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        <ReportableCompFromOrgAmt>106206</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10915</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1017502</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>112812</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KIRKWOOD MANOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2590 LOOP 337 NORTH</AddressLine1Txt>
            <CityNm>NEW BRAUNFELS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE CARE</ServicesDesc>
        <CompensationAmt>466319</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EDEN HOME INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>631 LAKEVIEW</AddressLine1Txt>
            <CityNm>NEW BRAUNFELS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE CARE</ServicesDesc>
        <CompensationAmt>392419</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMAL HEALTH CARE CENTER LTD</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>DBA SUNDANCE INN HEALTH CENTER</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2034 SUNDANCE PARKWAY</AddressLine1Txt>
            <CityNm>NEW BRAUNFELS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE CARE</ServicesDesc>
        <CompensationAmt>161384</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LENGEND OAKS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2468 FM 1101</AddressLine1Txt>
            <CityNm>NEW BRAUNFELS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE CARE</ServicesDesc>
        <CompensationAmt>154716</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOSPICE OF MICHIGAN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2366 OAK VALLEY DR</AddressLine1Txt>
            <CityNm>ANN ARBOR SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING</ServicesDesc>
        <CompensationAmt>132931</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>677095</AllOtherContributionsAmt>
      <NoncashContributionsAmt>675525</NoncashContributionsAmt>
      <TotalContributionsAmt>677095</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <TotalRevenueColumnAmt>17312684</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17312684</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17312684</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>426966</TotalRevenueColumnAmt>
        <ExclusionAmt>426966</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>29515</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>29515</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>29515</TotalRevenueColumnAmt>
        <ExclusionAmt>29515</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>675525</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>675525</CostOfGoodsSoldAmt>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <TotalRevenueColumnAmt>32282</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32282</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>32282</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18478542</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17344966</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>456481</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>493089</TotalAmt>
        <ProgramServicesAmt>446370</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32110</ManagementAndGeneralAmt>
        <FundraisingAmt>14609</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7942359</TotalAmt>
        <ProgramServicesAmt>7189841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>517209</ManagementAndGeneralAmt>
        <FundraisingAmt>235309</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>182732</TotalAmt>
        <ProgramServicesAmt>165419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11899</ManagementAndGeneralAmt>
        <FundraisingAmt>5414</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1020750</TotalAmt>
        <ProgramServicesAmt>924036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66472</ManagementAndGeneralAmt>
        <FundraisingAmt>30242</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>588217</TotalAmt>
        <ProgramServicesAmt>532485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38305</ManagementAndGeneralAmt>
        <FundraisingAmt>17427</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23705</TotalAmt>
        <ManagementAndGeneralAmt>23705</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>30569</TotalAmt>
        <ManagementAndGeneralAmt>30569</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>132693</TotalAmt>
        <ProgramServicesAmt>58009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74684</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>213858</TotalAmt>
        <ProgramServicesAmt>213717</ProgramServicesAmt>
        <FundraisingAmt>141</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>333235</TotalAmt>
        <ProgramServicesAmt>234272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64716</ManagementAndGeneralAmt>
        <FundraisingAmt>34247</FundraisingAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>7857</TotalAmt>
        <ProgramServicesAmt>4175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>518</ManagementAndGeneralAmt>
        <FundraisingAmt>3164</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>17719</TotalAmt>
        <ManagementAndGeneralAmt>17719</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>11673</TotalAmt>
        <ProgramServicesAmt>5836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5837</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>95861</TotalAmt>
        <ProgramServicesAmt>50513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45348</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATIONS</Desc>
        <TotalAmt>954512</TotalAmt>
        <ProgramServicesAmt>954512</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSPITAL</Desc>
        <TotalAmt>797416</TotalAmt>
        <ProgramServicesAmt>797416</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY ASSISTANCE</Desc>
        <TotalAmt>656870</TotalAmt>
        <ProgramServicesAmt>656870</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DURABLE MEDICAL EQUIPMENT</Desc>
        <TotalAmt>641442</TotalAmt>
        <ProgramServicesAmt>641442</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1533106</TotalAmt>
        <ProgramServicesAmt>1361072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>140240</ManagementAndGeneralAmt>
        <FundraisingAmt>31794</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15677663</TotalAmt>
        <ProgramServicesAmt>14235985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1069331</ManagementAndGeneralAmt>
        <FundraisingAmt>372347</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9150</BOYAmt>
        <EOYAmt>1318</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>577734</BOYAmt>
        <EOYAmt>483916</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1981904</BOYAmt>
        <EOYAmt>2160889</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>41784</BOYAmt>
        <EOYAmt>42795</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>464148</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>410479</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>53669</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>13875707</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>389909</BOYAmt>
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      <TotalAssetsGrp>
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      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1587409</BOYAmt>
        <EOYAmt>2168603</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11988428</BOYAmt>
        <EOYAmt>14981233</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>31768</BOYAmt>
        <EOYAmt>3889</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12020196</BOYAmt>
        <EOYAmt>14985122</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13607605</BOYAmt>
        <EOYAmt>17153725</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2800879</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>186485</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-22438</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>631367</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2498603</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>979617</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1343483</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>677095</CurrentTaxYearAmt>
        <TotalAmt>6130165</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2498603</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>979617</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1343483</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>677095</CurrentTaxYearAmt>
        <TotalAmt>6130165</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>314826</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>5815339</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>78421</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18901</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15603</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88662</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>426966</CurrentTaxYearAmt>
        <TotalAmt>628553</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>6758718</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>76451332</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.86040</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.90730</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>464148</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>410479</DepreciationAmt>
        <BookValueAmt>53669</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>53669</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>382192</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>382192</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18665027</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>186485</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>186485</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18478542</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18478542</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15677663</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>15677663</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15677663</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AUDRIE DRUMMOND</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>250349</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26494</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>276843</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERI LUPO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>176201</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18740</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>194941</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKI GUEL</PersonNm>
        <TitleTxt>DIR OF PATIENT CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>135826</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17455</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>153281</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc4">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>675525</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS PERFORM A VARIETY OF ADMINISTRATIVE SERVICES AS WELL AS GENERAL STAFF SUPPORT AT THE THRIFT SHOP AND DIRECT PATIENT CARE AND BEREAVEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PRESENTED TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING IT WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS UPON HIRE AND ANY CHANGES ARE REQUIRED TO BE REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION WAS REVIEWED THROUGH A COMPENSATION STUDY. THEN COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES RECEIVE NINETY DAY AND ANNUAL EVALUATIONS. A FORMAL PAY STRUCTURE IS UTILIZED AND UPDATED WHEN NEEDED. ALL EMPLOYEES ARE EVALUATED BY THEIR DIRECT SUPERVISOR. AN AVERAGE INCREASE IN PAY FOR ALL EMPLOYEES IS APPROVED IN THE ANNUAL OPERATING BUDGET. INDIVIDUAL SALARY INCREASES OVER A CERTAIN PERCENTAGE POINT MUST BE APPROVED BY THE FINANCE COMMITTEE OR THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS AVAILABLE UPON REQUEST TO INTERESTED PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO HOPE HOSPICE FOUNDATION -22,438</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOPE HOSPICE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 N WALNUT</AddressLine1Txt>
          <CityNm>NEW BRAUNFELS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78130</ZIPCd>
        </USAddress>
        <EIN>200370854</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C 3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOPE HOSPICE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>415074</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOPE HOSPICE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>22438</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>