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        <ReportableCompFromOrgAmt>116325</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1267</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE HERMANN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112208</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1267</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICIA LEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16751</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEKAM TAKUSI</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106260</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1300</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>814523</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>75146</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</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>2317881</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>1583849</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHILDERS ARCHITECT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>45 SOUTH 4TH ST</AddressLine1Txt>
            <CityNm>FORT SMITH</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>79256</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTUAL SERVICES</ServicesDesc>
        <CompensationAmt>150783</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9969525</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>40843</AllOtherContributionsAmt>
      <NoncashContributionsAmt>9181</NoncashContributionsAmt>
      <TotalContributionsAmt>10010368</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>318043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>318043</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>318043</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>42596</TotalRevenueColumnAmt>
        <ExclusionAmt>42596</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>230379</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>230379</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>230379</TotalRevenueColumnAmt>
        <ExclusionAmt>230379</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>7000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>636</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>6364</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>6364</TotalRevenueColumnAmt>
        <ExclusionAmt>6364</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6494</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6494</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>6494</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>10614244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>324537</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>279339</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>126108</TotalAmt>
        <ProgramServicesAmt>126108</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>399340</TotalAmt>
        <ProgramServicesAmt>345719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53621</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2005631</TotalAmt>
        <ProgramServicesAmt>1736328</ProgramServicesAmt>
        <ManagementAndGeneralAmt>269303</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1490</TotalAmt>
        <ProgramServicesAmt>1313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>275522</TotalAmt>
        <ProgramServicesAmt>242761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32761</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>181339</TotalAmt>
        <ProgramServicesAmt>157551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23788</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>30579</TotalAmt>
        <ProgramServicesAmt>9319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21260</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37409</TotalAmt>
        <ManagementAndGeneralAmt>37409</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>656720</TotalAmt>
        <ProgramServicesAmt>648838</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7567</ManagementAndGeneralAmt>
        <FundraisingAmt>315</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>53832</TotalAmt>
        <ProgramServicesAmt>36646</ProgramServicesAmt>
        <ManagementAndGeneralAmt>762</ManagementAndGeneralAmt>
        <FundraisingAmt>16424</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>86908</TotalAmt>
        <ProgramServicesAmt>82688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2081</ManagementAndGeneralAmt>
        <FundraisingAmt>2139</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>73265</TotalAmt>
        <ProgramServicesAmt>61603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11662</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>345931</TotalAmt>
        <ProgramServicesAmt>300393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45538</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>21668</TotalAmt>
        <ProgramServicesAmt>21668</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>400</TotalAmt>
        <ProgramServicesAmt>400</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>171692</TotalAmt>
        <ProgramServicesAmt>61780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109912</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>91195</TotalAmt>
        <ProgramServicesAmt>31460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59735</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>417073</TotalAmt>
        <ProgramServicesAmt>417073</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING AND TRAINING</Desc>
        <TotalAmt>88609</TotalAmt>
        <ProgramServicesAmt>88609</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNCOLLECTIBLE DOUBTFUL</Desc>
        <TotalAmt>73057</TotalAmt>
        <ProgramServicesAmt>73057</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>9672</TotalAmt>
        <ProgramServicesAmt>9672</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>113372</TotalAmt>
        <ProgramServicesAmt>69107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41400</ManagementAndGeneralAmt>
        <FundraisingAmt>2865</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5260812</TotalAmt>
        <ProgramServicesAmt>4522093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>716976</ManagementAndGeneralAmt>
        <FundraisingAmt>21743</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>117795</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>17610452</BOYAmt>
        <EOYAmt>16180852</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>70480</BOYAmt>
        <EOYAmt>28272</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>6253</BOYAmt>
        <EOYAmt>6253</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>152227</BOYAmt>
        <EOYAmt>188111</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8952014</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>942987</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3198817</BOYAmt>
        <EOYAmt>8009027</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>350</BOYAmt>
        <EOYAmt>350</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>21156374</BOYAmt>
        <EOYAmt>24412865</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>395840</BOYAmt>
        <EOYAmt>1266010</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>16604758</BOYAmt>
        <EOYAmt>13628506</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>16700</BOYAmt>
        <EOYAmt>25841</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>17017298</BOYAmt>
        <EOYAmt>14920357</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4094134</BOYAmt>
        <EOYAmt>9447566</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>44942</BOYAmt>
        <EOYAmt>44942</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4139076</BOYAmt>
        <EOYAmt>9492508</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21156374</BOYAmt>
        <EOYAmt>24412865</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>5353432</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>3499288</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3541911</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5431599</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4772279</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10010368</CurrentTaxYearAmt>
        <TotalAmt>27255445</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3499288</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3541911</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5431599</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4772279</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10010368</CurrentTaxYearAmt>
        <TotalAmt>27255445</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>27255445</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>101656</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>96287</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>92376</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>76429</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>272975</CurrentTaxYearAmt>
        <TotalAmt>639723</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>49381</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16396</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>24334</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>90111</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>23827</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2241</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1833</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2485</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6494</CurrentTaxYearAmt>
        <TotalAmt>36880</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>28022159</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1311422</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97260</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97140</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>567034</DepreciationAmt>
        <BookValueAmt>1620281</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>257916</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>112766</DepreciationAmt>
        <BookValueAmt>145150</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>696298</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>263187</DepreciationAmt>
        <BookValueAmt>433111</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4984160</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4984160</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8009027</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>10541502</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>315</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>315</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10541187</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>73057</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>73057</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>10614244</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5188070</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>315</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>315</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5187755</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>73057</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>73057</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5260812</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 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCOLLECTIBLE DOUBTFUL ACCOUNTS 73,057.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCOLLECTIBLE DOUBTFUL ACCOUNTS 73,057.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLASSROOM TRAINING FEES</GrantTypeTxt>
        <RecipientCnt>23</RecipientCnt>
        <CashGrantAmt>109619</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>630</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PAYROLL INCENTIVES</GrantTypeTxt>
        <RecipientCnt>7</RecipientCnt>
        <CashGrantAmt>4200</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GRADE INCENTIVE</GrantTypeTxt>
        <RecipientCnt>17</RecipientCnt>
        <CashGrantAmt>10400</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HEALTHCARE</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>1259</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 2022 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>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OMER TAMIR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>143465</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19050</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>900</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6311</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17050</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186776</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICIA LEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>133991</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>959</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5215</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11536</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151701</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <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 PARTICIPATION IN A WEEKEND VACCINATION DRIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM CEASED ON 6/30/22. AD-33656-19-60-A-22</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>UPDATED EMPLOYEE HANDBOOK, POLICIES AND PROCEDURES AND A RESTATED CERTIFICATE OF FORMATION.</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>GOVERNANCE COMMITTEE 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 CONISDERED IN DETERMINING COMPENSATION CHANGES.</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 648,838. MANAGEMENT AND GENERAL EXPENSES 7,567. FUNDRAISING EXPENSES 315. TOTAL EXPENSES 656,720.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
