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        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ron Franks</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ron Donaldson MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>12.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>900</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rodney Watkins</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robyn Rogers</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Nichols</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Evans</NamePerson>
        <Title>SR VP/Administr</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1013636</ReportableCompFromOrganization>
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        <OtherCompensation>29311</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ravi Kumar Sreerama MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Randy Randall MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>501437</ReportableCompFromOrganization>
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        <OtherCompensation>8777</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>R Scott Confer</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Philip Pool</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Phil Caron</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
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        <OtherCompensation>14888</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Perry O'Brian Jr</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Perry Henderson</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
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        <OtherCompensation>22032</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Peggy Lowry</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Paula Anthony</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>383609</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24949</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick L Wallace</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>434488</ReportableCompFromOrganization>
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        <OtherCompensation>27871</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patricia Smith</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pam Weaver</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nghia Truong MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>457461</ReportableCompFromOrganization>
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        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Neil Adelman MD</NamePerson>
        <Title>Former Director</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>278818</ReportableCompFromOrganization>
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        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ned Muse</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Monte Cole</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mike Thomas</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>27662</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mike Gray</NamePerson>
        <Title>VP Human Resour</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>26171</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michelle Brookshire</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael J Klouda</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
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        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Banks DDS</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Austin MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark Leitner</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
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        <OtherCompensation>11696</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Marcus Abadie MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Graves MD</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Linda K Dean</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leesa N Hedge</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lee Williams</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Larry King</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Larry Durrett</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Larry Cunningham DO</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kim Pearson-Wahl</NamePerson>
        <Title>Vice President</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
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        <OtherCompensation>24183</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kenneth McGee</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kenneth Kemp MD</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ken Greer</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Karen Wies MD</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joseph M Conflitti</NamePerson>
        <Title>Physician</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jon Johnston</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John T Wilson</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Payne</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Magouyrk</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Hart</NamePerson>
        <Title>Administrator</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John H Keller Jr MD</NamePerson>
        <Title>Director</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joe Angle</NamePerson>
        <Title>ViceChairmn&amp;Dir</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jim Hines</NamePerson>
        <Title>CFO</Title>
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        <Officer>X</Officer>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jessica Parish</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry Webster</NamePerson>
        <Title>Director</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry Massey</NamePerson>
        <Title>VP &amp; Dir</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
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        <OtherCompensation>28622</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jean Latortue MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>241254</ReportableCompFromOrganization>
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        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Wynne</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>12.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James H Reynolds</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Blanton</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>144675</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21634</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Dee Dopson MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jack Endres</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>173542</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20929</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jack Bowen</NamePerson>
        <Title>Corp Dir Affiliate Projects</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>251827</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18114</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Hernan E Miranda MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>227480</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Heidi McKeller MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Harold Beaird</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Glenn Routhouska DO</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gerry Dominguez</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>120365</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11864</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George T Hall</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George Robinson</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Patterson</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary M Hudson</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>249616</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23379</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Gunder</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>79325</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9957</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Gross MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Freddie Sanchez</NamePerson>
        <Title>VP Material Mgm</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1508736</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23050</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Fred A Heirich</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ennis Christenberry</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Elmer G Ellis</NamePerson>
        <Title>President &amp; Dir</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1913433</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37346</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Eddie Howard</NamePerson>
        <Title>VP/Administr</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>439789</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24661</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Doug Johnston DO</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>271291</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Donald E Arego MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>322643</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Derek Daniels</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dennis S Devinney</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>1543918</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Deborah Blackwell</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Travis</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>164893</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21778</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Mandel MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>144289</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Jones MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Johnson MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>72000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David E Holdredge</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Craig MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Bowles</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>555159</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Comm Hermon E Reed Jr</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Christopher Haeckler MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles Lowry</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles Halstead</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>C Alan Bass</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Byron Hale</NamePerson>
        <Title>Treasurer &amp; Dir</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>971494</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32239</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bryan Price</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bryan Hyland MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>307113</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brody Clark</NamePerson>
        <Title>Administrator</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>143044</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4269</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Holcomb</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Ballard</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brett Young MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bill James</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bill Clawater</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Becki Mangum</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>117810</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16687</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barry Hughes</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BG Hartley</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>12.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Arron Duvall MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony Davis MD</NamePerson>
        <Title>Former Director</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>312234</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ann Lake</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Andrew Roberts MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>652270</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9317</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Andrew Hoover MD</NamePerson>
        <Title>Former Director</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>175969</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8777</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Allen Bell</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>AR Barrett DO</NamePerson>
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      <TotalReportableCompFrmRltdOrgs>7831194</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>885998</TotalOtherCompensation>
      <NumberIndividualsGT100K>309</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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            <City>Tyler</City>
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            <ZIPCode>757019454</ZIPCode>
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          <NameBusiness>
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        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
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          <NameBusiness>
            <BusinessNameLine1>Metro Aviation Inc</BusinessNameLine1>
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          <AddressUS>
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            <City>Shreveport</City>
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            <State>LA</State>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <IncomeFromInvestBondProceeds>
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      <GrossAmountSalesAssets>
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      </LessCostOthBasisSalesExpenses>
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      <NetGainOrLossInvestments>
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      <OtherRevenueMisc>
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      <GrantsToDomesticOrgs>
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      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>7671379</ManagementAndGeneral>
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      </CompDisqualPersons>
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      <FeesForServicesLobbying>
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      </FeesForServicesProfFundraising>
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      <TravelEntrtnmntPublicOfficials>
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      <OtherExpenses>
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      <OtherAssets>
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      <OtherAssets>
        <Description>Estimated 3rd Party Settlement</Description>
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        <Description>Due From Outside Entities</Description>
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        <BookValue>145430</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Financing Costs</Description>
        <BookValue>25020</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Bonds Receivables &amp; Unamortized Bond Exp</Description>
        <BookValue>3471371</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Accrued Interest Receivable</Description>
        <BookValue>6734</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>336057343</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Trust - Premiums</Description>
        <Amount>2000000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Rounding</Description>
        <Amount>3</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Noncurrent Liabilities</Description>
        <Amount>1042222</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Noncurrent Pension Liability</Description>
        <Amount>46569136</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Investment In Cyberknife</Description>
        <Amount>605229</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated 3rd Party Settlement</Description>
        <Amount>7218153</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>160330720</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Deferred Direct &amp; Admin Expenses</Description>
        <Amount>50946559</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capital Lease Obligations</Description>
        <Amount>24922244</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>293634266</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="09000047" softwareVersion="2009v1.7">
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
        <NameOfEvent1>Bell Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>43830</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>22650</CharitableContributionsEvent1>
        <GrossRevenueEvent1>21180</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>17587</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>43830</GrossReceiptsTotal>
        <CharitableContributionsTotal>22650</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>21180</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>17587</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>17587</DirectExpenseSummaryEvents>
        <NetIncomeSummary>3593</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>53724743</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22413789</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>31310954</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03360</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>82303798</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>77525158</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4778640</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00510</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>8467862</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7676804</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>791058</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>144496403</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>107615751</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>36880652</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03960</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>401779</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>121579</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>280200</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>673949</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>202047</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>471902</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>130238021</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>98528986</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>31709035</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03400</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>194890</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>48641</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>146249</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>93932</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>93932</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>131602571</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>98901253</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>32701318</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03510</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>276098974</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>206517004</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>69581970</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07470</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1686253</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>243030842</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>300746441</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-57715599</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Self I</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Insurance coverage for the ETMCRHS</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Home S</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Home Healthcare Services</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-HCA</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Physicians</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Founda</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Support related hospitals within the sys</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Cancer</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Provide radiation therapy, healthcare &amp;</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Specia</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Rehab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>701 Olympic Plaza Circle</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <Other>Rehabilitation Center, Physical &amp; Occupa</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Tyler</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Trinit</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>317 Prospect Drive</AddressLine1>
          <City>Trinity</City>
          <State>TX</State>
          <ZIPCode>75862</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Quitma</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>117 N Winnsboro Street</AddressLine1>
          <City>Quitman</City>
          <State>TX</State>
          <ZIPCode>75783</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Pittsb</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>414 Quitman Street</AddressLine1>
          <City>Pittsburg</City>
          <State>TX</State>
          <ZIPCode>75686</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-MtVern</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>500 S State Highway 37</AddressLine1>
          <City>Mount Vernon</City>
          <State>TX</State>
          <ZIPCode>75457</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Jackso</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>501 S Ragsdale Street</AddressLine1>
          <City>Jacksonville</City>
          <State>TX</State>
          <ZIPCode>75768</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Hender</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>300 Wilson Street</AddressLine1>
          <City>Henderson</City>
          <State>TX</State>
          <ZIPCode>75652</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Gilmer</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>712 North Wood</AddressLine1>
          <City>Gilmer</City>
          <State>TX</State>
          <ZIPCode>75644</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Fairfi</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>125 Newman Street</AddressLine1>
          <City>Fairfield</City>
          <State>TX</State>
          <ZIPCode>75840</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Crocke</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1100 Loop 304 East</AddressLine1>
          <City>Crockett</City>
          <State>TX</State>
          <ZIPCode>75835</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Clarks</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3000 W Main Hwy 82 W</AddressLine1>
          <City>Clarksville</City>
          <State>TX</State>
          <ZIPCode>75426</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Cartha</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>409 W Cottage Road</AddressLine1>
          <City>Carthage</City>
          <State>TX</State>
          <ZIPCode>75633</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>East Texas Medical Cntr-Athens</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2000 South Palestine</AddressLine1>
          <City>Athens</City>
          <State>TX</State>
          <ZIPCode>75751</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>Was no footnote to the financial statements regarding bad debt expense. Costing methodology used for line 2; Cost to charge ratio is equal to: (total expenses-bad debt expense-50% other revenue)/gross revenue. Rational for including other bad debt in community benefit; Community service is provided regardless of anticipated reimbursement.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Medicare deductibles that are duel eligible and unreimbursed are written off as a medicaid 2nd contractual. $3,049,811. Line 5 - Includes all Medicare co-pay and deductables. Line 6 - Includes Medicare allowable cost. This would net any Medicare charity claimed.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>One Rehabilitation Center, one Cancer Institute, and three Home Healthcare services.</NumberOfFacilityTypeExpln>
        <GeneralExplanation>Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.</GeneralExplanation>
        <NeedsAssessment>The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.</NeedsAssessment>
        <PatientEducationAssistance>Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.</PatientEducationAssistance>
        <CommunityInformation>The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.</CommunityInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="09000047" softwareVersion="2009v1.7">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TVCC Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 Cardinal Drive</AddressLine1>
          <City>Athens</City>
          <State>TX</State>
          <ZIPCode>75751</ZIPCode>
        </AddressUS>
        <EINOfRecipient>237365212</EINOfRecipient>
        <AmountOfCashGrant>10750</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Donation</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Titus County Cares</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box1476</AddressLine1>
          <City>Mount Pleasant</City>
          <State>TX</State>
          <ZIPCode>75456</ZIPCode>
        </AddressUS>
        <EINOfRecipient>352309053</EINOfRecipient>
        <AmountOfCashGrant>8000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Community outreach</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Pineywoods Fine Arts Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>603 E Goliad Avenue Suite 203</AddressLine1>
          <City>Crockett</City>
          <State>TX</State>
          <ZIPCode>75835</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752395504</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Donation</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOPEHelping Others Persue Enric</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>595 South Ragsdale Street</AddressLine1>
          <City>Jacksonville</City>
          <State>TX</State>
          <ZIPCode>75766</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752378914</EINOfRecipient>
        <AmountOfCashGrant>5500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Donation</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ETMCRH System</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>751803327</EINOfRecipient>
        <IRCSection>501 (c)(3)</IRCSection>
        <AmountOfCashGrant>1912838</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Various Building Funds</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ETMC Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>752695524</EINOfRecipient>
        <IRCSection>501 (c)(3)</IRCSection>
        <AmountOfCashGrant>405000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Donation &amp; Trauma Construction</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>East Texas Medical Center Tyler</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 South Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>751803325</EINOfRecipient>
        <IRCSection>501 (c)(3)</IRCSection>
        <AmountOfCashGrant>43900</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Trauma, Diabetes, and Pediatrics Fund</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Cherokee County Health Dept</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>593 North Main Street</AddressLine1>
          <City>Rusk</City>
          <State>TX</State>
          <ZIPCode>75785</ZIPCode>
        </AddressUS>
        <EINOfRecipient>756000854</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Donation</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>5</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain will supervise the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System will have signature authorization over the Chaplains Fund account. The Chaplains Fund will be included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
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          <BusinessNameLine1>Camp County Texas</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>756000845</IssuerEIN>
        <DateIssued>2009-09-09</DateIssued>
        <IssuePrice>7000000</IssuePrice>
        <DescriptionOfPurpose>New hospital facility</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Camp County Texas</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>756000845</IssuerEIN>
        <DateIssued>2009-02-24</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>New hospital facility</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Camp County Texas</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>756000845</IssuerEIN>
        <DateIssued>2008-03-19</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>New hospital facility</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Camp County Texas</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>756000845</IssuerEIN>
        <DateIssued>2007-11-29</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>New hospital facility</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>5700000</TotalProceeds>
        <CapitalExpenditures>5700000</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>7000000</TotalProceeds>
        <IssuanceCostsFromProceeds>7000</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>863244</WorkingCapitalExpenditures>
        <CapitalExpenditures>6129758</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>10000000</TotalProceeds>
        <WorkingCapitalExpenditures>252730</WorkingCapitalExpenditures>
        <CapitalExpenditures>9747334</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>9830000</TotalProceeds>
        <WorkingCapitalExpenditures>725080</WorkingCapitalExpenditures>
        <CapitalExpenditures>9342954</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>9830000</TotalProceeds>
        <IssuanceCostsFromProceeds>74500</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>898330</WorkingCapitalExpenditures>
        <CapitalExpenditures>9108087</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Loretta Henderson</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member</Relationship>
        <AmountOfTransaction>17336</AmountOfTransaction>
        <DescriptionOfTransaction>Employment ETMC Pittsburg</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Chelsey Walters</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member</Relationship>
        <AmountOfTransaction>98826</AmountOfTransaction>
        <DescriptionOfTransaction>Employment at ETMC Tyler</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Renee Barrett</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member</Relationship>
        <AmountOfTransaction>61950</AmountOfTransaction>
        <DescriptionOfTransaction>Employment ETMC Carthage</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Kim Sanchez</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member</Relationship>
        <AmountOfTransaction>26190</AmountOfTransaction>
        <DescriptionOfTransaction>Employment at ETMC Rehab</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Donna Hale</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member</Relationship>
        <AmountOfTransaction>131505</AmountOfTransaction>
        <DescriptionOfTransaction>Employment ETMC Specialty</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The organization's governing documents, conflict of interest policy and financial statements are provided upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The return is reviewed by our staff accountants and is reviewd by senior management. It is then presented to the board for their review and comment. The final return is provided to the board prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>The following members of ETMC Regional Healthcare System are also board members of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: ETMC Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatien and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: ETMC Cancer Institute operates a free standing radiation cancer center and provides comprehensive cancer care with programs encompassing diagnostics services, medical and radiation, oncology, surgery and support programs. ETMC Cancer Institute is accredited by the American College of Surgeons as a comprehensive community cancer program. OTHER PROGRAM SERVICES 10: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 11: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Quitman</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1000</AddressLine1>
          <City>Quitman</City>
          <State>TX</State>
          <ZIPCode>75783</ZIPCode>
        </AddressUS>
        <EIN>752766160</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Pittsburg</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>414 Quitman Street</AddressLine1>
          <City>Pittsburg</City>
          <State>TX</State>
          <ZIPCode>75686</ZIPCode>
        </AddressUS>
        <EIN>751919624</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Trinity</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 471</AddressLine1>
          <City>Trinity</City>
          <State>TX</State>
          <ZIPCode>75862</ZIPCode>
        </AddressUS>
        <EIN>752715898</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Mount Vernon</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 477</AddressLine1>
          <City>Mount Vernon</City>
          <State>TX</State>
          <ZIPCode>75457</ZIPCode>
        </AddressUS>
        <EIN>752250730</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Jacksonville</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>501 South Ragsdale</AddressLine1>
          <City>Jacksonville</City>
          <State>TX</State>
          <ZIPCode>75766</ZIPCode>
        </AddressUS>
        <EIN>752715084</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Henderson</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Wilson Street</AddressLine1>
          <City>Henderson</City>
          <State>TX</State>
          <ZIPCode>75652</ZIPCode>
        </AddressUS>
        <EIN>264123728</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Gilmer</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>712 North Wood</AddressLine1>
          <City>Gilmer</City>
          <State>TX</State>
          <ZIPCode>75644</ZIPCode>
        </AddressUS>
        <EIN>200079162</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ETMC - Fairfield</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>125 Newman Street</AddressLine1>
          <City>Fairfield</City>
          <State>TX</State>
          <ZIPCode>75840</ZIPCode>
        </AddressUS>
        <EIN>752753454</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ETMC - Crockett</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1100 Loop 304 East</AddressLine1>
          <City>Crockett</City>
          <State>TX</State>
          <ZIPCode>75835</ZIPCode>
        </AddressUS>
        <EIN>752602621</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>ETMC - Clarksville</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Drawer 1270</AddressLine1>
          <City>Clarksville</City>
          <State>TX</State>
          <ZIPCode>75426</ZIPCode>
        </AddressUS>
        <EIN>752638020</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Carthage</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>409 Cottage Road</AddressLine1>
          <City>Carthage</City>
          <State>TX</State>
          <ZIPCode>75633</ZIPCode>
        </AddressUS>
        <EIN>752735077</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Athens</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 S Palestine</AddressLine1>
          <City>Athens</City>
          <State>TX</State>
          <ZIPCode>75751</ZIPCode>
        </AddressUS>
        <EIN>751854562</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ETMCRHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ETMC - Healthcare Associates</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 S Beckham Avenue</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </AddressUS>
        <EIN>752605821</EIN>
        <PrimaryActivities>Health Service</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Exempt</PublicCharityStatus>
        <DirectControllingEntityName>
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