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          <BusinessNameLine1Txt>KITTY SORLIE RN BSN MHA OCN CENP</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JESSE SUTTON MBA</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KATHLEEN WHELAN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SUZY WILLIAMS</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>PATRICIA JACKSON</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>192184</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21176</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ROBIN CARTER</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>BART LOEWEN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CFO (UNTIL 8/7/18)</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124562</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13517</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>638658</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>80474</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEXAS HEALTH ARLINGTON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>612 E Lamar Boulevard</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76011</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>710323</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOMECARE HOMEBASE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT DATABASE SOFTWARE</ServicesDesc>
        <CompensationAmt>363824</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Mexia LTC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>601 Terrace Lane</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76667</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Hospice Inpatient Services</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>No Place Like Home</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4524 Boat CLub Rd 158</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76135</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT SERVICES</ServicesDesc>
        <CompensationAmt>337634</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Wesley Woods</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1700 Woodgate</AddressLine1Txt>
            <CityNm>Waco</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76712</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Nursing Home Services</ServicesDesc>
        <CompensationAmt>311589</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>26</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>817041</AllOtherContributionsAmt>
      <TotalContributionsAmt>817041</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>32737761</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32737761</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Texas Non-Profit Hospice Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>17618</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17618</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>32755379</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>631800</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>631800</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>0</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8347044</SecuritiesAmt>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1151593</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1151593</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <OtherRevenueMiscGrp>
        <Desc>Insurance Refunds</Desc>
        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3515</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Mineral Rights</Desc>
        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>49</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35359377</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32755379</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1786957</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>13102960</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>52348</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1733238</ProgramServicesAmt>
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        <FundraisingAmt>13910</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>231</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>6756</ProgramServicesAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>11050</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>169682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215803</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>2501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>322695</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3962196</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT AND SUPPLIES AND DRUGS</Desc>
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        <ProgramServicesAmt>3516474</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>1082921</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>664860</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>587926</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>29174500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6135033</ManagementAndGeneralAmt>
        <FundraisingAmt>318386</FundraisingAmt>
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        <EOYAmt>1741177</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
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        <EOYAmt>78191</EOYAmt>
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        <EOYAmt>305802</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2340771</EOYAmt>
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        <EOYAmt>29643378</EOYAmt>
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      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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      </InvestmentsProgramRelatedGrp>
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        <EOYAmt>3277314</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>48329099</BOYAmt>
        <EOYAmt>45726120</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2175201</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>49316</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2173367</BOYAmt>
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        <ExplanationTxt>COMPARATIVE DATA, SUCH AS CURRENT SALARY SURVEYS, ARE USED IN DETERMINING THE COMPENSATION OF THE TOP OFFICERS. The salaries of the COO and CFO are determined by the CEO with the guidance of the Executive Board Committee. Both salaries are reviewed annually and were reviewed for 2018. THE CEO USES COMPENSATION SURVEYS FROM WHITNEYSMITH COMPANY IN DETERMINING THE COO AND CFO BASE SALARIES. THE BOARD APPROVES BONUSES AND INCREASES THAT EXCEED 5%. BECAUSE THE CEO IS INVOLVED IN THE DECISION OF DETERMINING COMPENSATION FOR THE OTHER OFFICERS, THIS QUESTION NEEDED TO BE MARKED 'NO' SINCE THE CEO IS NOT INDEPENDENT.</ExplanationTxt>
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        <ExplanationTxt>COMMUNITY HOSPICE OF TEXAS HAS FOUR MEMBERS, EACH WITH A 25% INTEREST: 1) TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH (A MEMBER OF TEXAS HEALTH RESOURCES 2) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH (A MEMBER OF TEXAS HEALTH RESOURCES) 3) PROVIDENCE HEALTHCARE NETWORK (A MEMBER OF ASCENSION HEALTH) 4) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL (A MEMBER OF TEXAS HEALTH RESOURCES)</ExplanationTxt>
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        <ExplanationTxt>THE FOLLOWING ACTIONS REQUIRE THE AFFIRMATIVE VOTE OF A MAJORITY OF THE FOUR MEMBERS: A) THE ADOPTION OF CAPITAL AND OPERATING BUDGETS; AND B) THE INCURRENCE OF ANY UNBUDGETED DEBT</ExplanationTxt>
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        <ExplanationTxt>ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REGULARLY MEETS AND DURING THOSE MEETINGS IS WHEN A DISCLOSURE OF A CONFLICT OF INTEREST IS REQUIRED. If a conflict arises, the board member is recused from the deliberation and decision.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPARATIVE DATA, SUCH AS CURRENT SALARY SURVEYS, ARE USED IN DETERMINING THE COMPENSATION OF THE CEO. THE BOARD APPROVES THE COMPENSATION AND DOCUMENTATION IS CONTAINED IN THE MINUTES OF THE BOARD. THIS PROCESS TOOK PLACE DURING 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>