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        <Desc>CURRENT PORTION OF OPERATING LEASE LIABILITY</Desc>
        <Amt>51348</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>136904931</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>85176224</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>41198082</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>41198082</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>43978142</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>43978142</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3582382</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3582382</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3582382</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ENDOWMENT FUNDS ARE HELD FOR THE BENEFIT OF THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER.</ExplanationTxt>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>133278</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>133278</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXPENDITURES REPORTED IN COLUMN (F) WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.</ExplanationTxt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
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          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1515 HOLCOMBE BOULEVARD</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
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        <RecipientEIN>746001118</RecipientEIN>
        <CashGrantAmt>244591</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH &amp; GENERAL SUPPORT</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
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        <CashGrantAmt>484032</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECEIVES SMALL, UNSOLICITED DONATIONS FROM TIME-TO-TIME. AS A SUPPORTING AFFILIATE OF MDACC, THE ORGANIZATION'S PRACTICE IS TO SUBSEQUENTLY CONTRIBUTE THESE GIFT DOLLARS TO MDACC. THE ORGANIZATION PROVIDES TAX RECEIPT LETTERS TO THESE DONORS. THE CARING FUND BEGAN HELPING MDACC EMPLOYEES AND THEIR FAMILIES RECOVER FROM DISASTERS BEGINNING WITH THE 2011 TEXAS WILDFIRES. THE CARING FUND POLICY HAS BEEN EXPANDED TO PROVIDE (A) FINANCIAL ASSISTANCE FOR SPECIFIC QUALIFYING FINANCIAL HARDSHIPS AND (B) FINANCIAL ASSISTANCE TO ELIGIBLE APPLICANTS WHO ARE CARRYING OUT ESSENTIAL DUTIES AS REQUIRED BY MD ANDERSON CANCER CENTER DURING A PUBLIC HEALTH EMERGENCY, SUCH AS COVID19, FOR COSTS RELATED TO COMING TO WORK SUCH AS TRANSPORTATION, TEMPORARY HOUSING, AND CHILDCARE. OVERALL, THE FUND HAS AIDED MORE THAN 1,000 EMPLOYEES THROUGH THE DISTRIBUTION OF GRANTS TO ELIGIBLE APPLICANTS. IN FY24, THE FUND ISSUED 1,225 GRANTS TO 1,225 RECIPIENTS TOTALING $484,032.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>TRINH NGUYEN</PersonNm>
        <TitleTxt>SENIOR FINANCIAL MANAGEMENT ANALYST</TitleTxt>
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        <TotalCompensationFilingOrgAmt>202125</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GABRIEL GUTIERREZ</PersonNm>
        <TitleTxt>ASSISSTANT TREASURER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FELIPE LOZANO</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MDASC'S PRESIDENT IS NOT AN EMPLOYEE OF MDASC. THE PRESIDENT'S COMPENSATION IS ESTABLISHED AND PAID BY HIS EMPLOYER, THE UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER, PURSUANT TO ITS COMPENSATION REVIEW PROCESSES. AS INDICATED BELOW, THE COMPENSATION PAID BY MDACC AND REPORTED ON SCHEDULE J, PART II WAS NOT FOR SERVICES PROVIDED TO MDASC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: KIMBERLY BERGEN - $656,575 LAURA GILCHRIST - $585,873 LARRY KELLER - $163,467</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTE 1: EMPLOYEES, INCLUDING OFFICERS, OF MDASC PROVIDE SERVICES TO MDAPN, A RELATED ORGANIZATION. MDAPN DOES NOT PAY THESE EMPLOYEES DIRECTLY. RATHER, MDASC INVOICES MDAPN IN ORDER THAT THESE COSTS MIGHT BE REIMBURSED. WAGE INCOME IS ISSUED AND REPORTED BY MDASC AS REPORTED HERE. THE LABOR EXPENSE REPORTED ON FORM 990, PART IX, HOWEVER, REFLECTS ONLY THE NET EXPENSE TO THE FILING ORGANIZATION. NOTE 2: MCKEE, SHERIFF, KINZEL, SULTAN, INCALCATERRA, LOZANO AND GUTIERREZ WERE EMPLOYEES OF MDACC AND BOARD MEMBERS. THEIR CALENDAR YEAR 2023 COMPENSATION FROM MDACC WAS EARNED IN THEIR CAPACITIES AS EMPLOYEES OF MDACC, AND NOT FOR SERVICE TO MDASC. NOTE 3: AS OF DECEMBER 31, 2023, MDASC NO LONGER EMPLOYS ANY INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF DECEMBER 31, 2023, MDASC NO LONGER PROVIDES MANAGEMENT EXPERTISE TO ITS RELATED NON-PROFIT EXEMPT ORGANIZATIONS, M. D. ANDERSON PHYSICIANS NETWORK OR MDACC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE TAX YEAR, M. D. ANDERSON SERVICES CORPORATION AMENDED ITS ARTICLES OF INCORPORATION, EFFECTIVE MARCH 18, 2024, TO (1) INCREASE THE NUMBER OF BOARD MEMBERS APPOINTED BY THE SOLE MEMBER FROM FOUR TO FIVE, AND (2) REMOVE THE REQUIREMENT THAT THE CHAIRMAN OF THE UT SYSTEM HEALTH AFFAIRS COMMITTEE SERVE AS A BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION IS THE PRESIDENT OF MDACC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION APPOINTS FIVE OF THE DIRECTORS OF THE ORGANIZATION. THE REMAINING DIRECTORS ARE SELECTED BY THE BOARD OF REGENTS OF THE UNIVERSITY OF TEXAS SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH RESPECT TO GOVERNANCE DECISIONS SUBJECT TO APPROVAL BY PERSONS OTHER THAN THE GOVERNING BODY, AMENDMENT OF THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION AND DESIGNATED REPRESENTATIVES OF THE UNIVERSITY OF TEXAS SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH THE ORGANIZATION'S MANAGEMENT TEAM. THE DRAFT FORM 990 IS REVIEWED BY THE MANAGEMENT TEAM, AND THEIR REVISIONS ARE INCLUDED IN THE FINAL VERSION OF THE FORM. THE RETURN IS DISTRIBUTED TO THE AUDIT COMMITTEE MEMBERS, A SUBCOMMITTEE OF THE BOARD, AND THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND KEY EMPLOYEES ("COVERED PERSONS") ARE REQUIRED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS, AS DESCRIBED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND CODE OF ETHICS (THE "POLICY") TO THE PRESIDENT OF THE ORGANIZATION. THE PRESIDENT DISCLOSES HIS POTENTIAL CONFLICTS TO THE CHAIRMAN OF THE ORGANIZATION. THE GENERAL COUNSEL MONITORS COMPLIANCE WITH THESE REQUIREMENTS. ANY POTENTIAL CONFLICT OF INTEREST IS REFERRED TO THE ORGANIZATION'S CONFLICTS OF INTEREST COMMITTEE (THE "COMMITTEE"), WHICH IS COMPOSED OF PERSONS WHO ARE DISINTERESTED IN ANY INTEREST BEING REVIEWED. PER THE POLICY, THE COMMITTEE DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS BY MAKING FURTHER INVESTIGATION WITH RESPECT TO ANY INTEREST THAT HAS BEEN IDENTIFIED. THE COVERED PERSON SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER ANY QUESTIONS AS NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND REPORTS ITS FINDING TO THE BOARD. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR CONTRACT, TRANSACTION OR ARRANGEMENT (COLLECTIVELY, "ARRANGEMENT"), THE DISINTERESTED DIRECTORS OF THE ORGANIZATION EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION COULD OBTAIN A MORE ADVANTAGEOUS ALTERNATIVE ARRANGEMENT, WHETHER THE ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTERESTS AND FOR THE ORGANIZATION'S OWN BENEFIT, AND WHETHER THE ARRANGEMENT IS FAIR AND REASONABLE TO THE ORGANIZATION. THE COMMITTEE SHALL KEEP MINUTES OF ITS DELIBERATIONS. IF THE BOARD OR THE COMMITTEE FINDS THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, IT MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL OR TERMINATION OF THE COVERED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE ORGANIZATION'S EMPLOYED EXECUTIVES, OFFICERS AND OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BUDGET AND COMPENSATION COMMITTEE (BOARD COMMITTEE). ALL MEMBERS OF THE BUDGET AND COMPENSATION COMMITTEE ARE DISINTERESTED IN THE COMPENSATION THAT IS BEING REVIEWED. AN INDEPENDENT EXPERT WHO IS RETAINED BY MDACC PREPARES AN ANALYSIS FOR THE BUDGET AND COMPENSATION COMMITTEE IN WHICH APPROPRIATE COMPARABILITY DATA FROM INDEPENDENT MARKET SURVEYS IS REVIEWED. AN ANALYSIS IS ALSO PERFORMED BY AN EXTERNAL CONSULTANT AND ALL DATA IS PROVIDED TO THE BUDGET AND COMPENSATION COMMITTEE. ALL COMPENSATION AND BENEFITS ARE APPROVED IN ADVANCE BY THE BUDGET AND COMPENSATION COMMITTEE. MINUTES OF THE BUDGET AND COMPENSATION COMMITTEE'S MEETINGS ARE TAKEN, REVIEWED AND STORED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ANNUAL RETURNS AND APPLICATION FOR TAX EXEMPTION ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF DECEMBER 31, 2023, MDASC NO LONGER EMPLOYS ANY INDIVIDUALS.</ExplanationTxt>
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        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
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</Return>