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      <Interest>
        <Total>5260</Total>
        <ManagementAndGeneral>5260</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>228550</Total>
        <ProgramServices>228550</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>119538</Total>
        <ManagementAndGeneral>119538</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Bad debt</Description>
        <Total>413599</Total>
        <ProgramServices>413599</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>All other expenses</Description>
        <Total>137297</Total>
        <ProgramServices>23298</ProgramServices>
        <ManagementAndGeneral>113999</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>23139305</Total>
        <ProgramServices>21173166</ProgramServices>
        <ManagementAndGeneral>1966139</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2144</BOY>
        <EOY>2076946</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2706963</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>3546296</BOY>
        <EOY>3643847</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>236092</BOY>
        <EOY>258470</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>150629</BOY>
        <EOY>161712</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1809759</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1333554</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>590819</BOY>
        <EOY>476205</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>135674</BOY>
        <EOY>139896</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7368617</BOY>
        <EOY>6757076</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1540536</BOY>
        <EOY>1505618</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>157033</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>124007</BOY>
        <EOY>143075</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1821576</BOY>
        <EOY>1648693</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5547041</BOY>
        <EOY>5108383</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5547041</BOY>
        <EOY>5108383</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7368617</BOY>
        <EOY>6757076</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings>
        <OtherCostOrOtherBasis>142697</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>142697</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>1667062</OtherCostOrOtherBasis>
        <Depreciation>1333554</Depreciation>
        <BookValue>333508</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>476205</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Inter-Company</Description>
        <Amount>143075</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>143075</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <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>80474</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>80474</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00350</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>80474</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>80474</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00350</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>9182</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9182</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>30713</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>30713</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>500000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>500000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02200</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>539895</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>539895</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02370</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>620369</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>620369</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02720</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>413599</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>20360000</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>16948140</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>3411860</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>CHC Cmmnty Care LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Hospital Management</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>1.00000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ContinueCare Hospital of Tyler Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>800 E Dawson</AddressLine1>
          <City>Tyler</City>
          <State>TX</State>
          <ZIPCode>75701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <PercentOfTotalExpenseExpln>Our total expense from Form 990, Part IX, Line 25, Column (A) was $23,139,305. The bad debt expense included in this amount was $413,599. This left a total expense of $22,725,706 for purposes of calculating Line 7, Column (F).</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Continuecare Hospital of Tyler, Inc. doesn't have its own audit. Rather it is part of VHA Southwest Community Health Corporation and the bad debt disclosure in the consolidated financial statements does not completely match organization's practice. The bad debt costing methodology varies by payer type. For Medicare, bad debt is recorded when recognized to the extent of 30%. Medicare reimburses the organization for allowable bad debt at 70%. Medicare bad debt relates to the private pay portion of care such as co-pay and deductible amounts. For managed care, we reserve bad debt when recognized at 100% of co-pay and deductible amounts.</BadDebtFootnote>
        <DebtCollectionPolicy>If a patient qualifies for charity, there are no collection practices for the patient.</DebtCollectionPolicy>
        <GeneralExplanation>In the state of Texas, it is permissible to pay another health provider for charity care to satisfy the charity requirements. ContinueCare Hospital of Tyler paid Trinity Mother Frances $500,000.00 for charity care.</GeneralExplanation>
        <NeedsAssessment>THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY.</NeedsAssessment>
        <PatientEducationAssistance>PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED UPON ADMISSION TO CONTINUECARE HOSPITAL OF TYLER BY A FACE TO FACE VISIT WITH THE BUSINESS OFFICE ASSOCIATES. THE PATIENT FINANCIAL OBLIGATION IS DISCUSSED WITH THE RESPONSIBLE PARTY AND A FACT SHEET THAT DESCRIBES "HOW MUCH AND WHEN" IS GIVEN TO EACH RESPONSIBLE PARTY. THE HOSPITAL CHARITY CARE POLICY IS DISCUSSED WITH EACH RESPONSIBLE PARTY AND IF IT IS FELT THAT THE PATIENT WOULD QUALIFY FOR THE CHARITY PROGRAM THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY THE RESPONSIBLE PARTY TO THE BUSINESS OFFICE ASSOCIATE FOR REVIEW.</PatientEducationAssistance>
        <CommunityInformation>A. SMITH COUNTY HAS A LOWER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO REGION 4 AND THE STATE WHILE REGION 4 HAS A HIGHER RATE OF CARDIOVASCULAR DISEASE, HEART DISEASE AND STROKE WHEN COMPARED TO THE STATE. CONTINUECARE HOSPITAL OF TYLER, INC. IS IN SMITH COUNTY WHICH IS PART OF REGION 4 IN TEXAS. B. LUNG CANCER RATES IN SMITH COUNTY ARE COMPARABLE WITH THE STATE WHILE THE RATES OF REGION 4 ARE HIGHER THAN THE STATE. C. ALL COUNTIES IN THE PRIMARY SERVICE AREA AND THE SECONDARY SERVICE AREA HAVE FEWER THAN 20 DEATHS FROM FEMALE BREAST CANCER. REGION 4 HAS A SLIGHTLY LOWER RATE OF FEMALE BREAST CANCER WHEN COMPARED TO THE STATE. D. ALL COUNTIES IN THE SECONDARY SERVICE AREA AND REGION 4 HAVE HIGHER RATES OF CHRONIC LOWER RESPIRATORY DISEASE WHEN COMPARED TO THE STATE WHILE SMITH COUNTY HAS A LOWER RATE THAN REGION 4 AND THE STATE. F. SMITH COUNTY HAS A LOWER DIABETES RATE THAN TEXAS AND REGION 4. THE DIABETES RATES FOR TEXAS AND SMITH COUNTY ARE COMPARABLE.</CommunityInformation>
        <CommunityBuildingActivities>THE HEALTH OF THE COMMUNITY IS PROMOTED BY PARTNERING WITH LOCAL HEALTH CARE PROVIDERS TO GIVE ASSISTANCE IN WHATEVER IS NECESSARY TO MEET THE NEEDS OF THEIR CONSTITUENTS. AN EXAMPLE OF THIS WOULD BE THAT THE HOSPITAL PARTICIPATES IN REGULAR FOOD DRIVES FOR A LOCAL FOOD PANTRY AND ASSISTS WITH GATHERING SUPPLIES FOR THEIR ANNUAL "BACK TO SCHOOL" DRIVE WHERE SCHOOL SUPPLIES ARE COLLECTED FOR FILLING BACKPACKS PRIOR TO GOING BACK TO SCHOOL. THE STAFF ALSO PARTICIPATES IN HEALTH FAIRS THAT WOULD PRESENT INFORMATION ON A HEALTHY LIFESTYLE TO THE ELDERLY OR UNDERSERVED POPULATION. THE HOSPITAL ALSO PROMOTES AN OPEN MEDICAL STAFF IN ORDER TO BETTER SERVE THE PATIENTS SEEKING CARE. CONTINUECARE HOSPITAL OF TYLER ALSO HAS A COMMUNITY BOARD STRUCTURE SO THAT THE HOSPITAL CAN BE GOVERNED BY THE COMMUNITY IN WHICH IT SERVES.</CommunityBuildingActivities>
        <AffiliatedHealthCareSystem>CONTINUECARE HOSPITAL OF TYLER IS AN AFFILIATE OF TRINITY MOTHER FRANCES HEALTH SYSTEM IN TYLER, TEXAS. THE HEALTH PROMOTION ACTIVITIES FOR BOTH ORGANIZATIONS ARE COLLABORATIVE IN ORDER TO HAVE A FAR REACHING EFFECT ON THE COMMUNITY. EACH ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY AND THEN WORKS IN WAYS THAT WOULD MEET ANY UNMET NEEDS WITHIN THE COMMUNITY.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>TX</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Michael D Williams</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>595995</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>268869</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>138868</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>17200</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15185</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1036117</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephanie Hyde</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>149942</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>9170</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>8412</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>167524</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Butler</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>244450</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>69153</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2852</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>16747</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18188</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>351390</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Larry Cuthbertson</NamePerson>
        <BaseCompensationFilingOrg>172381</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>32145</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2061</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1651</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>208238</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Karen Spencer</NamePerson>
        <BaseCompensationFilingOrg>116625</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26648</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4431</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4484</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>152188</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY CHC COMMUNITY CARE, LLC WHICH FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO ON JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: MICHAEL D. WILLIAMS - $141,726 DAVID BUTLER - $10,204 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 6A A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM ACCRUED DURING THE FISCAL YEAR WAS BASED ON THE EBIDA OF THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>TYLER CONTINUECARE HOSPITAL AT MOTHER FRANCES HOSPITAL PROVIDES AN APPROPRIATE VENUE IN THE CONTINUUM OF CARE FOR PATIENTS REQUIRING AN EXTENDED STAY IN AN ACUTE CARE SETTING AND WHO RESIDE IN OR AROUND TYLER, TEXAS. TYLER CONTINUECARE HOSPITAL AT MOTHER FRANCES HOSPITAL IS ESTABLISHED TO PROVIDE LONG TERM ACUTE CARE SERVICES TO INDIVIDUALS WITH CRITICAL DISEASE OR DISORDERS INCLUDING BUT NOT LIMITED TO CHRONIC OR ACUTE INFECTION, CARDIOVASCULAR AND RESPIRATORY DISORDERS, POST SURGICAL AND CANCER PATIENTS, AND THOSE WEANABLE PATIENTS DEPENDENT UPON VENTILATOR CARE WHOSE CONDITION IS SO SIGNIFICANT THAT A HOSPITAL STAY OF AT LEAST 14-30 DAYS (AGGREGATE 25 DAYS) IS EXPECTED. THE HOSPITAL INTENDS TO MEET THE MEDICAL, THERAPEUTIC AND FAMILIAL NEEDS OF INDIVIDUALS IN THE TYLER, TEXAS AREA USING AN INTERDISCIPLINARY TEAM APPROACH, EFFECTIVELY IMPLEMENTING A RESPONSIVE CONTINUUM OF CARE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A CONTINUECARE HOSPITAL OF TYLER (TCCH) IS A LONG-TERM ACUTE CARE HOSPITAL OPERATING AS A HOSPITAL WITHIN A HOSPITAL AT MOTHER FRANCES HOSPITAL IN TYLER, TEXAS. TCCH OBTAINED A LICENSE TO OPERATE AN ACUTE CARE HOSPITAL ON MAY 14, 2004, AND BECAME CERTIFIED AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) ON JANUARY 1, 2005. AS AN LTACH, TCCH PROVIDES AN AVENUE OF CARE FOR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY IN AN ACUTE CARE SETTING. TYPICALLY, LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CONDITIONS APPROPRIATE FOR TREATMENT IN AN LTACH INCLUDE THE FOLLOWING: MEDICALLY COMPLEX RESPIRATORY DISORDERS INCLUDING TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY, AND WOUND CARE. DURING THE FISCAL YEAR ENDED 6/30/2010, TCCH'S TOTAL PATIENTS ADMITTED WERE 681 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 17,9327. THE AVERAGE DAILY CENSUS WAS 49.1 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS EXCEEDED 26.33 DAYS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF MANAGEMENT ARRANGEMENT</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 3</ReturnReference>
        <Explanation>CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE SOLE SHAREHOLDER OF CONTINUECARE HOSPITAL OF TYLER, INC IS CHC COMMUNITY CARE, LLC, ("CCC"). DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF 5 VOTING DIRECTORS PLUS 2 NON-VOTING EX-OFFICIO DIRECTORS. CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATIONS PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CHC COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTIONS 15A &amp; 15B</ReturnReference>
        <Explanation>THE ORGANIZATION EXECUTIVES ARE EMPLOYED BY CHC COMMUNITY CARE LLC WHICH FOLLOWS THE COMPENSATION POLICY OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/10 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. AVERAGE RELATED HOURS DISCLOSURE FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: DAVID BUTLER: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR HMH PHYSICIANS ORGANIZATION - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 38 HOURS YOAKUM COMMUNITY HOSPITAL - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 1 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOURS WALKER COUNTY HOSPITAL - 1 HOUR MICHAEL D. WILLIAMS: BAPTIST HOSPITALS OF SE TEXAS - 1 HOUR CHC COMMUNITY CARE - 1 HOUR CONTINUECARE HOSPITAL OF CARSON TAHOE - 1 HOUR VHASW COMMUNITY HEALTH CORPORATION - 30 HOURS YOAKUM COMMUNITY HOSPITAL - 1 HOUR COMMUNITY HOSPITAL CONSULTING, INC. - 6 HOUR SOUTHWEST COMMUNITY HOSPITAL - 0.01 HOUR WALKER COUNTY HOSPITAL - 1 HOUR STEPHANIE HYDE: CHC COMMUNITY CARE - 37 HOURS SUPPLEMENTAL INFORMATION FORM 990, PART VII, COLUMN A PHIL HURLEY'S TENURE AS CHAIRMAN ENDED ON JUNE 10, 2010. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XI, QUESTION 2C THE AUDIT COMMITTEE OF VHA SOUTHWEST COMMUNITY HEALTH CORPORATION, WHICH IS THE PARENT ORGANIZATION OF CONTINUECARE HOSPITAL OF TYLER, INC. IS RESPONSIBLE FOR OVERSEEING THE EXTERNAL AUDIT OF THE CONSOLIDATED FINANCIALS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>BAPTIST HOSPITALS OF SE TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>POST OFFICE BOX 1591</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77704</ZIPCode>
        </AddressUS>
        <EIN>741303720</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAPTIST PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3080 COLLEGE STREET</AddressLine1>
          <City>BEAUMONT</City>
          <State>TX</State>
          <ZIPCode>77701</ZIPCode>
        </AddressUS>
        <EIN>760453250</EIN>
        <PrimaryActivities>PRIMARY CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ARTESIA GENERAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>702 NORTH 13TH STREET</AddressLine1>
          <City>ARTESIA</City>
          <State>NM</State>
          <ZIPCode>88210</ZIPCode>
        </AddressUS>
        <EIN>742851819</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAIRD MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>020643367</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WALKER COUNTY HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 4001</AddressLine1>
          <City>HUNTSVILLE</City>
          <State>TX</State>
          <ZIPCode>77342</ZIPCode>
        </AddressUS>
        <EIN>203069241</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HMH PHYSICIAN ORGANIZATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3000 INTERSTATE 45</AddressLine1>
          <City>HUNTSVILLE</City>
          <State>TX</State>
          <ZIPCode>77340</ZIPCode>
        </AddressUS>
        <EIN>760500960</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHWEST COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752725353</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>YOAKUM COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1200 CARL RAMERT DRIVE</AddressLine1>
          <City>YOAKUM</City>
          <State>TX</State>
          <ZIPCode>77995</ZIPCode>
        </AddressUS>
        <EIN>742323822</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUECARE HOSPITAL OF SE TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>201150480</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUECARE HOSPITAL OF CARSON TAHOE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>261635881</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHC COMMUNITY CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>371485773</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501( C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VHASW COMMUNITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PKWY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752638469</EIN>
        <PrimaryActivities>SUPPORT ORG.</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11D</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH ASSURANCE SPC LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>CAYMAN ISLANDS GRAND CAYMAN</AddressLine1>
          <Country>CJ</Country>
          <PostalCode>POB 69GT</PostalCode>
        </AddressForeign>
        <PrimaryActivity>CAPTIVE INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHC ACQUISITION CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5801 TENNYSON PARKWAY STE 550</AddressLine1>
          <City>PLANO</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>752750360</EIN>
        <PrimaryActivity>CONSULTING</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Community Hospital Consulting Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5801 Tennyson Parkway Ste 550</AddressLine1>
          <City>Plano</City>
          <State>TX</State>
          <ZIPCode>75024</ZIPCode>
        </AddressUS>
        <EIN>204710183</EIN>
        <PrimaryActivity>Mgmt Consulting</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>