﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2018v3.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-08-14T16:42:26-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>742900215</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>MAXWELL LOCKE &amp; RITTER LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>401 CONGRESS AVENUE SUITE 1100</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>787019682</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>461185754</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COMMUNITY CARE COLLABORATIVE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <PhoneNum>5129788300</PhoneNum>
      <USAddress>
        <AddressLine1Txt>8701 N MOPAC EXPRESSWAY NO 200</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>78759</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JONATHAN MORGAN</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>5129788300</PhoneNum>
      <SignatureDt>2020-08-13</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>SEAN HOLCOMB</PreparerPersonNm>
      <PTIN>P01249221</PTIN>
      <PhoneNum>5123703200</PhoneNum>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>64.250.9.178</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-08-13</IPDt>
      <IPTm>12:33:57</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>DA39A3EE5E6B4B0D3255BFEF95601890AFD80709</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>D4F3E3F08227D51943B34A7937F561B643D5963D</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-11-06 18:47:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>JONATHAN MORGAN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>8701 N MOPAC EXPRESSWAY NO 200</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>78759</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>132603123</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.COMMUNITYCARECOLLABORATIVE.NET</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2012</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>OPTIMIZE THE HEALTH OF OUR POPULATION WHILE USING OUR RESOURCES EFFICIENTLY AND EFFECTIVELY</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>5</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>2</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>2</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>118620321</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>131980352</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>34020</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>622771</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>0</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>118654341</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>132603123</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>6747676</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6907742</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>119883704</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>120051903</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>126631380</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>126959645</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-7977039</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>5643478</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>37137798</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>34571259</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>27049491</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>18839474</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>10088307</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>15731785</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>DEVELOP, IMPLEMENT AND MAINTAIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (IDS) FOR THE SAFETY NET POPULATION IN TRAVIS COUNTY.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>80692216</ExpenseAmt>
      <Desc>DELIVERY OF HEALTHCARE SERVICES TO THE SAFETY NET POPULATION OF TRAVIS COUNTY; DEVELOPMENT AND PLANNING THE IMPLEMENTATION OF AN INTEGRATED DELIVERY SYSTEM FOR THE SAFETY NET POPULATION OF TRAVIS COUNTY.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>9761612</ExpenseAmt>
        <Desc>PERFORMED REQUIRED SERVICES AS DICTATED BY TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMISSION AS A PERFORMING PROVIDER UNDER THE TEXAS HEALTHCARE AND QUALITY IMPROVEMENT PROGRAM, A STATEWIDE MEDICAID 1115 WAIVER PROGRAM COMMONLY KNOWN AS DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PROGRAM).</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>35000000</ExpenseAmt>
        <Desc>AFFILIATION AGREEMENT WITH UNIVERSITY OF TEXAS AUSTIN DELL MEDICAL SCHOOL ("DELL MEDICAL SCHOOL") FOR PARTICIPATION IN AND ASSISTANCE WITH THE DEVELOPMENT OF AN INTEGRATED DELIVERY SYSTEM ("IDS") FOR THE SAFETY NET POPULATION OF TRAVIS COUNTY AS FOLLOWS:- ASSISTANCE TO THE COMMUNITY CARE COLLABORATIVE ("CCC") IN SERVING LOW-INCOME COMMUNITIES THROUGH PROVISION OF OPPORTUNITIES TO TRAIN RESIDENTS AND MEDICAL STUDENTS IN COMMUNITY-BASED SETTINGS- ASSISTANCE TO CENTRAL HEALTH AND CCC IN DEVELOPING APPROPRIATE LEVELS OF CLINICAL SERVICES AT CLINIC LOCATIONS IN TRAVIS COUNTY- PROMOTE EFFECTIVE AND EFFICIENT MEDICAL PRACTICE BY TRAINING PROFESSIONALS TO WORK TOGETHER IN MULTI-DISCIPLINARY TEAMS- PROVIDE MEDICAL CARE WITH A FOCUS ON PREVENTATIVE HEALTHCARE AND MULTITUDE OF FACTORS THAT IMPACT HEALTH OUTCOMES- RECRUIT, TRAIN, AND EDUCATE MEDICAL STUDENTS INCLUDING THOSE FROM DIVERSE ETHNIC AND CULTURAL BACKGROUNDS- GENERATE AND UTILIZE DATA TO EDUCATE PHYSICIANS AND PATIENTS ON METHODS TO ACHIEVE BETTER HEALTH OUTCOMES AND REDUCE HEALTH DISPARITIES IN TRAVIS COUNTY- PROVIDE CLINICAL SERVICES TO THE RESIDENTS OF TRAVIS COUNTY AT CLINICS AND OTHER FACILITIES AS PROVIDERS FOR THE INTEGRATED DELIVERY SYSTEM- PARTICIPATE IN THE JOINT AFFILIATION COMMITTEE ("JAC") BETWEEN CCC, CENTRAL HEALTH, DELL MEDICAL SCHOOL TO COORDINATE THE RELATIONSHIP OF THE PARTIES AND SERVE AS A VEHICLE OF COMMUNICATION IN PLANNING AN IDS, MEDICAL EDUCATION, RESEARCH AND PATIENT CARE IN TRAVIS COUNTY- PERIODICALLY, AT LEAST ANNUALLY, THROUGH THE JAC, INFORM CENTRAL HEALTH AND THE CCC OF ITS ACTIVITIES AND ACHIEVEMENTS - OBTAIN ACCREDITATION AND REMAIN AN ACCREDITED MEDICAL SCHOOL</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>125453828</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">0</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">1</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>52</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>2</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>5</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>2</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>1</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>0</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>0</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>0</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>JEFF KNODEL</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5129788191</PhoneNum>
        <USAddress>
          <AddressLine1Txt>8701 N MOPAC EXPRESSWAY SUITE 200</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78759</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARIMAN WALLACE</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>338281</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21277</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG CORDOLA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM ANDY DAVIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE GEESLIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>311735</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17812</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE LEE MCDONALD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>136908</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIE LOPEZ</PersonNm>
        <TitleTxt>VICE-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY KNODEL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>63342</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>190026</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5374</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON SEFCIK</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>67154</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14092</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN MORGAN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>209303</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21889</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY FLOYD</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>181671</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15608</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK HERNANDEZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>331647</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22674</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BROWN</PersonNm>
        <TitleTxt>ASSOCIATE CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>247998</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22068</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH COOK</PersonNm>
        <TitleTxt>DIRECTOR OF IDS STRATEGY PLANNER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>155727</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11132</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLARK JOHN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>93943</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>140915</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9277</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DECKER PATRICK</PersonNm>
        <TitleTxt>TECHNICAL ARCHITECT II</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111813</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>12424</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8819</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA C SIMMONS</PersonNm>
        <TitleTxt>DIRECTOR OF HIT OUTREACH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>142535</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10178</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE DIELLO</PersonNm>
        <TitleTxt>DIRECTOR OF PROJECT MANAGEMENT &amp; IMP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132085</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9003</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH KOTLARCZYK</PersonNm>
        <TitleTxt>DIRECTOR OF ACCOUNTABLE HEALTH PLAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>130859</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17128</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1868077</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1130289</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>216875</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL TEXAS COMMUNITY HEALTH CENTERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 17366</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>787607366</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>58655620</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY OF TEXAS AT AUSTIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>110 INNER CAMPUS DRIVE STOP K5300</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78712</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROVIDER SERVICES</ServicesDesc>
        <CompensationAmt>36621298</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUSTIN TRAVIS COUNTY INTEGRAL CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3548</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>787643548</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>7062166</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PEOPLE'S COMMUNITY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1101 CAMINO LA COSTA</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78752</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>2297499</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LONE STAR CIRCLE OF CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>205 EAST UNIVERSITY AVENUE STE 200</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78626</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1498499</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>35348600</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>75365262</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>21266490</AllOtherContributionsAmt>
      <TotalContributionsAmt>131980352</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>622771</TotalRevenueColumnAmt>
        <ExclusionAmt>622771</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>132603123</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>622771</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1369679</TotalAmt>
        <ProgramServicesAmt>1142376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227303</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4521994</TotalAmt>
        <ProgramServicesAmt>3771553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>750441</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>243602</TotalAmt>
        <ProgramServicesAmt>203175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40427</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>419505</TotalAmt>
        <ProgramServicesAmt>349887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69618</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>352962</TotalAmt>
        <ProgramServicesAmt>294387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58575</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>15860</TotalAmt>
        <ProgramServicesAmt>13152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2708</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47864</TotalAmt>
        <ProgramServicesAmt>39693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8171</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>40139</TotalAmt>
        <ProgramServicesAmt>33287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6852</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>36</TotalAmt>
        <ProgramServicesAmt>30</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>161400</TotalAmt>
        <ProgramServicesAmt>133846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27554</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>747216</TotalAmt>
        <ProgramServicesAmt>619652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127564</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>863510</TotalAmt>
        <ProgramServicesAmt>716093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147417</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>42016</TotalAmt>
        <ProgramServicesAmt>34843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7173</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14162</TotalAmt>
        <ProgramServicesAmt>11744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2418</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>98660</TotalAmt>
        <ProgramServicesAmt>81817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16843</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH CARE DELIVERY</Desc>
        <TotalAmt>73631898</TotalAmt>
        <ProgramServicesAmt>73631898</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AFFILIATION AGREEMENT</Desc>
        <TotalAmt>35000000</TotalAmt>
        <ProgramServicesAmt>35000000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DSRIP PROJECT</Desc>
        <TotalAmt>9314474</TotalAmt>
        <ProgramServicesAmt>9314474</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>72135</TotalAmt>
        <ProgramServicesAmt>59820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12315</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2533</TotalAmt>
        <ProgramServicesAmt>2101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>432</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>126959645</TotalAmt>
        <ProgramServicesAmt>125453828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1505817</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>10844065</BOYAmt>
        <EOYAmt>91008</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>25751225</BOYAmt>
        <EOYAmt>33865184</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>144021</BOYAmt>
        <EOYAmt>393998</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>361984</BOYAmt>
        <EOYAmt>184566</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>36503</BOYAmt>
        <EOYAmt>36503</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>37137798</BOYAmt>
        <EOYAmt>34571259</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>24386672</BOYAmt>
        <EOYAmt>15610954</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>773780</BOYAmt>
        <EOYAmt>1961042</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1889039</BOYAmt>
        <EOYAmt>1267478</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>27049491</BOYAmt>
        <EOYAmt>18839474</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>10088307</BOYAmt>
        <EOYAmt>15731785</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10088307</BOYAmt>
        <EOYAmt>15731785</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>37137798</BOYAmt>
        <EOYAmt>34571259</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>5643478</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>126379293</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>119485518</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>113358229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>118620321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>131980352</CurrentTaxYearAmt>
        <TotalAmt>609823713</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>126379293</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>119485518</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>113358229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>118620321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>131980352</CurrentTaxYearAmt>
        <TotalAmt>609823713</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>609823713</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10693</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27594</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>60912</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34020</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>622771</CurrentTaxYearAmt>
        <TotalAmt>755990</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>163225</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>163225</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>610742928</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99850</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99950</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>1267478</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1267478</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>133294456</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>691333</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>691333</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>132603123</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>132603123</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>127650978</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>691333</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>691333</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>126959645</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>126959645</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARIMAN WALLACE</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>338281</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15778</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5499</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>359558</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIKE GEESLIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>311735</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16798</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1014</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>329547</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY KNODEL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>63342</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>190026</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4384</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>990</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>63342</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>195400</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN MORGAN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>209303</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13496</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8393</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>231192</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDY FLOYD</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>181671</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11100</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4508</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197279</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK HERNANDEZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>331647</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14424</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>354321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES BROWN</PersonNm>
        <TitleTxt>ASSOCIATE CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>247998</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5568</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270066</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH COOK</PersonNm>
        <TitleTxt>DIRECTOR OF IDS STRATEGY PLANNER</TitleTxt>
        <BaseCompensationFilingOrgAmt>155727</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10135</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>997</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166859</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLARK JOHN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>93943</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>140915</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5610</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3667</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>93943</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150192</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA C SIMMONS</PersonNm>
        <TitleTxt>DIRECTOR OF HIT OUTREACH</TitleTxt>
        <BaseCompensationFilingOrgAmt>142535</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1053</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>152713</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL HEALTH, A RELATED ORGANIZATION, PERFORMED A COMPENSATION STUDY TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR ROLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARK HERNANDEZ IS AN EMPLOYEE OF SETON, AN UNRELATED ORGANIZATION, WHO RECEIVED COMPENSATION FOR SERVICES RENDERED TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MIKE GEESLIN, JEFFREY KNODEL, STEPHANIE LEE MCDONALD, JONATHAN MORGAN AND LARIMAN WALLACE ARE EACH EMPLOYED BY CENTRAL HEALTH. CRAIG CORDOLA, WILLIAM ANDY DAVIS, WILLIE LOPEZ AND MARK HERNANDEZ ARE ALL EMPLOYED BY SETON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS OF THE ORGANIZATION ARE EMPLOYEES OF CENTRAL HEALTH, A RELATED ORGANIZATION OR SETON, AN UNRELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SHALL HAVE MEMBERS. THE MEMBERS OF THE ORGANIZATION SHALL BE DIVIDED INTO MEMBERSHIP CLASSES. INITIALLY, THE ORGANIZATION SHALL HAVE ONLY CLASS A MEMBERS. BY MUTUAL AGREEMENT OF THE CLASS A MEMBERS, THE CORPORATION MAY (A) INCREASE THE NUMBER OF CLASS A MEMBERS AND (B) CREATE ONE OR MORE ADDITIONAL CLASSES OF MEMBERS. ANY ADDITIONAL MEMBERS SHALL (I) BE WHOLLY COMMITTED TO THE MISSION, PURPOSES, AND OBJECTIVES OF THE ORGANIZATION, INCLUDING A SUBSTANTIAL FOCUS ON DEVELOPING PROJECTS THAT WILL TRANSFORM THE PRESENT DELIVERY SYSTEM AND ELIMINATE THE PRESENT, FRAGMENTED, NON-COLLABORATIVE STRUCTURE, (II) DEMONSTRATE A WILLINGNESS AND COMMITMENT TO PROVIDE SUBSTANTIAL CHARITY CARE SERVICES AND TO PROVIDE SERVICES TO THE SAFETY NET POPULATION OF TRAVIS COUNTY WITHOUT REGARD TO PAYMENT, AND (III) ACCEPT AND AGREE TO AN APPROPRIATE FINANCIAL COMMITMENT AND ACCEPTANCE OF FINANCIAL RISK TO SUPPORT THE ORGANIZATION COMMENSURATE WITH ITS MEMBERSHIP INTEREST AS DETERMINED BY THE CLASS A MEMBERS. THE CLASS A MEMBERS OF THE ORGANIZATION ARE CENTRAL HEALTH, WHICH HAS A 51% MEMBERSHIP INTEREST, AND SETON, WHICH HAS A 49% MEMBERSHIP INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PARAGRAPH 3.5 FROM THE MASTER AGREEMENT WITH SETON HEALTHCARE: "OPERATING BOARD OF DIRECTORS. THE CCC SHALL INITIALLY HAVE A FIVE-PERSON OPERATING BOARD OF DIRECTORS ("CCC BOARD OR "CCC OPERATING BOARD"), COMPOSED OF THREE CENTRAL HEALTH APPOINTEES ("CENTRAL HEALTH BOARD REPRESENTATIVES") AND TWO SETON APPOINTEES ("SETON BOARD REPRESENTATIVES"). EACH PARTY SHALL HAVE THE RIGHT TO SELECT, REMOVE, AND REPLACE ITS BOARD APPOINTEES IN ITS SOLE AND EXCLUSIVE DISCRETION. THE PARTIES MAY MUTUALLY AGREE TO CHANGE THE SIZE AND COMPOSITION OF THE CCC BOARD CONSISTENT WITH THE TERMS OF THE CCC GOVERNING DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO SECTION 3.6 - CENTRAL HEALTH UNILATERAL POWERS; 3.8 - RESERVED POWERS AND 3.9 - MATERIAL DECISIONS FROM THE MASTER AGREEMENT. 3.6 CENTRAL HEALTH UNILATERAL POWERS: THE PARTIES ACKNOWLEDGE AND AGREE THAT, SUBJECT TO THE TERMS OF THIS AGREEMENT, CENTRAL HEALTH RETAINS THE UNILATERAL RIGHT IN ITS SOLE AND EXCLUSIVE DISCRETION TO MAKE THE DECISIONS SET FORTH BELOW: (1) FUNDING OF THE INTEGRATED DELIVERY SYSTEM (IDS) AND THE INTER-GOVERNMENTAL TRANSFER (IGT) AS SET FORTH IN SECTION 4.2; (2) APPROVAL, SUPPORT, AND FUNDING OF WOMEN'S HEALTH PROJECTS, OR OTHER PROJECTS, DEEMED NECESSARY FOR THE COMMUNITY BY CENTRAL HEALTH THAT SETON CANNOT PARTICIPATE IN AS A RESULT OF ERD RESTRICTIONS; (3) DETERMINATION OF THE MATTERS SET FORTH IN SECTION 3.13(I); AND (4) APPROVAL, SUPPORT, AND/OR FUNDING ANY TYPE OF PROJECT IF CENTRAL HEALTH AS A HOSPITAL DISTRICT IS OBLIGATED BY LAW TO PROVIDE SUCH PROJECT AND IF THE CCC IS UNABLE OR UNWILLING TO SUPPORT OR FUND SUCH PROJECT. SUCH UNILATERAL RIGHTS DO NOT (I) AFFECT OR OVERRIDE CENTRAL HEALTH'S DUTY TO COMPLY WITH OTHER TERMS OF THIS AGREEMENT AND ALL ANCILLARY AGREEMENTS OR (II) PRECLUDE SETON FROM TERMINATING THIS AGREEMENT AS SPECIFICALLY PERMITTED BY ITS TERMS. 3.8 RESERVED POWERS: IN THEIR CAPACITY AS MEMBERS OF THE CCC, CENTRAL HEALTH AND SETON SHALL HAVE SOLE AND EXCLUSIVE POWER AND AUTHORITY BY MUTUAL AGREEMENT, FOLLOWING CONSULTATION WITH THE CCC BOARD, TO MAKE THE DECISIONS AND TAKE THE CORPORATE ACTIONS (COLLECTIVELY REFERRED TO AS THE "RESERVED POWERS") FOR AND ON BEHALF OF CCC AS SET FORTH BELOW: (1) AMENDMENT OR RESTATEMENT OF THE CCC'S RESTATED CERTIFICATE OF FORMATION OR BYLAWS; (2) CHANGE IN THE TAX-EXEMPT STATUS OR PURPOSE OF THE CCC; (3) ADMISSION OF ANY NEW MEMBER TO THE CCC OR ANY TRANSFER BY ANY MEMBER OF ITS MEMBERSHIP INTEREST IN THE CCC; (4) CAPITAL CONTRIBUTION TO THE CCC (EXCEPT AS PERMITTED OR REQUIRED BY THE AGREEMENT) OR ASSUMPTION OR GUARANTEE OF DEBT OF THE CCC BY EITHER MEMBER; (5) PAYMENT OF MONIES OR CONVEYANCE OF ASSETS BY THE CCC TO ANY MEMBER OR AN AFFILIATE OF A MEMBER; (6) ANY AGREEMENT (OR AMENDMENT OF AN EXISTING AGREEMENT) BETWEEN THE CCC AND A MEMBER OR AN AFFILIATE OF A MEMBER (EXCEPT AS PERMITTED OR REQUIRED BY THE AGREEMENT); (7) MERGER, ACQUISITION, CONSOLIDATION, REORGANIZATION OF THE CCC OR, EXCEPT FOR MANDATORY DISSOLUTION PURSUANT TO SECTION 8.1.2 OF THE AGREEMENT, DISSOLUTION AS PERMITTED BY THIS AGREEMENT; (8) CREATION OF COMMITTEES AND APPOINTMENT OF OFFICERS AND COMMITTEE MEMBERS IN ACCORDANCE WITH THE CCC GOVERNING DOCUMENTS; (9) APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS, THE FISCAL AND PURCHASING POLICIES, AND ANY MATERIAL DEVIATION FROM THE ANNUAL OPERATING OR CAPITAL BUDGETS OR FISCAL AND PURCHASING POLICIES; (10) INCURRENCE OF DEBT OVER $25,000, EXCLUDING TRADE PAYABLES; (11) CONVEYANCE OF ANY ASSET OVER $25,000; (12) ADOPTION OF THE BUSINESS AND STRATEGIC PLAN OF THE CCC AND THE IDS; (13) DETERMINATION OF THE COVERED POPULATION TO BE SERVED BY THE IDS (INCLUDING WITHOUT LIMITATION THE POPULATION COVERED BY MAP) AS SET FORTH IN THE CCC/SETON SERVICES AGREEMENT; (14) FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR FOR THE APPOINTMENT OF A RECEIVER; (15) APPROVAL OF ANY CONTRACT OVER $100,000 IN VALUE OR THAT INCLUDES A TERM OF GREATER THAN ONE YEAR; (16) APPROVAL OF FUTURE DSRIP PROJECTS FOR OR TO BE FUNDED, MANAGED, OR IMPLEMENTED BY THE CCC; (17) FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR FOR THE APPOINTMENT OF A RECEIVER; (18) ELECTION AND REMOVAL OF CCC OFFICERS AND DESIGNATION OF TITLES FOR SUCH OFFICERS; AND (19) APPROVAL OF THE COORDINATION AND FUNDING OF THE FQHCS AS SET FORTH IN SECTION 4.5. (20) APPROVAL OF FISCAL POLICIES THAT WILL PROVIDE FOR APPROVAL OF VARIATIONS IN THE ANNUAL BUDGET AND CAPITAL BUDGET. THE CENTRAL HEALTH BOARD, BY RESOLUTION, WILL DETAIL HOW CENTRAL HEALTH'S APPROVAL OF ANY RESERVED POWER OR UNILATERAL RIGHT RESERVED TO CENTRAL HEALTH UNDER THIS AGREEMENT OR BYLAWS (INCLUDING IN ITS CAPACITY AS A MEMBER) WILL BE OBTAINED WHETHER BY VOTE OF THE CENTRAL HEALTH BOARD OR BY APPROVAL OF A CENTRAL HEALTH OFFICER; HOWEVER, SETON MAY RELY ON ANY ACTION APPROVED IN ACCORDANCE WITH THE CCC BYLAWS, AND ANY SUCH ACTION SHALL BE CONSIDERED TO BE A VALID ACT OF THE CCC 3.9 MATERIAL DECISIONS: THE ACTIONS AND DECISIONS OF THE CCC SET FORTH BELOW (COLLECTIVELY REFERRED TO AS THE "MATERIAL DECISIONS") MUST BE APPROVED BY BOTH A MAJORITY OF THE CENTRAL HEALTH BOARD REPRESENTATIVES AND BOTH OF THE SETON BOARD REPRESENTATIVES IN ORDER TO BECOME EFFECTIVE: (1) COMPOSITION AND SELECTION OF THE CCC PROVIDER NETWORK AND THE FORM OF THE PROVIDER CONTRACTS; (2) BENEFIT PLAN AND CARE MANAGEMENT APPROACH TO SERVICES TO BE OFFERED BY THE CCC TO THE COVERED POPULATION (INCLUDING WITHOUT LIMITATION THE POPULATION COVERED BY MAP); (3) APPROVAL OF ANY APPLICATION OR REQUEST FOR ANY GRANTS OR AWARDS, SERVICE AGREEMENTS, OR PROVIDER CONTRACTS; AND (4) EMPLOYMENT OF ANY INDIVIDUAL (INCLUDING APPROVAL OF ANY EMPLOYMENT CONTRACT) OR ENTERING INTO ANY PERSONAL SERVICE CONTRACT NOT SPECIFICALLY CONTEMPLATED IN THE ANNUAL BUDGET. (5) APPROVAL OF ANY CONTRIBUTIONS TO THE CLASS A MEMBERS AS SET FORTH IN SECTION 3.14 OF THESE BYLAWS. THE CENTRAL HEALTH BOARD BY RESOLUTION SHALL INSTRUCT THE CENTRAL HEALTH BOARD REPRESENTATIVES REGARDING THEIR AUTHORITY TO VOTE ON ISSUES BEFORE THE CCC OPERATING BOARD WITH OR WITHOUT CENTRAL HEALTH BOARD APPROVAL; HOWEVER, SETON MAY RELY ON ANY ACTION APPROVED IN ACCORDANCE WITH THE CCC BYLAWS, AND ANY SUCH ACTION SHALL BE CONSIDERED TO BE A VALID ACT OF THE CCC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>CCC DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY OFFICERS, WITH THE ASSISTANCE OF COUNSEL, PRIOR TO FILING. A COPY IS ALSO PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST ONCE THEY BECOME AWARE OF THE CONFLICT IN ADDITION TO ANNUAL SIGNED DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PUBLISHES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ON ITS WEBSITE AND THEY ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1111 E CESAR CHAVEZ</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78702</ZIPCd>
        </USAddress>
        <EIN>061730907</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DISTRICT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>35348600</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE/CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>5757485</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE/CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1139842</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE/CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>