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      <Desc>***MEMBERSHIP BENEFITS**NEWSLETTERS*A weekly newsletter, the Update, provides information on what is happening in hospice around the nation, as well as provides information specific to Texas and New Mexico. The weekly REGULATORY UPDATE keep members up to date on the changing hospice environment, provides information gleaned from the Federal, Texas and New Mexico Registers as well as information and analysis developed from meetings and other sources. During each states legislative session, members are also provided with a weekly LEGISLATIVE UPDATE.**PUBLIC POLICY AND ADVOCACY*TNMHO represents members at both the national and state levels before legislative bodies as well as before federal and state regulatory agencies. TNMHO represents both states on the National Hospice &amp; Palliative Care Organizations Council of States; serves on its Public Policy Committee; and represents both states at the quarterly meetings with Palmetto Government Benefit Administrators (PGBA). TNMHO partners with Texas Academy of Palliative Medicine (TAPM) and through them American Academy of Hospice and Palliative Medicine (AAHPM), Texas Hospital Association (THA), National Hospice and Palliative Care Organization (NHPCO), Texas Pain Society, Project Hope, State Hospice Organization Executive Roundtable (SHOER), and many other groups.**EDUCATION*TNMHO offered face-to-face classes and provided online courses.**ANNUAL CONFERENCE*TNMHO hosts an annual conference each spring with an average attendance of more than 450 hospice professionals. This three-day conference offers multidisciplinary education for your hospice professionals and volunteers. During this meeting, general sessions with nationally recognized experts in hospice and palliative care are provided over 50 breakout sessions that are tailored to the individual and professional needs of the participants. Continuing education credits are provided for administrators, physicians, nurses, social workers, chaplains, bereavement professionals and other disciplines as well. The annual meeting is an opportunity to interact with other hospice professionals in peer group sessions.**SPECIAL TOPIC CONFERENCES*TNMHO offers member staff a unique opportunity to learn and network with their colleagues in Special Topic Conferences. These conferences are designed to last one to two days and are built around a specific topic or peer group. **ONLINE EDUCATION*Members have access to over 88 hours of online training programs that are available 24 hours a day.</Desc>
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        <TotalRevenueColumnAmt>295</TotalRevenueColumnAmt>
        <ExclusionAmt>295</ExclusionAmt>
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      <OtherRevenueTotalAmt>295</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>589347</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>563545</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>25802</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>125711</TotalAmt>
        <ProgramServicesAmt>62856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62855</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>89096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89097</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>11689</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>20167</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>1500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4500</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>2694</TotalAmt>
        <ManagementAndGeneralAmt>2694</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Bank &amp; PayPal fees</Desc>
        <TotalAmt>11525</TotalAmt>
        <ManagementAndGeneralAmt>11525</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Education expenses</Desc>
        <TotalAmt>11215</TotalAmt>
        <ProgramServicesAmt>11215</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BOD &amp; Committees</Desc>
        <TotalAmt>7105</TotalAmt>
        <ManagementAndGeneralAmt>7105</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>5972</TotalAmt>
        <ProgramServicesAmt>1493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4479</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>10472</TotalAmt>
        <ProgramServicesAmt>4510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5962</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>557583</TotalAmt>
        <ProgramServicesAmt>292731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264852</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>164513</BOYAmt>
        <EOYAmt>192585</EOYAmt>
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        <EOYAmt>13084</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>36799</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16799</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>26000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1114262</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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      <IntangibleAssetsGrp>
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        <EOYAmt>120</EOYAmt>
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        <EOYAmt>90075</EOYAmt>
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        <BOYAmt>117160</BOYAmt>
        <EOYAmt>117696</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>990601</BOYAmt>
        <EOYAmt>1222355</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>990601</BOYAmt>
        <EOYAmt>1222355</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1107761</BOYAmt>
        <EOYAmt>1340051</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>31764</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>199990</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
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      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>450</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20736</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>21305</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>434542</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>459360</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>557527</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>563545</CurrentTaxYearAmt>
        <TotalAmt>2496048</TotalAmt>
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      <GrossReceiptsNonUnrltBusGrp>
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      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>481124</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>434992</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>557596</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <NetIncomeFromOtherUBIGrp>
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        <CurrentTaxYearMinus3YearsAmt>14722</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>714</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>490</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>295</CurrentTaxYearAmt>
        <TotalAmt>20324</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>474349</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>522339</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>594222</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportCY509Pct>0.87150</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.86780</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.06640</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.06730</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6022</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6022</DepreciationAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>30777</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10777</DepreciationAmt>
        <BookValueAmt>20000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>20000</TotalBookValueLandBuildingsAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>Membership levels:* Licensed Provider membership* Patron membership* Individual membership (on a case-by-case basis)* Developing Provider membership</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>A Licensed Provider Member is a voting member of the Organization and its employees may be elected to office and serve on committees. Each Licensed Provider Member has one vote.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The membership must approve Bylaw amendments and formally approve the adopted budget at the Annual Business Meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>A draft of Form 990 is distributed to the entire Board electronically. The entire Board has an opportunity to comment on the return before it is finalized and filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's independent Board draws upon other board experience, business experience, discussions with other organizations, and any other sources considered necessary to determine compensation for the Executive Director and any other officers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain other documents available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>