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        <ExclusionAmt>2677</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>165019</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>165019</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BAD DEBT RECOVERY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8176</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8176</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>173195</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>34912947</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34342537</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>570410</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14067650</TotalAmt>
        <ProgramServicesAmt>12306776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1760874</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>646632</TotalAmt>
        <ProgramServicesAmt>553307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93325</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3326893</TotalAmt>
        <ProgramServicesAmt>2846739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>480154</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1220081</TotalAmt>
        <ProgramServicesAmt>1043992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176089</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>6001</TotalAmt>
        <ManagementAndGeneralAmt>6001</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>40890</TotalAmt>
        <ManagementAndGeneralAmt>40890</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>2984</TotalAmt>
        <ManagementAndGeneralAmt>2984</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>169143</TotalAmt>
        <ProgramServicesAmt>17200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151943</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2536</TotalAmt>
        <ManagementAndGeneralAmt>2536</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>68820</TotalAmt>
        <ProgramServicesAmt>44674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24146</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>162567</TotalAmt>
        <ProgramServicesAmt>9679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152888</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>656586</TotalAmt>
        <ProgramServicesAmt>630616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25970</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>217731</TotalAmt>
        <ProgramServicesAmt>151205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66526</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>466017</TotalAmt>
        <ProgramServicesAmt>326212</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139805</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>387044</TotalAmt>
        <ProgramServicesAmt>309635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77409</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>558760</TotalAmt>
        <ProgramServicesAmt>558760</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMPUTER EXPENSE</Desc>
        <TotalAmt>555832</TotalAmt>
        <ManagementAndGeneralAmt>555832</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>469495</TotalAmt>
        <ProgramServicesAmt>469495</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SERVICE FEES</Desc>
        <TotalAmt>395610</TotalAmt>
        <ManagementAndGeneralAmt>395610</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1183456</TotalAmt>
        <ProgramServicesAmt>1025099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158357</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>24604728</TotalAmt>
        <ProgramServicesAmt>20293389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4311339</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5586685</BOYAmt>
        <EOYAmt>6705702</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2274046</BOYAmt>
        <EOYAmt>2038318</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8308072</BOYAmt>
        <EOYAmt>13422005</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>260395</BOYAmt>
        <EOYAmt>278778</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7951243</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5499809</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2385059</BOYAmt>
        <EOYAmt>2451434</EOYAmt>
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        <BOYAmt>8018205</BOYAmt>
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      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1052000</BOYAmt>
        <EOYAmt>417971</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>27884462</BOYAmt>
        <EOYAmt>37173690</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1256575</BOYAmt>
        <EOYAmt>833492</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1052000</BOYAmt>
        <EOYAmt>417971</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2308575</BOYAmt>
        <EOYAmt>1251463</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>25575887</BOYAmt>
        <EOYAmt>35922227</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>25575887</BOYAmt>
        <EOYAmt>35922227</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27884462</BOYAmt>
        <EOYAmt>37173690</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>10308219</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>38121</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>435120</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>179020</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16269</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>904</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>631313</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>21728273</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25525921</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25269780</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25573978</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34342537</CurrentTaxYearAmt>
        <TotalAmt>132440489</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>22163393</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25704941</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25286049</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25574882</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34342537</CurrentTaxYearAmt>
        <TotalAmt>133071802</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>133071802</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>23919</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>37403</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35511</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>304049</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>567733</CurrentTaxYearAmt>
        <TotalAmt>968615</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>23919</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>37403</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35511</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>304049</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>567733</CurrentTaxYearAmt>
        <TotalAmt>968615</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>26825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>135454</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>104733</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>267012</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>22214137</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25877798</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25426293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25878931</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34910270</CurrentTaxYearAmt>
        <TotalAmt>134307429</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99080</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99290</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE 267,012</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>384683</OtherCostOrOtherBasisAmt>
        <BookValueAmt>384683</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>351261</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>194491</DepreciationAmt>
        <BookValueAmt>156770</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>678978</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>660445</DepreciationAmt>
        <BookValueAmt>18533</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3719364</DepreciationAmt>
        <BookValueAmt>543813</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2273144</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>925509</DepreciationAmt>
        <BookValueAmt>1347635</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2451434</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>TEXAS FIRST CLASS FUND</Desc>
        <BookValueAmt>10699660</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>657421</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>EQUITY SECURITIES</Desc>
        <BookValueAmt>257651</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>US GOVERNMENT SECURITIES</Desc>
        <BookValueAmt>244750</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>11859482</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE</Desc>
        <Amt>417971</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>417971</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34948084</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>38121</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>38121</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>34909963</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>2984</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2984</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>34912947</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24601744</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>24601744</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2984</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2984</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24604728</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION SECTION 740 REQUIRES RECOGNITION, MEASUREMENT AND DISCLOSURE OF UNCERTIAN TAX POSITIONS. THE ORGANIZATION CURRENTLY ACCOUNTS FOR UNCERTAIN TAX POSITIONS BASED ON THE ESTIMATED LIKELIHOOD OF ASSESSMENT AND HAS NOT DETERMINED THAT ANY TAX POSITIONS REQUIRE AN ACCRUAL BASED ON CURRENT STANDARDS OF ACCOUNTING. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE DATE OF WHICH THOSE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PORFOLIO MANAGEMENT FEES 2,984</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PORTFOLIO MANAGEMENT FEES 2,984</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <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>JEREMY HYDE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>209000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34488</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>17032</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>260520</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAMERON DECKER</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>200000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15264</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16000</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>231264</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATH WHITE</PersonNm>
        <TitleTxt>VP OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>187800</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23746</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15936</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>227482</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEIR VERNON</PersonNm>
        <TitleTxt>VP OF ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>164700</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18627</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>14837</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>198164</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHIVAS GUILOTTE</PersonNm>
        <TitleTxt>VP OF CLINICAL SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>155000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4078</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12245</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>171323</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK SMITH</PersonNm>
        <TitleTxt>COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>150000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18219</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10298</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>178517</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS HAVE A CONTRACT WITH HARRIS COUNTY EMERGENCY CORPS. THEY ARE PAID BASED ON THE TERMS OF THEIR CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>HCEC PROVIDES 9-1-1 SERVICE TO THE CITIZENS OF NORTH HARRIS COUNTY WHILE OUR TRANSFER, OUTREACH EDUCATION, COMMUNICATION, AND SPECIAL EVENTS DIVISIONS REACH OUT TO AREAS THROUGHOUT SOUTHEAST TEXAS. HCEC IS ABLE TO PROVIDE ADDITIONAL AMBULANCES TO THE DISTRICT WHICH IN TURN REDUCES RESPONSE TIME WHEN CITIZENS DIAL 9-1-1 FOR ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMITTEES MAKE ADVISORY RECOMMENDATIONS TO, BUT ARE NOT AUTHORIZED TO ACT ON BEHALF OF, THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WILL BE REVIEWED BY THE VP OF ADMINISTRATION AND THE BOARD PRESIDENT PRIOR TO BEING SENT TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ONLY THE INDEPENDENT DIRECTORS REVIEW PERFORMANCE AND APPROVE THE CEOS SALARY AND BONUS. THE CEO IS UNDER CONTRACT WITH AN EVERGREEN EMPLOYMENT AGREEMENT WHICH IS REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO DETERMINES THE COMPENSATION FOR THE REMAINING OFFICERS AND KEY EMPLOYEES. THE BOARD REVIEWS THE ANNUAL BUDGET WHICH PROVIDES A BREAKDOWN OF BUDGETED SALARIES INCLUDING ESTIMATED OVERTIME AND BONUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION: THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE AVAILABLE THROUGH WRITTEN REQUEST SUBMITTED TO THE ORGANIZATION'S MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PORFOLIO MANAGEMENT FEES -2,984 PORTFOLIO MANAGEMENT FEES 2,984</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc5">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HARRIS COUNTY EMERGENCY SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2800 ALDINE BENDER ROAD</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77032</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>EMERGENCY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <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>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARRIS CNTY EMERGENCY SVCS DISTR 1</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>462636</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HARRIS CNTY EMERGENCY SVCS DISTR 1</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>18896405</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>