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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Members or stockholders: The organization is a Texas nonprofit membership organization in which Providence Healthcare Network (PHN) and Hillcrest Baptist Medical Center dba Baylor Scott &amp; White Medical Center - Hillcrest (BSW Hillcrest), tax exempt, Texas nonprofit corporations, are the members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Election of members of governing body by members, stockholders, or other persons: The election of new members of the organization requires unanimous consent of the then current members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing body decisions subject to approval: The following powers are reserved to the members of the organization: adoption and approval of changes to the certificate of formation and bylaws, creating or investing in a subsidiary, establishing annual operation and capital budgets, approval of expenditures not budgeted, the purchase of property, transfer of property, borrowing or lending money, grants, litigation, election and removal of directors, appointment and removal of officers, actions with another organization, execution of contracts, changing the fiscal year, and the addition of new members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Process used to review the Form 990: The Form 990 is prepared and reviewed by the Baylor Scott &amp; White Health tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Process used to monitor and enforce compliance with the organization's conflict of interest policy: Consistent with the requirements of the Texas Medical Board, the directors discolose interests biennially. Directors or officers have an ongoing duty to disclose any conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Process for making governing documents, conflict of interest policy, &amp; financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. The organization's other governing documents, financial statements and conflicts of interest policy are not made available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>Richard Perkins - 100 Hillcrest Medical Blvd, Waco, TX 76712. Karen Richardson - 6901 Medical Parkway, Waco, TX 76712. James E. Morrison, M.D. - 100 Hillcrest Medical Blvd, Waco, TX 76712. Jackson K. Walker, M.D - 6901 Medical Parkway, Waco, TX 76712. Timothy M. Barrett, M.D. - 6901 Medical Parkway, Waco, TX 76712.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Indigent Health Care Services: Program service expenses 3,625,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,625,976.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>