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      <AllOtherContributions>9087862</AllOtherContributions>
      <NoncashContributions>7032988</NoncashContributions>
      <TotalContributions>14675610</TotalContributions>
      <ProgramServiceRevenue>
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        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>10076325</TotalRevenueColumn>
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      <TotalProgramServiceRevenue>10076325</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <ExclusionAmount>27170</ExclusionAmount>
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        <TotalRevenueColumn>24779105</TotalRevenueColumn>
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        <ExclusionAmount>27170</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>7032988</Total>
        <ProgramServices>7032988</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1507074</Total>
        <ProgramServices>1044579</ProgramServices>
        <ManagementAndGeneral>462495</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>8170248</Total>
        <ProgramServices>6890825</ProgramServices>
        <ManagementAndGeneral>1279423</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>227400</Total>
        <ProgramServices>156417</ProgramServices>
        <ManagementAndGeneral>70983</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>999980</Total>
        <ProgramServices>745904</ProgramServices>
        <ManagementAndGeneral>254076</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>599886</Total>
        <ProgramServices>541219</ProgramServices>
        <ManagementAndGeneral>58667</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>69415</Total>
        <ProgramServices>64556</ProgramServices>
        <ManagementAndGeneral>4859</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>1825</Total>
        <ProgramServices>1825</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>1962274</Total>
        <ProgramServices>1438398</ProgramServices>
        <ManagementAndGeneral>523876</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>359945</Total>
        <ProgramServices>324337</ProgramServices>
        <ManagementAndGeneral>35608</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>18306</ProgramServices>
        <ManagementAndGeneral>8225</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>228131</Total>
        <ManagementAndGeneral>228131</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>726201</Total>
        <ProgramServices>319529</ProgramServices>
        <ManagementAndGeneral>406672</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>26502</ProgramServices>
        <ManagementAndGeneral>61837</ManagementAndGeneral>
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        <Description>Patient Care</Description>
        <Total>1625649</Total>
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        <ManagementAndGeneral>113796</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad Debt</Description>
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        <ProgramServices>504399</ProgramServices>
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      <OtherExpenses>
        <Description>Continuing Education</Description>
        <Total>58060</Total>
        <ProgramServices>58060</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues Subscriptions</Description>
        <Total>60533</Total>
        <ProgramServices>48426</ProgramServices>
        <ManagementAndGeneral>12107</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>346467</Total>
        <ProgramServices>256152</ProgramServices>
        <ManagementAndGeneral>90315</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>20984275</ProgramServices>
        <ManagementAndGeneral>3611070</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>349640</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>2303985</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>315055</EOY>
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        <EOY>739643</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>178364</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>135404</EOY>
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      <LandBuildingsEquipmentBasis>19167701</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5155406</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>13918980</BOY>
        <EOY>14012295</EOY>
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      <InvestmentsPubTradedSecurities>
        <BOY>90860</BOY>
        <EOY>88970</EOY>
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      <TotalAssets>
        <BOY>18330412</BOY>
        <EOY>18123356</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>879046</BOY>
        <EOY>1014229</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>9939582</BOY>
        <EOY>9574482</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>467717</BOY>
        <EOY>308708</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>11286345</BOY>
        <EOY>10897419</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>7044067</BOY>
        <EOY>7225937</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7044067</BOY>
        <EOY>7225937</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>18330412</BOY>
        <EOY>18123356</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>183760</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>-1890</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>6556651</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7260674</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7262987</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8392874</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7642622</CurrentTaxYear>
        <Total>37115808</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>6556651</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7260674</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7262987</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8392874</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7642622</CurrentTaxYear>
        <Total>37115808</Total>
      </Total170>
      <PublicSupportTotal170>37115808</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>175336</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>101864</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>60371</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>44148</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27170</CurrentTaxYear>
        <Total>408889</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus3Years>250</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2200</CurrentTaxYearMinus2Years>
        <Total>2450</Total>
      </OtherIncome170>
      <TotalSupport>37527147</TotalSupport>
      <PublicSupportPertcentage170>0.98900</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98480</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="12000057" softwareVersion="12.19.1011.1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D" softwareId="12000057" softwareVersion="12.19.1011.1">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>1457716</OtherCostOrOtherBasis>
        <BookValue>1457716</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>15205569</OtherCostOrOtherBasis>
        <Depreciation>3083861</Depreciation>
        <BookValue>12121708</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>294314</OtherCostOrOtherBasis>
        <Depreciation>294314</Depreciation>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2092483</OtherCostOrOtherBasis>
        <Depreciation>1777231</Depreciation>
        <BookValue>315252</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>117619</OtherCostOrOtherBasis>
        <BookValue>117619</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>14012295</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Financial derivatives and other financial products</Description>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held equity interests</Description>
      </OtherSecurities>
      <OtherLiabilities>
        <Description>Federal income taxes</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Liability for Compensated Absences</Description>
        <Amount>293525</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ST Capital Lease Liability</Description>
        <Amount>5658</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LT Capital Lease Liability</Description>
        <Amount>9525</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>308708</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>24777215</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1890</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-1890</RevenueNotRptdF990>
      <RevenueSubtotal>24779105</RevenueSubtotal>
      <TotalRevenuePerForm990>24779105</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>24595345</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>24595345</ExpensesSubtotal>
      <TotalExpensesPerForm990>24595345</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I" softwareId="12000057" softwareVersion="12.19.1011.1">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Share the Care Program</TypeOfGrant>
        <NumberOfRecipients>11860</NumberOfRecipients>
        <AmountOfNonCashAssistance>3954435</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Drug Assistance</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Drug Assistance Program</TypeOfGrant>
        <NumberOfRecipients>3328</NumberOfRecipients>
        <AmountOfNonCashAssistance>3078553</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Drug Assistance</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>I</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>Requires annual single audit of grantee and organization performs quarterly internal monitoring on various departments.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="12000057" softwareVersion="12.19.1011.1">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Miguel Trevino Jr</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>151002</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>17000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>169002</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rogelio Garcia-Cavazo</NamePerson>
        <Title>Chief Medical Officer</Title>
        <BaseCompensationFilingOrg>200013</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>201013</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Allison A Airall-Ryan</NamePerson>
        <Title>Staff Physician</Title>
        <BaseCompensationFilingOrg>151490</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>152490</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Abha Gyani</NamePerson>
        <Title>Hospitalist</Title>
        <BaseCompensationFilingOrg>168785</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>169785</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Maria C Moreno</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>82243</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>83243</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Zakaria I Hamdan</NamePerson>
        <Title>Hospitalist</Title>
        <BaseCompensationFilingOrg>170435</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>171435</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nicole Henry-Dacosta</NamePerson>
        <Title>Staff Physician</Title>
        <BaseCompensationFilingOrg>248842</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>249842</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="12000057" softwareVersion="12.19.1011.1">
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>19216</NumberOfContributions>
        <NoncashContribsRptdF990>7032988</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Red Book FMV</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="12000057" softwareVersion="12.19.1011.1">
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 722,157, Grants and allocations 0, Revenue 0 See Schedule O</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part III Line 4d Gateway has numerous programs that they are expensed through. The other program services expense is derived from a number of other programs that are not significant to the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11a The Form 990 is presented to the CEO for review and approval. After CEOs approval, the Form 990 is presented to the Board of Directors for review and approval. The Board approves the Form 990 and the CEO signs the Form 8879-EO, authorizing the preparer firm to e-file the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 12c Gateway has a Conflict of Interest Policy which it regularly and consistently monitors and enforces. All center providers, staff, and contract staff are required to review their Code of Conduct and sign an acknowledgement of understanding and acceptance.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15a The Governing Board reviews through a performance evaluation and approves the compensation of the CEO. The amount of the compensation of the CEO is determined by comparing the compensation for similar positions in the National Association of Community Health Centers NACHC Compensation Benefits Report. This process was last undertaken in 2005.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section C Line 19 Documents will be made available upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>