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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON JIMENEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIKELLE MEADE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE POKLUDA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DANA SPRUTE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUAN VALDEMOROS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAVID WEIGLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1783703</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>139846</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>26</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DR STEVEN KLEMOW</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75208</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>296997</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DR DAVID WRIGHT</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1611 GARNAAS DRIVE</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78758</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>154395</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MG FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78731</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>113203</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1524467</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>433821</AllOtherContributionsAmt>
      <TotalContributionsAmt>1958288</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>202926</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>202926</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>202926</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>1036420</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>124035</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>124035</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>38148</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>38148</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>38148</TotalRevenueColumnAmt>
        <ExclusionAmt>38148</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>87679241</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>59765328</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>27913913</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27913913</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>45914</TotalRevenueColumnAmt>
        <ExclusionAmt>45914</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>45914</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31319644</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28116839</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1244517</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>51949</TotalAmt>
        <ProgramServicesAmt>51949</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1439578</TotalAmt>
        <ProgramServicesAmt>1439578</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12338618</TotalAmt>
        <ProgramServicesAmt>10722456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1450019</ManagementAndGeneralAmt>
        <FundraisingAmt>166143</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>495192</TotalAmt>
        <ProgramServicesAmt>430330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58194</ManagementAndGeneralAmt>
        <FundraisingAmt>6668</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1495084</TotalAmt>
        <ProgramServicesAmt>1299252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175700</ManagementAndGeneralAmt>
        <FundraisingAmt>20132</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>916001</TotalAmt>
        <ProgramServicesAmt>796020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107647</ManagementAndGeneralAmt>
        <FundraisingAmt>12334</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10211</TotalAmt>
        <ManagementAndGeneralAmt>10211</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>99498</TotalAmt>
        <ManagementAndGeneralAmt>99498</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7041705</TotalAmt>
        <ProgramServicesAmt>6519530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>494465</ManagementAndGeneralAmt>
        <FundraisingAmt>27710</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>283655</TotalAmt>
        <ProgramServicesAmt>270744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3240</ManagementAndGeneralAmt>
        <FundraisingAmt>9671</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>224892</TotalAmt>
        <ProgramServicesAmt>176331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41527</ManagementAndGeneralAmt>
        <FundraisingAmt>7034</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>635320</TotalAmt>
        <ProgramServicesAmt>460601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122930</ManagementAndGeneralAmt>
        <FundraisingAmt>51789</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>900743</TotalAmt>
        <ProgramServicesAmt>686627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>212125</ManagementAndGeneralAmt>
        <FundraisingAmt>1991</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>89339</TotalAmt>
        <ProgramServicesAmt>78143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7038</ManagementAndGeneralAmt>
        <FundraisingAmt>4158</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>194193</TotalAmt>
        <ProgramServicesAmt>105214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80744</ManagementAndGeneralAmt>
        <FundraisingAmt>8235</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>433546</TotalAmt>
        <ProgramServicesAmt>412474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18906</ManagementAndGeneralAmt>
        <FundraisingAmt>2166</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>52510</TotalAmt>
        <ProgramServicesAmt>47851</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4180</ManagementAndGeneralAmt>
        <FundraisingAmt>479</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>271463</TotalAmt>
        <ProgramServicesAmt>271463</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT SUPPORT</Desc>
        <TotalAmt>109475</TotalAmt>
        <ProgramServicesAmt>109475</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>37955</TotalAmt>
        <ProgramServicesAmt>33540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4015</ManagementAndGeneralAmt>
        <FundraisingAmt>400</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; SUBSCRIPTION</Desc>
        <TotalAmt>13380</TotalAmt>
        <ProgramServicesAmt>11824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1415</ManagementAndGeneralAmt>
        <FundraisingAmt>141</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>12826</TotalAmt>
        <ProgramServicesAmt>11693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1030</ManagementAndGeneralAmt>
        <FundraisingAmt>103</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27147133</TotalAmt>
        <ProgramServicesAmt>23935095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2892884</ManagementAndGeneralAmt>
        <FundraisingAmt>319154</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>979866</BOYAmt>
        <EOYAmt>1146829</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8828171</BOYAmt>
        <EOYAmt>11108536</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>322152</BOYAmt>
        <EOYAmt>725800</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3702312</BOYAmt>
        <EOYAmt>4344756</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>216408</BOYAmt>
        <EOYAmt>239444</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9938950</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1702868</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8378199</BOYAmt>
        <EOYAmt>8236082</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>21420747</BOYAmt>
        <EOYAmt>24749773</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>81223</BOYAmt>
        <EOYAmt>407779</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>43929078</BOYAmt>
        <EOYAmt>50958999</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2805354</BOYAmt>
        <EOYAmt>3096753</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>400</BOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>11191</BOYAmt>
        <EOYAmt>11192</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2816945</BOYAmt>
        <EOYAmt>3107945</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>41112133</BOYAmt>
        <EOYAmt>47851054</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>41112133</BOYAmt>
        <EOYAmt>47851054</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43929078</BOYAmt>
        <EOYAmt>50958999</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4172511</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2749206</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-182796</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
      <PublicSupportPY509Pct>0.99000</PublicSupportPY509Pct>
      <InvestmentIncomePYPct>0.00980</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>2582144</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>14003</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>24567022</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25845659</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-1324968</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>99944</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>24420747</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>26599591</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-702768</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>51164</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>25845659</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10861509</BeginningYearBalanceAmt>
        <ContributionsAmt>13500000</ContributionsAmt>
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        <AdministrativeExpensesAmt>77655</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>26599591</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2765560</BeginningYearBalanceAmt>
        <ContributionsAmt>7332431</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>814464</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>50946</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>10861509</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
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      <PrmnntEndowmentBalanceEOYPct>0.05290</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1327900</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1327900</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5723041</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>319912</DepreciationAmt>
        <BookValueAmt>5403129</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2548374</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1134573</DepreciationAmt>
        <BookValueAmt>1413801</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>339635</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>248383</DepreciationAmt>
        <BookValueAmt>91252</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>8236082</TotalBookValueLandBuildingsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR LEASES TO THIRD PARTIES. EACH SECURITY DEPOSIT IS RETURNED, LESS THE COST OF ANY REPAIRS, UPON TERMINATION OF THE LEASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE USED FOR SEXUAL HEALTH AND WELLNESS FOR OPERATING RESERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARVER ATX FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>111 E 17TH STREET SUITE 12485</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78711</ZIPCd>
        </USAddress>
        <RecipientEIN>933144700</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>51949</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICATION ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>10000</RecipientCnt>
        <CashGrantAmt>504067</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>INSURANCE PREMIUM ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>225</RecipientCnt>
        <CashGrantAmt>927491</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>200</RecipientCnt>
        <CashGrantAmt>3498</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>LABS ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>200</RecipientCnt>
        <CashGrantAmt>3722</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>OTHER ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>800</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECIPIENTS PERIODICALLY PROVIDE PROGRAMMATIC AND FISCAL REPORTS TO TEXAS HEALTH ACTION. ASISTANCE IS PROVIDED TO CLINIC PATIENTS BASED ON FINANCIAL NEEDS. PAYMENTS FOR MEDICAL TREATMENT AND RELATED COSTS ARE PAID DIRECTLY TO THE SERVICE PROVIDER TO ENSURE THE FUNDS ARE USED FOR THE INTENDED PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>SANDRA GUERRA</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8057</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339170</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER HAMILTON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18000</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER ADAMS</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGAN BRUNSON</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>214234</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220453</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN DOOLEY</PersonNm>
        <TitleTxt>VP - CLINICAL OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>143507</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6168</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD AND OTHER PERSONS APPOINTED BY THE BOARD. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE ORGANIZATION'S MANAGEMENT REGARDING MATTERS THAT ARISE BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY TO (A) ALTER, AMEND, REPEAL, REPLACE OR RESTATE THE ARTICLES OR BYLAWS; (B) ELECT, APPOINT OR REMOVE ANY BOARD OR COMMITTEE MEMBER; (C) ADOPT A PLAN OF MERGER OR PLAN OF CONSOLIDATION; (D) AUTHORIZE THE SALE, LEASE, EXCHANGE OR MORTGAGE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY AND ASSETS; (E) AUTHORIZE THE ORGANIZATION'S VOLUNTARY WINDING UP AND TERMINATION OR REVOKE THE PROCEEDINGS THEREOF; (F) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS; OR (G) ALTER, AMEND, REPEAL, REPLACE OR RESTATE ANY RESOLUTION OF THE BOARD THAT, BY ITS TERMS, PROVIDES THAT IT CANNOT BE SO CHANGED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY AND AN ATTESTATION TO DISCLOSE ANY CONFLICTS OF INTEREST. IF AN INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST RELATED TO A TRANSACTION, THEY ARE REQUIRED TO DISCLOSE ITS EXISTENCE TO THE RELEVANT COMMITTEE OR THE BOARD. IF IT ISN'T CLEAR WHETHER AN ACTUAL CONFLICT EXISTS, THE INDIVIDUAL LEAVES THE MEETING WHILE THE REMAINING BOARD/COMMITTEE MEMBERS MAKE THE DETERMINATION. IF AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL MAY MAKE A PRESENTATION TO THE BOARD/COMMITTEE. AFTER THAT PRESENTATION, THE INDIVIDUAL IS EXCLUDED FROM ALL FURTHER DISCUSSIONS AND/OR VOTES ON THE MATTER. DISINTERESTED INDIVIDUALS MAY INVESTIGATE ALTERNATIVE TRANSACTIONS THAT WOULD NOT INVOLVE A CONFLICT OF INTEREST. AFTER SUCH INVESTIGATION, THE BOARD/COMMITTEE DETERMINES, BY MAJORITY VOTE, WHETHER TO ENTER THE TRANSACTION. IF A COMMITTEE OR THE BOARD BELIEVES THAT A PERSON HAS NOT DISCLOSED A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO ADDRESS THE MATTER. AFTER THIS PRESENTATION, THE INDIVIDUAL LEAVES THE ROOM WHILE THE REMAINING BOARD/COMMITTEE MEMBERS DETERMINE APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS DETERMINED BY THE BOARD EXECUTIVE COMMITTEE DURING THE YEAR AND INFORMED FROM A COMPENSATION STUDY CONDUCTED PERIODICALLY. KEY EMPLOYEE COMPENSATION IS INFORMED THROUGH A COMPENSATION STUDY CONDUCTED PERIODICALLY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 6,296,197. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,296,197. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75,245. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,245. OTHER SERVICES: PROGRAM SERVICE EXPENSES 223,333. MANAGEMENT AND GENERAL EXPENSES 419,220. FUNDRAISING EXPENSES 27,710. TOTAL EXPENSES 670,263.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TEXAS HEATH ACTION PHYSICIANS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>101 W KOENIG LANE SUITE 100</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78751</ZIPCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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          <BusinessNameLine1Txt>TEXAS HEATH ACTION PHYSICIANS</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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