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      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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      <SupportedOrgInformationGrp>
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        <ExplanationTxt>The organization documents specifically identify Texas Health Presbyterian Hospital Dallas and the UT Southwestern Medical Center facilities, William P. Clements, Jr. University Hospital and Zale Lipshy University Hospital as supported organizations. (Note Zale Lipshy University Hospital merged into William P. Clements Jr. University Hospital on 9/1/2019.) It also supports the following other organizations as a class: 1 - other tax-exempt hospitals associated with Texas Health Resources and 2 - one or more tax-exempt physician groups that are wholly controlled by either member.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>The UT Southwestern Medical Center, including the two University Hospitals, William P Clements University Hospital and Zale Lipshy University Hospital (who merged on 9/1/2019), are component parts of the University of Texas System and are not required to obtain determination of status from the IRS as a governmental entity.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part I, Line g, Columns v and vi</FormAndLineReferenceDesc>
        <ExplanationTxt>The support provided to the supported organizations takes the form of oversight and other services not directly performed for or charged to the supported organization. No dollar amount has been assigned to the value of these functions.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section C - Board Control</FormAndLineReferenceDesc>
        <ExplanationTxt>The members, Texas Health Resources and UT Southwestern Medical Center, each have the right to designate and maintain at all times, one-half of the board of trustees of the supporting organization, thus satisfying the "Controlled in conjunction with" requirement.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
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      <GrassrootsNontaxableGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>true</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>true</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>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 on a personal level, and not as a representative of the organization. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>Co-Chairman/President</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Michael Serber</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shawn Douglas Parsley DO</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>62402</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>151495</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>W P Andrew Lee MD</PersonNm>
        <TitleTxt>Trustee Term 12/2023</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>878314</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>720</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>16176</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>22510</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Springhetti</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>79910</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>355077</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3749</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7286</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>446022</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Holly Crawford</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>758026</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>234670</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>720</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>28050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16176</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1037642</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Harvey Birch</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>260504</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14960</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>31602</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>43324</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>362190</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>8960</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Madden MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>619235</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>205975</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>720</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>28050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8247</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>862227</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Randall Smith</PersonNm>
        <TitleTxt>Asst Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>303151</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40152</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>36675</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14811</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28731</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>423520</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>16843</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a - THR Severance Settlement</FormAndLineReferenceDesc>
        <ExplanationTxt>The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. David Springhetti 350,000 James Beiermann 600,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b - THR Nonqualified Retirement Plan</FormAndLineReferenceDesc>
        <ExplanationTxt>UTSW employees do not participate in a supplemental non-qualified retirement plan. THR does have a supplemental non-qualified retirement plan available. Participation in the THR plans is made available to a select group of management and highly compensated employees who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until 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/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2, 3 or 4 years. Payouts are made over 2, 3, or 4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval must be obtained and a non-compete must be satisfied prior to the end of year payout. Retention: A retention agreement may be offered to an executive in a key position or based on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). James Beiermann 135,122 Shawn Parsley 151,495 Wendy Carver 1,432 Randall Smith 15,025 David Springhetti 11,864 Harvey Birch 8,960</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1 - Organizations Mission</FormAndLineReferenceDesc>
        <ExplanationTxt>To further the missions of UTSW and THR on a local, regional and national level through the creation of a clinically integrated network of physicians, hospitals and other care providers to deliver healthcare across the continuum and by providing support to UTSW and THR and other tax-exempt hospitals associated with its members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2 - Business Relationships</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS HEALTH RESOURCES (THR) AND UT SOUTHWESTERN MEDICAL CENTER (UTSW) ENCOURAGE EMPLOYEES TO BECOME INVOLVED IN PHILANTHROPIC ENDEAVORS IN THEIR COMMUNITIES. AS A RESULT, THR AND UTSW EMPLOYEES WHO ARE SERVING AS OFFICERS, BOARD MEMBERS, OR KEY EMPLOYEES MAY, FROM TIME TO TIME, ALSO SERVE ON THE BOARDS OF VARIOUS COMMUNITY ORGANIZATIONS SUCH AS CHURCH BOARDS, UNITED WAY, ETC. THERE MAY BE A BUSINESS RELATIONSHIP AS A RESULT OF MULTIPLE THR AND UTSW EMPLOYEES SERVING ON THE SAME COMMUNITY BOARDS. THR AND UTSW EMPLOYEES SERVE AS THE CORPORATE OFFICERS OF EACH SUBSIDIARY ORGANIZATION. AS THR AND UTSW EMPLOYEES, ALL OFFICERS HAVE A BUSINESS RELATIONSHIP WITHIN THE ORGANIZATIONS OF THE THR AND UTSW SYSTEMS. THR ALSO APPOINTS SYSTEM OFFICERS TO THE BOARDS OF VARIOUS CONTROLLED JOINT VENTURES. AS THR SYSTEM EMPLOYEES, VARIOUS OFFICERS OF THE ORGANIZATION MAY HAVE A BUSINESS RELATIONSHIP THROUGH SERVING ON THR CONTROLLED JOINT VENTURE BOARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6 - Members</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwestern Health Resources (SWHR) has two member organizations, Texas Health Resources (THR) and UT Southwestern Medical Center, classified as a 501(c)(3) public charity and a governmental entity as a component part of the University of Texas System respectively; each of these members supports other 501(c)(3) organizations or governmental hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a - Appointment Authority</FormAndLineReferenceDesc>
        <ExplanationTxt>The members have the sole authority to appoint officers and trustees. Texas Health Resources has authority to appoint 50% of the officers and trustees and UT Southwestern Medical Center has authority to appoint 50% of the officers and trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b - Member Reserved Rights</FormAndLineReferenceDesc>
        <ExplanationTxt>The members have reserved the following rights: * any fundamental change to the purposes of the corporation, * any amendment, restatement or repeal of the Certificate of Formation or the Bylaws, * any merger, consolidation, dissolution, sale or other transfer, * any admission of additional members to the Corporation or * any other matters specified as reserved, specifically decisions regarding any matter that would impact the exempt nature of the members or any other restrictions impacting the members fundamental character. UT Southwestern Medical Center (UTSW) Reserved Matters: * any activities of the Corporation that are determined by UTSW in good faith, to be inconsistent with the requirements that UTSW's participation as a member of the Corporation serves a public purpose; * any activities of the Corporation that are determined by UTSW, in good faith, to be inconsistent with the compliance requirements under Article III, Sections 49, 50 and 51 of the Texas Constitution; * any activities of the Corporation that are determined by UTSW, in good faith, to jeopardize the protections afforded to UTSW and UTSW's employees as a state agency and employees of a state agency, (i) all of UTSW's rights and protections of sovereign immunity, (ii) all the rights and protections of UTSW and UTSW's employees under Chapters 101, 104 and 108 of the Texas Civil Practices &amp; Remedies Code, and (iii) all the rights and protections of UTSW and UTSW's employees under the Eleventh Amendment, qualified immunity, and United States v. Stevens, 559 U.S. 460 (2010). * any activities of the Corporation that are determined by UTSW, in good faith, to be inconsistent with the requirements of covenants associated with any outstanding UTSW indebtedness. Texas Health Resources (THR) Reserved Matters: *any activities of the Corporation that are determined by THR, in good faith, to be inconsistent with the compliance requirements of THR's mission or tax-exempt status; and * any activities of the Corporation that are determined by THR, in good faith, to be inconsistent with the compliance requirements of covenants associated with any outstanding THR indebtedness.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b - Form 990 Review</FormAndLineReferenceDesc>
        <ExplanationTxt>The Texas Health Resources (THR) tax department staff prepares the Form 990 for Southwestern Health Resources. In order to accurately prepare the return, the tax staff works closely with various other departments of Southwestern Health Resources and both THR and UT Southwestern Medical Center (UTSW) to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to two financial representatives, one from THR and one from UTSW. The Form 990 will be provided to two board members (one representing THR and one representing UTSW) before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C - Conflict of Interest</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwestern Health Resources (SWHR) has adopted a conflict of interest policy. During the first quarter of each fiscal year a duality and conflict statement form is distributed to all of the officers and trustees. All disclosed conflicts are reviewed and reported to the governing body. Progressive corrective action is taken for any identified non-compliance which may include removal from a board or committee or counseling if the person fails to provide the disclosure. Management plans are executed as needed based upon disclosures. SWHR also educates the board annually through either a web based or live compliance training.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19 - Public Disclosure</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not make its governing documents or conflict of interest policy available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI, Section B Lines 15 a &amp; b - Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not pay compensation to officers or board members. All compensation is paid by either Texas Health Resources (THR), UT Southwestern Medical Center (UTSW) or through Southwestern Health Resources Clinically Integrated Network, a management structure owned jointly by THR and UTSW. The organization relies on Texas Health Resources and UT Southwestern Medical Center with centralized compensation professionals to review and establish the compensation of the Organization's officers.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>UT Southwestern Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5323 Harry Hines Blvd</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75390</ZIPCd>
        </USAddress>
        <EIN>756002868</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TH Presbyterian Hospital Dallas</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8200 Walnut Hill Lane</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <EIN>751047527</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Physicians Group</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9229 LBJ Freeway</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75243</ZIPCd>
        </USAddress>
        <EIN>752613493</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SW Health Resources Hospital JOC</BusinessNameLine1Txt>
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          <AddressLine1Txt>5323 Harry Hines Blvd</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75390</ZIPCd>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Texas Health Hospital Frisco</BusinessNameLine1Txt>
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          <AddressLine1Txt>12400 Dallas Parkway</AddressLine1Txt>
          <CityNm>Frisco</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75033</ZIPCd>
        </USAddress>
        <EIN>831954982</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TH Resources</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UT Southwestern Accountable Care Network</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>5323 Harry Hines Blvd</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75390</ZIPCd>
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        <EIN>462866906</EIN>
        <PrimaryActivitiesTxt>Medical Servi</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SWHR Physician Network</BusinessNameLine1Txt>
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          <AddressLine1Txt>5323 Harry Hines Blvd</AddressLine1Txt>
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          <ZIPCd>75390</ZIPCd>
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          <BusinessNameLine1Txt>SWHR Clinically Integrated Network</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>612 E Lamar Blvd Ste 600</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76011</ZIPCd>
        </USAddress>
        <EIN>832453315</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>North Texas Primary Care Associates</BusinessNameLine1Txt>
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          <AddressLine1Txt>1701 River Run</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76107</ZIPCd>
        </USAddress>
        <EIN>460535746</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Care N Care Insurance Company Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1701 River Run Rd</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76107</ZIPCd>
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        <EIN>262608628</EIN>
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          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>See explanation in Part VII</BusinessNameLine1Txt>
        </OtherOrganizationName>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 2 - Related Transactions</FormAndLineReferenceDesc>
        <ExplanationTxt>Southwestern Health Resources (SWHR) and its member organizations, Texas Health Resources (THR) and UT Southwestern Medical Center (UTSW) are part of a healthcare system which involves parent/subsidiary relationships, brother sister relationships and support organization relationships involving exempt entities, joint ventures and taxable corporations. As an integral part of providing management services to the affiliates, SWHR as well as THR and UTSW maintain intercompany receivable/payable accounts for their related entities. The range of management services provided by these entities include workforce support, payor relations, contracting, strategic marketing, analytics, financial, governance and tax compliance services. As a result, SWHR as well as THR and UTSW have numerous daily transactions with related tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>