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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5500</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>400130</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>16500</TotalOtherCompensation>
      <NumberIndividualsGT100K>3</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BLUE CROSS BLUE SHIELD OF TEXAS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>901 S CENTRAL EXPRESSWAY</AddressLine1>
            <City>RICHARDSON</City>
            <State>TX</State>
            <ZIPCode>75080</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EMPLOYEE HEALTH INSURANCE</DescriptionOfServices>
        <Compensation>427124</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCKESSON MEDICAL</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE POST STREET</AddressLine1>
            <City>SAN FRANCISCO</City>
            <State>CA</State>
            <ZIPCode>94104</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMECEUTICALS</DescriptionOfServices>
        <Compensation>137481</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CERNER BEYOND NOW INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>OVERLAND PARK</City>
            <State>KS</State>
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          </AddressUS>
        </AddressOfContractor>
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        <Compensation>134746</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE MRI COMPANY</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>17047 E CAMINO REAL SUITE 200</AddressLine1>
            <City>HOUSTON</City>
            <State>TX</State>
            <ZIPCode>77058</ZIPCode>
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        </AddressOfContractor>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>46545</ProgramServices>
        <ManagementAndGeneral>93090</ManagementAndGeneral>
        <Fundraising>15515</Fundraising>
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      <OtherSalariesAndWages>
        <Total>4952442</Total>
        <ProgramServices>4100854</ProgramServices>
        <ManagementAndGeneral>654807</ManagementAndGeneral>
        <Fundraising>196781</Fundraising>
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      <OtherEmployeeBenefits>
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        <ProgramServices>466242</ProgramServices>
        <ManagementAndGeneral>99948</ManagementAndGeneral>
        <Fundraising>24640</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>313415</ProgramServices>
        <ManagementAndGeneral>54996</ManagementAndGeneral>
        <Fundraising>14594</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>14664</Total>
        <ManagementAndGeneral>14664</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>30837</Total>
        <ManagementAndGeneral>30837</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>65835</Total>
        <ProgramServices>65835</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>56264</Total>
        <ProgramServices>37224</ProgramServices>
        <ManagementAndGeneral>16252</ManagementAndGeneral>
        <Fundraising>2788</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>146680</Total>
        <ProgramServices>103392</ProgramServices>
        <ManagementAndGeneral>39410</ManagementAndGeneral>
        <Fundraising>3878</Fundraising>
      </InformationTechnology>
      <Occupancy>
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        <ProgramServices>39889</ProgramServices>
        <ManagementAndGeneral>14195</ManagementAndGeneral>
        <Fundraising>1687</Fundraising>
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      <Travel>
        <Total>205863</Total>
        <ProgramServices>204427</ProgramServices>
        <ManagementAndGeneral>1094</ManagementAndGeneral>
        <Fundraising>342</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>62755</Total>
        <ProgramServices>52459</ProgramServices>
        <ManagementAndGeneral>8321</ManagementAndGeneral>
        <Fundraising>1975</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>2466</Total>
        <ManagementAndGeneral>2466</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>127961</Total>
        <ProgramServices>97496</ProgramServices>
        <ManagementAndGeneral>27517</ManagementAndGeneral>
        <Fundraising>2948</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>67234</Total>
        <ProgramServices>45735</ProgramServices>
        <ManagementAndGeneral>19163</ManagementAndGeneral>
        <Fundraising>2336</Fundraising>
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      <OtherExpenses>
        <Description>NURSING HOMES</Description>
        <Total>978121</Total>
        <ProgramServices>978121</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT MEDICINE &amp; GEN</Description>
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        <ProgramServices>392915</ProgramServices>
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      <OtherExpenses>
        <Description>PHYSICIAN SERVICES</Description>
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        <ProgramServices>219120</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>COMMUNICATIONS</Description>
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        <Fundraising>1634</Fundraising>
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      <OtherExpenses>
        <Description>STAFF EDUCATION &amp; TESTI</Description>
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        <ProgramServices>26924</ProgramServices>
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        <Fundraising>127</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
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        <ProgramServices>90843</ProgramServices>
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        <Fundraising>7955</Fundraising>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>1150327</ManagementAndGeneral>
        <Fundraising>277200</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>855946</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>12592</EOY>
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      <AccountsReceivable>
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        <EOY>655961</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>28145</EOY>
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      <LandBldgEquipmentAccumDeprec>337959</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>124107</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>125577</BOY>
        <EOY>44676</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
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        <EOY>525242</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>3900116</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>87287</BOY>
        <EOY>116287</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>4016403</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
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        <EOY>4541645</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>684544</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>29000</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus2Years>315566</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1797275</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>250950</CurrentTaxYear>
        <Total>3048267</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>5189138</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>7841373</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9214705</CurrentTaxYear>
        <Total>33435254</Total>
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        <CurrentTaxYearMinus3Years>6761</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7682</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2434</CurrentTaxYearMinus1Year>
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      </GrossReceiptsFromNonUBI>
      <Total509>
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        <CurrentTaxYearMinus3Years>5503676</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>9641082</CurrentTaxYearMinus1Year>
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      <AmtsRecdFromDisqualPersons>
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        <Total>1454738</Total>
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      <AmtsFromSubstContributors>
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      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
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        <CurrentTaxYearMinus1Year>10109</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10258</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>10109</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10258</CurrentTaxYear>
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      </InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus1Year>9651191</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9475913</CurrentTaxYear>
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      <PublicSupportPercentage509>0.95900</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.95390</PriorYearSupportPercentage>
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      <PriorYrInvestIncomePercentage>0.00120</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <BookValue>200000</BookValue>
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      <Buildings>
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        <Depreciation>103323</Depreciation>
        <BookValue>1274029</BookValue>
      </Buildings>
      <Equipment>
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        <BookValue>112365</BookValue>
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        <BookValue>201709</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1788103</TotalOfBookValueLandBuildings>
      <TotalRevenue>9475400</TotalRevenue>
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      <NetUnrealizedGLOnInvestments>29000</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>29000</TotalAdjustments>
      <ExcessOrDeficitPerFS>713544</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>9584837</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>29000</NetUnrealizedGainsInvestments>
      <OtherRevenues>80437</OtherRevenues>
      <RevenueNotRptdF990>109437</RevenueNotRptdF990>
      <RevenueSubtotal>9475400</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
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      <ExpensesNotRptdF990>80437</ExpensesNotRptdF990>
      <ExpensesSubtotal>8790856</ExpensesSubtotal>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>HOSPICE EVALUATES ALL SIGNIFICANT TAX POSITIONS TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED BY THE APPLICABLE AUTHORITY. HOSPICE DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF A TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING DIRECT EXPENSES</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING DIRECT EXPENSES</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <GrossRevenueEvent1>79924</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>2305</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>19117</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>59015</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>187698</GrossReceiptsTotal>
        <CharitableContributionsTotal>107774</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>79924</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>2305</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>19117</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>59015</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>80437</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-513</NetIncomeSummary>
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    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>1</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA BLACK</NamePerson>
        <BaseCompensationFilingOrg>129650</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 5</ReturnReference>
        <Explanation>JAMES PAUL IS THE DEVELOPMENT DIRECTOR FOR THE ORGANIZATION. AS PART OF MR PAUL'S COMPENSATION PACKAGE, HE IS TO BE PAID A BONUS EQUAL TO 10% OF SPECIAL EVENT REVENUES IN EXCESS OF A BASE OF $140,000, AND 10% OF NEW FUNDS RAISED FROM GRANTS, GIVING AND PHILANTHROPY. DURING 2010, MR PAUL'S COMPENSATION INCLUDED A BONUS OF $3,739 FROM THIS ARRANGEMENT.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>A DRAFT COPY OF THE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE BOARD OF DIRECTORS FOR ITS APPROVAL BEFORE FILING WITH IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO BOARD'S ATTENTION AND RESOLVED IN ACCORDANCE WITH POLICY, WITH RESOLUTION DOCUMENTED.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS EXECUTIVE COMMITEE PERFORMS A PERFORMANCE EVALUATION AND COMPENSATION REVIEW OF THE EXECUTIVE DIRECTOR ANNUALLY. AN EVALUATION FORM IS PREPARED AND COMPARABLE COMPENSATION DATA IS OBTAINED. THE EXECUTIVE COMMITTEE REPORTS RECOMMENDATIONS TO THE BOARD OF DIRECTORS, WHO VOTE ON THE RECOMMENDATIONS. THE PROCESS AND DECISION IS DOCUMENTED IN BOARD MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>COPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT 1440 MIRACLE WAY, EL PASO, TX 79925.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 29,000.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>