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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shane Plymell</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Scoggin</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Turley</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>209795</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>112759</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32862</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>Loyalty Module</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Personify Inc</PersonNm>
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          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75373</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PC Connection Sales Corp</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Press Ganey Associates LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1173 Ignition Drive</AddressLine1Txt>
            <CityNm>SOUTH BEND</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46601</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>3173</TotalContributionsAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4178280</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Contract Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1031807</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Conferences and Seminars</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>207162</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>207162</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Sponsorship Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>87538</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20338</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>67200</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>85964</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-10416</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
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      <NetIncomeFromGamingGrp>
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        <RelatedOrExemptFuncIncomeAmt>61997</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>541800</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>6043</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ManagementAndGeneralAmt>650691</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>16497</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>58655</ProgramServicesAmt>
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        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC SUPPORT TEST: THE SUPPORTED ORGANIZATION PREPARES AN ANNUAL PRO FORMA SCHEDULE A, TO CONFIRM THEY MEET THE SECTION 509(A)(2) PUBLIC SUPPORT TEST.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>PURPOSES OF SUPPORT: ALL SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATION IS USED FOR EDUCATIONAL PURPOSES. THE SUPPORTED ORGANIZATION MUST PROVIDE A DETAILED REPORT OF HOW FUNDS WERE USED.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORT PROVIDED: THE FOUNDATION PROVIDES SERVICES TO TEXAS HEALTHCARE TRUSTEES (THT) TO CONDUCT COLLABORATIVE EDUCATIONAL ACTIVITIES FOR A MEMBERSHIP BASE THAT IS SHARED WITH THE SUPPORTED ORGANIZATION, TEXAS HOSPITAL ASSOCIATION. ALL SERVICES PROVIDED ARE REIMBURSED IN FULL BY THT.</ExplanationTxt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>162686</DepreciationAmt>
        <BookValueAmt>98195</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>98195</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Related Organizations</Desc>
        <Amt>146565</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>146565</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>6103919</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-40455</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>18237</OtherRevenueAmt>
      <RevenueNotReportedAmt>-22218</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6126137</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>2411</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2411</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6128548</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5806910</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-2411</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-2411</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5809321</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>-18237</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>-18237</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5791084</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2d</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: OTHER RECONCILING DIFFERENCES $2,411</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: OTHER RECONCILING DIFFERENCES $(2,411)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: OTHER PERIODIC PENSION BENEFIT $(18,237)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ASC 740 FOOTNOTE: ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FOUNDATION'S FINANCIAL STATEMENTS. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IF APPLICABLE. UNDER ASC 740-10, THE FOUNDATION ACCOUNTS FOR UNCERTAINTY OF INCOME TAXES BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD FOR THE RECOGNITION AND DE-RECOGNITION OF TAX POSITIONS, WHICH INCLUDES THE ACCOUNTING FOR INTEREST AND PENALTIES RELATING TO TAX POSITIONS. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FOR SUCH POSITION, IF APPLICABLE, SHOULD BE BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION CURRENTLY DOES NOT HAVE ANY TAX POSITIONS THAT IT WOULD CONSIDER UNCERTAIN AT DECEMBER 31, 2022 AND 2021.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9011 Mountain Ridge Dr Ste 100</AddressLine1Txt>
          <CityNm>Austin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78759</ZIPCd>
        </USAddress>
        <RecipientEIN>200166368</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Support Robb School Victims</PurposeOfGrantTxt>
      </RecipientTable>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: TEXAS HOSPITAL ASSOCIATION FOUNDATION AWARDS GRANTS AT THE DISCRETION OF THE BOARD AND MAINTAINS RECORDS TO SUBSTAINTIATE THE AMOUNT OF THE GRANTS OR ASSISTANCE.</ExplanationTxt>
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      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TotalCompensationFilingOrgAmt>153290</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>229936</TotalCompensationRltdOrgsAmt>
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        <PersonNm>FERNANDO MARTINEZ</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alex Huff</PersonNm>
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        <BonusFilingOrganizationAmount>12886</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Kendrick</PersonNm>
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        <OtherCompensationFilingOrgAmt>150</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7850</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155430</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDED BY ORGANIZATION TO EMPLOYEES: CLUB DUES, COMPANION TRAVEL AND GROSS-UP PAYMENTS ARE PAID TO SOME EMPLOYEES ON OCCASION AND REPORTED AS TAXABLE WAGES TO THE EMPLOYEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>INCENTIVE COMPENSATION: INCENTIVE COMPENSATION IS PAID TO EMPLOYEES IN YEARS WHEN THE CONSOLIDATED GROUP'S ACTUAL NET EARNINGS EXCEED BUDGETED NET EARNINGS. INCENTIVE AMOUNTS ARE NOT DIRECTLY TIED TO THE AMOUNT OF THE BUDGET SURPLUS.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTROL OVER MANAGEMENT DUTIES: ULTIMATE MANAGERIAL AUTHORITY IS HELD BY TEXAS HOSPITAL ASSOCIATION, THE PARENT COMPANY OF THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR REVIEW OF 990: FORM 990 IS PROVIDED TO THE GOVERNING BODY, AUDIT COMMITTEE AND STAFF FOR REVIEW AND APPROVAL BEFORE FILING WITH THE IRS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING OF CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS AN ASSIGNED COMPLIANCE OFFICER WHO REVIEWS ALL CONFLICT OF INTEREST POSSIBILITIES AND REPORTS IT TO THE BOARD. WHEN A CONFLICT ARISES, THE MEMBER WITH THE CONFLICT OF INTEREST IS ABSTAINED FROM VOTING ON MATTERS WITH RESPECT TO WHICH THEY HAVE THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION REVIEW: SALARIES FOR THE CEO AND GOVERNING BOARD MEMBERS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE BASED ON AN INDEPENDENT COMPENSATION SURVEY. THE COMPENSATION REVIEW IS DONE ANNUALLY BY AN INDEPENDENT COMPENSATION CONSULTANT AND REPORTED TO THE TEXAS HOSPITAL ASSOCIATION BOARD IN EXECUTIVE SESSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION (CONT'D): ...COLLABORATION, EDUCATION, INNOVATION, AND RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM W-3: TEXAS HOSPITAL ASSOCIATION FOUNDATION'S PAYROLL REPORTING IS HANDLED THROUGH A MASTER PAYROLL AGREEMENT WITH TEXAS HOSPITAL ASSOCIATION (THA), A RELATED ENTITY. THA IS IN COMPLIANCE WITH ALL REGULATORY EMPLOYMENT REPORTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER OFFICERS &amp; KEY EMPLOYEES COMPENSATION REVIEW: SALARIES FOR OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1108 LAVACA STREET STE 700</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78701</ZIPCd>
        </USAddress>
        <EIN>741362741</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THA MANAGEMENT CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1108 LAVACA ST STE 700</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78701</ZIPCd>
        </USAddress>
        <EIN>742611400</EIN>
        <PrimaryActivitiesTxt>MGMT OF THA SUBS</PrimaryActivitiesTxt>
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          <ZIPCd>78701</ZIPCd>
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        <PrimaryActivitiesTxt>ENDORSE PRODUCTS</PrimaryActivitiesTxt>
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      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>326499</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>170000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
