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        <Title>Special Programs Coordinator</Title>
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        <OtherCompensation>1000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ricky G Ryan</NamePerson>
        <Title>Network Computer Admin</Title>
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        <ReportableCompFromOrganization>60154</ReportableCompFromOrganization>
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        <OtherCompensation>1000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leticia Vargas</NamePerson>
        <Title>Physician</Title>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>260139</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>1000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Zakaria Hamdan</NamePerson>
        <Title>Hospitalist</Title>
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        <ReportableCompFromOrganization>215209</ReportableCompFromOrganization>
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      <Form990PartVIISectionA>
        <NamePerson>Leonides Cigarroa Jr</NamePerson>
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        <AverageHoursPerWeek>040.00</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>171860</ReportableCompFromOrganization>
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        <OtherCompensation>750</OtherCompensation>
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      <NumberIndividualsGT100K>17</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
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      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
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        </NameOfContractor>
        <DescriptionOfServices>Off-site pediatric dental services</DescriptionOfServices>
        <Compensation>205784</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Lorena Salcedo</NamePerson>
        </NameOfContractor>
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      <GovernmentGrants>6294146</GovernmentGrants>
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        <Description>Other Income</Description>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>7028542</Total>
        <ProgramServices>7028542</ProgramServices>
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      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ProgramServices>993212</ProgramServices>
        <ManagementAndGeneral>218022</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
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        <ProgramServices>7023065</ProgramServices>
        <ManagementAndGeneral>1541648</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>161507</Total>
        <ProgramServices>127590</ProgramServices>
        <ManagementAndGeneral>33917</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>1144139</Total>
        <ProgramServices>903870</ProgramServices>
        <ManagementAndGeneral>240269</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>672742</Total>
        <ProgramServices>531466</ProgramServices>
        <ManagementAndGeneral>141276</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>37730</Total>
        <ProgramServices>35089</ProgramServices>
        <ManagementAndGeneral>2641</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
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      <FeesForServicesOther>
        <Total>0</Total>
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      <Advertising>
        <Total>13653</Total>
        <ProgramServices>13653</ProgramServices>
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      <OfficeExpenses>
        <Total>2420006</Total>
        <ProgramServices>1899664</ProgramServices>
        <ManagementAndGeneral>520342</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>337516</Total>
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        <ManagementAndGeneral>33537</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>51405</ProgramServices>
        <ManagementAndGeneral>23095</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>3822</Total>
        <ManagementAndGeneral>3822</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      <DepreciationDepletion>
        <Total>761090</Total>
        <ProgramServices>334880</ProgramServices>
        <ManagementAndGeneral>426210</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>26267</ProgramServices>
        <ManagementAndGeneral>61291</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Patient Care</Description>
        <Total>2413831</Total>
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        <ManagementAndGeneral>168968</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>1048898</Total>
        <ProgramServices>1048898</ProgramServices>
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      <OtherExpenses>
        <Description>Other</Description>
        <Total>237876</Total>
        <ProgramServices>166513</ProgramServices>
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      <OtherExpenses>
        <Description>Dues Subscriptions</Description>
        <Total>47818</Total>
        <ProgramServices>38254</ProgramServices>
        <ManagementAndGeneral>9564</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Continuing Education</Description>
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        <ProgramServices>54846</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>102932</Total>
        <ProgramServices>82346</ProgramServices>
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      <TotalFunctionalExpenses>
        <Total>26424953</Total>
        <ProgramServices>22908402</ProgramServices>
        <ManagementAndGeneral>3516551</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>577015</EOY>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <InventoriesForSaleOrUse>
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      <PrepaidExpensesDeferredCharges>
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      <LandBuildingsEquipmentBasis>17561839</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3715623</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      <OtherAssetsTotal>
        <BOY>131791</BOY>
        <EOY>600</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
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      <OtherLiabilities>
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        <EOY>484473</EOY>
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      <TotalLiabilities>
        <BOY>11236239</BOY>
        <EOY>11217054</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
        <BOY>6295498</BOY>
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      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>26912876</BOY>
        <EOY>18864401</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-184331</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-7824123</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="10000149" softwareVersion="2010.2.15">
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        <CurrentTaxYearMinus1Year>7260674</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus1Year>7260674</CurrentTaxYearMinus1Year>
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      <PublicSupportTotal170>34474585</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus1Year>101864</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>60371</CurrentTaxYear>
        <Total>699825</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus1Year>250</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2200</CurrentTaxYear>
        <Total>2450</Total>
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      <TotalSupport>35176860</TotalSupport>
      <PublicSupportPertcentage170>0.98000</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97700</PublicSupportPertcentPriorYear>
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      <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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          <AddressLine2>RESTRICTED</AddressLine2>
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        <BookValue>1457716</BookValue>
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        <BookValue>11493759</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <BookValue>242184</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>652557</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>13846216</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Liability for Compensated Absences</Description>
        <Amount>484473</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>484473</TotalOfAmounts>
      <TotalRevenue>26240622</TotalRevenue>
      <TotalExpenses>26424953</TotalExpenses>
      <ExcessOrDeficitForYear>-184331</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-20836</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-20836</TotalAdjustments>
      <ExcessOrDeficitPerFS>-205167</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>26219786</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-20836</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-20836</RevenueNotRptdF990>
      <RevenueSubtotal>26240622</RevenueSubtotal>
      <TotalRevenuePerForm990>26240622</TotalRevenuePerForm990>
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      <TotalExpensesPerForm990>26424953</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I" softwareId="10000149" softwareVersion="2010.2.15">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Share the Care Program</TypeOfGrant>
        <NumberOfRecipients>12014</NumberOfRecipients>
        <AmountOfNonCashAssistance>3181372</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Drug Assistance</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Drug Assistance Program</TypeOfGrant>
        <NumberOfRecipients>2056</NumberOfRecipients>
        <AmountOfNonCashAssistance>3847170</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="10000149" softwareVersion="2010.2.15">
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      <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>174971</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Rogelio Garcia-Cavazo</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Armando R Hinojosa</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Debbie P Spencer</NamePerson>
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        <TotalCompensationFilingOrg>209213</TotalCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Abha Gyani</NamePerson>
        <BaseCompensationFilingOrg>207898</BaseCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>468005</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leticia Vargas</NamePerson>
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        <TotalCompensationFilingOrg>261439</TotalCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Zakaria Hamdan</NamePerson>
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        <DeferredCompFilingOrg>1000</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>216209</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leonides Cigarroa Jr</NamePerson>
        <BaseCompensationFilingOrg>171860</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>750</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>172610</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="10000149" softwareVersion="2010.2.15">
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        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>24737</NumberOfContributions>
        <NoncashContribsRptdF990>7028542</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Red Book FMV</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="10000149" softwareVersion="2010.2.15">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11</ReturnReference>
        <Explanation>On an annual basis, the return preparer presents and explains the Form 990 to the Finance Committee. The Finance Committee is comprised of 3 Board members, CEO, CFO, and COO. Once approved by the Finance Committee, a second presentation is made to the full Board of Directors for final approval of the completed Form 990 before filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a</ReturnReference>
        <Explanation>The Governing board reviews through a performance evaluation and approve 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>
        <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>During the current year audit, management completed an internal analysis and corrective reconciliation of certain error that had occurred in the fiscal year ended March 31, 2010 resulting in the 6,295,498 overstatement of unconditional promises to give, a 46,567 overstatement of prepaid expenses, an 1,274,077 understatement of allowances for patient receivables, a 10,251 understatement of account payable and a 197,730 understatement of accrued expenses as of March 31, 2010. Adjustments were made to reduce unrestricted net assets by 1,528,625 and an adjustment was made to reduce temporarily restricted net assets by 6,295,498. These adjustments reduced total net assets by 7,824,123 at March 31, 2010.</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 III</Identifier>
        <ReturnReference>4d</ReturnReference>
        <Explanation>Gateway has numerous programs that are expensed through. The other program sercives expense of 1,244,886 is derived from a number of other programs that are not significant to the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 1,579,766, Grants and allocations 0, Revenue 1,579,766 See Schedule O</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 1,579,766, Grants and allocations 0, Revenue 1,579,766 See Schedule O Form 990 Part VI Line 11 On an annual basis, the return preparer presents and explains the Form 990 to the Finance Committee. The Finance Committee is comprised of 3 Board members, CEO, CFO, and COO. Once approved by the Finance Committee, a second presentation is made to the full Board of Directors for final approval of the completed Form 990 before filing with the IRS. Form 990 Part VI Line 15a The Governing board reviews through a performance evaluation and approve 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. Form 990 Part VI Line 19 Documents will be made available upon request. Form 990 Part XI Line 5 During the current year audit, management completed an internal analysis and corrective reconciliation of certain error that had occurred in the fiscal year ended March 31, 2010 resulting in the 6,295,498 overstatement of unconditional promises to give, a 46,567 overstatement of prepaid expenses, an 1,274,077 understatement of allowances for patient receivables, a 10,251 understatement of account payable and a 197,730 understatement of accrued expenses as of March 31, 2010. Adjustments were made to reduce unrestricted net assets by 1,528,625 and an adjustment was made to reduce temporarily restricted net assets by 6,295,498. These adjustments reduced total net assets by 7,824,123 at March 31, 2010. Form 990 Part VI 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 III Line 4d Gateway has numerous programs that are expensed through. The other program sercives expense of 1,244,886 is derived from a number of other programs that are not significant to the organization.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>