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        <OtherCostOrOtherBasisAmt>535444</OtherCostOrOtherBasisAmt>
        <BookValueAmt>535444</BookValueAmt>
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        <DepreciationAmt>446220</DepreciationAmt>
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        <Desc>Interest in Net Assets of Bethesda Found</Desc>
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        <OtherDirectExpensesEvent1Amt>28946</OtherDirectExpensesEvent1Amt>
        <Event2Nm>DR. LUKE DINNER</Event2Nm>
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        <RentFacilityCostsEvent2Amt>17739</RentFacilityCostsEvent2Amt>
        <EntertainmentEvent2Amt>1650</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>3572</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>301633</GrossReceiptsTotalAmt>
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        <PersonNm>DR JOHN ENGLISH</PersonNm>
        <TitleTxt>Executive Dir.</TitleTxt>
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        <TotalCompensationFilingOrgAmt>168750</TotalCompensationFilingOrgAmt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007218" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>A draft of the return will be presented at a Finance Committee meeting for their review. A copy of the draft will also be made available to all board members for their review. Once approved by the board, the return will be filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with their conflict of interest policy by reviewing the policy at board meetings. Any potential conflicts are discussed and handled as they arise.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the executive director and other members of management is determined based on an annual evaluation process undertaken by the board of directors. The process includes an evaluation of the performance in key areas as compared to the expected performance for the position and attainment of established goals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Disclosure of governing documents, conflict of interest policy and financial statements are made available to the public upon request.</ExplanationTxt>
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          <CityNm>Tyler</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75710</ZIPCd>
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        <PrimaryActivitiesTxt>To provide financial mgmt services for the Bethesda Clinic.</PrimaryActivitiesTxt>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
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</Return>