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        <CurrentTaxYearMinus3YearsAmt>3368</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3707</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>20070</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.99860</PublicSupportPY170Pct>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <DepreciationAmt>6335681</DepreciationAmt>
        <BookValueAmt>10674556</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>570973</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>326216</DepreciationAmt>
        <BookValueAmt>244757</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2916089</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2041841</DepreciationAmt>
        <BookValueAmt>874248</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>13721755</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WAGES</Desc>
        <Amt>375410</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Liability for Compensated Absences</Desc>
        <Amt>351583</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other accrued expense</Desc>
        <Amt>212172</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>939165</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>27992777</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>27992777</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>27992777</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>27048268</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>27048268</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="19009920" softwareVersionNum="2019v5.0">
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Gala</Event1Nm>
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        <GrossRevenueEvent1Amt>106000</GrossRevenueEvent1Amt>
        <GrossReceiptsTotalAmt>106000</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>106000</GrossRevenueTotalEventsAmt>
        <NetIncomeSummaryAmt>106000</NetIncomeSummaryAmt>
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    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="19009920" softwareVersionNum="2019v5.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Drug Assistance Program</GrantTypeTxt>
        <RecipientCnt>1404</RecipientCnt>
        <CashGrantAmt>2593651</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Drug assistance</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Share the Care</GrantTypeTxt>
        <RecipientCnt>450</RecipientCnt>
        <CashGrantAmt>438016</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Drug assistance</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 2 - Procedures for Monitoring the Use of Grant FundsPatients must submit an application including personal and financialinformation which is used to determine their eligibility for the program.Once a prescription is submitted by the patient, the organization willconfirm the validity of the prescription with the prescribing physician.Patients are required to provide ID at pickup.</ExplanationTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="19009920" softwareVersionNum="2019v5.0">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ana Maria Pagan</PersonNm>
        <TitleTxt>OB-GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>303867</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5043</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303867</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>5043</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David EGarza</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>247246</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1960</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247246</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1960</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diego Menchaca</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>259615</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5456</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>259615</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>5456</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eduardo E Robles</PersonNm>
        <TitleTxt>OB-GYN</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elmo Lopez</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>5494</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179134</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mery Cortes Bergoderi</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>5456</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pedro Castaneda Jr</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>255591</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255608</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="19009920" softwareVersionNum="2019v5.0">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1854</ContributionCnt>
        <NoncashContributionsRptF990Amt>3031667</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Red Book FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 11b - Organization's Process to Review Form 990The Form 990 is presented to the CEO for review and approval. After CEO'sapproval, the Form 990 is presented to the Board of Directors for reviewand approval. The Board approves the Form 990 and the CEO signs the Form8879-EO authorizing the preparer firm to e-file the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 12c - Enforcement of Conflicts PolicyGateway has a conflict of interest policy which it regularly andconsistently monitors and enforces. All center providers, staff, andcontract staff are required to review their code of conduct and sign anacknowledgement of understanding and acceptance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 15a - Compensation Process for Top OfficialThe governing board reviews through a performance evaluation and approvescompensation of the CEO. The amount of the compensation of the CEO isdetermined by comparing the compensation for similar positions in theNational Association of Community Health Centers (NACHC) CompensationsBenefits Report. The process was last undertaken in October 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 19 - Governing Documents Disclosure ExplanationDocuments will be made available upon request</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>