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        <ReportableCompFromOrgAmt>137435</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18071</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEKAM TAKUSI</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117242</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1524</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE HERMANN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1518</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1051823</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>122044</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BIRCH CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4403 NORTH CENTRAL EXPRESSWAY SUITE</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>6002225</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SS ROOFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4339 US HWY 271 SOUTH</AddressLine1Txt>
            <CityNm>PITTSBURG</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75686</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>284270</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>13152743</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>475922</AllOtherContributionsAmt>
      <NoncashContributionsAmt>454355</NoncashContributionsAmt>
      <TotalContributionsAmt>13628665</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>230783</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>230783</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>230783</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>100144</TotalRevenueColumnAmt>
        <ExclusionAmt>100144</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>261038</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>286636</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-25598</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-25598</TotalRevenueColumnAmt>
        <ExclusionAmt>-25598</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11615</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>11615</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13945609</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>242398</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>74546</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>249297</TotalAmt>
        <ProgramServicesAmt>249297</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>568025</TotalAmt>
        <ProgramServicesAmt>481117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86908</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2215710</TotalAmt>
        <ProgramServicesAmt>1882824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>332886</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>36626</TotalAmt>
        <ProgramServicesAmt>30444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6182</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>275243</TotalAmt>
        <ProgramServicesAmt>228789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46454</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>187922</TotalAmt>
        <ProgramServicesAmt>158781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29141</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5406</TotalAmt>
        <ManagementAndGeneralAmt>5406</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>39769</TotalAmt>
        <ManagementAndGeneralAmt>39769</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>170720</TotalAmt>
        <ProgramServicesAmt>157768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12952</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>13614</TotalAmt>
        <ProgramServicesAmt>13316</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>125688</TotalAmt>
        <ProgramServicesAmt>121822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2899</ManagementAndGeneralAmt>
        <FundraisingAmt>967</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>261421</TotalAmt>
        <ProgramServicesAmt>193330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17846</ManagementAndGeneralAmt>
        <FundraisingAmt>50245</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>137271</TotalAmt>
        <ProgramServicesAmt>122511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14760</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>27349</TotalAmt>
        <ProgramServicesAmt>26767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>582</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>725907</TotalAmt>
        <ManagementAndGeneralAmt>725907</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>47378</TotalAmt>
        <ProgramServicesAmt>13189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34189</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RENOVATION</Desc>
        <TotalAmt>1433211</TotalAmt>
        <ProgramServicesAmt>1433211</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM ACTIVITIES</Desc>
        <TotalAmt>963670</TotalAmt>
        <ProgramServicesAmt>956676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1600</ManagementAndGeneralAmt>
        <FundraisingAmt>5394</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>304796</TotalAmt>
        <ProgramServicesAmt>304796</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>31319</TotalAmt>
        <ProgramServicesAmt>31237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>79005</TotalAmt>
        <ProgramServicesAmt>62246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11323</ManagementAndGeneralAmt>
        <FundraisingAmt>5436</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7899347</TotalAmt>
        <ProgramServicesAmt>6468121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1369184</ManagementAndGeneralAmt>
        <FundraisingAmt>62042</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16180852</BOYAmt>
        <EOYAmt>7759214</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>28272</BOYAmt>
        <EOYAmt>358477</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>6253</BOYAmt>
        <EOYAmt>6253</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>188111</BOYAmt>
        <EOYAmt>148546</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15458878</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1732326</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8009027</BOYAmt>
        <EOYAmt>13726552</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>350</BOYAmt>
        <EOYAmt>962</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24412865</BOYAmt>
        <EOYAmt>22000004</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1266010</BOYAmt>
        <EOYAmt>246588</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>13628506</BOYAmt>
        <EOYAmt>6207628</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>25841</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>7018</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>14920357</BOYAmt>
        <EOYAmt>6461234</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9447566</BOYAmt>
        <EOYAmt>15493828</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>44942</BOYAmt>
        <EOYAmt>44942</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9492508</BOYAmt>
        <EOYAmt>15538770</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24412865</BOYAmt>
        <EOYAmt>22000004</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>6046262</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3541911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5431599</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4772279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10010368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13628665</CurrentTaxYearAmt>
        <TotalAmt>37384822</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3541911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5431599</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4772279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10010368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13628665</CurrentTaxYearAmt>
        <TotalAmt>37384822</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>37384822</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>96287</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>92376</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>76429</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>272975</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>361182</CurrentTaxYearAmt>
        <TotalAmt>899249</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>16396</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24334</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>40730</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2241</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1833</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2485</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11615</CurrentTaxYearAmt>
        <TotalAmt>24668</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>38349469</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1199097</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97480</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97260</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>826325</OtherCostOrOtherBasisAmt>
        <BookValueAmt>826325</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2187315</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>638847</DepreciationAmt>
        <BookValueAmt>1548468</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>10907404</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>652150</DepreciationAmt>
        <BookValueAmt>10255254</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1537834</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>441329</DepreciationAmt>
        <BookValueAmt>1096505</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>13726552</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHE LIABILITIES</Desc>
        <Amt>7018</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7018</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14232245</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>286636</OtherRevenueAmt>
      <RevenueNotReportedAmt>286636</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13945609</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13945609</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8185983</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>286636</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>286636</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7899347</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7899347</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ESCROW ACCOUNT LIABILITY REPRESENTS SECURITY DEPOSITS PAYABLE TO TENANTS AT THE COMPLETION OF THEIR LEASES PROVIDED THAT CERTAIN TERMS ARE MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 286,636.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 286,636.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLASSROOM TRAINING FEES</GrantTypeTxt>
        <RecipientCnt>64</RecipientCnt>
        <CashGrantAmt>148520</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION</GrantTypeTxt>
        <RecipientCnt>13</RecipientCnt>
        <CashGrantAmt>2123</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PAYROLL INCENTIVES</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>13550</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GRADE INCENTIVE</GrantTypeTxt>
        <RecipientCnt>39</RecipientCnt>
        <CashGrantAmt>38900</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EMERGENCY RENTAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>20</RecipientCnt>
        <CashGrantAmt>41756</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FOOD</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>1250</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>UTILITIES</GrantTypeTxt>
        <RecipientCnt>35</RecipientCnt>
        <CashGrantAmt>2622</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SUPPORT SERVICES</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>576</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE MONITOR OUR GRANTS AND USE OF FUNDS WITHIN OUR ACCOUNTING SYSTEM. WE USE CLASS CODES FOR ALL OUR SERVICES AND THEY ARE POSTED ACCORDINGLY GIVING US THE ABILITY TO REVIEW, DAILY, WEEKLY, MONTHLY AND QUARTERLY THE CASH POSITION OF THE GRANT AS WELL AS THE CLASSIFICATION OF EXPENSE AS EITHER DIRECT OR INDIRECT COST. WE WILL ALSO BE RETURNING TO OUR BUDGETING SYSTEM WHERE WE INPUT THE GRANT/CONTRACT BUDGET INTO THE ACCOUNTING SYSTEM AND GIVE ACCESS TO EACH DIRECTOR SO THEY MAY REVIEW THEIR BUDGET TO ACTUAL VARIANCE ON A DAILY BASIS. WE UTILIZED THIS METHODOLOGY DURING THE YEARS OF 2004 THROUGH 2023 GIVING EACH DIRECTOR THE ABILITY TO MODIFY THEIR BUDGETS ACCORDING TO NEED AND ACCORDING TO REGULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>OMER TAMIR</PersonNm>
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        <PersonNm>SAIDA OSMAN</PersonNm>
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        <TotalCompensationFilingOrgAmt>212650</TotalCompensationFilingOrgAmt>
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        <PersonNm>RICHARD GOLDBERG</PersonNm>
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        <TotalCompensationFilingOrgAmt>151425</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD PERFORMS A MARKET STUDY COMPARING COMPENSATION TO THE LOCAL MARKET, NON-PROFIT SECTOR AS A WHOLE, EDUCATION, EXPERIENCE, ETC. ANNUAL PERFORMANCE EVALUATION BY THE BOARD, ORGANIZATION SIZE, AND AVAILABLE FUNDING ARE ALL CONISDERED IN DETERMINING COMPENSATION CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S BONUS IS PRIMARILY DETERMINED BY ANALYSIS OF THE ORGANIZATION'S KPI AND BOARD APPROVAL. ALL OTHER BONUS DURING THE CURRENT YEAR WERE BASED ON PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2606</ContributionCnt>
        <NoncashContributionsRptF990Amt>454355</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS NATIVE HEALTH PROVIDES CULTURAL EDUCATIONAL PROGRAMMING TO THE INTER-TRIBAL COMMUNITY OF DFW IN ORDER TO CREATE OPPORTUNITIES FOR THOSE WHO HAVE BEEN DISPLACED AND FOR THOSE WHO SEEK INDIGENOUS COMMUNITY. OUR CULTURAL EDUCATIONAL PROGRAMMING INCLUDES WORKSHOPS AND CLASSES THAT COVER A VARIETY OF TRIBAL ACTIVITIES &amp; SUBJECTS, SUCH AS RIBBON SKIRTS/SHIRTS, POWWOW DANCING &amp; HISTORY, POTTERY, DREAMCATCHERS, BEADING, HANDGAMES, INDIGENOUS CUISINE AND MORE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>CFO AND CEO REVIEW 990 THOROUGHLY BEFORE SUBMITTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS NATIVE HEALTH BOARD REGULARLY REVIEWS AND DISCUSSES COMPLIANCE WITH ALL BOARD POLICIES, INCLUDING POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A MARKET STUDY FOR EACH POSITION IS CONDUCTED COMPARING COMPENSATION TO THE LOCAL MARKET, NON-PROFIT SECTOR AS A WHOLE, EDUCATION, EXPERIENCE, ETC. ANNUAL PERFORMANCE EVALUATION, ORGANIZATION SIZE, AND AVAILABLE FUNDING ARE ALL CONSIDERED IN DETERMINING COMPENSATION CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>ON TEXAS NATIVE HEALTH WEBSITE, GUIDESTAR/CANDID, AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS NATIVE HEALTH ARTICLES OF INCORPORATION, BYLAWS, AND 990'S ARE AVAILABLE ON OUR WEBSITE AND ARE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>