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      <AdvertisingGrp>
        <TotalAmt>41862</TotalAmt>
        <ManagementAndGeneralAmt>41862</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>300987</TotalAmt>
        <ProgramServicesAmt>226725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74262</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>102401</TotalAmt>
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        <Desc>Medical Supplies</Desc>
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      <OtherExpensesGrp>
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    </IRS990>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to related</Desc>
        <Amt>223044</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Credit balances in A/R</Desc>
        <Amt>2914</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued interest payable</Desc>
        <Amt>1577</Amt>
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      <TotalLiabilityAmt>227535</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Consolidated Audited Financial Statements for the twelve-month period ended 12/31/2018 include the filing organization and its member tax-exempt hospital, Texas Health Huguley (THH or the Company). These Consolidated audited financial statements contain the following FIN 48 footnote: The Company is exempt from state and federal income taxes. Accordingly, the Company and its tax-exempt affiliate are not subject to federal, state or local income taxes except for any net unrelated business taxable income. For the years ended December 31, 2018 and 2017, unrelated business income activities conducted by the Company and its tax-exempt affiliate did not generate a material amount of combined federal, state or local income tax. Prior to January 2017, HMA was a for-profit subsidiary of the Company, subject to federal and state income taxes and filed a federal and state income tax return. Effective January 2017, HMA converted to tax-exempt status and upon conversion was required to treat the conversion as if the taxable corporation transferred all its assets to one or more tax-exempt entities, recognizing a gain or loss immediately upon the transfer as if such assets were sold at fair market value. An analysis was performed to determine if any taxable gain (loss) resulted from the conversion and it was determined that HMA generated a tax loss of approximately $2,400,000. As of December 31, 2016, HMA had a total of federal net operating loss (NOL) carryforward of approximately $11,200,000, exclusive of the $2,400,000 conversion loss. This NOL is not available to carry forward to HMA in taxable years beginning January 2017.</ExplanationTxt>
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        <PersonNm>Finch Kenneth A</PersonNm>
        <TitleTxt>CEO (End 12/18)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sutton Jesse</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jasinski Kelly</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chadwick Daniel H</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Neef Jason W</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Dunn David</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The individual who serves as the CEO of the filing organization is appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), an unrelated entity as disclosed in our response to Form 990, Part VI, Section A, Line 3, for that individual's role in serving as the CEO pursuant to the management Services agreement between the filing organization's sole member, Texas Health Huguley, Inc. (THH) and AHSSHC. Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives of the community, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership. Form 990, Part VII, Section A, Line 5: Kenneth Finch, CEO and Jesse Sutton, CFO were compensated by AHSSHC in 2018 for services provided to the filing organization. Please see our response to Form 990, Part IV, Section A, Line 3 for a discussion concerning the filing organizations affiliation with AHSSHC. Compensation for Kenneth Finch and Jesse Sutton is disclosed in Schedule J, Part II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization's physician compensation formula is designed to result in total compensation that would be reasonable for each physician. The filing organization utilizes national survey productivity, cost, and compensation data in formulating all aspects of the compensation plan. Physician compensation contractual agreements include a ceiling or reasonable maximum on the amount a physician may earn. The filing organization's employed physicians enter into a written agreement that requires the physicians to provide medical care to individuals who are referred by the filing organization. The filing organization's compensation arrangement does not use a method of compensation that is based upon a percentage of the organization's net income. Under the compensation arrangement, physician base salary, including any additional compensation based on a percentage of the practice/location net revenue, is documented as being within a range of Fair Market Value.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective January 1, 2012, Texas Health Huguley (THH), the sole member of Huguley Medical Associates (the filing organization) entered into a Management Services Agreement with Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a system of tax-exempt hospitals and other health care provider organizations that operate 44 hospitals throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC is exempt from federal income tax under Internal Revenue Code Section 501(c)(3). A 501(c)(3) subsidiary hospital organization of AHSSHC, Adventist Health System/Sunbelt, Inc. (AHSSI), owns a 49% member interest in the filing organization. Under the Management Services Agreement (the Agreement), AHSSHC must follow the policies of the filing organization's Board of Directors. Managerial services provided by AHSSHC included oversight and day to day management of the filing organization, including the following functions: Personnel administration, including recruitment, hiring, training, promoting, directing and terminating personnel; Procurement, including the acquisition of food and beverage items, supplies, devices, furniture, and medical equipment; Health Information Management; Maintenance and Security; Contracting for services and consulting services; Financial accounting systems; Development of operational and capital budgets; Billing and collection of receivables and remittances of payables; Patient safety and quality systems; Marketing; Regulatory compliance; Administration - Policies and Procedures, including appointment of the CFO, COO, and CNO. The individuals who serve as officers of the filing organization in the roles of CEO and CFO are listed in Part VII, Section A. In 2018, these individuals were compensated by and on the payroll of AHSSHC for services rendered to the filing organization. The individual who serves as the Key Employee of the filing organization is listed in Part VII, Section A and is compensated by Adventist Health System/Texas, Inc. Their compensation has been reported on Part VII and Schedule J in accordance with the instructions for Part VII, Section A, Line 5.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Huguley Medical Associates has one member. The sole member of the filing organization is Texas Health Huguley, Inc. Texas Health Huguley, Inc, (THH) is a Florida not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the filing organization is THH. The Board of Directors of the filing organization are appointed by the sole member, THH, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>THH, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the admission of new Members of the Corporation; b) to alter, amend or repeal the Articles of Incorporation; c) to alter, amend or repeal the Bylaws of the Corporation with the approval of a majority of the Board of Directors; d) the authorization of the Corporation to borrow; e) to approve or disapprove the budget of the Corporation and expenditures in excess of the amounts provided in a budget of the Corporation approved by the Members; f) to approve or disapprove of contracts where the Corporation is at financial risk; g) the distributions of any cash or property of the Corporation; h) the engagement or dismissal of a management company or medical service organization to manage the affairs of the Corporation, or the decision of the Corporation to manage its own affairs; i) the engagement and dismissal of the independent auditing firm for the Corporation; j) the engagement and dismissal of legal counsel; k) the engagement or dismissal of the firm performing utilization management for the Corporation; l) the subcontracting of any of the obligations of the Corporation; m) the hiring or termination of employee's or independent contractors; n) the purchase or acquisition of any property, real, personal, or mixed, by the Corporation exceeding Five Thousand Dollars ($5,000.00) in value; and o) the sale, exchange or other disposition of any property, real, personal or mixed, of the Corporation exceeding Five Thousand Dollars ($5,000.00) in value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization's current year Form 990 was reviewed by the CEO and CFO prior to its filing with the IRS. The review conducted by these individuals did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statements of the filing organization, its governing documents and conflict of interest policy are not generally made available to the public as a whole.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII, Section A, Column (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>For those Board of Director members (not including physician members of the board), officer(s) and key employees who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position within Texas Health Huguley, Inc. Physician members of the Board of Directors received compensation from related organizations as a result of providing various medical services to those related entities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Payments to Healthcare Professionals: Program service expenses -5,500. Management and general expenses 0. Fundraising expenses 0. Total expenses -5,500. Professional Fees: Program service expenses 90,168. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,168. Purchased Medical Services: Program service expenses 448,350. Management and general expenses 0. Fundraising expenses 0. Total expenses 448,350. Environmental Services: Program service expenses 64,266. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,266. Transcription Services: Program service expenses 132. Management and general expenses 0. Fundraising expenses 0. Total expenses 132. Food Service Contracts: Program service expenses 1,680. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,680. Miscellaneous Purchased Services: Program service expenses 177,735. Management and general expenses 0. Fundraising expenses 0. Total expenses 177,735. Billing &amp; Collection Services: Program service expenses 0. Management and general expenses 753,791. Fundraising expenses 0. Total expenses 753,791.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to/from Affiliate 2,493,299.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>PO Box 819067</AddressLine1Txt>
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          <AddressLine1Txt>1545 E Southlake Blvd</AddressLine1Txt>
          <CityNm>Southlake</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76092</ZIPCd>
        </USAddress>
        <EIN>020555370</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Surgical Caregivers of Fort Worth LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2001 W Rosedale St</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76104</ZIPCd>
        </USAddress>
        <EIN>751925497</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Craig Ranch Surgery Ctr LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8080 State Hwy 121 Ste 100</AddressLine1Txt>
          <CityNm>McKinney</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75070</ZIPCd>
        </USAddress>
        <EIN>383897811</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Orthopedic Surgery Center Alliance LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9848 N Beach Street</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76244</ZIPCd>
        </USAddress>
        <EIN>814977249</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Spine Surgery Center Allen LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1120 Raintree Cir Ste 100</AddressLine1Txt>
          <CityNm>Allen</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75013</ZIPCd>
        </USAddress>
        <EIN>300957868</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Spine Surgery Center Alliance LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1545 E Southlake Blvd Ste 100</AddressLine1Txt>
          <CityNm>Southlake</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76092</ZIPCd>
        </USAddress>
        <EIN>320571301</EIN>
        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center Alliance LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10840 Texas Health Trail Ste 100</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76244</ZIPCd>
        </USAddress>
        <EIN>822296081</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center Bedford LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1605 Airport Freeway Ste 100</AddressLine1Txt>
          <CityNm>Bedford</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76021</ZIPCd>
        </USAddress>
        <EIN>821307876</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center Irving LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2120 N MacArthur Blvd Ste 200</AddressLine1Txt>
          <CityNm>Irving</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75061</ZIPCd>
        </USAddress>
        <EIN>831085415</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Surgery Center South Arlington LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>569 Brookwood Village Ste 901</AddressLine1Txt>
          <CityNm>Birmingham</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35210</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Institute for Surgery LLP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7715 Greenville Ave Ste 100</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <EIN>770628004</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TH Flower Mound Orthopedic Surgery Ctr LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5000 Long Prairie Rd</AddressLine1Txt>
          <CityNm>Flower Mound</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75028</ZIPCd>
        </USAddress>
        <EIN>800866449</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TH Surgery Ctr Preston Plaza LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>17950 Preston Road Ste 75</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75252</ZIPCd>
        </USAddress>
        <EIN>203991622</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TH Surgery Ctr Rockwall LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3144 Horizon Road Ste 120</AddressLine1Txt>
          <CityNm>Rockwall</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75032</ZIPCd>
        </USAddress>
        <EIN>474425996</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THR-STT Rockwall ASC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1545 E Southlake Blvd</AddressLine1Txt>
          <CityNm>Southlake</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76092</ZIPCd>
        </USAddress>
        <EIN>262429878</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THR-STT Southlake ASC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1545 E Southlake Blvd</AddressLine1Txt>
          <CityNm>Southlake</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76092</ZIPCd>
        </USAddress>
        <EIN>201728912</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>USMD Hospital at Arlington LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>801 I -20 West</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76017</ZIPCd>
        </USAddress>
        <EIN>731662763</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>USMD Hospital at Fort Worth LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5900 Alta Mesa Blvd</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76132</ZIPCd>
        </USAddress>
        <EIN>203571243</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Wilson Creek Surigcal Ctr LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8855 Synergy Drive</AddressLine1Txt>
          <CityNm>McKinney</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75070</ZIPCd>
        </USAddress>
        <EIN>274816583</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Women's Specialty Surgery Ctr of Dallas LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8230 Walnut Hill Ln Ste 101</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <EIN>262310072</EIN>
        <PrimaryActivitiesTxt>Amb Surg Ctr</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Grace Indemnity Company Ltd</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>1159 Caribbean Plaza</AddressLine1Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>981209573</EIN>
        <PrimaryActivitiesTxt>Captive Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Texas Health Biomedical Advancement Center Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
        <EIN>752636884</EIN>
        <PrimaryActivitiesTxt>Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THR Primary Care Ext Physician Network</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
        <EIN>465365421</EIN>
        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Charitable Remainder Trusts (4)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>612 E Lamar Blvd</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>CR Trust</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</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>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>500000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Received</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>557695</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV Rental Rate</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>194024</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>61400</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Texas Health Huguley Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1519186</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>