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      <Description>Texas Health Arlington Memorial Hospital (THAM) is a 413 bed community hospital providing health care for residents in Arlington &amp; its surrounding communities in North Texas. Since opening its doors in 1958, THAM has contributed to the medical and health education needs of area residents. The hopsital provides health care services such as cardiology, rehabilitation, oncology and urology services. THAM also offers services through its Women's &amp; Children's Center, Health Services Center and Same-Day Surgery Center. ************************************************************************** During the year, THAM had 81,563 patient days, 15,881 discharges, 89,071 outpatient encounters, 59,598 emergency room visits and 2,165 births. ************************************************************************** THAM provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. ************************************************************************** Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. Some of these programs include: * Various health screenings were offered to the community free of charge or for a nominal charge through programs such as Fiesta Health, where adults and children were provided the screenings along with educational materials for overall health with a focus on diabetes awareness, healthy food choices and good health practices. * THAM participated in community education regarding good hand hygiene to promote awareness of proper hand washing in an effort to slow the spread of infection and disease.</Description>
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      <NumberIndividualsGT100K>76</NumberIndividualsGT100K>
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      <FeesForServicesLegal>
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      <Occupancy>
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      <Travel>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <Explanation>Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.</Explanation>
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        <MethodOfValuation>C</MethodOfValuation>
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        <Description>Community Hospice</Description>
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        <BookValue>93368164</BookValue>
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      </CoalitionBuilding>
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        <NetCommunityBuildingExpense>121</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>3827</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
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      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
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          <BusinessNameLine1>Texas Health Arlington Memorial</BusinessNameLine1>
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        <Address>
          <AddressLine1>800 W Randol Mill Rd</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76012</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
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        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>AMH Cath Labs LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>811 Wright St</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76012</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cross-Timbers Surgery Ctr</BusinessNameLine1>
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          <Address>
            <AddressLine1>1001 Waldrop Dr Ste 705</AddressLine1>
            <City>Arlington</City>
            <State>TX</State>
            <ZIPCode>76012</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Center</FacilityType>
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        <Identifier>1</Identifier>
        <ReturnReference>Part 1, line 3c</ReturnReference>
        <Explanation>Part 1, line 3c: can be readily converted to cash.</Explanation>
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        <Identifier>2</Identifier>
        <ReturnReference>Part 1, line7</ReturnReference>
        <Explanation>Part 1, line7: line 7, column (e).</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>3</Identifier>
        <ReturnReference>Part II</ReturnReference>
        <Explanation>Part II:</Explanation>
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        <Identifier>4</Identifier>
        <ReturnReference>Part III, line 4</ReturnReference>
        <Explanation>Part III, line 4:</Explanation>
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        <Identifier>5</Identifier>
        <ReturnReference>Part III, line 8</ReturnReference>
        <Explanation>Part III, line 8:</Explanation>
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        <Identifier>6</Identifier>
        <ReturnReference>Part III, line 9b</ReturnReference>
        <Explanation>Part III, line 9b:</Explanation>
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        <Identifier>7</Identifier>
        <ReturnReference>Part VI, line 2</ReturnReference>
        <Explanation>Part VI, line 2:</Explanation>
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        <Identifier>8</Identifier>
        <ReturnReference>Part VI, line 3</ReturnReference>
        <Explanation>Part VI, line 3:</Explanation>
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        <Identifier>9</Identifier>
        <ReturnReference>Part VI, line 4</ReturnReference>
        <Explanation>Part VI, line 4:</Explanation>
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        <Identifier>10</Identifier>
        <ReturnReference>Part VI, line 5</ReturnReference>
        <Explanation>Part VI, line 5:</Explanation>
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        <ReturnReference>Part VI, line 6</ReturnReference>
        <Explanation>Part VI, line 6:</Explanation>
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        <Identifier>12</Identifier>
        <ReturnReference>Part VI, line 7</ReturnReference>
        <Explanation>Part VI, line 7:</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>13</Identifier>
        <ReturnReference>Part VI, line 6</ReturnReference>
        <Explanation>Part VI, line 6: is in close proximity to AMH Cath Labs, LLC.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="5">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Arlington Chamber of Commerce Fndn</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>505 E Border St</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76010</ZIPCode>
        </AddressUS>
        <EINOfRecipient>750745859</EINOfRecipient>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Education</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>24</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Explanation>The organization receives various requests from the community for assistance. Management reviews these requests to verify they are benefiting the community and they in agreement with the organization's mission. The grants or assistance given are generally to local organizations who have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by the organization is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where the organization's employees attend, or work as volunteers or coordinators.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="10">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <DiscretionarySpendingAccount>X</DiscretionarySpendingAccount>
      <PersonalServices>X</PersonalServices>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Kirk King</NamePerson>
        <BaseCompensationFilingOrg>344341</BaseCompensationFilingOrg>
        <BonusFilingOrg>148594</BonusFilingOrg>
        <OtherCompensationFilingOrg>78614</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Sandra L Harris</NamePerson>
        <BaseCompensationFilingOrg>65911</BaseCompensationFilingOrg>
        <BonusFilingOrg>103281</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Bradford Davis</NamePerson>
        <BaseCompensationFilingOrg>217753</BaseCompensationFilingOrg>
        <BonusFilingOrg>73023</BonusFilingOrg>
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        <TotalCompensationFilingOrg>348301</TotalCompensationFilingOrg>
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        <NamePerson>Donna Lee Bertram</NamePerson>
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        <NamePerson>Larry W Olive</NamePerson>
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        <TotalCompensationFilingOrg>273778</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Stephanie Miland</NamePerson>
        <BaseCompensationFilingOrg>167490</BaseCompensationFilingOrg>
        <BonusFilingOrg>48738</BonusFilingOrg>
        <OtherCompensationFilingOrg>28687</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>13792</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>272564</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Barclay E Berdan</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charles W Boes</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth Kramer</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Mitchell</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kathleen Gilman</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Timothy Mann</NamePerson>
        <BaseCompensationFilingOrg>43823</BaseCompensationFilingOrg>
        <BonusFilingOrg>3273</BonusFilingOrg>
        <OtherCompensationFilingOrg>139260</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>1316</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>194670</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sabatino Bianco MD</NamePerson>
        <BaseCompensationFilingOrg>162450</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>25</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3740</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>166215</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rex Schimpf</NamePerson>
        <BaseCompensationFilingOrg>138079</BaseCompensationFilingOrg>
        <BonusFilingOrg>4375</BonusFilingOrg>
        <OtherCompensationFilingOrg>1525</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8660</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18186</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>170825</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Explanation>Sch J, Part I, Line 1 Gross-up payments Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee. . Discretionary Spending Account Each executive at the vice president level and above receive a perk allowance which is included in the taxable compensation of the employee. . Personal Services - Financial Planning Officers can use their discretionary spending account to pay for financial planning services. The organization does not directly pay for any officer's personal services. . . Sch J, Part I, Question 3 The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization, with centralized compensation professionals to use the following methods to establish compensation of the organization's President. - THR has a compensation committee comprised of external Board members that review compensation philosophy and design. - THR Board hired independent compensation consultants - THR &amp; the independent compensation consultants utilize published third-party compensation surveys . An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: - Review and confirmation of the executive compensation philosophy, - Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. - Market review of benefits and perquisites, - Interview of selected officers and members of the Governance Committee of the THR Board of Trustees, and - Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. . The independent compensation consultant meets directly with the executive compensation &amp; benefits sub-committee which is made up of five independent Board members and the governance committee to report the results of the total compensation study. . At the beginning of each year, the executive compensation &amp; benefits sub-committee reviews; the governance committee reviews and recommends for approval by the Board; and the Board approves the following: - Market analysis recommendation based on the results of the outside consultant's review - Officer market/equity base salary adjustments - Prior year executive annual incentive awards - Current year executive annual incentive plan targets, key performance indicators and potential payout amounts . . Sch J, Part I, Question 4a The severance payment was paid out of the Separation Pay Plan of Texas Health Resources (THR), a related 501(c)(3) organization. THR's Separation Pay Plan provides payments to to employees whose positions were eliminated by the organization based on the employee's years of service and the level of the affected position. - Sandra Harris $472,634 - Timothy Mann $125,927 . Sch J, Part I, Question 4b Participation in the plan is made available to a select group of management and highly compensated employees, as determined by the THR Board of Trustees, who are providing services to an employer in key positions of management and responsibility. - Benefits are calculated for eligible employees when base pay and incentives exceed the IRS qualified plan compensation limit. - SERP benefits vest while the participant is employed if the participant: reaches age 68, becomes disabled, dies, or reaches the following years of service: 2 years - 25%; 3 years - 50%; 4 years - 75%; and 5 or more - 100%. - For Frozen Restoration Accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefit upon the earliest of: *Remaining employed by THR to age 68; *Termination of employment for disability or death; *Involuntary termination of employment without reasonable cause; or *Satisfying a 24 month non-compete period following his or her termination of employment. Payment is made following the before mentioned events, except in the case of involuntary separations for which the participant must wait until after 24 months to receive the previously taxed benefit. - For the Active Restoration Accounts (account balances after 12/31/2009) participants must be employed on Dec 1 to qualify for the current year's SERP amount unless separation is due to death, disability, retirement (age 65) or early retirement (age 60 or above with 15 or more years of service). SERP amounts are calculated each Dec 1; vested balances are taxed; and the net balances can begin accruing earnings. Vested balances are paid in cash lump sums within the 90-day period commencing upon the earlier of death, disability, or separation from service. - THR owns any investments purchased in connection with its obligations under the SERP Plan. If THR becomes insolvent, executives are unsecured creditors and will have no preferred claim to any assets. - Contributions to the following employees were made during the year. The amounts below are included in the amount reported in Sch J, Part II, Column B(iii) and Column (F). Sandra Harris - $1,402</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="6">
      <LoanTable>
        <NameBusiness>
          <BusinessNameLine1>Joan Bergstrom MD PA</BusinessNameLine1>
        </NameBusiness>
        <PurposeOfLoan>Physician Recruiting</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>160253</OriginalPrincipalAmount>
        <BalanceDue>160253</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>160253</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="7">
      <GeneralExplanation>
        <Explanation>Part VI, Section B, Line 11b: A full copy of the Form 990 is provided to members of the governing board before filing. In addition, the Audit &amp; Compliance Committee of the Texas Health Resources (THR) Board of Trustees is given the opportunity to review, comment, and ask questions regarding the Form 990s filed for THR and each of its wholly controlled affiliates. Part VI, Section B, Line 12c: Texas Health Resources (THR) has adopted a Conflict of Interest policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict Statement Form is distributed by the THR Chief Compliance Officer to all persons who are covered by this policy. All disclosed conflicts are reviewed by the THR Chief Compliance Officer, THR General Counsel and the THR Audit &amp; Compliance Committee. A report listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing Body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Part VI, Section B, Line 15 a&amp; b An independent third party compensation consultant is hired by the Texas Health Resources (THR) Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: - Review and confirmation of the executive compensation philosophy, - Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. - Market review of benefits and perquisites, - Survey of officers and members of the Governace Committee of the THR Board of Trustees, and - Review of financial reports, job descriptions, organizational charts, current salaries, salary range midpoints, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent compensation consultant meets directly with the executive compensation &amp; benefits sub-committee which is made up of five independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the executive compensation &amp; benefits sub-committee reviews; the governance committee reviews and recommends for approval by the Board; and the Board approves the following: - Market analysis recommendation based on the results of the outside consultant's review - Officer Market/equity base salary adjustments - Prior year executive annual incentive awards - Current year executive annual incentive plan targets, key performance indicators, and potential payout amounts Part VI, Section C, Line 19: The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. Part VII, Section A, Officers Related Entity Hours: The following persons devoted the indicated estimated average hours per week to related organizations: Bohn D. Allen, MD - 3 hours Philip Johnson - 3 hours Barclay Berdan - 40 hours Charles Boes - 40 hours John Mitchell - 40 hours Kenneth Kramer - 40 hours Kathleen Gilman - 40 hours Part XI, Line 2c: Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight.</Explanation>
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          <AddressLine1>8440 Walnut Hill Lane Ste 830</AddressLine1>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Presbyterian Healthcare Resources</BusinessNameLine1>
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          <AddressLine1>612 E Lamar Blvd Ste 1400</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
          <ZIPCode>76011</ZIPCode>
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        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Health Arlington Memorial Hospital</BusinessNameLine1>
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          <AddressLine1>800 Randol Mill Rd</AddressLine1>
          <City>Arlington</City>
          <State>TX</State>
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          <BusinessNameLine1>Texas Health Resources</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Texas Health Harris Methodist Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6100 Western Place Ste 1001</AddressLine1>
          <City>Fort Worth</City>
          <State>TX</State>
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        <PrimaryActivities>Supporting Organization</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Harris Methodist Health System</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Texas Health Harris Methodist Hospital Azle</BusinessNameLine1>
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          <AddressLine1>108 Denver Trail</AddressLine1>
          <City>Azle</City>
          <State>TX</State>
          <ZIPCode>76020</ZIPCode>
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        <EIN>751748586</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Texas Health Resources</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Texas Health Harris Methodist Hospital Cleburne</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>201 Walls Dr</AddressLine1>
          <City>Cleburne</City>
          <State>TX</State>
          <ZIPCode>76033</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Health Harris Methodist Hospital Fort Worth</BusinessNameLine1>
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          <City>Fort Worth</City>
          <State>TX</State>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
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          <BusinessNameLine1>Texas Health Resources</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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          <State>VT</State>
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      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
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      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
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      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>See Sch R Part VII</BusinessNameLine1>
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</Return>