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        <PersonNm>ERNIE W SADAU</PersonNm>
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        <PersonNm>ROBERT L WALKER</PersonNm>
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        <PersonNm>RONALD WENSEL</PersonNm>
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        <PersonNm>CHRISTOPHER DUROVICH</PersonNm>
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        <PersonNm>KENNETH MITCHELL</PersonNm>
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        <PersonNm>STEPHEN SIBBITT</PersonNm>
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        <PersonNm>COLE EDMONSON</PersonNm>
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        <PersonNm>GLENN A ROBINSON</PersonNm>
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        <PersonNm>EROL AKDAMAR</PersonNm>
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        <PersonNm>CHARLES STOKES</PersonNm>
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        <PersonNm>BRAD HOLLAND</PersonNm>
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        <PersonNm>IGNACIO ZAMARRON</PersonNm>
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        <PersonNm>FERNANDO MARTINEZ</PersonNm>
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        <PersonNm>JOHN HAWKINS</PersonNm>
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        <PersonNm>JULIE CHICOINE</PersonNm>
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        <PersonNm>JOHN CHECKLEY</PersonNm>
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        <PersonNm>MITZI RESSMANN</PersonNm>
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        <PersonNm>JENNIFER BANDA</PersonNm>
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        <PersonNm>RICHARD SCHIRMER</PersonNm>
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      <PayrollTaxesGrp>
        <TotalAmt>354961</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>127995</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>51600</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4092380</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>22161</TotalAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>1391245</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>233533</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>257849</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>326626</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>43383</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
        <TotalAmt>10900</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>DUES, FEES AND SUBSCRIP</Desc>
        <TotalAmt>448206</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>249861</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>132699</TotalAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>280159</TotalAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>14908141</TotalAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>663615</BOYAmt>
        <EOYAmt>246358</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1569101</BOYAmt>
        <EOYAmt>1715082</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>625831</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>267198</BOYAmt>
        <EOYAmt>327422</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4928163</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3050919</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2184559</BOYAmt>
        <EOYAmt>1877244</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>9725469</BOYAmt>
        <EOYAmt>7320519</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>12652959</BOYAmt>
        <EOYAmt>16504138</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>185223</BOYAmt>
        <EOYAmt>1113580</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>28364621</BOYAmt>
        <EOYAmt>29730174</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1093750</BOYAmt>
        <EOYAmt>1434824</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>562995</BOYAmt>
        <EOYAmt>522983</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2013405</BOYAmt>
        <EOYAmt>808441</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3670150</BOYAmt>
        <EOYAmt>2766248</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>24590836</BOYAmt>
        <EOYAmt>26817811</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>103635</BOYAmt>
        <EOYAmt>146115</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24694471</BOYAmt>
        <EOYAmt>26963926</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28364621</BOYAmt>
        <EOYAmt>29730174</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-279953</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>791940</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1757468</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>8991674</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>1058175</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>1058175</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>1531282</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-473107</TaxableAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>1225632</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>300611</DepreciationAmt>
        <BookValueAmt>925021</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>35000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>35000</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3667531</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2715308</DepreciationAmt>
        <BookValueAmt>952223</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1877244</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN THA MANAGEMENT CORPORATION</Desc>
        <BookValueAmt>2714803</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN PARTNERSHIP</Desc>
        <BookValueAmt>4789786</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>VANGUARD INVESTMENT - VTSAX</Desc>
        <BookValueAmt>3352373</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>VANGUARD INVESTMENT - VTSNX</Desc>
        <BookValueAmt>3367542</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>VANGUARD INVESTMENT - VBTIX</Desc>
        <BookValueAmt>2279634</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>16504138</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACTUAL OBLIGATIONS</Desc>
        <Amt>564165</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>244276</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>808441</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15873953</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>791940</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>178406</OtherRevenueAmt>
      <RevenueNotReportedAmt>970346</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14903607</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-275419</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-275419</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14628188</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15183560</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>275419</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>275419</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14908141</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14908141</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE ASSOCIATION EVALUATES UNCERTAIN TAX POSITIONS, IF ANY EXIST, UNDER THIS TOPIC. THE ASSOCIATION 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. MANAGEMENT CURRENTLY DOES NOT HAVE ANY TAX POSITIONS THAT IT WOULD CONSIDER UNCERTAIN AT AUGUST 31, 2017 AND 2016.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 275,419.</ExplanationTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 WESTON PARKWAY</AddressLine1Txt>
          <CityNm>CARY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27513</ZIPCd>
        </USAddress>
        <RecipientEIN>560641290</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <PurposeOfGrantTxt>TO FURTHER HEALTHCARE EDUCATION AND ADVOCACY</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COALITION TO PROTECT AMERICA'S HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <AddressLine2Txt>STE 400</AddressLine2Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>522253225</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TO FURTHER HEALTHCARE EDUCATION AND ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FUND FOR POLITICAL EDUCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 10TH STREET NW TWO CITY CNTR</AddressLine1Txt>
          <AddressLine2Txt>STE 400</AddressLine2Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>360726140</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>17000</CashGrantAmt>
        <PurposeOfGrantTxt>TO FURTHER HEALTHCARE EDUCATION AND ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT FUNDS ARE DESIGNATED TO SUPPORT ONGOING HEALTH EDUCATION AND ADVOCACY INITIATIVES AT GRANTEE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
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        <BonusFilingOrganizationAmount>188366</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23891</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>109658</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>982036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>9000</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>22365</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>2129</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185620</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>35898</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN HAWKINS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29793</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>9000</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>23953</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>11326</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>314641</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>RICHARD SCHIRMER</PersonNm>
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        <PersonNm>ELIZABETH SJOBERG</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA DUNLAP</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>CLUB DUES, COMPANION TRAVEL AND GROSS-UP PAYMENTS WERE PAID FOR SOME EMPLOYEES AND REPORTED AS TAXABLE WAGES TO THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>A SERP WAS ESTABLISHED FOR TED SHAW, CEO EFFECTIVE JANUARY 1, 2016. A TOTAL OF $146,000 WAS FUNDED DURING YEAR-END 8/31/17. DURING YEAR-END 8/31/17, OFFICER JOHN CHECKLEY RECEIVED A SEVERANCE PAYMENT OF $109,078, OF WHICH 50% WAS PAID BY THA AND 50% WAS PAID BY A RELATED ORGANIZATION.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS WHO PAY MEMBERSHIP FEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD-APPOINTED NOMINATING COMMITTEE AND THE BOARD APPROVES EACH OF ITS MEMBERS. ONLY THE ELECTION OF THE OFFICERS OF THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES TO THE BYLAWS MUST BE APPROVED BY THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PROVIDED TO THE GOVERNING BODY, AUDIT COMMITTEE AND STAFF FOR REVIEW AND APPROVAL BEFORE BEING FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THA HAS AN ASSIGNED COMPLIANCE OFFICER WHO REVIEWS ALL CONFLICT OF INTEREST POSSIBILITIES AND REPORTS IT TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE CEO, GOVERNING BOARD MEMBERS AND KEY EMPLOYEES ARE REVIEWED AND APPROVED BY BOTH THE EXECUTIVE COMMITTEE AND THE BOARD BASED ON THE REVIEW OF AN INDEPENDENT CONSULTANT AND INDEPENDENT COMPENSATION SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REQUIRED DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING 971,345. INTERCOMPANY SERVICES 458,542. OUTSIDE SERVICES 2,662,493.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DECREASE IN UNFUNDED PENSION LIABILITY 1,579,062. EQUITY IN THA MANAGEMENT EARNINGS 95,786. TADA BUILDING, LP AUDIT/TAX DIFFERENCE 82,620.</ExplanationTxt>
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    </IRS990ScheduleO>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>100198</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>48192</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>53263</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>