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        <Title>See Schedule O</Title>
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        <Title>See Schedule O</Title>
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        <Title>See Schedule O</Title>
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        <NamePerson>Marc L Boom MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>48.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>806857</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45656</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark A Houser</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary A Daffin</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Morrie K Abramson</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rev Kenneth R Levingston</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert K Moses Jr</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ronald G Girottoex officio with vot</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>47.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>2574789</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48560</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sandra Gayle Wright RN Ed D</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Victor Fainstein MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>81303</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Vidal G Martinez</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William F Schwer</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Hagale Partial Year</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>51.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1045155</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56882</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Connie Dyer</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Chris Siebenaler</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>480347</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51330</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Beryl O Ramsey</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>503708</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48953</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wayne Voss</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>508183</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51133</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Emily A Crosswell</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gregory V Nelson</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Donna Gares</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>46.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>502152</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42780</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mauro Ferrari PhD ex officio with v</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>871896</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36918</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Noel R Rainey</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>232664</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20380</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Isaac H Kempner III</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard A Peebles</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carlton E Baucum</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David M Underwood</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lawrence J Reilly</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H Dirk Sostman MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>46.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>800192</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>71106</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edward L Tyrrell</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>436507</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>47814</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ramon Cantu</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>880388</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>74340</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ann Scanlon McGinity</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>418730</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53890</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roberta Schwartz</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>341998</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44177</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jonathan Sturgis</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>215574</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>39756</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bruce Kennedy MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>309229</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48587</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Edward Jones</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>255538</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38480</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lowell Stanton</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>227537</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40955</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Adams</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>221559</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45155</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet Leatherwood</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>292793</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27130</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Victoria Brownewell</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>296810</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>46044</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sheila Fata</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>255855</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45881</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen Wong PhD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>511296</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59906</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Baxter MD PhD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>345207</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38344</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sidney Sanders</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>391909</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas W Knight MD</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>678740</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>63090</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lauren P Rykert</NamePerson>
        <Title>See Schedule O</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>441943</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30916</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carolyn Belk</NamePerson>
        <Title>See Schedule O, Former</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>226735</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>43734</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>15644674</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>1079227</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1441544</TotalOtherCompensation>
      <NumberIndividualsGT100K>266</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ACLP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 2879</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>75221</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction Services</DescriptionOfServices>
        <Compensation>37807034</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>DE HARVEY BUILDERS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 42008</AddressLine1>
            <City>Houston</City>
            <State>TX</State>
            <ZIPCode>77242</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction Services</DescriptionOfServices>
        <Compensation>31994322</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VAUGHN CONSTRUCTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>10355 Westpark Dr</AddressLine1>
            <City>Houston</City>
            <State>TX</State>
            <ZIPCode>77042</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction Services</DescriptionOfServices>
        <Compensation>20017142</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SOUTH COAST CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8935 Knight Road</AddressLine1>
            <City>Houston</City>
            <State>TX</State>
            <ZIPCode>77054</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction Services</DescriptionOfServices>
        <Compensation>14352633</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ARAMARK SERVICES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>25271 Network Place</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60673</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Food &amp; Beverage Service</DescriptionOfServices>
        <Compensation>9686516</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>147</NumberOfContractorsGT100K>
      <GovernmentGrants>20871335</GovernmentGrants>
      <TotalContributions>20871335</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Care Services</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>785268351</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>785268351</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Gross Rents</Description>
        <BusinessCode>531120</BusinessCode>
        <TotalRevenueColumn>30371349</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>30371349</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Float Staff</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7019528</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7019528</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Related Research</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4916960</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4916960</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Parking Income</Description>
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        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>General Note</ReturnReference>
        <Explanation>Policies and procedures for Hospitals in the Methodist Hospital Group tax return are consistent among all four hospitals (i.e., Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, Methodist West Houston Hospital ("Methodist Health Centers") and San Jacinto Methodist Hospital.Part I, Line 3cMethodist Health Centers and San Jacinto Methodist Hospital use Federal Poverty Guidelines (FPG) and other information to determine eligibility for providing free care and discounted care to low income individuals.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 6a</ReturnReference>
        <Explanation>The Methodist Hospital System (Methodist Health Centers and San Jacinto Methodist Hospital are part of this System) prepares an annual community benefit report which is made available to the public. This report includes charity care and community benefits provided by Methodist Health Centers and San Jacinto Methodist Hospital and one other related acute care hospital (The Methodist Hospital) in Harris County and in neighboring Fort Bend County, Texas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7g</ReturnReference>
        <Explanation>Methodist Health Centers and San Jacinto Methodist Hospital have not reported any subsidized health services in Part I, line 7(g).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7 col (f)</ReturnReference>
        <Explanation>The amount of bad debt expense that was included in Form 990, Part IX, line 25, column (A), but removed from this figure for purpose of calculating the percentage in Schedule H, Part I, line 7, column (f) was $78,498,071.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>The costing methodology used to calculate the amounts reported in the Table in Part I was a cost to charge ratio derived from Worksheet 2 (Ratio of Patient Care Cost to Charges), as provided in the instructions to Form 990 Schedule H.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Methodist Health Centers and San Jacinto Methodist Hospital have not reported any community building activities in Part II, lines 1-10.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The text of the footnote that describes bad debt expense from the audited consolidated financial statements of The Methodist Hospital System, which includes Methodist Health Centers and San Jacinto Methodist Hospital, is as follows: Uncollectible, uncompensated care generally represents standard charges that are unrealizable due to an unwillingness to pay by those responsible for payment (bad debt).Uncollectible, uncompensated care is reported as an expense in the consolidated statements of operations and changes in net assets. The costing methodology used in determining the amount of bad debt expense (at cost) reported on line 2 (no amount was reported on line 3) was derived from applying the ratio of patient care cost to charges (from Worksheet 2, line 11) to bad debt attributable to patient accounts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: Medicare allowable costs were derived from Methodist Sugar Land Hospital's, Methodist Willowbrook Hospital's, Methodist West Houston Hospital's and San Jacinto Methodist Hospital's filed Medicare Cost Reports for the year ended December 31, 2011. The entire Medicare shortfall ($61.0 million) as reported in Part III, line 7, as well as the unreimbursed cost of the Medicare managed care program ($14.6 million) and TRICARE programs ($1.7 million), should be treated as a community benefit, since these shortfalls, or subsidies, reduce the federal government's burden in providing health care to Medicare beneficiaries.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: The Methodist Hospital System has a written bad debt collection policy; however, no collection efforts are put forth for patients who are known to qualify for financial assistance under the charity care policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V, Section B, Lines 1 through 7</ReturnReference>
        <Explanation>Methodist Health Centers and San Jacinto Methodist Hospital have not completed this section since it is optional for the 2011 Schedule H Form 990.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V, Section B, Line 15</ReturnReference>
        <Explanation>Methodist Health Centers and San Jacinto Methodist Hospital do not take any actions (e.g., reporting to credit agency, lawsuits, liens on residences, body attachments nor any other similar actions) against an individual.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V, Section B, Line 19d</ReturnReference>
        <Explanation>Methodist Health Centers and San Jacinto Methodist Hospital charge FAP-Eligible patients the same as all other patients, however, a discount is provided in accordance with the financial assistance policy. This discount is greater than the discount provided to non- FAP-Eligible patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: The Methodist Hospital System utilized several different methods to identify its Community Health priorities (health care needs) of the communities it serves. These methods include but are not limited to the review of the Texas Institute of Health Policy research community data; Harris County Public Health &amp; Environmental Services community data; Texas State Data Center and Office of the State Demographer; Texas Department of State Health Services; Texas Cancer Registry; Healthy People 2010; community advisory group committee reports for nonprofit clinics and agencies (e.g., Harris County Healthcare Alliance Primary Health Needs Assessment); Texas Department of Public Health selected health data; and community health status report for Harris, Liberty, Fort Bend and Montgomery counties. Additionally, The Methodist Hospital System performs an annual Community Health Needs Assessment that evaluates the population of The Methodist Hospital service area by looking at demographics, current health characteristics in the community and access to healthcare. Resources used to assess the health priorities for the Community Health Needs Assessment include but are not limited to Behavioral Risk Factor Surveillance System; The State of Health 2012;Texas STD Surveillance Report; and the National Vital Statistics Report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: Financial Assistance is provided in multiple locations within The Methodist Hospital System; at the point of registration, during case management and at the time of collections post discharge. Every check-in location has information posted in both English and Spanish stating how the patient can access financial assistance. Additionally, this information is posted on The Methodist Hospital System website and is included in the patient guide provided to the patient at the time of registration. The Methodist Hospital System financial counselors actively seek all uninsured inpatients and outpatients with scheduled services for a personal visit. During these visits, the financial counselors will screen the patient for financial assistance and will provide the patient with the financial assistance application. The patient will then be provided a list of resources with contact information should the patient require further assistance in completing the application. The Methodist Hospital System utilizes an eligibility partner to work closely with patients to qualify for State and Federal assistance programs (e.g., Medicaid, SCHIP, Crime Victims, etc.). This eligibility partner will meet with all uninsured inpatients to discuss State and Federal assistance programs; where the patient is not eligible for these programs, The Methodist Hospital System's internal financial assistance program is introduced. The Methodist Hospital System's case management unit works closely with the patient during patient discharge management to ensure the patient is introduced to all resources that may be needed post discharge (e.g., home health, skilled nursing, etc.). The case management unit works with the patient to qualify the patient and to gain access to these resources. Additionally, the case management unit works closely with the financial counselors when the patient is identified as having a need for financial assistance. The Methodist Hospital System's patient accounting unit works closely with all uninsured patients post discharge during the billing and collections process. The Methodist Hospital System's collections personnel will verbally screen patients for financial assistance during collection calls; where applicable, the patient will be sent a financial assistance application either in English or Spanish. Additionally, all billing statements provide the patient with a phone number for customer service to obtain payment options. The Methodist Hospital System utilizes outside collection assistance, for both early out and bad debt collections. Each collection agency must adhere to The Methodist Hospital System's financial assistance policy and philosophy during all communication and collection events with The Methodist Hospital System patients. The Methodist Hospital System's financial assistance application is reviewed periodically; additionally, The Methodist Hospital System personnel are provided with educational inservices in the administering of the financial assistance policy as needed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Methodist Sugar Land Hospital is located in Sugar Land, Texas, which is approximately 21 miles southwest of downtown Houston, Texas. Methodist Sugar Land Hospital's primary services area is comprised of 14 zip codes in Harris, Brazoria, and Fort Bend counties. The population of Methodist Sugar Land Hospital's primary service area is 610,655 and is expected to grow 15% in the next five years. The specific make-up of the service area includes Caucasian 27%, Hispanic 27%, African American 25%, Asian 19% and other 2%. Economically, the median household income is $67,200 and the average household income is approximately $85,900. Examining the service area at the insurance level, the area consists of 88% insured and 12% uninsured.Methodist Willowbrook Hospital is located in the area of Harris County,approximately 25 miles northwest of downtown Houston, Texas. MethodistWillowbrook Hospital's primary services area is comprised of 15 zip codes in the Harris and Montgomery counties. The population of Methodist Willowbrook Hospital's primary service is 686,600 and is expected to grow 13% in the next five years. The specific make-up of the service area includes Caucasian 43%, Hispanic 30%, African American 17%, Asian 9% and other 2%. Economically, the median household income is $66,600 and the average household income is approximately $82,200. Examining the servicearea at the insurance level, the area consists of 87% insured and 13%uninsured.Methodist West Houston is located in the western part of Harris County,approximately 21 miles west of downtown Houston, Texas and opened onDecember 17, 2010. Methodist West Houston Hospital's primary servicesarea is comprised of 11 zip codes in the Harris, Fort Bend and Wallercounties. The population of Methodist West Houston Hospital's primaryservice is 605,300 and is expected to grow 16% in the next five years.The specific make-up of the service area includes Caucasian 44%, Hispanic31%, African American 13%, Asian 10% and other 2%. Economically, themedian household income is $73,300 and the average household income isapproximately $97,100. Examining the service area at the insurancelevel, the area consists of 90% insured and 10% uninsured.San Jacinto Methodist Hospital's primary service area is comprised of fivezip codes in Harris, Liberty, and Chambers counties. The population ofSan Jacinto Methodist Hospital's primary service area is 157,400 and isexpected to grow 7% in the next five years. The specific make-up of theservice area includes Caucasian 49%, Hispanic 34%, African American 14%,Asian 1% and other 2%. Economically, the median household income is$52,600 and the average household income is approximately $59,600.Examining the service area at the insurance level, the area consists of76% insured and 24% uninsured.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: Methodist Sugar Land Hospital in Fort Bend County, Methodist Willowbrook Hospital in northwest Houston, Methodist West Houston Hospital in west Houston and San Jacinto Methodist Hospital in Baytown, Texas provide medical services to people living in cities and suburbs adjacent to Houston.Governing BodyMethodist Health Centers and San Jacinto Methodist Hospital are governed by a board of directors which include members of the community where each Hospital is located.Community Hospitals - Methodist Sugar Land Hospital Since 1998, Methodist Sugar Land Hospital has been serving Fort Bend and surrounding counties, and residents rely on the hospital for compassionate care and leading-edge technology that was once available only in The Methodist Hospital System at The Methodist Hospital in the Texas Medical Center. As of December 31, 2011, the hospital had 207 operating beds, 16 operating rooms and 794 affiliated physicians. Methodist Sugar Land Hospital reported 11,597 inpatient adult admissions, 107,681 outpatient visits and 36,166 emergency room visits for the year ended December 31, 2011.Community Hospitals - Methodist Willowbrook Hospital Opened in 2000, Methodist Willowbrook Hospital offers care and technology to the northwest Houston community. As of December 31, 2011, the hospital had 195 operating beds, 10 operating rooms and 746 affiliated physicians. The hospital has recently expanded facilities and services to meet the needs of most patients requiring tertiary care offering cardiovascular surgery, neurological care, perinatal and pediatric care, as well as specialized services at its cancer and breast centers. Methodist Willowbrook Hospital reported 13,597 inpatient adult admissions, 64,522 outpatient visits and 48,611 emergency room visits for the year ended December 31, 2011.Community Hospitals - Methodist West Houston Hospital Methodist West Houston Hospital opened its doors to the west Houston and Katy communities in December of 2010. Located at I-10 and Barker Cypress, it offers the community specialty medical services such as a state-of-the-art breast imaging center, cancer center, cardiology and cardiac surgery, neurology and neurosurgery, orthopedics, sports medicine, birthing center, neonatal ICU and robotic surgery. As of Dec. 31, 2011, the hospital had 68 operating beds, 8 operating rooms and 540 affiliated physicians. It recorded 2,802 inpatient visits, 19,397 outpatient visits and 14,283 emergency room visits in its first year.Community Hospitals - San Jacinto Methodist Hospital Since opening its doors in April 1948, San Jacinto Methodist Hospital has provided the community with quality medical care. The hospital - with 275 beds, 15 operating rooms and 332 affiliated physicians-serves communities in east Harris, Liberty and Chambers counties. Patients served in the hospital are from many different segments of these communities with a diverse mix of financial resources as well as cultural and socio-economic backgrounds. In 2011 San Jacinto Methodist Hospital served its community by providing 12,843 inpatient admissions, 54,493 emergency room visits and 87,134 outpatient visits. If further specialized care is needed in the Texas Medical Center for patients at Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, or Methodist West Houston Hospital, medical records and vital information are available instantly through a computerized medical information system linking these Methodist hospitals.Medical Staff Model The Methodist Health Centers and San Jacinto Methodist Hospital have an open medical staff model. The open model gives patients access to physicians of all affiliations. San Jacinto Methodist Hospital has a family practice residency program, with 26 family practice residents and Methodist Willowbrook Hospital houses a primary care sports medicine graduate medical education program. Use of Surplus Funds - Methodist Sugar Land Hospital In 2011 Methodist Sugar Land Hospital provided $6.1 million in financial assistance based on the IRS definition of cost. Many patients were educated about this program through the hospital's involvement in community health fairs and similar programs, and other patients were referred by their doctors, other patients and the hospital's staff. The hospital provides financial resource counseling throughout all departments including the Emergency Department, to assist patients with financial assistance including screening for government assistance and charity qualification. Full-time employees are dedicated to providing this counseling, and one dedicated employee provides ongoing follow-up on charity applications.Use of Surplus Funds - Methodist Willowbrook Hospital In 2011 Methodist Willowbrook Hospital provided $10.5 million in financial assistance based on the IRS definition of cost. Many patients were educated about this program through the hospital's involvement in community health fairs and similar programs, and other patients were referred by their doctors, other patients and the hospital's staff. The hospital provides financial resource counseling throughout all departments including the Emergency Department, to assist patients with financial assistance including screening for government assistance and charity qualification. Full-time employees are dedicated to providing this counseling, and one dedicated employee provides ongoing follow-up on charity applications and log reconciliations.Use of Surplus Funds - Methodist West Houston HospitalIn 2011 Methodist West Houston Hospital provided $2.9 million in financial assistance based on the IRS definition of cost. Many patients were educated about this program through the hospital's involvement in community health fairs and similar programs, and other patients were referred by their doctors, other patients and the hospital's staff. The hospital provides financial resource counseling throughout all departments including the Emergency Department, to assist patients with financial assistance including screening for government assistance and charity qualification. Use of Surplus Funds - San Jacinto Methodist Hospital Surplus funds at San Jacinto Methodist Hospital are used for charity care and community benefits activities and to acquire new technology for the improvement of patient care. The charity care program provides services to the indigent at San Jacinto Methodist Hospital and through affiliated organizations. Many patients learned of this program through the hospital's involvement in community health fairs, etc., and other patients were referred by their doctors, other patients and the hospital's staff. The hospital also made donations to the Alzheimer's Association, American Cancer Society, American Diabetes Association, American Heart Association, Baytown Chamber of Commerce, Baytown United Way, Hispanic Chamber of Commerce, Baytown Safety Foundation, Sterling High School Partners in Education Program, Baytown Interfaith Ministries, and other non-profit organizations. In 2011, 167 individuals were screened for the Primary Care Grant Program as well other funding sources including WIC, Medicaid, Medicare, ANF, SSI, MHMR, CHIP, QMB and others. If individuals were found to be potentially eligible for other services, they were referred to the appropriate agencies for applications. To help improve health care access to the community, San Jacinto Methodist Hospital provided $11.6 million in financial assistance based on the IRS definition of cost. The hospital provides financial resource counseling through all departments including the Emergency Department, to assist patients with financial assistance including screening for government assistance and charity qualification. Full-time employees are dedicated to providing this counseling, and one dedicated employee provides ongoing follow-up on charity applications.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Improving Community Health and Well-BeingIn addition to The Methodist Hospital System's contributions to community health through charity care and community benefits, each Methodist hospital actively develops awareness initiatives, sponsorships and programs that promote health and wellness, prevention and early detection. Methodist staff and volunteers can be found at health screenings, exercise and nutrition promotions, stress management clinics and other health promotion activities throughout the year. For example, Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, Methodist West Houston Hospital and San Jacinto Methodist Hospital participated in The Methodist Hospital System's fourth annual Stride4Stroke 5K Walk/Run, which raised more than $440,000 in 2011. The walk/run is part of The Methodist Hospital's System community stroke awareness campaign aimed at increasing stroke awareness and education in the community. More than 3,500 employees and community members participated in this drive to raise public awareness and funds for an event that clearly has an impact on the community. The Methodist Hospital System also reaches out to the community through health screenings, blood drives, health and safety tours and programs for children and teens. The Men's Health Expo is one of the community outreach events - those who attend received free health screenings, including PSA, cholesterol and glucose, body fat, blood pressure, flexibility tests and massages. This is one of more than 50 outreach events held with our community partners throughout the year. In addition to participating in System events, Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, Methodist West Houston Hospital and San Jacinto Methodist Hospital also participate in community supported events in their respective service areas as delineated below.Community Support - Methodist Sugar Land HospitalEach community hospital supports their respective communities through sponsorships of local organizations' activities, physician speaking engagements, free seminars on health and medical topics and health screenings. Methodist Sugar Land Hospital collaborated with several agencies in 2011 to promote health awareness and offer screening programs to the Fort Bend community. The following screenings and health knowledge seminars were conducted: Lap Band Seminars, Colorectal Cancer Seminar, Flu Shot Event, Prostate Cancer Screening, Cancer Treatment Seminar, Breast Cancer and Diagnosis Seminar, Spine Seminar, Cancer Survivors Luncheon, Breast Cancer Survivors Offering Support Group, Beating Heart Support Group, Grief Support Group and Caregiver Seminar.Methodist Sugar Land Hospital conducted several educational programs for the community. Approximately 2,500 participants attended these programs/seminars. The following is a list of the healthy knowledge seminars conducted:-Take Care of Your Heart-Diabetes-Allergies-Men's Health-Breast Care - Breast Center -Robotics-Sleep Disorders-Heart Healthy Lifestyle-OB/GYN-Oncology-Recognizing Heat Stroke-Emergency Room-Back Issues-Women's Issues-Varicose Veins-Healthy Eating for the Holidays -Orthopedics-UrologySponsorships:Fort Bend Education Foundation- Wonderland Gala, Fort Bend Chamber- State of the City, Sugar Land Cultural Arts Foundation-Founders Ball, Fort Bend Junior Service League - Glitter and Gloss, Fort Bend Junior Service League - Charity Ball, Fort Bend County Women's Center- Boogie, Lamar Educational Awards- Men Who Cook, Rosenberg-Richmond Helping Hands, Fort Bend Cares, Fort Bend Chamber- leadership, Rose-Rich Girls Softball, Exchange Club of Sugar Land, Fort Bend Chamber- International Soiree, St. Laurence, Fort Bend Chamber- Investment in Youth Lunch, Central Fort Bend Chamber, First Colony- Freedom 5K, Anniversary Reception, Central FB Chamber- golf Classic, Storm Baseball, Partnership in Action- Golf Tournament, First Colony Gators Swim Team, Central FB Chamber - BLT luncheon, FB chamber- Missouri City State of the City, Focus Magazine- Jewels Luncheon, Eclipse Soccer Club, Fort Bend Junior Service League- Sugar Plum Market, Gridiron- FB Youth Sports Association, Hope Endowment, Commonwealth Elementary, Exchange Club Golf Tournament, Central Fort Bend Chamber Alliance- Celebration Ball, Child Advocates, Lexington Creek Elementary, Fort Bend Chamber-State of the Schools, Child Advocates- CASA Home Tour, Women's Center, Reading Junior High- Denim &amp; Diamonds, Rich/Rose Helping Hands, CanCare and BAPS charities.Community Health Education through Information Programs, Publications, and Outreach Activities: Healthy knowledge seminars, health screenings and health fairs including: Lap Band Seminars, Colorectal Cancer Seminar, Flu Shot/Toy Drive Event, Prostate Cancer Screening, Cancer Treatment Seminar, Breast Cancer and Diagnosis Seminar, Spine Seminar, Cancer Survivors Luncheon, Breast Cancer Survivors Offering Support Group, Beating Heart Support Group, Grief Support Group and Caregiver Seminar.Leading Medicine Community Newsletter, which provides important health information for the general public, was mailed quarterly to 104,000 Ft. Bend County residents in 2011.Also participated in the following community health related events and donated promotional items such as bags and pens:Fort Settlement Middle School, Telfair Charity of your Choice walk, FBISD WATCH Health Fair, Warriors for Christ, City of Rosenberg Health Fair, Crown Beverage Packing, Relay for Life- Survivor Bags, Sienna Crossing Elementary Health Fair, International Prep School Health Fair, Lexington Creek Elem. Fun Run, Fort Bend Chamber Leadership Class, New Territory Kids Fishing Rodeo, Sugar Grove Christian School 5K, Fluor Daniel Employee Health Fair, Methodist Hospital System Nursing Job Fair, Freedom 5K First Colony, Central Fort Bend chamber Golf Tournament, Food and Nutrition Department, FBISD New Teacher Inductions, Kohl's Grand Opening, Merry Ministries/SFUMC, Fort Bend Literacy- Spelling Bee, Big Brothers/ Big Sisters of Fort Bend, Fort Bend Community Partners Rainbow Room, Fort Bend Family Promise, CEU Physical Therapy, Beasley Elementary Fall Festival, Sienna Plantation Aquatics, Sugar Land First United Methodist Women's Retreat, Fort Bend I.S.D.'s PAL Peer Assistance Leadership Program, Merry Ministries/Breast Cancer Awareness Month, UPS Wednesday Wellness, Covenant Cup Golf Tournament sponsored by the First United, Methodist Church, Environmental Services Week- MSLH, Seniors health Fair, Campbell Elementary Bunny Hop - Fun Run, First Colony Middle School Career Day, Baines Middle School- Sienna Plantation and ABC Medical Center leadership.Community Support - Methodist Willowbrook HospitalMethodist Willowbrook Hospital is deeply involved in promoting health throughout the community by hosting its own events as well as sponsoring local events hosted by other community organizations. The hospital participated in 92 events in 2011, including 43 on-campus seminars and 7 health screening events, reaching nearly 2,000 attendees. In 2011 the hospital donated funds in support of these charitable organizations and/or events including:-American Heart Association's Heart Ball, Heart Walk &amp; Go Red for Women Campaign-Northwest Chamber of Commerce Chairman's Ball-Northwest Chamber Economic Development Forum -Cy Fair Houston Chamber Installation Dinner-USA Fit run club Champions and Cypress-Cy-Fair Educational Foundation Salute the Stars Gala-Northwest Assistance Ministries Jeans &amp; Jewels Gala-Lone Star College Star Gala-TOMAGWA Boots, Buckles &amp; Bandaids Gala-Boys &amp; Girls Country Spring Festival and Country Heritage Dinner-Cy-Creek EMS Fundraising Concert-Klein Educational Foundation - Academic Banquet-Cy-Fair Sports Association Football Golf Tournament-Spring ISD Education Foundation Golf Tournament-Cypress Creek EMS Golf Tournament-Klein Independent School District Unit for Understanding Calendar-Good Samaritan Foundation Excellence in Nursing Luncheon-Black Bag Affair Fashion Show-Lone Star College Foundation Golf Tournament-Greater Houston Golf Tournament-Greater Houston Gymnastic Foundation Golf Tournament-Cy-Fair Houston Chamber Business Expo @Willowbrook Mall-Cypress Creek EMS St. Patricks Day Parade-Cyfair Educational Foundation Golf Classic-Klein Forest Football Golf Tournament</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Sponsored ads in the following School Sports Programs - Rosehill Christian, Cypress Christian, Jersey Village, Klein Collins Band Assoc., Tomball Athletic Booster, Langham Creek High, Cywoods Athletic Booster, Aldine High, Magnolia High, Cypress Creek High, Dekaney High, Spring Athletic Booster, Cy-Lakes Athletic Booster, Kinkaid, Westfield High.-Stride4 Stroke-Cy-Hope Food Drive-Tour de PinkMethodist Willowbrook Hospital offers health education and screening events in the northwest Houston area, at local churches, malls, schools, and other venues. The hospital sponsors free "ask the doctor" seminars every month on the hospital campus, featuring physician specialists on topics such as back pain, heart disease, women's health issues, stroke, cancer and weight loss. Due to an overwhelming response by the community, the hospital offers a weekend mother/daughter seminar twice a year featuring a panel of physician specialists and a confidential question/answer session, covering topics from gynecology visits and adolescent changes to HPV and STDs. The hospital has community blood drives and during its Family Health Fair offered screenings and distributed educational material to over 800 people. The hospital also participated in World Heart Day along side of Panasonic who provided 281 free Carotid Artery Scans. Our Center for Orthopaedic Surgery &amp; Sports Medicine Physicians and Athletic Trainers conducted over 2150 Student Physicals and over 200 Impact Test for student Athletes. Community Support - Methodist West Houston HospitalMethodist West Houston Hospital is committed to engaging, supporting and donating monetary resources to the community in West Houston and Katy. In addition to monetary support through sponsorships, Methodist West Houston Hospital provided 10 health seminars to consumers in the west Houston community, several including health screenings for diseases such as prostate cancer and heart disease. During health fairs physicians and other hospital representatives visited schools, companies and other organizations to provide lectures or other health care information, answer questions and conduct screenings for attendees.Below are organizations, corporations, schools and others that have received support from Methodist West Houston Hospital: -Christ Clinic-Krause Center-Children's Outreach Clinic-Houston West Chamber of Commerce - Annual Golf Tournament, Salute to Veterans, Star Awards etc...-Katy Chamber of Commerce - Health and Wellness-West Houston Association -American Heart Association's Walk &amp; Go Red for Women, Mended Hearts -United Way-National MS Society-Stride4Stroke-Susan G. Komen-CanCare-American Cancer Society-Greater Houston Athletic Trainers Society-Tour de Pink-Walk from Obesity-Relay for Life, Katy-MS 150-Houston Livestock Show and Rodeo-Bellville Rodeo-Fort Bend County Fair and Rodeo-Spring Branch ISD - Annual SBISD Foundation Golf Tournament-Katy ISD and Katy FFA, Seven Lakes Volleyball, Katy Taylor Football, Nike Classic Basketball etc...-Houston ISD-Cyfair ISD-Bellville ISD-LaGrange ISD-Katy All American Football League-Bear Creek Little League-Club Sports (hockey, lacrosse, soccer, volleyball, football and rugby)-Private Schools (i.e. John Paul II and other), civic organizations and churches in West Houston and Katy-Southland Basketball Conference-Mustang Engineering-Wood Group-Shell Oil Woodcreek-ConocoPhillips-Second Baptist Church - Annual Golf Tournament-ExxonMobil-Shell Oil Technology Center-Royal Home Care-AARP-Biological Society - Houston Community College-Maulana Azad Medical College Alumni Association of North America (MAMCOAANA) Annual Convention-Harris County Medical Society Alliance - 32nd Annual Medicine Ball and Special Needs Children's Event-Texas Medical Association-March of Dimes-EMS Continuing Education Programs - STEMI, Stroke, Orthopedics and Emergency Medicine-Community Educational Seminars - Heart Health, Joint and Back Pain, Sports Injuries, ENT and Sinusitis, Breast Health, Women's and Men's Health and Advanced Directives-Community Screenings - Blood Pressure, Cholesterol/Lipids, Blood Sugar, Colorectal Self Screening, Bone-density, Flexibility, Body Mass Index and Carotid Artery ScreeningIn conclusionThe vision of Methodist West Houston Hospital is to lead medicine in the West Houston and Katy communities by delivering The Methodist Hospital System standard of high quality, advanced technology and personalized care. Community Support - San Jacinto Methodist HospitalSan Jacinto Methodist Hospital provides direct funding and/or in-kind services including lab tests, X-rays, immunizations and other services to agencies in its community. The hospital also supports local condition-specific support groups, offering space for meetings and expert speakers. The hospital also supports monthly free seminars on topics including: a quarterly weight loss seminar, a quarterly joint pain seminar, National Cancer Survivors Day Celebration, Heart Center Celebration, Children's Teddy Bear Clinic, Cervical, Prostate and Diabetes screenings, Pink Rose Breast Cancer Balloon Launch and monthly grief, stroke, diabetes, cancer and ostomy support groups.San Jacinto Methodist Hospital actively develops awareness initiatives, sponsorships and programs that promote health and wellness, prevention and early detection. Methodist staff and volunteers can be seen at health screenings, exercise and nutrition promotions, stress management clinics and other health promotion activities throughout the year.The Methodist Hospital System promotes the health of the community by devoting significant resources to graduate medical education. While most of Methodist's programs are conducted through Methodist's flagship hospital in the Texas Medical Center, a few of the programs are offered through Methodist affiliates. San Jacinto Methodist Hospital offers a family medicine residency program in rural, family practice-focused hospital atmosphere. This program produces critically needed primary care physicians. Methodist's research and education initiatives contribute to a solid future for the practice of medicine.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The hospital works with other entities in helping the medically underserved, when a service is required that San Jacinto Methodist Hospital does not provide. San Jacinto Methodist Hospital and its Family Practice Center are also represented at health fairs, which have been found to be beneficial in promoting charity care. Additionally, local agencies such as the Baytown Community Center and United Way agencies have been used to promote the grant program. The Family Practice Center and hospital also work with other agencies in the area to access preventive services and specialty care. These agencies include UTMB, the Texas Diabetic Eye Initiative, Harris County Hospital District, the Rose Clinic and various drug assistance programs through pharmaceutical companies.San Jacinto Methodist Hospital conducts several support groups and educational programs for the community. Support groups include a diabetes education support group which meets monthly and averages approximately 10-15 attendees at each meeting; and a grief and loss support group meeting monthly with 8-10 participants. The hospital also provides educational opportunities by hosting board meetings/community meetings for the American Cancer Society, American Diabetes Association and Alcoholics Anonymous.In addition, San Jacinto Methodist Hospital hosts American Diabetes Association of Baytown meetings, the American Cancer Society of Baytown meetings and Bay Area Homeless Services meetings. Quarterly medical staff meetings are open to all active medical staff and residents and each meeting has a grand rounds presentation. Members of the board and hospital administrators are also involved with the Baytown Chamber of Commerce, Hispanic Chamber of Commerce, Baytown United Way and other organizations.San Jacinto Methodist Hospital employees donate their time, talents and money to many great community causes. The Methodist family united to battle heart disease, cancer, stroke and other diseases by supporting organizations such as the American Cancer Society, American Heart Association, American Diabetes Association, Susan G. Komen and many more. Employees volunteered at local health fairs around the city and also participated in other community activities, including community blood drives, flu shot drives, Relay for Life, Race for the Pennant and Komen Race for the Cure.Employees are also encouraged to serve on the boards of community agencies. At San Jacinto Methodist Hospital, the CEO is on the board of the Baytown YMCA and its Vice President of Business Development is President of the Baytown Chapter of the American Diabetes Association (ADA). Staff from the Diabetes Department and Business Development are also members of the local ADA. The CNO, CEO, Director of Laboratory, and other staff sit on the Bay Area Homeless Services Mane Event planning committee. Two representatives from the Business Development act as the United Way liaisons for the hospital each year. The hospital's campaign in 2011 contributed over $10,000 to the local United Way. Many executive-level staff sit on the Baytown Chamber of Commerce and Kiwanis Volunteer Organization.The Cancer Center's Director is a committee chair for Baytown's Relay for Life. In addition many of the Cancer Center's employees including the Director are members of Baytown's ACS board. The Director serves as President of the local ACS board. Through the hospital's partnership with the ACS the Cancer Center's staff provides the following cancer support services to the community: Road to Recover, Reach to Recovery and Look Good, Feel Better. Staff from various departments hosted free monthly support groups that include: cancer, stroke, diabetes, new moms and grief. San Jacinto Methodist Hospital provided numerous health screens throughout the year. Hundreds of individuals in the community received screenings in 2011 for: colorectal, cervical, prostate cancer, breast cancer, body mass index, blood pressure, cholesterol, blood oxygen, and orthopedic conditions. Staff from the hospital's departments hosted two facility-wide health fairs and participated in many health fairs throughout the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: In 2011 The Methodist Hospital System comprised five member hospitals, a research institute, a medical residency education program and a physician organization. The system, with 12,632 employees, is one of the Houston area's largest employers.Four community hospitals- Methodist Sugar Land Hospital in Fort Bend County, Methodist Willowbrook Hospital in northwest Houston, Methodist West Houston Hospital in west Houston and San Jacinto Methodist Hospital in Baytown provide medical services to people living in adjacent cities and suburbs. They serve their respective areas with services such as cardiology, obstetrics/gynecology, outpatient surgery, cancer services, diagnostic imaging and emergency services.Community Benefits Activities and Health ServicesIn 2011, The Methodist Hospital System's cash and in-kind contributions totaling approximately $8.5 million supported the following grassroots agencies across the Greater Houston area including those communities served by our community hospitals.-Bering Omega Community Services-Boys and Girls Country of Houston, Inc. -Breath of Life Children's Center, Inc.-Casa De Esperanza de los Ninos, Inc.-CHRISTUS HomeCare-Covenant House Texas-El Centro de Corazon/Eastwood Health Clinic-Eye Care for Kids Foundation-Fort Bend Family Health Center, Inc.-Good Neighbor Healthcare Center-Healthcare for the Homeless - Houston-HOPE Clinic-Houston Area Women's Center-Houston Community Health Centers, Inc. (Denver Harbor Clinic)-Houston Hospice-Interfaith Community Clinic-Krist Samaritan Center for Counseling and Education-Legacy Community Health Services-Matagorda Episcopal Hospital Outreach Program-Northwest Assistance Ministries-San Jose Clinic-Service Organization of Greater Houston-Shalom Mobile Health Ministry-The Rose-The Women's Home-TOMAGWA Health Care MinistriesThis support allowed these organizations to leverage dollars and enhance their services to low-income patients with diverse health needs. The in-kind contributions included lab tests, X-rays, immunizations, and other services. With Methodist's support, agencies like Denver Harbor Clinic and Good Neighbor Healthcare Center were positioned to meet Federally Qualified Health Center designee qualifications, thereby allowing them to qualify for enhanced Medicare and Medicaid reimbursement.The Methodist Hospital System promotes the health of the community by devoting significant resources to graduate medical education. While most of Methodist's residency programs are conducted through Methodist's flagship hospital in the Texas Medical Center, a few of the programs are offered through Methodist affiliates.Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, San Jacinto Methodist Hospital and the newly opened Methodist West Houston Hospital share the greater mission of The Methodist Hospital System-to provide high quality, cost effective health care that delivers the best value to the people served in a spiritual environment of caring in association with internationally recognized teaching and research. With more than 5 million people calling greater Houston home, making health care accessible is critical.Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, Methodist West Houston Hospital and San Jacinto Methodist Hospital also promote the health of their respective communities by bringing the high quality, specialized care once only found in The Texas Medical Center to Fort Bend, Northwest Houston, West Houston and Baytown communities.As affiliates of The Methodist Hospital System, Methodist Sugar Land Hospital, Methodist Willowbrook Hospital, Methodist West Houston Hospital and San Jacinto Methodist Hospital promote the health of the community by contributing to The Methodist Hospital System's overarching outreach through these programs.SummaryAs a System, Methodist made significant contributions through its community benefits and charity care program which have been a resource for patients in the community. Based on IRS cost definitions The Methodist Hospital System provided $222.8 million in Charity Care and Certain other Community Benefits for the year ended December 31, 2011, which included $93.2 million in connection with Charity Care and Means-tested Government Programs and $129.6 million in Other Benefits (e.g., health professions education, research and cash and in-kind contributions to community groups). In addition, based on IRS cost definitions The Methodist Hospital System provided $186.1 million in care to Medicare, Medicare Managed Care and TRICARE program beneficiaries for the year ended December 31, 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>TX</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>0</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>10060 Buffalo Speedway</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77054</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>28000</AmountOfCashGrant>
        <PurposeOfGrant>Medical Research</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ECLIPSE Soccer Club</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4638 Riverstone Blvd Suite 200</AddressLine1>
          <City>Missouri City</City>
          <State>TX</State>
          <ZIPCode>77459</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741242540</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <PurposeOfGrant>Community Service</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Fort Bend Junior Service League</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>17424 Grand Pwy 209</AddressLine1>
          <City>Sugar Land</City>
          <State>TX</State>
          <ZIPCode>77479</ZIPCode>
        </AddressUS>
        <EINOfRecipient>760664152</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>21325</AmountOfCashGrant>
        <PurposeOfGrant>Community Service</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Fort Bend Youth Sports Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3200 South West Frwy Suite 2600</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77027</ZIPCode>
        </AddressUS>
        <EINOfRecipient>300634406</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>21000</AmountOfCashGrant>
        <PurposeOfGrant>Health Care Services</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Service Organization of Greater Houston</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2950 50th St</AddressLine1>
          <City>Lubbock</City>
          <State>TX</State>
          <ZIPCode>79413</ZIPCode>
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        <EINOfRecipient>800357284</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>2840525</AmountOfCashGrant>
        <PurposeOfGrant>Health Care Services</PurposeOfGrant>
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          <BusinessNameLine1>Good Samaritan Foundation</BusinessNameLine1>
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          <AddressLine1>5615 Kirby Drive STE 610</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77005</ZIPCode>
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        <PurposeOfGrant>Community Services</PurposeOfGrant>
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          <BusinessNameLine1>Northwest Assistance Ministries</BusinessNameLine1>
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          <AddressLine1>15555 Kuykendahl Road</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77090</ZIPCode>
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        <PurposeOfGrant>Children's Clinic</PurposeOfGrant>
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          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
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          <AddressLine1>2626 South Loop West Ste 575</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77054</ZIPCode>
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        <PurposeOfGrant>Bay Area Walk Donation</PurposeOfGrant>
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        <RecipientNameBusiness>
          <BusinessNameLine1>Bay Area Homeless Services Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P O Drawer 1430</AddressLine1>
          <City>Baytown</City>
          <State>TX</State>
          <ZIPCode>77522</ZIPCode>
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        <EINOfRecipient>760034478</EINOfRecipient>
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        <PurposeOfGrant>Community Service</PurposeOfGrant>
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          <BusinessNameLine1>Cy-Fair Educational Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 1698</AddressLine1>
          <City>Cypress</City>
          <State>TX</State>
          <ZIPCode>77410</ZIPCode>
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        <EINOfRecipient>237079589</EINOfRecipient>
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        <PurposeOfGrant>Scholarship services</PurposeOfGrant>
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          <BusinessNameLine1>Hope Endowment</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>P o Box 18261</AddressLine1>
          <City>Sugar Land</City>
          <State>TX</State>
          <ZIPCode>77496</ZIPCode>
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        <EINOfRecipient>270296828</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
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        <PurposeOfGrant>Relief Services</PurposeOfGrant>
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      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I, Part II</Identifier>
        <ReturnReference>Grants and Other Assistance to Governments and Organizations in US</ReturnReference>
        <Explanation>Prior to the approval of a grant to a requesting organization, the following criteria must be met: (1) The requesting organization must be an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code; (2) The requesting organization must provide a recognizable or demonstrable benefit to the community; (3) The mission of the requesting organization must augment the mission of the Methodist Hospital Group; (4) The requesting organization's mission and services should not duplicate and must not conflict with those of the Methodist Hospital Group. For grants with restricted purposes, periodic reports were reviewed to ensure the funds were used to support indigent care service of the community.</Explanation>
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        <NamePerson>Stephen Wong PhD</NamePerson>
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        <NamePerson>John Baxter MD PhD</NamePerson>
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        <NamePerson>Sidney Sanders</NamePerson>
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        <NamePerson>Thomas W Knight MD</NamePerson>
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        <NamePerson>Lauren P Rykert</NamePerson>
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        <NamePerson>Carolyn Belk</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>All employees including officers are required to provide written substantiation of all expenses related to their business travel through the provision of detailed receipts in order to receive approval from their direct superiors for reimbursement in accordance with our corporate policy on travel and other business expenses. In 2011, the President &amp; CEO of the Methodist Hospital Research Institute had one first class travel approved for speaking at one meeting where it was deemed appropriate by his direct superior and in line with the guidelines of our policy.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 3</ReturnReference>
        <Explanation>The Methodist Hospital Research Institute and San Jacinto Methodist Hospital used the following items to establish compensation of their CEOs: (1) compensation committee, (2) independent compensation consultant, (3) compensation survey or study, (4) approval by the board or compensation committee, and (5) written employment contracts. The CEOs of other entities within the Group are employed by a related organization who used the following items to establish compensation of their CEOs: (1) compensation committee, (2) independent compensation consultant, (3) compensation survey or study, (4) approval by the board or compensation committee, and (5) written employment contracts.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 4a: The Methodist Hospital System has a formal severance plan. Eligible employees include all staff including hourly staff up through senior vice presidents provided they work at least 20 hours per week and are not otherwise covered by a physician employment agreement. The plan only provides salary and benefits in the event an eligible employee is involuntarily terminated due to the elimination of their position or if their current position is significantly impacted by an organizational restructuring or change in requirement and a comparable position is not available within the organization. The eligible person must also sign a termination agreement in order to receive salary continuation and benefits under the plan to which they would not normally be eligible to receive under a voluntary resignation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 4b: Ann Scanlon McGinity: $35,568; Beryl O Ramsey: $42,906; Bret Curran: $24,622; Bruce Kennedy, MD: $15,058; Carolyn Belk: $10,314; H Dirk Sostman, MD: $63,650; John E Hagale: $107,421; Wayne Voss: $35,613; Chris Siebenaler: $17,257; Donna Gares: $43,512; Edward L Tyrrell: $14,159; James Adams: $10,181; Janet Leatherwood: $12,162; Jonathan Sturgis: $3,393; Marc L Boom, MD: $42,240; Noel R Rainey: $14,459; Ramon Cantu: $69,448; Ronald G Girotto: $576,200; Roberta Schwartz: $1,002; Sheila Fata: $15,422; Victoria Brownewell: $10,636; Sidney Sanders: $23,450; Thomas W Knight, MD: $170,283; and Lauren P Rykert: $24,553, all were paid monies from Supplemental Executive Retirement Plan (SERP) described below: The SERP is a non qualified employer funded plan. Contributions are made annually into a tax deferred account and are considered taxable upon vesting (i.e. completion of three years of vesting service). Once vested, each year's subsequent contribution is taxable within the calendar year in which the deposit was made. Account balances cannot be accessed until retirement or termination (whichever occurs first) and may be subject to non-revocable distribution options selected upon employment. James M Musser, MD, PhD: $28,000; received monies from Supplemental Physician Retirement Plan (SPRP) described below: The Supplemental Physician Retirement Plan is a non qualified employer funded plan. Funding is based upon a predetermined percentage of base salary paid. Contributions are made biweekly into a tax deferred account and are considered taxable upon vesting (i.e. completion of three years of vesting service). Once vested, each year's subsequent contribution is taxable within the calendar year in which the deposit was made. Account balances cannot be accessed until retirement or termination (whichever occurs first) and may be subject to non-revocable distribution options selected upon employment.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 7: San Jacinto Methodist Hospital, TMH Medical Office Buildings, Methodist Health Centers and The Methodist Hospital Research Institute of the Methodist Hospital Group provide a variable compensation opportunity through an annual management incentive plan. A percentage of the potential bonus payout (paid as a percent of base salary) is based on whether the individual attains certain goals for their area of responsibility as determined by their immediate supervisor.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Organization Mission Statement</Identifier>
        <ReturnReference>Form 990 Item (H) (b)</ReturnReference>
        <Explanation>Affiliated Organizations Not Included In Group Return (total of 2 entities): (1) TMH Physician Organization EIN 57-1201170, 6565 Fannin, Houston, TX 77030 (2) The Methodist Hospital Foundation, EIN 76-0094743, 6565 Fannin, Houston, TX 77030</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Organization's Mission Statement</Identifier>
        <ReturnReference>Form 990, Part I, Line 1 and Part III, Line 1</ReturnReference>
        <Explanation>The organizations in Methodist Hospital Group (Group) (See Statement 1) are part of The Methodist Hospital System, whose mission is: To provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Program Service Accomplishments</Identifier>
        <ReturnReference>Form 990, Part III, Line 4</ReturnReference>
        <Explanation>The entities in Methodist Hospital Group (see Statement 1) included in this return perform different actitives. The program service accomplishments for the activities are described below. Methodist Health Centers does business as Methodist Sugar Land Hospital (MSLH), Methodist Willowbrook Hospital (MWBH), and Methodist West Houston Hospital (MWHH). MWBH is located in the northwest area of Harris County, approximately 25 miles northwest of downtown Houston, Texas. As of December 31, 2011, MWBH's operating bed capacity was 241. Principal medical services provided by MWBH include Inpatient and Outpatient Medical and Surgical Care, Surgery Suites, Endoscopy Suites, a Cardiac Catheterization Lab, a 24-Hour Emergency Care Center, a Birthing Center with a Level II Nursery, an Intensive Care Unit, General and Diagnostic Radiology, Nuclear Medicine, Laboratory and Physical Therapy. MWBH recorded 64,522 outpatient visits, 13,597 admits and 48,611 Emergency Room visits in 2011. MSLH is located in Sugar Land, Texas, which is approximately 21 miles southwest of downtown Houston, Texas. As of December 31, 2011, MSLH's operating bed capacity was 207. Principal medical services provided by MSLH include Inpatient and Outpatient Medical and Surgical Care, Intensive Care, 16 Surgery Suites, one Bronchoscopy Suite, two Endoscopy Suites, a Radiation Therapy Center, Three Cardiac Catheterization Labs, a 24-Hour Emergency Care Center, a Birthing and Women's Center, a comprehensive Breast Center, a complete Outpatient Physical Therapy Rehabilitation Center and State of the Art Imaging Services, including MRI, CT, and Nuclear Medicine. MSLH recorded 155,444 visits during 2011 which comprised 107,681 Outpatient visits, 36,166 Emergency Visits, and 11,597 Inpatient Adult Admissions. On December 17, 2010, MWHH opened its emergency center, operating rooms, ICU, surgery center and all ancillary support services. The hospital has opened additional specialty &amp; outpatient areas such as a cancer center, birthing center, cath lab, breast center, cardiac imaging and physical therapy throughout 2011. MWHH began its cardiovascular program in April 2011. During 2011 (first full year in operation) MWHH recorded 36,482 visits which comprised of 19,397 outpatient patient visits, 14,283 emergency room visits and 2,802 inpatient adult admissions. Currently, MWHH has 100 licensed beds with growth potential for 192 beds. The campus master plan includes expansion space to take the inpatient capacity to 400 beds, four professional buildings and two parking garages. San Jacinto Methodist Hospital provides hospital services out of two locations in Baytown, Texas, which is approximately 30 miles east of downtown Houston, Texas. Two sites have adjacent professional office buildings house hospital functions and lease office space to physician who practice within the hospitals. As of December 31, 2011, San Jacinto Methodist Hospital had 275 hospital beds in operation. Principal medical services provided include women's health, obstetrics, cancer center, urology, orthopedics, diabetes education, cardiovascular lab, rehabilitation, intensive care medical and surgical services and emergency care. A full service psychiatric program is included, as well as a skilled nursing facility. San Jacinto Methodist Hospital operates the only hospital emergency room in Baytown. San Jacinto Methodist Hospital served its community in 2011 by providing 12,843 Inpatient admissions, 54,493 Emergency Room visits, and 87,134 Outpatient visits. The TMH Medical Office Buildings is operated to support The Methodist Hospital, Methodist Willowbrook Hospital, San Jacinto Methodist Hospital, Methodist Sugar Land Hospital, and Methodist West Houston Hospital. The TMH Medical Office Buildings also operates office buildings connected, attached or proximal to these five hospitals. TMH Medical Office Buildings provides space for hospital departments and support services. In addition to these services, TMH Medical Office Buildings leases space to hospital employed physician practices in support of these hospitals. Diagnostic Center Hospital of Texas (DCH) owns hospital assets that are leased under the terms of a long term lease to The Methodist Hospital (TMH). TMH in turn utilizes these assets, along with other substantial assets that it owns, to provide direct patient care. DCH also provides floating nurse staff to TMH. The Methodist Hospital Research Institute (Institute), a supporting organization of TMH, is a relatively new organization that will be one of the cornerstones of TMH's strategic vision for the future of TMH. A top-ranked academic medical center hospital established in 2004, the Institute will conduct groundbreaking translational and clinical research to provide the best possible care for TMH's patients. The Institute's goal is to make the latest discoveries in the laboratory findings available to patients in the form of new treatments and clinical trials as rapidly as possible. The Institute is committed to moving the latest discoveries in the laboratory to the bedside in order to provide a new standard of care for patients and those in other parts of the country. TMH's reputation for excellence in patient care and its commitment to improving patient outcomes represent a significant motivation in the development of the Institute. The Institute will serve as a focal point for physician and scientist with diverse interests and backgrounds to come together and share ideas. From this varied mix of talent and skills will come better treatment strategies for our patients. The Institute and TMH believe that excellence in research is a key ingredient in providing excellent patient care. In 2011, the Institute received grants and contracts supporting research valued at approximately $33.3 million. Of that amount, there were 72 federal and state grants awarded totaling $32,057,180 and 17 private grants totaling $1,327,032. Grants and contracts awarded to the Institute supported research in the areas of cancer treatment and detection, speech disorders, ALS, alzheimers, cardiovascular disorders and stroke. Examples of some of the research being conducted are: 1) The Texas Center for Cancer Nanomedicine (TCCN) brings together a multi-disciplinary, internationally recognized team of investigators to develop and translate nanotechnology-enabled innovation for improving the traditionally dismal outcome of ovarian and pancreatic cancers. The main research focus areas of the TCCN are: Multifunctional Nano-Therapeutics and Post-Therapy Monitoring Tools and Devices and Techniques for Cancer Prevention and Control. The TCCN aims to utilize innovative nanotechnologies for new therapeutic strategies, methodologies for reliable monitoring of therapeutic efficacy, early detection approaches from biological fluids and advances in imaging, and cancer-prevention protocols for ovarian and pancreatic cancers. The TCCN will apply a diverse array of nano-platforms to achieve these aims. While the primary emphasis In the TCCN is on ovarian and pancreatic cancers, it is likely that the new approaches will have applications for many other malignancies. 2) The combined threat of cardiovascular disease (CVD) and obesity is arguably the worst major health problem affecting the western world. While there has been progress in reducing CVD mortality, death rates remain unacceptably high. Current approaches to treatment of obesity and associated diseases such as T2DM have not reduced the epidemics; in spite of aggressive efforts to modify lifestyles in the United States; success will require many years. It is essential to develop innovative treatments for these disorders. Nuclear receptors (NRs) are one of the most important classes of regulatory molecules and major targets for pharmaceuticals. Thyroid hormones (THs) and their cognate nuclear receptors (TRs 1 and 2) are master regulators of metabolism. While TH excess leads to deleterious effects such as elevated heart rate, arrythmias and muscle and bone catabolism there are beneficial effects such as reduced cholesterol and fat loss. Our strategy is to perform head to head comparisons of the existing and recently discovered ligands with distinct selectivity profiles and detailed analysis of mechanism in vitro, in cell culture and in well chosen mouse models of metabolic disease. Results will help fast-track the best of a potentially very useful group of compounds into tests in late-stage pre- clinical animal models and human trials and will help us define the best combination of selective actions for 2nd generation compounds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>3) "Personalized medicine" is a goal for future medicine. However, many requirements need to be satisfied before "personalized medicine" can become a reality. In this new paradigm only those patients determined to have a high probability of responding to a particular therapeutic regimen will be given the treatment. This requires a diagnostic technology that can match the molecular characteristics of the patient and his/her specific diseased tissues with the treatment. Advanced molecular imaging technology can potentially be used to monitor non-invasive molecular events in patients in a spatially and temporally resolved manner. Specifically designed molecular imaging probes could play critical roles in "personalized medicine". We hypothesized that a novel dual enzyme activatable imaging probe, which will be activated by DNase and protease expressed by bacterial group A Streptococcus (GAS), could be developed. If successful, the proposed probe potentially could be applied to image severe invasive bacterial infections caused by GAS. Our long-term goal is to translate this technology from bench to bedside. The proposed cGMP clean room facility will be essential to make this translation possible. 4) The Bioinformatics Core of The Methodist Hospital Research Institute is developing a multi-scale modeling platform for investigation of the breast cancer, with special emphasis on the roles of tumor-initiating cells. The modeling platform will mainly consist of two closely related components: biological experiments and mathematical computational modeling. The ultimate goal is an integrated modeling platform of breast cancer biology that can mimic in vivo processes faithfully enough to serve as a hypothesis-generation and screening tool, and in the distant future, as a tool for evaluating clinical procedures and their expected outcomes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 1</ReturnReference>
        <Explanation>The San Jacinto Methodist Hospital Executive Committee consists of the Chairperson of the Board, the Vice Chairperson of the Board, the President, the Secretary, and the Treasurer. The Board may increase the number of members of the Executive Committee from time to time by resolutions adopted by a majority of the Directors of the Board. In the event of an emergency when there is insufficient time to convene the Board of Directors, the Executive Committee has and exercises such powers and authority of the Board in the management of the Corporation as are delegated to it from time to time by the Board, the Articles, or the Bylaws. The Chairperson of the Board of Directors serves as chairperson of the Executive Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>The By-Laws of The Methodist Hospital Research Institute were amended to add an ex-officio (voting) position and to allow a director who was elected to a first term of less than three years to serve another three-year term, but in no event can the director serve more than 8 years.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>-The Methodist Hospital is the sole corporate member of The Methodist Hospital Research Institute and TMH Health Care Group. -The Methodist Hospital Foundation is the sole corporate member of TMH Medical Office Buildings. -TMH Health Care Group is the sole corporate member of Diagnostic Center Hospital Corp. of Texas, Methodist Health Centers, and San Jacinto Methodist Hospital. -TMH Physician Organization is the sole corporate member of Methodist Pathology Associates, PLLC,. Methodist Radiology Associates PLLC, and TMH Physician Associates, PLLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>TMH Health Care Group is the Parent and sole corporate member of Methodist Health Centers, San Jacinto Methodist Hospital, and Diagnostic Center Hospital Corp. of Texas; TMH Physician Organization is the sole corporate member of Methodist Pathology Associates, PLLC, Methodist Radiology Associates, PLLC, and TMH Methodist Pathology Associates, PLLC; The Methodist Hospital Foundation is the sole corporate memeber of TMH Medical Office Buildings. The Methodist Hospital is the sole corporate member of the TMH Health Care Group, TMH Physician Organization, The Methodist Hospital Foundation and the Methodist Hospital Research Institute (collectively "Subsidiary" or "Subsidiaries"). The Methodist Hospital has the authority to appoint the subidiary organizations' Boards of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The Methodist Hospital which is the sole corporate member of the Subsidiaries and group organizations (the "organization")reserves the following powers: -to appoint and remove with or without cause the Directors of the organizations; -to approve the incurrence by the organizations of any indebtedness and all guarantees of the debt of another party; -to appove the annual operating and capital budgets of the orgainzations after they are prepared and approved by the organizations' Boards of Directors; -to approve the dissolution of organizations; -to approve the organizations' participation in partnerships and joint ventures; -to approve the acquisition or disposition by the organizations of real property from or to a non-Corporation controlled organization through ownership, lease or otherwise; -to approve the disposition or acquisition by the organizations of or the investment by the organization in, another business or all or a portion of the business or operations of another business; -to establish, acquire or invest in any new or different business; and -to direct the organizations in its actions as the corporate member or shareholder of other entities, including but not limited to, approving amendments to the articles of incorporation and bylaws of such other organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Management, including certain Officers, works diligently to complete the Form 990 and attached schedules (Return) in a thorough manner. The Return is prepared by a Paid Preparer. Prior to filing the return, Board members are provided a copy of the Form 990 (including required schedules) and management team members are available to answer any Board members' questions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>All individuals serving in a significant decision making capacity complete a Conflict of Interest (COI) questionnaire annually. A comprehensive evaluation and thorough review of all disclosures is performed by a 6-member COI Committee comprised of executives, management, and staff. The results of the COI disclosures are reported to the parent corporation's Audit &amp; Compliance Committees and Boards of Directors, including the actions being taken to protect the integrity of decision-making. In addition, disclosure results are also communicated to management and to affected committee chairs to promote transparency and to ensure that actions are taken and restrictions are imposed where appropriate. Conflicted individuals may not vote or exert self-serving influence on the disclosed matter.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Methodist Hospital (TMH) (sole corporate member of the Subsidiaries) follows IRS regulations as it relates to establishing a rebuttable presumption of reasonableness related to total compensation of the CEO of the organizations as well as other key employees and compensated officers of the organizations listed below. It has estabhished a process that includes the following elements: A separate committee (the Board Committee) comprised of independent directors meets at least annually to review, deliberate and make recommendations to The Methodist Hospital Board of Directors as it relates to any changes in total compensation including base pay, bonus awards from incentive programs or benefits and perquisites of the CEO. For 2011, the Board Committee reviewed and recommended compensation packages for the following positions: -President/CEO, The Methodist Hospital who serves as President and Director and Officer, President and Chief Executive Officer for Methodist Health Centers; Director for the Methodist Hospital Research Institute; Director &amp; Officer-Chairperson for San Jacinto Methodist Hospital; Director and Officer President/CEO for TMH Health Care Group; Director and Officer-Chairperson for TMH Medical Office Buildings (MOB); and Director &amp; Officer-Chairperson for Diagnostic Center Hospital Corporation of Texas(DCH) -EVP, Chief Financial Officer/Chief Administrative Officer, The Methodist Hosptial, Officer-Assistant Secretary (The Methodist Research Institute), Officer-Assistant Secretary (Methodist Health Centers), Officer-Assistant Secretary (San Jacinto Methodist Hospital), Officer-Secretary for TMH Health Care Group, Director and Officer, Vice Chairperson, Secretary and Treasurer (Diagnostic Center Hospital), and Director and Officer, Secretary &amp; Treasurer (Medical Office Buildings) -EVP, The Methodist Hospital who also serves as Director and Officer-Chief Medical Officer and Director, Methodist Health Centers -SVP and CEO of San Jacinto Methodist Hosptial who serves as Director &amp; Officer-President, CEO and Treasurer of San Jacinto Methodist Hospital -President/CEO, The Methodist Hospital Research Institute who also serves as a Director -President/CEO, Methodist Sugar Land Hospital who also serves as a Director -President/CEO, Methodist Willowbrook Hospital who also serves as a Director -President/CEO, Methodist West Houston Hospital who also serves as a Director The Board Committee establishes that no member has any conflict of interest with regard to the executive compensation arrangements being approved. The Board Committee reviews and considers information provided by an external consultant engaged to ensure it has direct access to: -Compensation information paid by comparable organizations, for functionally comparable positions. -Compensation norms in the organization's immediate locale and from other independent compensation surveys by nationally recognized independent firms that represent the organization's logical peer group. -Compensation information that includes information on base salary, incentives, benefits and perquisites for total compensation comparison purposes to ensure reasonable competitive ranking. The Board Committee relies on the comparability data to reach consensus that its recommendations to the Board regarding executive compensation changes are reasonable and in line with the organization's overall total compensation philosophy for executive pay. The deliberations and decisions of the committee are contemporaneously substantiated. The compensation for positions held by the other compensated Officers, Directors and Key Employees listed on Part VII, Section A is determined based on a thorough review of numerous compensation studies conducted by nationally recognized, independent firms that provide market data for total compensation for similar positions. The compensation information considered includes information on base salary, incentives, and benefits for total compensation purposes to ensure reasonable competitive ranking in order to meet recruitment and retention objectives that secure the talent required to contribute to organizational success.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The governing documents (except the Articles of Incorporation, which are on file with the Secretary of the State of Texas), conflict of interest policy and financial statements of the organizations are not made available to the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A</ReturnReference>
        <Explanation>The following list of Officers, Directors, Trustees, Key Employees and Highest Compensated Employees provides entity level details to support the information reported in Part VII since many of the Group's reportable individuals serve more than one entity included in this Group return. In addition, pursuant to Treasury Regulation Section 1 6033-2(D)(5), The Methodist Hospital, which is the Central Organization of the Group, elected to report information about its current and former officers, directors, trustees, and key employees, and current highest compensated employees in this Group return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Allen Becker is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Antonio Gotto, M.D., D. Phil is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Beryl O. Ramsey received all of her Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director, Senior Vice President/Hospital, Chief Executive Officer, Methodist Willowbrook Hospital (average hours per week of 50). Bishop Janice Riggle Huie is an uncompensated director. She held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Bret Curran received all of his Part VII compensation from The Methodist Hospital and held the following position with the Central Organization and/or entities included in this Group return: TMH Medical Office Buildings - Director (average hours per week of 2). C. Richard Stasney, M.D. received all of his Part VII compensation from The Methodist Hospital and held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Carin M. Barth is an uncompensated director. She held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Carlton E. Baucum is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Treasurer (average hours per week of 2), TMH Health Care Group - Director (average hours per week of 1). Charles W. "Carlos" Duncan, III is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Chris Siebenaler received all of his Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director, Senior Vice President/Hospital Chief Executive Officer-Methodist Sugar Land (average hours per week of 50), San Jacinto Methodist Hospital - Former Officer. Connie Dyer is an uncompensated director. She held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2), Methodist Health Centers - Director &amp; Officer, Vice Chairperson (average hours per week of 2). D. Gibson Walton is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Vice Chairperson (average hours per week of 2), The Methodist Hospital Research Institute - Director (average hours per week of 1). David M. Underwood is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Vice Chairperson (average hours per week of 3), TMH Health Care Group - Director (average hours per week of 1). David M. Underwood, Jr. is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Donna Gares received all of her Part VII compensation from San Jacinto Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: San Jacinto Methodist Hospital - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 46). Renu Khator, Ph.D. is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Dr. Steve P. Wende is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Dr. Tom Pace is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Edward L. Tyrrell received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Officer, Treasurer (average hours per week of 4), TMH Health Care Group - Officer, Treasurer (average hours per week of 1). Edward R. "Eddie" Allen, III is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Elizabeth Blanton Wareing is an uncompensated director. She held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 1). Emily A. Crosswell is an uncompensated director. She held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Assistant Secretary (average hours per week of 1), Methodist Health Centers - Director &amp; Officer, Chairperson (average hours per week of 2), San Jacinto Methodist Hospital - Director (average hours per week of 2). Ernest H. Cockrell is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Gary W. Edwards is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Gregory V. Nelson is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director&amp; Officer, Secretary (average hours per week of 2), The Methodist Hospital Research Institute - Director &amp; Officer, Chairperson (average hours per week of 1). H. Dirk Sostman M.D. received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Key Employee, Executive Vice President, Chief Academic Officer &amp; Chief Medical Officer (average hours per week of 45), Methodist Health Centers - Director &amp; Officer, Chief Medical Officer (average hours per week of 1). Isaac H. Kempner, III is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director &amp; Officer, Secretary (average hours per week of 1). Jack C. Searcy is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director (average hours per week of 1). Jack S. Blanton, Jr. is an uncompensated director. He held the following position with the Central Organzation and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). James M. Musser, M.D., Ph.D. received all of his Part VII compensation from related organizations and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 5).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>John E. Hagale (Partial Year) received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Officer, Assistant Secretary &amp; Treasurer (average hours per week of 45), Diagnostic Center Hospital Corp. of Texas - Director &amp; Officer, Vice Chairperson, Secretary &amp; Treasurer (average hours per week of 1), Methodist Health Centers - Officer, Assistant Secretary (average hours per week of 1), The Methodist Hospital Research Institute - Officer, Assistant Secretary (average hours per week of 1), TMH Health Care Group - Officer, Secretary (average hours per week of 1), TMH Medical Office Buildings - Director &amp; Officer, Secretary &amp; Treasurer (average hours per week of 1), San Jacinto Methodist Hospital - Officer, Assistant Secretary (average hours per week of 1). John F. Bookout is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Senior Chairperson (average hours per week of 4), Methodist Health Centers - Director (average hours per week of 1), The Methodist Hospital Research Institute - Director (average hours per week of 1), TMH Health Care Group - Director &amp; Officer, Senior Chairperson (average hours per week of 1). John P. Kotts is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Joseph C. "Rusty" Walter, III is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2), The Methodist Hospital Research Institute - Director and Officer, Secretary (average hours per week of 1). Judge Ewing Werlein, Jr., is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, Chairperson (average hours per week of 4), Methodist Health Centers - Director (average hours per week of 1), The Methodist Hospital Research Institute - Director (average hours per week of 1), TMH Health Care Group - Director &amp; Officer, Chairperson (average hours per week of 1). Keith O. Reeves, M.D. received all of his Part VII compensation from related organizations and held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). L.E. Simmons is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Lawrence J. Reilly is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: San Jacinto Methodist Hospital - Director &amp; Officer, Vice Chairperson (average hours per week of 5). Lawrence W. Kellner is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Leo Linbeck, III is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). M. Scott Cone is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director (average hours per week of 1). Marc L. Boom, M.D. received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Key Employee, Executive Vice President (average hours per week of 45), Diagnostic Center Hospital Corp. of Texas - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 1), TMH Medical Office Buildings - Director (average hours per week of 2). Mark A. Houser is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 1). Mary A. Daffin is an uncompensated director. She held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2), The Methodist Hospital Research Institute - Director (average hours per week of 1). Mauro Ferrari, Ph.D. received all of his Part VII compensation from The Methodist Hospital Research Institute and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 50). Morrie K. Abramson is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2), The Methodist Hospital Research Institute - Director (average hours per week of 1). Noel R. Rainey received all of his Part VII compensation from TMH Medical Office Buildings and held the following positions with the Central Organization and/or entities included in this Group return: TMH Medical Office Buildings - Director &amp; Officer, President&amp; Chief Executive Officer (average hours per week of 50). Rev. Kenneth Levingston is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 1), Methodist Health Centers - Director (average hours per week of 1). Richard A. Peebles is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: San Jacinto Methodist Hospital - Director &amp; Officer, Secretary (average hours per week of 5). Robert K. Moses, Jr. is an uncompensated director. He held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director&amp; Officer, Assistant Secretary (average hours per week of 1), Methodist Health Centers - Director (average hours per week of 1), TMH Health Care Group - Director &amp; Officer, Vice Chairperson (average hours per week of 1). Ronald G. Girotto received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 40), Diagnostic Center Hospital Corp. of Texas - Director &amp; Officer, Chairperson (average hours per week of 1), Methodist Health Centers - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 2 ), The Methodist Hospital Research Institute - Director (average hours per week of 1), TMH Health Care Group - Director &amp; Officer, President &amp; Chief Executive Officer (average hours per week of 1), TMH Medical Office Buildings - Director &amp; Officer, Chairperson (average hours per week of 1), San Jacinto Methodist Hospital - Director &amp; Officer, Chairperson (average hours per week of 1). Sandra Gayle Wright, R.N., Ed D. is an uncompensated director. She held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 1). Vidal G. Martinez is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Wayne M. Voss received all of his Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director and Officer, Senior Vice President/Hospital, Chief Executive Officer - Methodist West Houston Hospital (average hours per week of 50).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>William F. Schwer is an uncompensated director. He held the following position with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Director (average hours per week of 1). Ann Scanlon McGinity received all of her Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Key Employee, Senior Vice President &amp; Chief Nursing Executive (average hours per week of 50). Bruce Kennedy, M.D. received all of his Part VII compensation from San Jacinto Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: San Jacinto Methodist Hospital - Key Employee, Vice President &amp; Chief Medical Officer (average hours per week of 50). Edward Jones received all of his Part VII compensation from The Methodist Research Institute and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital Research Institute - Key Employee, Vice President of Administration (average hours per week of 50). James Adams received all of his Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Key Employee, Vice President &amp; Chief Financial Officer of Methodist Willowbrook Hospital (average hours per week of 50). Janet Leatherwood received all of her Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Key Employee, Vice President &amp; Chief Nursing Officer of Methodist Sugar Land Hospital (average hours per week of 50). Jonathan Sturgis received all of his Part VII compensation from San Jacinto Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: San Jacinto Methodist Hospital - Key Employee, Vice President &amp; Chief Financial Officer (average hours per week of 50). Lowell Stanton received all of his Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Key Employee, Vice President &amp; Chief Financial Officer of Methodist Sugar Land Hospital (average hours per week of 50). Ramon Cantu received all of his Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Key Employee, Executive Vice President, Chief Legal Officer &amp; Chief Strategic Officer (average hours per week of 50). Roberta Schwartz received all of her Part VII compensation from The Methodist Hospital and held the following positions with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Key Employee, Senior Vice President of Operations (average hours per week of 50). Sheila Fata received all of her Part VII compensation from Methodist Health Centers and held the following positions with the Central Orgzanization and/or entities included in this Group return: Methodist Health Centers - Key Employee, Vice President &amp; Chief Nursing Officer of Methodist Willowbrook Hospital (average hours per week of 50). Victor Fainstein, M.D. received all his Part VII compensation from The Methodist Hospital and held the following position with the Central Organization and/or entities included in this Group return: The Methodist Hospital - Director (average hours per week of 2). Victoria Brownewell received all of her Part VII compensation from Methodist Health Centers and held the following positions with the Central Organization and/or entities included in this Group return: Methodist Health Centers - Key Employee, Vice President &amp; Chief Nursing Officer of Methodist West Houston Hospital (average hours per week of 50). John Baxter, M.D., PhD received all of his Part VII compensation from The Methodist Hospital Research Institute and held the following position: The Methodist Hospital Research Institute - Co-Director - Center for Diabetes (average hours per week of 50). Lauren P Rykert received all of her Part VII compensation from The Methodist Hospital and held the following position: The Methodist Hospital - Senior Vice President - Human Resources (average hours per week of 50).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Stephen Wong, PhD, received all of his Part VII compensation from The Methodist Hospital Research Insitute and held the following position: The Methodist Hospital Research Institute - Director - Bioengineering and Informatics (average hours per week of 50). Sydney Sanders received all of his Part VII compensation from The Methodist Hospital and held the following position: The Methodist Hospital - Senior Vice President (average hours per week of 50). Thomas W. Knight, M.D. received all of his Part VII compensation from The Methodist Hospital and held the following position: The Methodist Hospital - Senior Vice President &amp; Chief Quality Officer (average hours per week of 50). Carolyn Belk received all of her Part VII compensation from The Methodist Hospital and held the following positions: Methodist Health Centers - Former Officer, The Methodist Hospital Research Institute - Former Officer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Part VII, Section A, Column B</ReturnReference>
        <Explanation>Certain officers/directors of the organizations of the Methodist Hospital Group (Group) are employees of The Methodist Hospital, TMH Physician Organization (a subordinate organization within the Group but filing a separate return), The Methodist Hospital Foundation (a subordinate organization within the Group but filing a separate return) or its non-Group affiliates (related organizations). The officers and directors who are employed by these related organizations work in excess of 50 hours per week on behalf of these organizations and other organizations of The Methodist Hospital System (System). The compensation shown on Part VII and Schedule J reflects the total compensation earned for the officer/director for the combined hours spent working for all the organizations in the System. However, the hours reflected in Part VII, Section A are the estimated hours spent working only on behalf of these organizations in the Group.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Change in Health Care Group 57,965,769. The Methodist Hospital Research Institute Use of Grant Funds - Equipment 87,148. Difference -9. Total to Form 990, Part XI, Line 5: 58,052,908.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part XII, Question 3a &amp; 3b</ReturnReference>
        <Explanation>The A-133 Audit referred to on lines 3a &amp; 3b was obtained by The Methodist Hospital Research Institute.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organizations that follow SFAS 117</Identifier>
        <ReturnReference>Form 990, Part X - Balance Sheet</ReturnReference>
        <Explanation>Diagnostic Center Hospital (DCH) of The Methodist Hospital Group does not follow SFAS 117. Due to software limitations, the section could not be presented properly and therefore Diagnostic Center Hospital's amount of Retained Earnings and Common Stock are included on line 27 instead of line lines 30 and 32. Line 30 - Capital Stock or trust principal, etc. - $37,482,581 Line 32 - Retained earnings, endowment, etc. - ($9,290,658)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <PrimaryActivities>Insurance Trust</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
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        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
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          <City>Baytown</City>
          <State>TX</State>
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        <PrimaryActivities>Healthcare Education</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
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          <AddressLine1>4401 Garth Road</AddressLine1>
          <City>Baytown</City>
          <State>TX</State>
          <ZIPCode>77521</ZIPCode>
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          <City>Houston</City>
          <State>TX</State>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <City>Houston</City>
          <State>TX</State>
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          <State>TX</State>
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          <City>Houston</City>
          <State>TX</State>
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          <City>Houston</City>
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          <ZIPCode>77030</ZIPCode>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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        <EIN>412096917</EIN>
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          <City>Houston</City>
          <State>TX</State>
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          <City>Houston</City>
          <State>TX</State>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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          <City>Houston</City>
          <State>TX</State>
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      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
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      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
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        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
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        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
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        </Name>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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          <City>Baytown</City>
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          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
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      <Affiliate>
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          <City>Houston</City>
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          <City>Houston</City>
          <State>TX</State>
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      <Affiliate>
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          <City>Houston</City>
          <State>TX</State>
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        <AddressUS>
          <AddressLine1>6565 Fannin GB240</AddressLine1>
          <City>Houston</City>
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        <NameControl>METH</NameControl>
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      <Affiliate>
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          <BusinessNameLine1>TMH Physician Associates PLLC</BusinessNameLine1>
        </Name>
        <AddressUS>
          <AddressLine1>6565 Fannin GB240</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
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      <Affiliate>
        <Name>
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        <AddressUS>
          <AddressLine1>6565 Fannin GB240</AddressLine1>
          <City>Houston</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
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