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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JARED SLOANE</PersonNm>
        <TitleTxt>DIRECTOR (TERM END 8/23)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL HARDING</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>249470</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21076</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN BRIGAITIS</PersonNm>
        <TitleTxt>PAST CFO</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>139021</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17216</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE BROWN</PersonNm>
        <TitleTxt>CHIEF STATEGY OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>153902</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TAMI FITGERALD</PersonNm>
        <TitleTxt>HEALTHCARE ADMINISTRATOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIE BOILES</PersonNm>
        <TitleTxt>VP OF ADMIN SUPPORT &amp; HUMAN RESOURCES</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY SEVIDEZM</PersonNm>
        <TitleTxt>LVN NURSE</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9855</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TANISHA MANUEL</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10127</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COURTNEY MCLAUGHLIN</PersonNm>
        <TitleTxt>DIRECTOR OF ADMISSIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107256</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9671</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1130286</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>86602</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INFINITY PHARMACY SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3313 ESSEX DRIVE SUITE 200</AddressLine1Txt>
            <CityNm>RICHARDSON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75082</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>269447</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIFTKEY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2816 THOMAS AVENUE 5</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75204</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR SERVICES</ServicesDesc>
        <CompensationAmt>179439</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BALCOM AGENCY LCC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1413 RIO GRANDE AVENUE</AddressLine1Txt>
            <CityNm>FORT WORTH</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING SERVICES</ServicesDesc>
        <CompensationAmt>174768</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BATTLE HORSE ELECTRIC LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1308 BULLARD STREET</AddressLine1Txt>
            <CityNm>CISCO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76437</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRICIAN SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>309030</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>216469</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>462390</AllOtherContributionsAmt>
      <NoncashContributionsAmt>5000</NoncashContributionsAmt>
      <TotalContributionsAmt>987889</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENTIAL CARE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>12265396</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12265396</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DAY PROGRAM PARTICIPANT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>368434</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>368434</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMUNITY SERVICE FEE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>228000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>228000</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>22863</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12884693</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>967</TotalRevenueColumnAmt>
        <ExclusionAmt>967</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>70383</TotalRevenueColumnAmt>
        <ExclusionAmt>70383</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15262</TotalRevenueColumnAmt>
        <ExclusionAmt>15262</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SALON SERVICES</Desc>
        <BusinessCd>812900</BusinessCd>
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        <ExclusionAmt>2776</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>12884693</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>27979</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>53874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1207</ManagementAndGeneralAmt>
        <FundraisingAmt>2954</FundraisingAmt>
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        <ProgramServicesAmt>506462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149124</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>39599</TotalAmt>
        <ProgramServicesAmt>39599</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>324469</TotalAmt>
        <ProgramServicesAmt>324469</ProgramServicesAmt>
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        <ProgramServicesAmt>734158</ProgramServicesAmt>
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        <ProgramServicesAmt>144004</ProgramServicesAmt>
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        <FundraisingAmt>415</FundraisingAmt>
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        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>752117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93058</ManagementAndGeneralAmt>
        <FundraisingAmt>3752</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DIETARY</Desc>
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        <ProgramServicesAmt>398606</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>371198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12920</ManagementAndGeneralAmt>
        <FundraisingAmt>2519</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>VA EXPENSES</Desc>
        <TotalAmt>286177</TotalAmt>
        <ProgramServicesAmt>285842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>176629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32277</ManagementAndGeneralAmt>
        <FundraisingAmt>11821</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>275527</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>991786</EOYAmt>
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        <EOYAmt>9265</EOYAmt>
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        <EOYAmt>182311</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>128873</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>15188798</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <CurrentTaxYearMinus3YearsAmt>1930000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3750313</CurrentTaxYearMinus2YearsAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1930000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3750313</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1179132</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>987889</CurrentTaxYearAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>306674</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>299990</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>967</CurrentTaxYearAmt>
        <TotalAmt>1171241</TotalAmt>
      </GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>65525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>85645</CurrentTaxYearAmt>
        <TotalAmt>211496</TotalAmt>
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      <PublicSupportPY170Pct>0.76490</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT FEE - 2021 AMOUNT: $ 60,326. 2022 AMOUNT: $ 65,525. 2023 AMOUNT: $ 70,383. OTHER INCOME - 2023 AMOUNT: $ 15,262.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES L. WEST PRESBYTERIAN SPECIAL CARE CENTER AND JAMES L. WEST PRESBYTERIAN SPECIAL CARE CENTER FOUNDATION HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC AND APPLICABLE STATE CODES. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CENTER REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENTS ARE TO BE USED FOR PROGRAM SERVICES, EMPLOYEE ASSISTANCE, COMMUNITY EDUCATION AND ACQUISITION OF PROPERTY AND EQUIPMENT. THE ENDOWMENTS WERE ALSO USED FOR MAJOR RENOVATIONS OF THE FACILITIES.</ExplanationTxt>
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        <PersonNm>CHERYL HARDING</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>TAMI FITGERALD</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE PRESIDENT/CEO UPON HIRE AND A COMMITTEE OF THE BOARD REVIEWS PERFORMANCE AND RECOMMENDS MERIT INCREASES ANNUALLY. THE PRESIDENT/CEO AND HUMAN RESOURCES DIRECTOR DETERMINE THE COMPENSATION FOR OTHER OFFICERS &amp; KEY EMPLOYEES. INFORMATION IS OBTAINED FROM SALARY DATA FOR COMPARABLE POSITIONS IN THE AREA AND IS USED AS A BASIS FOR SALARY RECOMMENDATIONS. THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES IN THE ORGANIZATION WAS LAST REVIEWED IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCRUED COMPENSATION IS A BASED UPON SEVERAL METRICS, ONE OF WHICH IS AN ANALYSIS OF REVENUES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE BYLAWS, THE SENIOR MINISTER OF THE FIRST PRESBYTERIAN CHURCH OF FORT WORTH SHALL SERVE AS A PERMANENT MEMBER OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 FOR THE CENTER IS PRESENTED FOR APPROVAL TO THE FINANCE COMMITTE OF THE CENTER BOARD FOR APPROVAL. THE FOUNDATION 990 IS PRESENTED TO THE FOUNDATION BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH JANUARY AND TO INFORM THE BOARD OF ANY CONFLICTS THAT ARISE DURING THE YEAR. THESE ARE RETAINED BY THE PRESIDENT/DIRECTOR. WHEN A BOARD MEMBER SELF-IDENTIFIES A CONFLICT, THE FULL BOARD OF DIRECTORS IS INFORMED OF IT AND MUST APPROVE IT. THE BOARD THEN DETERMINES THE APPROPRIATE RESPONSE, WHICH GENERALLY WILL INVOLVE THE MEMBER THAT HAS THE CONFLICT EXCUSING THEMSELVES FROM ANY DISCUSSIONS INVOLVING THAT SUBJECT AND ANY VOTES THAT MAY BE REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE PRESIDENT/CEO UPON HIRE AND A COMMITTEE OF THE BOARD REVIEWS PERFORMANCE AND RECOMMENDS MERIT INCREASES ANNUALLY. THE PRESIDENT/CEO AND HUMAN RESOURCES DIRECTOR DETERMINE THE COMPENSATION FOR OTHER OFFICERS &amp; KEY EMPLOYEES. INFORMATION IS OBTAINED FROM SALARY DATA FOR COMPARABLE POSITIONS IN THE AREA AND ARE USED AS A BASIS FOR SALARY RECOMMENDATIONS. THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES IN THE ORGANIZATION WAS LAST REVIEWED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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