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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Item C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: The Texas Heart Institute Center for Cardiovascular Care</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>To provide and promote cardiovascular excellence through advanced medical, scientific, and related research projects in the public interest; to deliver healthcare to the public, support medical education, and educate the public and cardiovascular professionals on medical and related public health topics.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Texas Heart Institute (THI) is the sole member of Texas Heart Medical Group (THMG).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each Director nominated by the Board of Directors is subject to the approval of the member, THI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member has the right to take specific actions without the need for approval by the Board of Directors as explained in Section 2.8 of the bylaws, including but not limited to the adoption, amendment, or interpretation of any mission statement of THMG; the amendment of bylaws or adoption of new bylaws; the amendment or repeal of THMG's certificate of formation; the merger, consolidation, reorganization or dissolution of THMG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Treasurer/CFO, CAO, and Controller of Texas Heart Institute review Form 990 before filing with the IRS. A copy of the Form is provided to the Board before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The annual conflict of interest policy is provided to each Director and employee for a self-audit, and potential conflicts of interest must be reported to the Board. Knowledge of the policy is reinforced by communication from management through weekly, monthly, and annual performance review meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>The President's compensation is determined with the assistance of ECG Management Consultants. ECG's recommendations are submitted to the THMG Board of Directors for approval and must be approved by the Texas Heart Institute Board. The compensation of other officers is recommended by the Compensation Committee and approved by the Texas Heart Institute Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII - Compensation Explanation:</FormAndLineReferenceDesc>
        <ExplanationTxt>Howard Schramm spends 40 hours per week in his position as Treasurer, CAO, and CFO of the Texas Heart Institute. He receives no compensation for services provided to Texas Heart Medical Group. Marcia Strauss spends 40 hours per week in her position as Development Director of the Texas Heart Institute. She receives no compensation for services provided to Texas Heart Medical Group.</ExplanationTxt>
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    </IRS990ScheduleO>
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