON A GOVERNANCE PORTAL FOR THE BOARD TO ACCESS PRIOR TO FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO ALL TRUSTEES OF THE BOARD AND TO THE EXECUTIVE EMPLOYEES. THE QUESTIONNAIRES ARE REVIEWED BY OUR OUTSIDE AUDITORS PRIOR TO THE ANNUAL AUDIT AND BY THE ORGANIZATION'S DIRECTOR OF COMPLIANCE TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS UNDER THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THE REVIEW WAS CONDUCTED IN FALL OF 2024 BY GALLAGHER BENEFIT SERVICES, INC. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKED WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE OR IF A COMPARABLE REGIONAL PEER GROUP IS NOT AVAILABLE. THE HENDRICK HEALTH PERSONNEL COMMITTEE HAS THE DELEGATED RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT AND CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT AND CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THE REVIEW WAS CONDUCTED IN FALL OF 2024 BY GALLAGHER BENEFIT SERVICES, INC. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKED WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE OR IF A COMPARABLE REGIONAL PEER GROUP IS NOT AVAILABLE. THE HENDRICK HEALTH PERSONNEL COMMITTEE HAS THE DELEGATED RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT AND CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT AND CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract Labor - Nursing - Total Expense: 10203216, Program Service Expense: 10203216, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Other - Total Expense: 7083534, Program Service Expense: 7431492, Management and General Expenses: -347958, Fundraising Expenses: ; Contract Labor - Int'l Travel - Total Expense: 18622882, Program Service Expense: 18622882, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Therapy - Total Expense: 250554, Program Service Expense: 250554, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Pharmacists - Total Expense: 165192, Program Service Expense: 165192, Management and General Expenses: , Fundraising Expenses: ; Purch Svc - Medical - Total Expense: 11056833, Program Service Expense: 10385840, Management and General Expenses: 670993, Fundraising Expenses: ; Purch Svc - Lab/Diag - Total Expense: 3849615, Program Service Expense: 3849615, Management and General Expenses: , Fundraising Expenses: ; Purch Svc - Collections - Total Expense: 2269963, Program Service Expense: 6986, Management and General Expenses: 2262977, Fundraising Expenses: ; Purch Scv - Consulting - Total Expense: 378237, Program Service Expense: 77264, Management and General Expenses: 300973, Fundraising Expenses: ; Purch Svc - Affiliates - Total Expense: 2729909, Program Service Expense: 2516751, Management and General Expenses: 213158, Fundraising Expenses: ; Purch Svc - Laundry/Linen - Total Expense: 2267245, Program Service Expense: 2106364, Management and General Expenses: 160881, Fundraising Expenses: ; Purch Svc - LPPF &amp; TEHP - Total Expense: 21315150, Program Service Expense: , Management and General Expenses: 21315150, Fundraising Expenses: ; Purch Svc - Other Services - Total Expense: 44137813, Program Service Expense: 26147198, Management and General Expenses: 17990615, Fundraising Expenses: ; Prof Fees - Physicians - Total Expense: 4604483, Program Service Expense: 4542022, Management and General Expenses: 62461, Fundraising Expenses: ; Prof Fees - Consulting - Total Expense: 2743760, Program Service Expense: 664146, Management and General Expenses: 2079614, Fundraising Expenses: ; Prof Fees - Other - Total Expense: 832299, Program Service Expense: 218007, Management and General Expenses: 614292, Fundraising Expenses: ;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS BETWEEN AFFILIATES - -65765003; CHANGE IN UNRESTRICTED HMCF NET ASSETS - 405139; CHANGE IN UNRESTRICTED HMOB NET ASSETS - 1588676; CONTRIBUTIONS RECORDED TO NET ASSETS - -3422109; CHANGE IN INTEREST OF HMCF NET ASSETS - 3597026; EQUITY EARNINGS IN SUBSIDIARIES - 44602080; OTHER DIFFERENCES - 9064;</ExplanationTxt>
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</Return>