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      <GrantsToDomesticIndividuals>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
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      <InformationTechnology>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>18864401</BOY>
        <EOY>18330412</EOY>
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      <ReconcilationOtherChanges>12071</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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      <GiftsGrantsContribReceived170>
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        <CurrentTaxYearMinus2Years>7260674</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7262987</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8392874</CurrentTaxYear>
        <Total>35877727</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>6404541</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6556651</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7260674</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7262987</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8392874</CurrentTaxYear>
        <Total>35877727</Total>
      </Total170>
      <PublicSupportTotal170>35877727</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>171393</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>175336</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>101864</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>60371</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>44148</CurrentTaxYear>
        <Total>553112</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus2Years>250</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2200</CurrentTaxYearMinus1Year>
        <Total>2450</Total>
      </OtherIncome170>
      <TotalSupport>36433289</TotalSupport>
      <PublicSupportPertcentage170>0.98480</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98000</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
      <FactsAndCircumstancesTest>Part II Line 10 Other income derived from interest earned from investments.</FactsAndCircumstancesTest>
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        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
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          <State>RESTRICTED</State>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <BookValue>1457716</BookValue>
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      <Buildings>
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        <Depreciation>2211002</Depreciation>
        <BookValue>11151573</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>735970</OtherCostOrOtherBasis>
        <Depreciation>320307</Depreciation>
        <BookValue>415663</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2860970</OtherCostOrOtherBasis>
        <Depreciation>1966942</Depreciation>
        <BookValue>894028</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>13918980</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Liability for Compensated Absences</Description>
        <Amount>467717</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>467717</TotalOfAmounts>
      <TotalRevenue>26345511</TotalRevenue>
      <TotalExpenses>26960862</TotalExpenses>
      <ExcessOrDeficitForYear>-615351</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>12071</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>12071</TotalAdjustments>
      <ExcessOrDeficitPerFS>-603280</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>26357582</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>12071</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>12071</RevenueNotRptdF990>
      <RevenueSubtotal>26345511</RevenueSubtotal>
      <TotalRevenuePerForm990>26345511</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>26960862</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>26960862</ExpensesSubtotal>
      <TotalExpensesPerForm990>26960862</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I" softwareId="11000218" softwareVersion="2011.0.0">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Share the Care Program</TypeOfGrant>
        <NumberOfRecipients>12262</NumberOfRecipients>
        <AmountOfNonCashAssistance>3776242</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Drug Assistance</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Drug Assistance Program</TypeOfGrant>
        <NumberOfRecipients>4692</NumberOfRecipients>
        <AmountOfNonCashAssistance>3525601</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 departements.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="11000218" softwareVersion="2011.0.0">
      <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>
        <BaseCompensationFilingOrg>168306</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>169306</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rogelio Garcia-Cavazo</NamePerson>
        <BaseCompensationFilingOrg>200317</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>201317</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Debbie P Spencer</NamePerson>
        <BaseCompensationFilingOrg>200317</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>201317</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Abha Gyani</NamePerson>
        <BaseCompensationFilingOrg>200317</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>201317</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rosa M Montes</NamePerson>
        <BaseCompensationFilingOrg>150880</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>151880</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leticia Vargas</NamePerson>
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        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>251320</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Zakaria Hamdan</NamePerson>
        <BaseCompensationFilingOrg>201381</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>202381</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="11000218" softwareVersion="2011.0.0">
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        <NumberOfContributions>20291</NumberOfContributions>
        <NoncashContribsRptdF990>7301843</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Red Book FMV</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>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>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11a</ReturnReference>
        <Explanation>The Form 990 is presented to the CEO for review and approval prior to e-filing. The CEO approves and signs the Form 8879-EO, authorizing the preparer firm to e-file the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>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>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a</ReturnReference>
        <Explanation>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 ismilar positions in the National Association of Community Health Centers NACHC Compensation Benefits Report. This process was last undertaken in 2005.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>Documents will be made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>This other change in net assets results from an unrealized gain of 12,071 in International Bank Shares.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 1,693,335, Grants and allocations 0, Revenue 1,693,335 See Schedule O</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 1,693,335, Grants and allocations 0, Revenue 1,693,335 See Schedule O 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. Form 990 Part VI Section B Line 11a The Form 990 is presented to the CEO for review and approval prior to e-filing. The CEO approves and signs the Form 8879-EO, authorizing the preparer firm to e-file the Form 990. 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. 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 ismilar positions in the National Association of Community Health Centers NACHC Compensation Benefits Report. This process was last undertaken in 2005. Form 990 Part VI Section C Line 19 Documents will be made available upon request. Form 990 Part XI Line 5 This other change in net assets results from an unrealized gain of 12,071 in International Bank Shares.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>