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        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>DUES TO SOCIAL CLUBS ARE PROVIDED FOR CERTAIN EMPLOYEES. THE PERSONAL USE OF SUCH FACILITIES ARE INCLUDED IN THE EMPLOYEE'S TAXABLE INCOME. A HOUSING ALLOWANCE IS PROVIDED TO ONE CLERGYMAN FOR MINISTERIAL SERVICES PROVIDED TO PATIENTS AND THEIR FAMILIES. THIS AMOUNT IS INCLUDED IN BOX 14 OF THE EMPLOYEE'S W-2.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS THE APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE PLAN FOR 2011 INCLUDE THE FOLLOWING: GARY SHORB - $ 91,481 CHRISTOPHER MCLEAN - 54,104 DONNA ABNEY - 48,365 SUSAN THURMOND - 45,389 STEVE WEST - 25,362 GEORGE MAYZELL - 40,662 ANDREW FOWLER - 31,386 DAVID BAYTOS - 35,811 CAROL ROSS-SPANG - 33,494 ALEXANDER MACGREGOR - 39,840 LARRY SPRATLIN - 18,629 MICHAEL NESBIT - 17,785 LARRY FOGARTY - 17,532 LYNN FIELD - 11,700 GARY GUNDERSON - 18,801 MICHELLE COLLIS - 13,071 WILLIAM BREEN JR - 41,205 EDWARD RAFALSKI - 28,025</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>THE MANAGEMENT INCENTIVE PLAN INTENDS TO REWARD MANAGEMENT FOR THE ACHIEVEMENT OF PERFORMANCE AGAINST A PRE-ESTABLISHED SET OF BALANCED AND CHALLENGING GOALS. THE PLAN ALSO INCLUDES A PROVISION THAT DEFERS VESTING OF A PORTION OF THE AWARD SUBJECT TO CONTINUED EMPLOYMENT (WITH A SUBSTANTIAL RISK OF FORFEITURE) TO ENCOURAGE RETENTION OF EXECUTIVES. THIS PLAN IS REVIEWED BY AN EXTERNAL THIRD-PARTY CONSULTANT.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HEALTH EDUCATIONAL &amp; HOUSING FACILITY BOARD OF THE COUNTY OF SHELBYTN</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521283414</IssuerEIN>
        <CUSIPNumber>821697VM8</CUSIPNumber>
        <DateIssued>2004-09-15</DateIssued>
        <IssuePrice>161400000</IssuePrice>
        <DescriptionOfPurpose>ADVANCE REFUNDING, CAPITAL ACQUISITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HEALTH EDUCATIONAL &amp; HOUSING FACILITY BOARD OF THE COUNTY OF SHELBYTN</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521283414</IssuerEIN>
        <CUSIPNumber>821697VN6</CUSIPNumber>
        <DateIssued>2004-09-15</DateIssued>
        <IssuePrice>89000000</IssuePrice>
        <DescriptionOfPurpose>CAPITAL ACQUISITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HEALTH EDUCATIONAL &amp; HOUSING FACILITY BOARD OF THE COUNTY OF SHELBYTN</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521283414</IssuerEIN>
        <CUSIPNumber>821697ZK8</CUSIPNumber>
        <DateIssued>2008-06-12</DateIssued>
        <IssuePrice>270000000</IssuePrice>
        <DescriptionOfPurpose>CURRENT REFUNDING, CAPITAL ACQUISITION</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HEALTH EDUCATIONAL &amp; HOUSING FACILITY BOARD OF THE COUNTY OF SHELBYTN</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521283414</IssuerEIN>
        <CUSIPNumber>821697YF0</CUSIPNumber>
        <DateIssued>2008-06-12</DateIssued>
        <IssuePrice>112198412</IssuePrice>
        <DescriptionOfPurpose>CURRENT REFUNDING</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>6830000</AmountRetired>
        <AmountBondDefeased>130655000</AmountBondDefeased>
        <TotalProceeds>165819186</TotalProceeds>
        <AmountInReserveFund>16300327</AmountInReserveFund>
        <RefundingEscrow>139003546</RefundingEscrow>
        <IssuanceCostsFromProceeds>2586587</IssuanceCostsFromProceeds>
        <CreditEnhancement>6941323</CreditEnhancement>
        <CapitalExpenditures>3689402</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>83975000</AmountRetired>
        <TotalProceeds>90936468</TotalProceeds>
        <AmountInReserveFund>2326939</AmountInReserveFund>
        <IssuanceCostsFromProceeds>779734</IssuanceCostsFromProceeds>
        <CreditEnhancement>3792993</CreditEnhancement>
        <CapitalExpenditures>80597104</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>271554862</TotalProceeds>
        <AmountInReserveFund>10193575</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1355713</IssuanceCostsFromProceeds>
        <CreditEnhancement>10279010</CreditEnhancement>
        <CapitalExpenditures>187388948</CapitalExpenditures>
        <OtherSpentProceeds>65615000</OtherSpentProceeds>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>26040000</AmountRetired>
        <TotalProceeds>113405614</TotalProceeds>
        <AmountInReserveFund>11815533</AmountInReserveFund>
        <IssuanceCostsFromProceeds>964513</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>100014058</OtherSpentProceeds>
        <YearOfSubstCompletion>1998</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00150</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00150</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00070</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00070</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>15.600000000000</TermOfHedge>
        <SuperintegratedHedge>1</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>12.600000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>29.400000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART II, LINE 3:</Identifier>
        <Explanation>AMOUNTS REPORTED ON LINE 3 INCLUDE INVESTMENT EARNINGS ON BOND PROCEEDS AS FOLLOWS: BOND [A]: SALE PROCEEDS: $ 161,400,000 INVESTMENT EARNINGS: 4,419,186 TOTAL TO LINE 3: $ 165,819,186 BOND [B]: SALE PROCEEDS: $ 89,000,000 INVESTMENT EARNINGS: 1,936,468 TOTAL TO LINE 3: $ 90,936,468 BOND [C]: SALE PROCEEDS: $ 270,000,000 INVESTMENT EARNINGS: 1,554,862 TOTAL TO LINE 3: $ 271,554,862 BOND [D]: SALE PROCEEDS: $ 112,198,412 INVESTMENT EARNINGS: 1,207,202 TOTAL TO LINE 3: $ 113,405,614</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART II, LINE 6:</Identifier>
        <Explanation>AMOUNTS REPORTED IN ESCROW ARE HELD TO ADVANCE REFUND A PRIOR ISSUE ON 09/01/12. THE ISSUE TO BE REFUNDED WAS ORIGINALLY ISSUED ON 04/17/02.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART II, LINE 11:</Identifier>
        <Explanation>OTHER SPENT PROCEEDS REPRESENTS AMOUNTS USED TO CURRENTLY REFUND PRIOR ISSUES. BOND [C]: $ 65,615,000 TO CURRENTLY REFUND BONDS ISSUED 09/15/04. BOND [D]: $ 100,014,058 TO CURRENTLY REFUND BONDS ISSUED IN 1985, 1995, AND 1998.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART III, BOND [D]:</Identifier>
        <Explanation>THE PROCEEDS OF THE BONDS REPORTED IN COLUMN [D] WERE USED ENTIRELY TO REFUND BOND ISSUES DATED PRIOR TO JANUARY 1, 2003 (EXCEPT AMOUNTS USED FOR COSTS OF ISSUANCE AND RESERVE FUNDS AS NOTED IN PART II); THEREFORE, PART III IS NOT APPLICABLE TO THE BONDS IN COLUMN [D].</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>BELZ INVESTCO GP</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>OWNED IN PART BY BOARD MEMBER RONALD BELZ</Relationship>
        <AmountOfTransaction>709396</AmountOfTransaction>
        <DescriptionOfTransaction>PROPERTY LEASE AND RENTAL</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS:</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A:</ReturnReference>
        <Explanation>BY FAR, THE LARGEST PERCENTAGE OF MLH IS THE MHMH HOSPITALS: METHODIST HEALTHCARE - MEMPHIS HOSPITALS INCLUDES METHODIST UNIVERSITY HOSPITAL, METHODIST NORTH HOSPITAL, METHODIST SOUTH HOSPITAL, METHODIST LE BONHEUR GERMANTOWN HOSPITAL AND LE BONHEUR CHILDREN'S HOSPITAL. EACH OF THOSE ENTITIES GIVES MUCH TO THE COMMUNITY EACH YEAR AND IS SUPPORTED BY METHODIST LE BONHEUR HEALTHCARE. IN 2011, METHODIST LE BONHEUR HEALTHCARE PROVIDED MORE THAN $145,518,057 MILLION OF NET COMMUNITY BENEFIT EXPENSE TO CHARITY, MEDICAID, TENNCARE, MEDICAL EDUCATION, AND COMMUNITY SERVICES. NET COMMUNITY BENEFIT EXPENSE IS CALCULATED USING A STANDARD APPROACH AS REQUIRED FOR GOVERNMENT BENEFIT REPORTING. MEDICAL EDUCATION AND RESEARCH METHODIST LE BONHEUR HEALTHCARE SUPPORTS VIA DIRECT SALARY AND BENEFIT CONTRIBUTIONS TO THE UNIVERSITY OF TENNESSEE GRADUATE MEDICAL TRAINING POSITIONS (GME) AT METHODIST UNIVERSITY HOSPITAL, LE BONHEUR CHILDREN'S MEDICAL CENTER, AND METHODIST LE BONHEUR GERMANTOWN HOSPITAL. THESE GME RESIDENTS AND FELLOWS ARE EMPLOYEES AND TRAINEES AT THE UNIVERSITY OF TENNESSEE, BUT THEIR FINANCIAL SUPPORT FOR SALARIES AND BENEFITS COMES VIA METHODIST. THESE TRAINEES SPEND TIME AT A METHODIST HOSPITAL DURING THE PERIODS OF METHODIST SUPPORT AND ARE INVOLVED IN PATIENT CARE IN ADDITION TO EDUCATIONAL ACTIVITIES. THE TOTAL BUDGET OF THE GRADUATE MEDICAL EDUCATIONAL PROGRAMS' SUPPORT IN 2010 VIA METHODIST HEALTHCARE WAS APPROXIMATELY $26 MILLION. CHURCH HEALTH CENTER AS AN EARLY SUPPORTER OF THE CHURCH HEALTH CENTER, METHODIST LE BONHEUR HEALTHCARE STRONGLY BELIEVES IN ITS MISSION TO SERVE THE WORKING POOR. FROM ITS BEGINNINGS AS A PROJECT OF ST. JOHN'S UNITED METHODIST CHURCH AND OF DR. SCOTT MORRIS TO THE COMPREHENSIVE COMMUNITY RESOURCE IT IS TODAY, THE CHURCH HEALTH CENTER PROVIDES AFFORDABLE HEALTH CARE, DENTISTRY, OPTOMETRY, PASTORAL COUNSELING, AND HEALTH EDUCATION TO THOSE WHO NEED THESE SERVICES IN MEMPHIS. METHODIST HEALTHCARE IS PROUD TO SUPPORT THIS WORTHY ENDEAVOR. METHODIST HELPS SUPPORT THE CHURCH HEALTH CENTER BY PROVIDING PATIENT CARE FREE OF CHARGE. CHRIST COMMUNITY HEALTH SERVICES HAS FOCUSED ON FULFILLING THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF THE POOR, THE UNINSURED AND THE HOMELESS IN MEMPHIS SINCE 1995. THROUGH STRATEGICALLY PLACED HEALTH CARE CENTERS AND OUTREACH PROGRAMS, THEY PROVIDE HIGH-QUALITY HEALTH CARE AND OTHER SERVICES TO THOUSANDS OF PATIENTS, CAREGIVERS, STUDENTS AND FAMILIES EACH YEAR. METHODIST PROVIDED $8,748.782 MILLION IN UNREIMBURSED CHARGES FOR PATIENTS OF THE CHURCH HEALTH CENTER AND CHRIST COMMUNITY. METHODIST SUPPORTED "THE MEMPHIS PLAN" IN 2011 WITH $8,871,992 IN FUNDS. THE MEMPHIS PLAN IS THE CHURCH HEALTH CENTER'S EMPLOYER-SPONSORED HEALTHCARE PLAN FOR SMALL BUSINESSES AND THE SELF-EMPLOYED. HOWEVER, IT IS NOT HEALTH INSURANCE. BY RELYING ON DONATED SERVICES FROM VOLUNTEER DOCTORS, AREA HOSPITALS AND LABORATORIES, THE MEMPHIS PLAN OFFERS UNINSURED PEOPLE IN LOWER-WAGE JOBS ACCESS TO QUALITY, AFFORDABLE HEALTHCARE. THIS INCLUDES PRIMARY AND SPECIALTY CARE, HOSPITALIZATION AND OTHER MEDICAL SERVICES. THE MEMPHIS PLAN PROVIDES HEALTHCARE FOR UNINSURED WORKING PEOPLE WHO FALL THROUGH THE CRACKS OF THE CURRENT HEALTHCARE SYSTEM BECAUSE THEY EARN TOO MUCH TO QUALIFY FOR STATE OR FEDERAL PROGRAMS. IT ALSO ANSWERS THE NEED OF SMALL BUSINESS OWNERS WHO CARE ABOUT THEIR EMPLOYEES BUT CANNOT AFFORD TO PROVIDE TRADITIONAL HEALTH INSURANCE. WITH THE MEMPHIS PLAN, EMPLOYERS CAN PROVIDE AN ESSENTIAL BENEFIT WHILE ENHANCING JOB PRODUCTIVITY AND RETAINING VALUED EMPLOYEES. DUE TO SPACE AND STAFFING LIMITATIONS, THE CHURCH HEALTH CENTER CLINIC CAN SERVE ONLY A PORTION OF THE GROWING NUMBER OF WORKING UNINSURED PEOPLE IN MEMPHIS. BECAUSE MEMPHIS PLAN VOLUNTEER DOCTORS SEE PATIENTS IN THEIR OWN OFFICES, THE CHURCH HEALTH CENTER IS ABLE TO EXPAND ITS ABILITY TO SERVE THOSE IN NEED. METHODIST UNIVERSITY HOSPITAL HOSTED TWO EDUCATION SYMPOSIUMS FOR THE EMS COMMUNITY: "WHEN EVERY SECOND COUNTS" PRE-HOSPITAL CARE CARDIAC SYMPOSIUM ON MAY 19, 2011, WITH 177 ATTENDEES AND "WHEN EVERY SECOND COUNTS" PRE-HOSPITAL CARE NEURO SYMPOSIUM ON NOVEMBER 17, 2011 WITH 195 ATTENDEES. TOTAL COST OF THESE OFFERINGS WAS $62,896.36. FAITH AND HEALTH DIVISION THE FAITH AND HEALTH DIVISION, THOUGH PART OF THE CORPORATE DIVISION, FULFILLS ITS MISSION IN OUR MHMH HOSPITALS AND IN THE COMMUNITY, PARTICULARLY THROUGH AREA CHURCHES. IT IS RESPONSIBLE FOR THE CONTINUUM OF PASTORAL SERVICES WHICH INCLUDE THOSE OFFERED INSIDE THE WALLS OF OUR HOSPITALS AS WELL AS THROUGH PARTNERSHIPS WITH CONGREGATIONS AND COMMUNITY PARTNERS. HEALTH AND WELFARE MINISTRIES HOSTS SEVERAL PROGRAMS AIMED AT CLERGY, PHYSICIANS AND LAYPERSONS AND WORKS CLOSELY TO INVOLVE THE COMMUNITY IN MANY ASPECTS OF HEALING, PUBLIC HEALTH AND HEALTH AWARENESS. THIS DIVISION: - PROVIDED SPEAKERS ON HEALTH TOPICS FOR EVENTS AT A NUMBER OF AREA VENUES INCLUDING MISSISSIPPI BLVD. CHISTIAN CHURCH, SHEPHERD CHRISTIAN CENTER, TABERNACLE OF PRAISE CHURCH, ZION CHURCH, AND ASBURY UNITED METHODIST CHURCH. - PARTICIPATED IN NUMEROUS HEALTH FAIRS SERVING A TOTAL OF 875 INDIVIDUALS. - PROVIDED COMMUNITY HEALTH EDUCATION FOR 3,973 INDIVIDUALS. THE DIVISION WORKS CLOSELY WITH THE UNITED METHODIST GLOBAL BOARD OF GLOBAL MINISTRIES BY COORDINATING SEVERAL OF ITS NATIONAL NETWORKS OF HEALTH MINISTRIES AND COOPERATES IN INTERNATIONAL MINISTRIES IN AFRICA AND RUSSIA AND WITH MISSION HOSPITALS THROUGHOUT THE WORLD. METHODIST HEALTHCARE FOUNDATION THE FOUNDATION RAISES FUNDS TO BENEFIT AND STRENGTHEN THE METHODIST HOSPITAL PROGRAMS AND CENTERS OF EXCELLENCE. FUNDS RAISED ENHANCE CLINICAL AND RESEARCH INITIATIVES, UNDERWRITE COSTS FOR FACILITIES, TECHNICIANS AND EQUIPMENT AND BRIDGE THE GAP BETWEEN WHAT HOSPITAL CHARGES COVER AND WHAT IS NECESSARY TO STAY ON THE CUTTING EDGE OF MEDICAL SCIENCE. IN 2011, THE FOUNDATION PROVIDED $2,571,271 IN SUPPORT OF THESE PROGRAMS, ALL WHICH BENEFITED THE COMMUNITY. HERE ARE SOME HIGHLIGHTS: RECEIVED $150,000 GRANT FROM SUSAN G. KOMEN FOUNDATION TO FUND BREAST SCREENING AND DIAGNOSTIC TESTING FOR UNDERSERVED WOMEN IN MEMPHIS -- 250 WOMEN RECEIVED FREE SCREENINGS. KOMEN RECENTLY EXTENDED THE GRANT A YEAR WITH AN ADDITIONAL GRANT OF $108,634, WHICH WILL ALSO COVER TREATMENT. RAISED $107,000 AT METHODIST HEALTHCARE FOUNDATION GOLF CLASSIC STARTED BY MORRISON MANAGEMENT SPECIALISTS. MONIES RAISED ARE EARMARKED IN PART FOR METHODISTS NEW COMPREHENSIVE SICKLE CELL CENTER SET TO OPEN IN FALL OF 2012. PARTNERING WITH NBA TEAM, THE MEMPHIS GRIZZLIES AND PLAYER MIKE CONLEY, A BOWL N BASH WAS HELD WHICH RAISED MONEY FOR THE SICKLE CELL CENTER. HIS WORK RESULTED IN A $5,000 GIFT FROM HIM AND THE MEMPHIS GRIZZLIES ORGANIZATION. RAISED A RECORD-BREAKING $507,032 FOR THE HUMANITARIAN FUND CAMPAIGN. SET UP IN 1976, THE FUND IS A COLLECTIVE WAY FOR ASSOCIATES TO PROVIDE SUPPORT FOR CO-WORKERS IN NEED. AWARDED COLLEGE SCHOLARSHIPS TO CHILDREN AND DEPENDENTS OF ASSOCIATES WHO PLAN TO PURSUE A CAREER IN A HEALTH-RELATED FIELD OF STUDY. IN 2011, THE FOUNDATION PRESENTED 19 SCHOLARSHIPS TOTALING $22,000. METHODIST AND THE FOUNDATION SUPPORT LIFELONG LEARNING FOR OUR PHYSICIANS. LAST YEAR WE OFFERED 73 PROGRAMS AND 1,346 HOURS OF TRAINING. A TOTAL OF 15,652 PHYSICIANS AND 3,567 OTHER CAREGIVERS ATTENDED. IN 2011 THE PHYSICIANS' RESEARCH NETWORK HAD 503 OPEN CLINICAL RESEARCH PROTOCOLS, 147 OF WHICH WERE NEW STUDIES. THE PRN OPERATES UNDER THE UMBRELLA OF THE METHODIST HEALTHCARE FOUNDATION AND FACILITATES ADULT AND PEDIATRIC RESEARCH WITHIN THE HOSPITALS. PRN PROVIDES STUDY COORDINATION, SUPPORT SERVICES, AND REGULATORY ASSISTANCE TO INVESTIGATORS MANAGING INPATIENT AND OUTPATIENT CLINICAL RESEARCH TRIALS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>LE BONHEUR FOUNDATION THE LE BONHEUR FOUNDATION, IN PARTNERSHIP WITH DONORS AND VOLUNTEERS, PROMOTES PHILANTHROPIC INVESTMENT TO SUPPORT LE BONHEUR CHILDREN'S HOSPITAL'S MISSION OF PROVIDING HIGH QUALITY PATIENT CARE, RESEARCH AND ADVOCACY. IN 2011 THE FOUNDATION RAISED $8,435,000. ITS THREE MAJOR PROJECTS ARE: LE BONHEUR CAPITAL CAMPAIGN - SINCE 2005, THE LE BONHEUR FOUNDATION HAS BEEN INVOLVED IN A $113 MILLION CAPITAL CAMPAIGN TO ASSIST IN RAISING THE FUNDS NEEDED FOR THE NEW LE BONHEUR CHILDRENS HOSPITAL WHICH OPENED IN 2010. - FEDEX FAMILY HOUSE, AND - CHILDREN'S MIRACLE NETWORK HOSPITALS RELATIONSHIP A TOTAL OF $159,800 IN GRANTS WAS RECEIVED FOR A VARIETY OF RESEARCH PROJECTS. METHODIST PLACES A STRONG EMPHASIS ON EDUCATION ENCOURAGES ASSOCIATES TO PARTICIPATE IN THE MEMPHIS CITY SCHOOLS' ADOPT-A-SCHOOL PROGRAM AND EACH HOSPITAL SUPPORTS SCHOOLS WITHIN ITS SERVICE AREA. ASSOCIATES WORKED TO: - TUTOR AND MENTOR STUDENTS - PROVIDE SPEAKERS FOR A NUMBER OF EVENTS INCLUDING CAREER DAYS - JUDGE EVENTS SUCH AS SCIENCE PROJECTS - PROCTOR TESTS - PROVIDE FINANCIAL SUPPORT FOR SPECIAL NEEDS AND PROGRAMS METHODIST LE BONHEUR HEALTHCARE SUPPORTS COMMUNITY EVENTS METHODIST LE BONHEUR ENCOURAGES ASSOCIATES TO PARTICIPATE IN COMMUNITY CAUSES SUCH AS: - HEART WALK - $41,453.92 - OPERATION FEED FOR MEMPHIS FOOD BANK - $15,542.51 - WEAR RED DAY FOR AMERICAN HEART ASSOCIATION - $3,129.70 - SALVATION ARMY ANGEL TREE - 125 ANGELS SUPPLIER DIVERSITY PROGRAM WE ARE ALSO COMMITTED TO SUPPLIER DIVERSITY, MEANING DIRECT PURCHASING FROM LOCAL MINORITY AND WOMEN-OWNED BUSINESSES. FROM 1999 TO 2011, MLH SPENDING WITH MINORITY AND WOMEN OWNED VENDORS HAS GROWN FROM 4 % TO OVER 15% OF ANNUAL SPENDING. TOTAL MINORITY AND WOMEN VENDOR SPENDING IN 2011 WAS $17 MILLION WITH SIGNIFICANT CONTINUED PARTICIPATION BY MINORITY AND WOMEN OWNED FIRMS IN THE NUMEROUS CONSTRUCTION AND RENOVATION PROJECTS TAKING PLACE ACROSS THE METHODIST LE BONHEUR HEALTHCARE SYSTEM. METHODIST HAS BEEN RECOGNIZED FOR SETTING THE STANDARD FOR SUCCESSFUL PARTNERING BY THE MID-SOUTH MINORITY BUSINESS COUNCIL (MMBC), THE BLACK BUSINESS ASSOCIATION (BBA), THE SMALL BUSINESS ADMINISTRATION, THE MEMPHIS BUSINESS DEVELOPMENT CORPORATION AND PREMIER, OUR NATIONAL GROUP PURCHASING ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INPUT FROM HUMAN RESOURCES, LEGAL, COMPLIANCE, AND FINANCE DEPARTMENTS AND EXTERNAL FINANCIAL CONSULTANTS. FINANCIAL INFORMATION IS RECONCILED TO AUDITED FINANCIAL STATEMENTS AS APPROPRIATE. THE INFORMATION TO BE DISCLOSED REGARDING COMPENSATION IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MLH AND MANAGEMENT OF THE ORGANIZATION AS APPROPRIATE. A COPY OF THE RETURN IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE AND DISCUSSED AT A SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>METHODIST LE BONHEUR HEALTHCARE EMPLOYS A COMPLIANCE OFFICER WHO MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL VOTING BOARD MEMBERS AND APPLICABLE OFFICERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS. AN EXTERNAL INDEPENDENT CONSULTANT ADVISES THE BOARD COMPENSATION COMMITTEE ON EXECUTIVE SALARY AND INCENTIVE COMPENSATION. BENEFITS ARE PERIODICALLY BENCHMARKED BY A SEPARATE EXTERNAL CONSULTANT AND ANY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS A SUBGROUP OF THE FULL BOARD OF DIRECTORS. THE COMPENSATION CONSULTANT ANNUALLY DEVELOPS TOTAL CASH COMPENSATION COMPARISONS OF PEER NON-PROFIT SYSTEMS ESTABLISHED BY THE COMPENSATION COMMITTEE. THE COMPENSATION CONSULTANT INTERPRETS THE INFORMATION AND PROVIDES AN OPINION OF REASONABLENESS ON THE TOTAL CASH COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE APPROVES ANY CHANGES TO THE COMPENSATION AND EXECUTIVE BENEFIT STRUCTURE OF THE CEO AND OTHER TOP EXECUTIVES, OTHERWISE KNOWN AS DISQUALIFIED CANDIDATES. ALL OTHER COMPENSATION DECISIONS ARE DETERMINED BY ARRANGEMENT AS DELEGATED BY THE BOARD OF DIRECTORS. THE COMMITTEE DOCUMENTS ALL DETERMINATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT OUR WEBSITE IN THE "ABOUT US" SECTION, OR AT WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED IN A CONSOLIDATION WITH ITS RELATED SUBSIDIARIES. INFORMATION ON FINANCIAL STATEMENTS IS AVAILABLE BY CONTACTING THE ORGANIZATION'S CORPORATE OFFICE. PLEASE SEE FORM 990, PART VI, LINE 20 FOR DETAILS. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS FOR ALL AFFILIATES OF METHODIST LE BONHEUR HEALTHCARE ARE ALSO AVAILABLE BY REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -70,809,037. CHANGE IN VALUE OF MINIMUM PENSION LIABILITY -85,812,723. EQUITY TRANSFERS FROM AFFILIATES 54,299,520. TOTAL TO FORM 990, PART XI, LINE 5: -102,322,240.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
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          <AddressLine1>850 POPLAR AVENUE BLDG 2</AddressLine1>
          <City>MEMPHIS</City>
          <State>TN</State>
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          <City>MEMPHIS</City>
          <State>TN</State>
          <ZIPCode>38134</ZIPCode>
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          <AddressLine1>1211 UNION AVENUE SUITE 657</AddressLine1>
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          <AddressLine1>50 PEABODY PLACE</AddressLine1>
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          <ZIPCode>38103</ZIPCode>
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          <AddressLine1>1211 UNION AVENUE SUITE 657</AddressLine1>
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          <City>MEMPHIS</City>
          <State>TN</State>
          <ZIPCode>38134</ZIPCode>
        </AddressUS>
        <EIN>621361349</EIN>
        <PrimaryActivity>HEALTH SERVICES MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AMBULATORY OPERATIONS INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>1694575</ShareOfTotalIncome>
        <ShareOfEOYAssets>3211346</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEMPHIS PROFESSIONAL BUILDING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1211 UNION AVENUE SUITE 600</AddressLine1>
          <City>MEMPHIS</City>
          <State>TN</State>
          <ZIPCode>38104</ZIPCode>
        </AddressUS>
        <EIN>621847544</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AMBULATORY OPERATIONS INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>544788</ShareOfTotalIncome>
        <ShareOfEOYAssets>7666939</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE - MEMPHIS HOSPITALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>17469477</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE-FAYETTE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>249693</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>267880</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ALLIANCE HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>117462</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST EXTENDED CARE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>109629</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>66982</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE - MEMPHIS HOSPITALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>113716248</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE-FAYETTE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>781044</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>722520</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ALLIANCE HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1130124</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST EXTENDED CARE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1516968</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>45732</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LE BONEHUR COMMUNITY HEALTH &amp; WELL-BEING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>172296</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOLUS MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>111420</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMBULATORY OPERATIONS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>207000</AmountInvolved>
        <MethodOfAmtDetermination>INTERCOMPANY TRANSACTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ALLIANCE HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3913178</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE-FAYETTE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>548286</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>751727</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE PRIMARY CARE ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>615994</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST EXTENDED CARE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1560213</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>METHODIST HEALTHCARE - MEMPHIS HOSPITALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>55835960</AmountInvolved>
        <MethodOfAmtDetermination>EQUITY TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <ReturnReference>PART IV, COLUMNS (F) AND (G):</ReturnReference>
        <Explanation>AMBULATORY OPERATIONS, INC., SOLUS MANAGEMENT SERVICES, INC., AND MEMPHIS PROFESSIONAL BUILDING, INC. TOGETHER FILE A CONSOLIDATED TAX RETURN. AMBULATORY OPERATIONS, INC. IS THE PARENT CORPORATION OF THE GROUP. THE AMOUNT SHOWN IN PART IV FOR COLUMNS (F) AND (G) ARE SHOWN PRE-CONSOLIDATION.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>