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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNICE WASHINGTON</PersonNm>
        <TitleTxt>CHAIR ELECT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAUL ZAMORA</PersonNm>
        <TitleTxt>MEMBER AT LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY ESKEW</PersonNm>
        <TitleTxt>CEO/PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>49968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6349</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>49968</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>6349</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEXAS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1108 LAVACA STREET 700</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78701</ZIPCd>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARRIOTT BUSINESS SERVICES</BusinessNameLine1Txt>
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          <USAddress>
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      </ContractorCompensationGrp>
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        <Desc>MEMBERSHIP DUES</Desc>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SEMINAR FEES</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>SPONSORSHIPS</Desc>
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        <RelatedOrExemptFuncIncomeAmt>102728</RelatedOrExemptFuncIncomeAmt>
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        <Desc>ADVERTISING</Desc>
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        <UnrelatedBusinessRevenueAmt>11881</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATION</Desc>
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        <ExclusionAmt>6425</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ManagementAndGeneralAmt>56317</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>68212</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5768</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>9162</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>9984</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3500</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>10411</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>254878</TotalAmt>
        <ProgramServicesAmt>254878</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>1252</ManagementAndGeneralAmt>
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        <Desc>OUTSIDE SERVICES</Desc>
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        <ProgramServicesAmt>12937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>29</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES, FEES AND SUBSCRIP</Desc>
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        <ProgramServicesAmt>8520</ProgramServicesAmt>
        <ManagementAndGeneralAmt>949</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>6881</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>6516</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>-126041</ManagementAndGeneralAmt>
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        <EOYAmt>556180</EOYAmt>
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        <EOYAmt>4939</EOYAmt>
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        <EOYAmt>642318</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>228978</EOYAmt>
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        <EOYAmt>989814</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>6996</EOYAmt>
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        <EOYAmt>996810</EOYAmt>
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        <EOYAmt>1225788</EOYAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>65850</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>33195</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>636738</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <InvestmentIncomeAndUBTIGrp>
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      <InvestmentIncomePYPct>0.03030</InvestmentIncomePYPct>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>46239</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>81514</DonatedServicesAndUseFcltsAmt>
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      <RevenueNotReportedAmt>120873</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>661064</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>661064</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>81514</DonatedServicesUseFcltsAmt>
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      <ExpensesNotReportedAmt>74632</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>644007</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IF APPLICABLE. UNDER ASC 740-10, THE ORGANIZATION 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. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FOR SUCH POSITION, IF APPLICABLE, SHOULD BE BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION CURRENTLY DOES NOT HAVE ANY TAX POSITIONS THAT IT WOULD CONSIDER UNCERTAIN ON DECEMBER 31, 2021 AND 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS RECLASSED FOR TAX RETURN PRESENTATION -6,881. ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ITEMS RECLASSED FOR TAX RETURN PURPOSES -6,881. ROUNDING -1.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT DUTIES WERE DELEGATED TO TEXAS HOSPITAL ASSOCIATION FOUNDATION AS PART OF AN EMPLOYEE-SHARING CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>THE BOARD OF DIRECTORS REVIEWS, DISCUSSES AND APPROVES THE FORM 990 BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY REQUIRES ALL BOARD MEMBERS TO DISCLOSE CONFLICTS. ANNUALLY, THE CHAIRMAN AND PRESIDENT REVIEW DISCLOSURES. THE COMPLIANCE OFFICER ANNUALLY REVIEWS THE PROCESS AND MEETS WITH THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE CEO AND GOVERNING BOARD MEMBERS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE, BASED ON AN INDEPENDENT COMPENSATION SURVEY.</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 XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
