﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-07-13T17:54:49-05:00</Timestamp>
    <TaxPeriodEndDate>2011-08-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>2800 Post Oak Blvd Ste 3200</AddressLine1>
        <City>HOUSTON</City>
        <State>TX</State>
        <ZIPCode>77056</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-09-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>770634227</EIN>
      <Name>
        <BusinessNameLine1>VB MEDICAL HOLDINGS</BusinessNameLine1>
      </Name>
      <NameControl>VBME</NameControl>
      <Phone>9563891633</Phone>
      <USAddress>
        <AddressLine1>1040 W JEFFERSON ST</AddressLine1>
        <City>BROWNSVILLE</City>
        <State>TX</State>
        <ZIPCode>785206338</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MANNY VELA</Name>
      <Title>VP &amp; CORP COUNSEL</Title>
      <DateSigned>2012-07-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>M Paige Gerich</Name>
      <Phone>7134994600</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>MANNY VELA</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2101 PEASE STREET</AddressLine1>
        <City>HARLINGEN</City>
        <State>TX</State>
        <ZIPCode>78550</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>130282836</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.VALLEYBAPTIST.NET/BROWNSVILLE</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>2004</YearFormation>
      <StateLegalDomicile>TX</StateLegalDomicile>
      <ActivityOrMissionDescription>VALLEY BAPTIST HEALTH SYSTEM IS A FAITH BASED REGIONAL HEALTH SYSTEM FOCUSED ON IMPROVING THE LIVES OF THE PEOPLE IT SERVES BY PROVIDING HIGH QUALITY HEALTH CARE &amp; MEDICAL EDUCATION THROUGHOUT SOUTH TEXAS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>21</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>18</NbrIndependentVotingMembers>
      <TotalNbrEmployees>937</TotalNbrEmployees>
      <TotalNbrVolunteers>66</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>8562</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>7800</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>142874098</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>133063228</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>143458</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>893406</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>379456</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>-3681598</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>143405574</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>130282836</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>61560</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>81506</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>48511991</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>46650988</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>102294447</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>111368511</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>150867998</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>158101005</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-7462424</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-27818169</RevenuesLessExpensesCY>
      <TotalAssetsBOY>128312779</TotalAssetsBOY>
      <TotalAssetsEOY>111475640</TotalAssetsEOY>
      <TotalLiabilitiesBOY>130577039</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>125658273</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-2264260</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-14182633</NetAssetsOrFundBalancesEOY>
      <MissionDescription>VALLEY BAPTIST HEALTH SYSTEM IS A FAITH BASED REGIONAL HEALTH SYSTEM FOCUSED ON IMPROVING THE LIVES OF THE PEOPLE IT SERVES BY PROVIDING HIGH QUALITY HEALTH CARE &amp; MEDICAL EDUCATION THROUGHOUT SOUTH TEXAS.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>113871946</Expense>
      <Grants>81506</Grants>
      <Revenue>133162028</Revenue>
      <Description>VBMC-BROWNSVILLE OFFERS THE LATEST IN HIGH-TECH MEDICAL EQUIPMENT, SURGICAL AND DIAGNOSTIC PROCEDURES, AND PERSONAL PATIENT CARE FOR FAMILIES IN THE COMMUNITY. THE PRIME SERVICE AREA FOR VALLEY BAPTIST MEDICAL CENTER AND ITS AFFILIATED PROGRAMS IS NORTHERN CAMERON, SOUTHERN CAMERON AND WILLACY COUNTIES. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF CAMERON COUNTY AND THE EASTERN THIRD OF HIDALGO COUNTY. REFERRALS COME FROM THROUGHOUT HIDALGO AND STARR COUNTIES AS WELL. THE FOUR-COUNTY AREA, CALLED THE LOWER RIO GRANDE VALLEY OF TEXAS, ENCOMPASSES APPROXIMATELY 5,000 SQUARE MILES, WHICH CLOSELY APPROXIMATES THE SIZE OF THE STATE OF CONNECTICUT, WHICH IS 5,544 SQUARE MILES. CHILDREN 18 AND UNDER MAKE UP OVER 40% OF THE POPULATION. MORE THAN 27,000 OF THE CHILDREN HAVE BEEN IDENTIFIED AS HAVING SPECIAL HEALTH CARE NEEDS. THE NUMBER OF UNINSURED IN THE REGION IS ESTIMATED AT 35%. THE POPULATION UNDER THE FEDERAL POVERTY INDEX IS ESTIMATED AT JUST UNDER 50%. THE MEAN PER CAPITA INCOME IN THE FOUR COUNTY AREA IS UNDER $10,000. THE PERCENTAGE OF PERSONS ON MEDICAID IN THE RIO GRANDE VALLEY IS MORE THAN TWICE THE RATE FOR ALL OF TEXAS AND THE UNITED STATES. HEALTH EDUCATION ---------------- VALLEY BAPTIST MEDICAL CENTER CONTINUES TO PROVIDE SUPPORT THROUGH CLASSROOM AND OFFICE SPACE AS WELL AS FINANCIAL CONTRIBUTIONS FOR THE UNIVERSITY OF TEXAS, BROWNSVILLE/TEXAS SOUTHMOST COLLEGE PROGRAMS IN NURSING (ASSOCIATE DEGREES IN NURSING) AND RADIOLOGY TECHNOLOGY. THE MEDICAL CENTER ASSISTED THE UNIVERSITY OF TEXAS, BROWNSVILLE NURSING DEPARTMENT IN ESTABLISHING CLASSES FOR A NEW BACHELORS OF SCIENCE IN NURSING DEGREE PROGRAM. THIS NEW DEGREE PROGRAM PROVIDES OPPORTUNITIES FOR REGISTERED NURSES TO EXPAND THEIR EDUCATION. AND, THE MEDICAL CENTER CONTINUES TO OPERATE A SCHOOL OF VOCATIONAL NURSING. VALLEY BAPTIST HEALTH SYSTEM CONTINUES TO FINANCIALLY SUPPORT THE PHYSICIAN RESIDENCY PROGRAMS ASSOCIATED WITH THE REGIONAL ACADEMIC HEALTH CENTER OR RAHC. VBMC IS THE PRINCIPAL INPATIENT-TRAINING HOSPITAL, AND THE PRINCIPAL OUTPATIENT-TRAINING CLINIC IS SU CLINICA FAMILIAR. OTHER TRAINING SITES INCLUDE HARLINGEN OB/GYN ASSOCIATES, HARLINGEN PEDIATRICS ASSOCIATES, VALLEY DIAGNOSTIC CLINIC, AND VARIOUS MEDICAL OFFICES AND CLINICS. A NEW SU CLINICA FAMILIAR MULTI-SPECIALTY CLINIC WAS COMPLETED IN 2002. THIS CLINIC IS IN CLOSE PROXIMITY TO THE RAHC AND INCLUDES EXAMINATION ROOMS AND OFFICE FOR RAHC STUDENTS AND FACULTY. VALLEY BAPTIST MEDICAL CENTER ALSO PROVIDES ADDITIONAL CLINICAL TRAINING FOR PHYSICIAN ASSISTANT STUDENTS FROM THE UNIVERSITY OF TEXAS PAN AMERICAN/UNIVERSITY OF TEXAS HOUSTON JOINT PROGRAM. PREVENTIVE CARE --------------- VALLEY BAPTIST HEART AND VASCULAR OUTREACH SERVICES, THROUGH ITS CARDIAC SCREENING AND EDUCATION PROGRAM AND MOBILE CLINIC, PROVIDES A PROGRAM OF FREE OR LOW COST SCREENING AND EDUCATION PROGRAMS RELATED TO CARDIOVASCULAR DISEASE. REGISTERED NURSES, KNOWLEDGABLE IN CARDIOVASCULAR DISEASE, PROVIDE INDIVIDUAL COUNSELING FOR PARTICIPANTS IN THE HEALTH AND WELLNESS SCREENING PROGRAM. EACH PERSON SCREENED HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RESULTS OF THE SCREENINGS PERFORMED. THOSE FOUND TO BE AT HIGH RISK ARE IMMEDIATELY REFERRED TO A PHYSICIAN. HEART AND VASCULAR PERSONNEL TAKE THE PROGRAM INTO THE COMMUNITY SETTING UP AT LARGE COMMUNITY EVENTS SUCH AS FAIRS AND FESTIVALS. OVER FIVE THOUSAND HAVE BEEN SCREENED AT THE VARIOUS VENUES IN THE PAST YEAR. TWENTY PERCENT OF THOSE SCREENED HAVE BEEN REFERRED TO A PHYSICIAN FOR AN IDENTIFIED PROBLEM. DURING THE PAST THREE YEARS, APPROXIMATELY 20,000 PERSONS HAVE BEEN SCREENED. THE PERCENTAGE OF THOSE SCREENED THAT WERE REFERRED FOR FURTHER FOLLOW-UP HAS REMAINED CONSISTENT. THE MEDICAL CENTER HAS BEGUN A PROGRAM FOR PROMOTING HEALTH AND SAFETY AT OTHER LARGE COMMUNITY EVENTS. FOR THE HARLINGEN BIRDING FESTIVAL, IT PROVIDES EACH OF THE MORE THAN ONE THOUSAND BIRDERS WITH A KIT CONTAINING INSECT REPELLENT AND SUNSCREEN. SUNSCREEN AND SUN VISORS WILL BE PROVIDED AT OTHER OUTDOOR ACTIVITIES TO PROMOTE SKIN CANCER AWARENESS AND PREVENTION. THE RIO GRANDE VALLEY LEADS TEXAS IN THE NUMBER OF CHILDREN INJURED IN ACCIDENTS. VALLEY BAPTIST HAS CREATED EDUCATION PROGRAMS TO PREVENT INJURIES. A PRINCIPLE PART OF THE PROGRAM IS PROMOTING THE USE OF CAR SEATS FOR INFANTS AND YOUNG CHILDREN. THE MEDICAL CENTER HAS A PROGRAM TO PROVIDE INFANT SAFETY SEATS TO MOTHERS WHO DELIVER AT VALLEY BAPTIST MEDICAL CENTER AND DO NOT HAVE A CAR SEAT FOR THE NEWBORN. MORE THAN 3,500 ARE ENROLLED IN THE SENIORS' CHOICE PROGRAM. SENIORS' CHOICE IS DESIGNED TO PROMOTE WELLNESS AND ILLNESS PREVENTION AMONG SENIOR ADULTS. FOR A SMALL ANNUAL FEE OF ONLY $10 PER PERSON, SENIORS' CHOICE PARTICIPANTS RECEIVE FREE SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL, GLAUCOMA, AND BLOOD SUGAR. THE WELLNESS EDUCATION PROGRAM TRIES TO MEET MONTHLY WITH MEMBER ON BOTH HOSPITAL CAMPUSES. WOMEN'S SERVICES AT VALLEY BAPTIST HAS WORKED ON PROVIDING MORE SERVICES FOR NEW MOTHERS AND EXPECTANT MOTHERS. ASIDE FROM CHILD BIRTH CLASSES, WHICH ARE OFFERED MONTHLY, A TEAM OF NURSES HAVE COME TOGETHER TO OFFER AN ARRAY OF HEALTH EDUCATION CLASSES AND OR SEMINARS. SOME OF WHICH INCLUDE; BREASTFEEDING, POSTPARTUM "GET IN SHAPE", PRE-NATAL YOGA, AND PARENTING-INFANT CPR. THEY HAVE ALSO INITIATED A "COMMUNITY BABY SHOWER" WHICH IS HELD EVERY 6 MONTHS FOR EXPECTANT MOTHERS. THE EVENT PROVIDES INFORMATION ON A VARIETY OF TOPICS ASSOCIATED WITH PREGNANCY AND NEWBORN CARE, AS WELL AS A PRESENTATION BY A LOCAL PEDIATRICIAN. WE HAVE ALSO IMPLEMENTED A CORD BLOOD BANK, THE FIRST OF ITS' KIND IN THIS AREA. VALLEY BAPTIST OFFERS COMMUNITY PRESENTATIONS ON ADVANCES IN DIABETES AND BASIC AMERICAN DIABETIC ASSOCIATION PRINCIPLES FOR DIABETIC PATIENTS. THIS INCLUDES DIABETES FIESTA, A BILINGUAL FESTIVAL THAT INCLUDES FREE GLUCOSE SCREENINGS, BLOOD PRESSURE CHECKS, EYE SCREENING AND FOOT SCREENING. ANOTHER DIEBETES MANAGEMENT PROGRAM, DIABETES EXPO, IS HELD EACH FALL. IT SERVES OUR WINTER TEXAN FRIENDS AND PRIMARILY ENGLISH SPEAKING PATIENTS. THESE COMMUNITY EVENTS ARE HELD IN THE NEIGHBORHOODS OF THE HIGH-RISK POPULATION. THE DIABETES EDUCATION CENTERS ON BOTH CAMPUSES PROVIDE STRUCTURED DIABETES EDUCATION CLASSES IN BOTH ENGLISH AND SPANISH. THERE IS A GESTATIONAL DIABETES PROGRAM FOR EXPECTANT MOTHERS AS WELL. THE DIABETES EDUCATION CENTER SPONSORS ADULT AND YOUTH SUPPORT GROUPS. THE ASTHMA SUPPORT GROUP MEETS MONTHLY TO PROVIDE EDUCATION PROGRAMS FOR PARENTS, SCHOOL PERSONNEL AND PATIENTS. FOLLOW-UP STUDIES OF PARTICIPANTS HAVE SHOWN A MARKED DECREASE IN ER VISITS AND HOSPITALIZATION FOR THOSE CHILDREN WHO ATTEND THE GROUP REGULARLY. VALLEY BAPTIST IS THE TITLE SPONSOR FOR AN ANNUAL AWARENESS WALK HELD AT BROWNSVILLE'S GLADYS PORTER ZOO. THE ASTHMA SUMMER CAMP FOR CHILDREN NOW INCLUDES AN OVERNIGHT CAMPING EXPERIENCE. THE ASTHMA CAMP TEACHES CHILDREN AGES 8-12 HOW TO HAVE AN ACTIVE LIFE WHILE MANAGING THEIR ASTHMA. THE AMERICAN LUNG ASSOCIATION OF TEXAS SPONSORS THE CAMP WITH ASSISTANCE FROM THE VBMC ASTHMA SUPPORT GROUP. BOTH VALLEY BAPTIST - HARLINGEN AND VALLEY BAPTIST - BROWNSVILLE ARE ACTIVE SUPPORTERS OF LOCAL CHAPTERS OF NATIONAL AND STATE HEALTH CARE ORGANIZATIONS INCLUDING THE AMERICAN HEART ASSOCIATION. THE MEDICAL CENTER PROVIDES FINANCIAL SUPPORT AS WELL AS MANPOWER FOR THE ORGANIZATIONS PROGRAMS.</Description>
      <TotalProgramServiceExpense>113871946</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">true</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="BinaryAttach">true</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">true</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="IRS990ScheduleK">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>566</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>937</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>21</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>18</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>PAUL COURTNEY</NamePerson>
        <TelephoneNumber>9563894596</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>JAMES E EASTHAM</NamePerson>
        <Title>EX-OFFICIO MEMBER</Title>
        <AverageHoursPerWeek>6.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1344423</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8073</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN JOHNSON</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ARNIE GONZALEZ</NamePerson>
        <Title>VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BJ SIMPSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOB BOGGUS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVE GELFER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELENA MARIN MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GERALD WHITSON DDS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KALIM HABET MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAWRENCE DAHM MD</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>16146</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RUBEN TORRES MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>38871</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TOM E MATHIS III</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID FLINN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK ABBOTT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ASHRAF HILMY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>103995</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PASTOR WADE HOOD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREG QUISENBERRY</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CODY SCOGIN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AMAR BAGEPALLI</NamePerson>
        <Title>CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REBECCA BALLENGER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL FUENTES</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL LAMON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL MOHUN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VERN STENSENG</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSE AYALA DPM</NamePerson>
        <Title>CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>3500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>7600</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIGUEL CINTRON MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>27177</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LESLIE BINGHAM</NamePerson>
        <Title>SENIOR VP &amp; CEO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>327603</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11695</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SCOTT LIEBERENZ</NamePerson>
        <Title>CFO, SENIOR VP</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>349275</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8073</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MANNY VELA</NamePerson>
        <Title>VP &amp; CORP COUNSEL</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>322343</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11695</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GLEN BOLES</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>171906</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11695</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT LOZANO</NamePerson>
        <Title>CHIEF MEDICAL OFFICER</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>234554</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNIE MENDOZA</NamePerson>
        <Title>VP OF NURSING, CNO</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>166529</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11470</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD A BALDWIN</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>178893</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8540</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>YASMIN N SANCHEZ</NamePerson>
        <Title>PHARMACY DIRECTOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>167003</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10294</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PYONG Y SHEA</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>162350</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12351</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JIMI M OGUNMAKIN</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>159822</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12349</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIA C CLAVO</NamePerson>
        <Title>CLINICAL SUPERVISOR II</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>157689</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12263</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES G SPRINGFIELD</NamePerson>
        <Title>FORMER EX-OFFICIO MEMBER</Title>
        <AverageHoursPerWeek>0.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>975077</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1729849</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>3184907</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>118498</TotalOtherCompensation>
      <NumberIndividualsGT100K>52</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ARAMARK MANAGEMENT SERVICES LP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1101 MARKET STREET</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19107</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT SERVICES</DescriptionOfServices>
        <Compensation>5283109</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VALLEY HEALTH PLAN</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2480 NORTH FIRST STREET SUITE 200</AddressLine1>
            <City>SAN JOSE</City>
            <State>CA</State>
            <ZIPCode>95131</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH PLAN SERVICES</DescriptionOfServices>
        <Compensation>4763504</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>AMERISOURCE BERGEN DRUG CORP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 959</AddressLine1>
            <City>VALLEY FORGE</City>
            <State>PA</State>
            <ZIPCode>19482</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>4736143</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>OWENS MINOR</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2700 BRITTMOORE ROAD</AddressLine1>
            <City>HOUSTON</City>
            <State>TX</State>
            <ZIPCode>77043</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL EQUIP SVCS</DescriptionOfServices>
        <Compensation>4507401</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MERRILL LYNCH</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1221 MCKINNEY STREET</AddressLine1>
            <City>HOUSTON</City>
            <State>TX</State>
            <ZIPCode>77010</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FINANCIAL SERVICES</DescriptionOfServices>
        <Compensation>3197381</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>74</NumberOfContractorsGT100K>
      <GovernmentGrants>7800</GovernmentGrants>
      <TotalContributions>7800</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Revenue</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>133063228</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>133063228</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>133063228</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>297733</TotalRevenueColumn>
        <ExclusionAmount>297733</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>595673</Securities>
      </GrossAmountSalesAssets>
      <GainOrLoss>
        <Securities>595673</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>595673</TotalRevenueColumn>
        <ExclusionAmount>595673</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Other Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>98800</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>98800</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Loss Swap Agreement</Description>
        <TotalRevenueColumn>-3780398</TotalRevenueColumn>
        <ExclusionAmount>-3780398</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>-3681598</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>130282836</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>133162028</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-2886992</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>47060</Total>
        <ProgramServices>47060</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>34446</Total>
        <ProgramServices>34446</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>982718</Total>
        <ManagementAndGeneral>982718</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>36632528</Total>
        <ProgramServices>30026497</ProgramServices>
        <ManagementAndGeneral>6606031</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6104508</Total>
        <ProgramServices>4946506</ProgramServices>
        <ManagementAndGeneral>1158002</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2931234</Total>
        <ProgramServices>2344987</ProgramServices>
        <ManagementAndGeneral>586247</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>868237</Total>
        <ProgramServices>694590</ProgramServices>
        <ManagementAndGeneral>173647</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>13650776</Total>
        <ProgramServices>10923421</ProgramServices>
        <ManagementAndGeneral>2727355</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>1344</Total>
        <ProgramServices>1075</ProgramServices>
        <ManagementAndGeneral>269</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1139431</Total>
        <ProgramServices>37171</ProgramServices>
        <ManagementAndGeneral>1102260</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>8041</Total>
        <ProgramServices>6433</ProgramServices>
        <ManagementAndGeneral>1608</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2008232</Total>
        <ProgramServices>1606586</ProgramServices>
        <ManagementAndGeneral>401646</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>133430</Total>
        <ProgramServices>106744</ProgramServices>
        <ManagementAndGeneral>26686</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>28346</Total>
        <ProgramServices>22677</ProgramServices>
        <ManagementAndGeneral>5669</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>17492567</Total>
        <ProgramServices>13994054</ProgramServices>
        <ManagementAndGeneral>3498513</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6353536</Total>
        <ProgramServices>5082829</ProgramServices>
        <ManagementAndGeneral>1270707</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>1964696</Total>
        <ProgramServices>1571757</ProgramServices>
        <ManagementAndGeneral>392939</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>22211731</Total>
        <ProgramServices>22211731</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>15172724</Total>
        <ProgramServices>15172724</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment</Description>
        <Total>1877636</Total>
        <ProgramServices>1502109</ProgramServices>
        <ManagementAndGeneral>375527</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dietary</Description>
        <Total>899643</Total>
        <ProgramServices>899643</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Overhead Allocation Costs</Description>
        <Total>24112490</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>24112490</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3445651</Total>
        <ProgramServices>2638906</ProgramServices>
        <ManagementAndGeneral>806745</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>158101005</Total>
        <ProgramServices>113871946</ProgramServices>
        <ManagementAndGeneral>44229059</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>538040</BOY>
        <EOY>32570</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2813258</BOY>
        <EOY>1654995</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>23301218</BOY>
        <EOY>16140842</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>285830</BOY>
        <EOY>78570</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>2053719</BOY>
        <EOY>2155207</EOY>
      </InventoriesForSaleOrUse>
      <LandBuildingsEquipmentBasis>93566779</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>32160157</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>62423231</BOY>
        <EOY>61406622</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>20569004</BOY>
        <EOY>14544711</EOY>
      </InvestmentsOtherSecurities>
      <IntangibleAssets>
        <BOY>15900290</BOY>
        <EOY>15462123</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>428189</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>128312779</BOY>
        <EOY>111475640</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>12127249</BOY>
        <EOY>26101908</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <EOY>424327</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>94000000</BOY>
        <EOY>94000000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>24449790</BOY>
        <EOY>5132038</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>130577039</BOY>
        <EOY>125658273</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-2264260</BOY>
        <EOY>-14182633</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-2264260</BOY>
        <EOY>-14182633</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>128312779</BOY>
        <EOY>111475640</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-27818169</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>15899796</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>23837</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>23837</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>2516312</OtherCostOrOtherBasis>
        <BookValue>2516312</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>29329509</OtherCostOrOtherBasis>
        <Depreciation>6372117</Depreciation>
        <BookValue>22957392</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>3501106</OtherCostOrOtherBasis>
        <Depreciation>1950635</Depreciation>
        <BookValue>1550471</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>53809478</OtherCostOrOtherBasis>
        <Depreciation>23508902</Depreciation>
        <BookValue>30300576</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4410374</OtherCostOrOtherBasis>
        <Depreciation>328503</Depreciation>
        <BookValue>4081871</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>61406622</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>Self Insurance Trust</Description>
        <BookValue>395836</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Board Designated CDS</Description>
        <BookValue>193696</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Debt Service Reserve Fund</Description>
        <BookValue>8472225</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Long Term Investment</Description>
        <BookValue>5482954</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>14544711</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Self Insurance Reserve</Description>
        <Amount>922364</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Swap Agreement</Description>
        <Amount>0</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capital Leases</Description>
        <Amount>1482646</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>285992</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>COST REPORTS</Description>
        <Amount>2441036</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5132038</TotalOfAmounts>
      <TotalRevenue>130282836</TotalRevenue>
      <TotalExpenses>158101005</TotalExpenses>
      <ExcessOrDeficitForYear>-27818169</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-301852</NetUnrealizedGLOnInvestments>
      <OtherAmount>981366</OtherAmount>
      <TotalAdjustments>679514</TotalAdjustments>
      <ExcessOrDeficitPerFS>-27138655</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>134742748</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-301852</NetUnrealizedGainsInvestments>
      <OtherRevenues>4761764</OtherRevenues>
      <RevenueNotRptdF990>4459912</RevenueNotRptdF990>
      <RevenueSubtotal>130282836</RevenueSubtotal>
      <TotalRevenuePerForm990>130282836</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>161881403</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>3780398</OtherExpensesIncluded>
      <ExpensesNotRptdF990>3780398</ExpensesNotRptdF990>
      <ExpensesSubtotal>158101005</ExpensesSubtotal>
      <TotalExpensesPerForm990>158101005</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS FROM RETURN TO AUDITED F/S</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>LINE 8, CHANGE IN NET ASSETS: CONTRIBUTION RELEASED FROM RESTRICTION $ 981,366</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER AUDITED F/S TO RETURN</Identifier>
        <ReturnReference>SCHEDULE D, PART XII</ReturnReference>
        <Explanation>LINE 2D, REVENUE ON BOOKS NOT ON RETURN: CONTRIBUTION RELEASED FROM RESTRICTION $ 981,366 LOSS ON SWAP AGREEMENT $3,780,398 ----------- $4,761,764</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER AUDITED F/S TO RETURN</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII</ReturnReference>
        <Explanation>LINE 2D, EXPENSES ON BOOKS NOT ON RETURN: LOSS ON SWAP AGREEMENT $3,780,398</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>3875</PersonsServed>
        <TotalCommunityBenefitExpense>8890843</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8890843</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06540</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>19948</PersonsServed>
        <TotalCommunityBenefitExpense>41206875</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>36483670</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4723205</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03480</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <PersonsServed>1628</PersonsServed>
        <TotalCommunityBenefitExpense>2705410</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1488590</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1216820</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00900</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <PersonsServed>25451</PersonsServed>
        <TotalCommunityBenefitExpense>52803128</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>37972260</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14830868</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10920</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>376</PersonsServed>
        <TotalCommunityBenefitExpense>5387260</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6849999</DirectOffsettingRevenue>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>1042405</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1042405</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00770</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>324</PersonsServed>
        <TotalCommunityBenefitExpense>19388909</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7650384</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11738525</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08640</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>17</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>47060</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>47060</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>700</PersonsServed>
        <TotalCommunityBenefitExpense>25865634</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14500383</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12827990</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09440</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>26151</PersonsServed>
        <TotalCommunityBenefitExpense>78668762</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>52472643</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>27658858</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.20360</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4337462</BadDebtExpenseAmount>
      <AmountAttributableTo>650619</AmountAttributableTo>
      <AmountReimbursedByMedicare>44290470</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>48442181</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-4151711</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>VALLEY BAPTIST MEDICAL CTR - BROWNSVILLE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1040 W JEFFERSON ST</AddressLine1>
          <City>BROWNSVILLE</City>
          <State>TX</State>
          <ZIPCode>78520</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>VALLEY BAPTIST MEDICAL CTR - BROWNSVILLE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>BAD DEBT EXPENSE OF $22,211,731 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4</Identifier>
        <Explanation>AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. AMOUNT REPORTED IN ITEM 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 15%. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE, OR ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 8</Identifier>
        <Explanation>THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAS A WRITTEN POLICY COVERING PROCEDURES FOR COLLECTING AND WRITING OFF BAD DEBTS. ACCORDING TO THE POLICY, IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <Explanation>THE HOSPITAL'S COMMUNITY HEALTHCARE NEEDS ASSESSMENT UPDATE PROVIDES A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. THE COMMUNITY HEALTHCARE NEEDS ASSESSMENT UPDATE REPORT IS INTENDED TO ASSIST INTERNAL STAKEHOLDERS, COMMUNITY HEALTH COUNCIL MEMBERS, AND THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT IN DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES AND TO EMPOWER THE GREATER COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <Explanation>THE ORGANIZATION PUBLISHES THE CHARITY CARE POLICY ANNUALLY IN THE LOCAL NEWSPAPER AS WELL AS POSTING THE POLICY IN ALL ADMISSION AREAS. ALL SELF-PAY PATIENTS AND THOSE WHO HAVE HIGH COSTS AFTER INSURANCE COVERAGE HAS BEEN APPLIED ARE ROUTED TO A FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR REVIEWS APPLICABLE FEDERAL/STATE GOVERNMENT PROGRAMS AND THE CHARITY CARE POLICY IN AN EFFORT TO SET UP PAYMENT PLANS OR OTHER METHODS TO HELP. REPRESENTATIVES FOLLOW UP TO ASSIST WITH APPLICATIONS FOR FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <Explanation>The primary service area for Valley Baptist Health System is Cameron and Willacy Counties. The secondary service area includes the eastern third of Hidalgo County. Referrals come from throughout Hidalgo and Starr Counties as well. The four-county area, called the Rio Grande Valley of Texas, encompasses approximately 5,000 square miles, which closely approximates the size of the state of Connecticut, which is 5,544 square miles. The Rio Grande Valley population is projected to reach 1.35 million by the year 2012. The population of the primary service areas (PSA's) of Valley Baptist Medical Center-Harlingen (VBMC-H) and Valley Baptist Medical Center-Brownsville (VBMC-B) has a combined population of 375,647, and 417,404 for Cameron County. Cameron County, with a poverty rate of 34.7%, is the poorest county in the U.S. The average household income in the PSA is $41,970, and 26% of households earn less than $15K/year in this area that is 88% Hispanic. Almost 29% of the population is 14 years of age or younger, and 45% is 24 years of age or younger. About 28% of adults residing in this area have less than a high school education, and 14% have a Bachelor's degree or greater. The number of uninsured in the region is estimated at almost 40%. Cameron County has some census tracts designated as an Under-Served Areas (MUA) and as a Health Professional Shortage Areas (HPSA), and has an average of 59 primary care physicians per 100,000 population (2009 data). There are 1,303 physicians providing direct patient care in the four-county area (2008 data). Of that number, 707 are designated as Primary Care physicians. There are 5,644 RNs in the 4 county area and 222 dentists. In 2008, the Rio Grande Valley had 4,785 licensed hospital beds. There are twelve acute care hospitals in the four-county area. Cameron County has five, Hidalgo County has six and Starr County has one. There is no acute care facility in Willacy County. Harlingen, San Benito, LaFeria and South Padre Island ambulance service is provided by the not-for-profit South Texas Emergency Medical Foundation. The organization also provides ambulance coverage to rural Cameron County and a Valley-wide air ambulance service through Valley AirCare. A variety of private companies also run ambulance services. Services in Brownsville are provided by Brownsville EMS, a section of the City of Brownsville Fire Department. Rio Hondo, Los Fresnos and Willacy County have community based ambulance service.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <Explanation>HEALTH EDUCATION ADDRESSING SHORTAGE OF HEALTH CARE PROFESSIONALS ----------------------------------------------------------------- The shortage of health care providers in the Rio Grande Valley continues to be problematic. This is due in part to rapid population growth, and additional health care facilities opening in the area. There is significant local effort to increase the supply of health care professionals in our service area. The Regional Academic Health Center (RAHC), the medical education component of The University of Texas Health Science Center at San Antonio, is located in Harlingen. Valley Baptist Medical Center-Harlingen serves as a training and residency site for these medical students. Valley Baptist is the principal inpatient-training hospital for the medical school program, and Su Clinica Familiar's main branch in Harlingen is the principal outpatient-training clinic. The RAHC provides training for third and fourth year medical students and additional residency programs. Evidence supports that physicians often practice where they train, and some of the RAHC residents have chosen to stay in the Valley, or even return after receiving additional specialty training elsewhere. Valley Baptist funds all the internal medicine residents from the University of Texas San Antonio medical branch that come to train at the Regional Academic Health Center in Harlingen. In fiscal year 2010, the budget for this internal medicine program was $1,700,000, which includes salaries and benefits for residents and faculty. Currently, planning for a four-year medical school is underway, with plans for the first class to begin in 2016. The Valley Baptist Family Practice Residency Program trains 15 residents enrolled in the three-year program. Other training sites include Harlingen OB/GYN Associates, Harlingen Pediatrics Associates, Valley Diagnostic Clinic, and various medical offices and clinics. Students perform clinical rotations in Pediatrics, Internal Medicine, OB/GYN and Family Practice at these various sites. Valley Baptist Medical Center-Harlingen continues to operate a School of Vocational Nursing, celebrating its 52nd year anniversary in 2010, when they graduated 40 nurses. Valley Baptist has also offered funding for a group of Valley Baptist LVN students to study full time to become RN's while the Health System continues to pay their salaries. This "LVN to RN" program is now in its fourth year. Valley Baptist continues to provide support through classroom and office space as well as financial contributions for the University of Texas, Brownsville/Texas Southmost College. The Health System assisted The University of Texas, Brownsville Nursing Department in establishing classes for a Bachelors of Science in Nursing Degree program, and continues to fund the School of Allied Health, which includes Nursing, Radiology, Respiratory Therapy and Laboratory programs. Valley Baptist Medical Center - Harlingen also provides additional clinical training for physician assistant students from the University of Texas Pan American/University of Texas Houston joint program. The Emergency Department at Valley Baptist - Harlingen provides clinical training for emergency medical technicians (EMT) and paramedics. Both Valley Baptist hospitals serve as a training ground for local nursing students, respiratory care students, and from other ancillary areas, as well as for high school students in health professions classes. VBMC - Harlingen trains chaplains in the Clinical Pastoral Education Center. This program is offered on a part-time as well as a full-time basis. Clinical Pastoral Education provides a training environment for those aspiring to be institutional chaplains and others who are preparing for professional and vocational ministry. PREVENTIVE CARE --------------- Valley Baptist Health System is a comprehensive community health system committed to providing the highest quality of patient care and professional, compassionate service. In 2010 Valley Baptist-Harlingen celebrated its 85th anniversary, and Valley Baptist-Brownsville its 87th year of providing high quality healthcare to the people of the Rio Grande Valley. Today, we continue to offer the latest in technology, surgical and diagnostic procedures, and personalized patient care. Our goal is to meet the health care needs of our community in accordance with our mission statement and values. Valley Baptist Heart and Vascular Outreach Services, through its Cardiac Screening and Education Program and mobile clinic, provides a program of free or low cost screening and education programs related to cardiovascular disease and diabetes. Registered Nurses, knowledgeable in cardiovascular disease, provide individual counseling for participants in the health and wellness-screening program. Each person screened has the opportunity to ask questions and discuss the results of the screenings performed. Those found to be at high risk are referred to a physician. Heart and Vascular personnel take the program into the community setting up in supermarkets, malls, and at large community events such as fairs and festivals. Over 5,000 screening tests were done by the mobile unit last year. Twenty percent (20%) of those screened have been referred to a physician for an identified problem, a percentage which has remained consistent over the last several years. The goal of Heart and Vascular Outreach Services free and reduced cost programs is to educate the community on the risk factors of cardiovascular disease and to identify potential problems before there is serious illness. This is a vital part of the Valley Baptist commitment to a healthier community. Valley Baptist is a community leader in health and wellness education and events. Wellness and illness prevention literature on heart disease, stroke, diabetes, cancer, and mental health and other topics were distributed at more than 80 wellness venues during the year. These events, which also included health screenings, reached a wide span of age groups, from pregnant mothers and children through the elderly, and offered literature and education in both English and Spanish. Additionally, 34 community seminars were offered with physicians presenting on a wide range of topics from "Diabetes Update", "Depression in the Elderly" to "Prostate Cancer" and "Fat, Diet and Health" and more. Seminars were also presented in Spanish. Both Valley Baptist-Harlingen and Valley Baptist-Brownsville are active supporters of local chapters of national and state health care organizations including the American Heart Association, American Cancer Society, American Diabetes Association, and others. Valley Baptist provides financial support as well as volunteers for the organizations' programs. As it is estimated that one in five, or 200,000 persons in the Rio Grande Valley have diabetes, a figure three times the national rate, and the Diabetes Education Centers on both campuses are actively involved in educating, managing diabetes care and supporting those in our community with this disease. They provide structured diabetes education classes in both English and Spanish, including a gestational diabetes program for expectant mothers, as well as support groups and individualized and group instruction. Special events, such as "Diabetes Expo," "Diabetes Fiesta", a festival that includes free glucose screenings, blood pressure checks, eye screening and foot screening, and "March Alert," held at local supermarkets, are also held to help address detection, early intervention and follow-up. Screenings for diabetes are conducted at most health fairs, from monthly Saturday morning screenings at the local Farmers Market, at schools and in high risk neighborhoods, to screenings at local mobile home parks. More than 2,500 men and women are enrolled in the Seniors' Choice program. Seniors' Choice is designed to promote wellness and illness prevention among senior adults. For a small annual fee of only $10 per person, Seniors' Choice participants receive free screenings such as glucose, blood pressure, cholesterol, and glaucoma. The wellness education program tries to meet monthly with members on both hospital campuses. The high rate of obesity is linked to the high rate of diabetes, heart disease, stroke and other disorders. A study by the University of Texas School of Public Health in 2008 revealed that over 52% of adults 18 and over in Cameron County were considered obese (BMI over 30), which is almost twice the national rate. Valley Baptist sponsors a variety of activities in the fight against obesity and for fitness. This year, Valley Baptist held the fourth annual "South Texas Sizzler" 5K and 10K walk/run. This event promotes fitness for all age groups and with those of varying levels of physical conditioning. A special "Miracle Kids Quick Sprint" was also included for disabled and special-needs children. Valley Baptist again sponsored "Marathon Kids" for the sixth consecutive year. This</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM ROLES</Identifier>
        <Explanation>VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE IS PART OF AN AFFILIATED SYSTEM INCLUDING MANY EXEMPT ORGANIZATIONS AND TAXABLE ENTITIES. VALLEY BAPTIST HEALTH SYSTEM, AN EXEMPT ORGANIZATION, IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM CREATED TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF HARLINGEN, TEXAS AND THE RIO GRANDE VALLEY. THE SYSTEM WAS FORMED FOR THE PURPOSE OF OWNING, CONTROLLING AND/OR OPERATING THE HOSPITAL, MEDICAL, CLINICAL, RESEARCH, AND NURSING FACILITIES FOR TRAINING AND EDUCATION OF PHYSICIANS, NURSES AND SPECIALISTS IN ALLIED FIELDS, AND PROVIDING FINANCIAL, MANAGEMENT, ADVISORY AND SERVICE ASSISTANCE AND SUPPORT TO OTHER HEALTH CARE-RELATED ORGANIZATIONS. THE SYSTEM OPERATES UNDER THE AUSPICES OF THE BAPTIST GENERAL CONVENTION OF TEXAS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT</Identifier>
        <Explanation>TX</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Texas at Brownsville</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>80 FORT BROWN</AddressLine1>
          <City>BROWNSVILLE</City>
          <State>TX</State>
          <ZIPCode>78520</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742759269</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>47060</AmountOfCashGrant>
        <PurposeOfGrant>NURSING EDUCATION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>TUITION ASSISTANCE PROGRAM</TypeOfGrant>
        <NumberOfRecipients>33</NumberOfRecipients>
        <AmountOfCashGrant>34446</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES USED BY ORGANIZATION TO MONITOR USE OF GRANT FUNDS IN THE US</Identifier>
        <ReturnReference>SCH I, PART I, QUESTION 2</ReturnReference>
        <Explanation>THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LESLIE BINGHAM</NamePerson>
        <BaseCompensationFilingOrg>294243</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>33360</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11695</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>339298</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES E EASTHAM</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>1302875</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>41548</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>8073</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1352496</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT LIEBERENZ</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>332535</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>16740</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>8073</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>357348</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MANNY VELA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>288983</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>33360</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11695</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>334038</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES G SPRINGFIELD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>975077</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>975077</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GLEN BOLES</NamePerson>
        <BaseCompensationFilingOrg>153667</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18239</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11695</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183601</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT LOZANO</NamePerson>
        <BaseCompensationFilingOrg>220969</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13585</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>234554</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANNIE MENDOZA</NamePerson>
        <BaseCompensationFilingOrg>150381</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16148</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11470</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177999</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD A BALDWIN</NamePerson>
        <BaseCompensationFilingOrg>178893</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8540</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>187433</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>YASMIN N SANCHEZ</NamePerson>
        <BaseCompensationFilingOrg>167003</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10294</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177297</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PYONG Y SHEA</NamePerson>
        <BaseCompensationFilingOrg>162350</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12351</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>174701</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JIMI M OGUNMAKIN</NamePerson>
        <BaseCompensationFilingOrg>159822</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12349</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>172171</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIA C CLAVO</NamePerson>
        <BaseCompensationFilingOrg>157689</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12263</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>169952</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCH J, PART I, QUESTION 4B</ReturnReference>
        <Explanation>THE INDIVIDUALS LISTED BELOW PARTICIPATE IN A NONQUALIFIED RETIREMENT PLAN: LESLIE BINGHAM $ 0 JAMES G SPRINGFIELD $ 0 JAMES E EASTHAM $ 0 MANNY VELA $ 0 SCOTT LIEBERENZ $ 0 GLEN BOLES $ 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>RECIPIENTS OF SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT</Identifier>
        <ReturnReference>SCHEDULE J, PART I, QUESTION 4A</ReturnReference>
        <Explanation>THE INDIVIDUALS LISTED BELOW RECEIVED A SEVERANCE PAYMENT OR A CHANGE OF CONTROL PAYMENT: JAMES G SPRINGFIELD $975,077</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>TARRANT COUNTY CULTURAL EDUCATION FACIL FIN CORP</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>300097872</IssuerEIN>
        <CUSIPNumber>87638QAG4</CUSIPNumber>
        <DateIssued>2007-10-30</DateIssued>
        <IssuePrice>94000000</IssuePrice>
        <DescriptionOfPurpose>FINANCE CAPITAL IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>94000000</TotalProceeds>
        <AmountInReserveFund>8757000</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>732000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>84936110</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>MERRILL LYNCH CAPITA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>22.8</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 6</ReturnReference>
        <Explanation>VALLEY BAPTIST HOSPITAL HOLDINGS, INC IS THE SOLE MEMBER OF VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS OR STOCKHOLDERS WHO MAY ELECT MEMBERS OF GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7A</ReturnReference>
        <Explanation>THE SOLE MEMBER HAS THE POWER TO ELECT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 12C</ReturnReference>
        <Explanation>THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTIONS 15A &amp; 15B</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF VALLEY BAPTIST DEVELOPED THE POLICY TO BE UTILIZED FOR DETERMINING COMPENSATION. A COMPENSATION COMMITTEE WAS FORMED FROM THE BOARD WHO OVERSEES THIS PROCESS. VALLEY BAPTIST UTILIZES AN INDEPENDENT COMPENSATION CONSULTING FIRM WHICH APPROVES THE PAY RANGES PROPOSED BASED ON PUBLISHED SURVEY DATA. WRITTEN EMPLOYMENT CONTRACTS ARE EXECUTED WITH THE CEO ONLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11A</ReturnReference>
        <Explanation>THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND GOVERNING BOARD REVIEW THE RETURN PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FAMILY OR BUSINES RELATIONSHIPS WITH OFFICERS, DIRECTORS, KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 2</ReturnReference>
        <Explanation>VP &amp; CORP COUNSEL MANNY VELA AND FORMER EX-OFFICIO MEMBER JAMES G SPRINGFIELD HAVE A BUSINESS RELATIONSHIP. DIRECTOR BOB BOGGUS AND SECRETARY GREG QUISENBERRY HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7B</ReturnReference>
        <Explanation>AS STATED IN THE ORGANIZATION'S BYLAWS, CERTAIN POWERS ARE RESERVED TO THE MEMBER, AND THE BOARD OF DIRECTORS MAY NOT TAKE ANY ACTION WITHOUT THE APPROVAL OF THE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFERS FROM AFFILIATES $15,899,796</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES E EASTHAM TITLE:EX-OFFICIO MEMBER HOURS:38</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ALAN JOHNSON TITLE:CHAIRMAN HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ARNIE GONZALEZ TITLE:VICE CHAIRMAN HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BJ SIMPSON TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BOB BOGGUS TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DAVE GELFER TITLE:DIRECTOR HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ELENA MARIN MD TITLE:DIRECTOR HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GERALD WHITSON DDS TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KALIM HABET MD TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LAWRENCE DAHM MD TITLE:SECRETARY HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:RUBEN TORRES MD TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TOM E MATHIS III TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DAVID FLINN TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JACK ABBOTT TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ASHRAF HILMY TITLE:DIRECTOR HOURS:42</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:PASTOR WADE HOOD TITLE:DIRECTOR HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GREG QUISENBERRY TITLE:SECRETARY HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CODY SCOGIN TITLE:DIRECTOR HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:AMAR BAGEPALLI TITLE:CHIEF OF STAFF HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:REBECCA BALLENGER TITLE:DIRECTOR HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DANIEL FUENTES TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MICHAEL LAMON TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MICHAEL MOHUN TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:VERN STENSENG TITLE:DIRECTOR HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MIGUEL CINTRON, MD TITLE:DIRECTOR HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LESLIE BINGHAM TITLE:SENIOR VP &amp; CEO HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:SCOTT LIEBERENZ TITLE:CFO, SENIOR VP HOURS:35</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MANNY VELA TITLE:VP &amp; CORP COUNSEL HOURS:38</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES G SPRINGFIELD TITLE:FORMER EX-OFFICIO MEMBER HOURS:3</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY BAPTIST MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>741385476</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY BAPTIST HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>742974396</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY BAPTIST MEDICAL DEVELOPMENT CORPO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>742028168</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOLDEN PALMS RETIREMENT AND HEALTH CENTE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 TREASURE HILLS BLVD</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>742316773</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY BAPTIST HOSPITAL HOLDINGS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>205394369</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RIO GRANDE VALLEY INDIGENT HEALTH CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2101 PEASE STREET</AddressLine1>
          <City>HARLINGEN</City>
          <State>TX</State>
          <ZIPCode>78550</ZIPCode>
        </AddressUS>
        <EIN>260766653</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VALLEY BAPTIST MEDICAL CENTER-BROWNSVILL</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 831041</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>752831041</ZIPCode>
        </AddressUS>
        <EIN>201635682</EIN>
        <PrimaryActivity>INVESTMENT</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>461084</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>