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        <CurrentTaxYearMinus3YearsAmt>5090954</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6015203</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4613357</CurrentTaxYearMinus1YearAmt>
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      <SubstantialContributorsTotAmt>2884585</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>24447873</PublicSupportTotal170Amt>
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        <CurrentTaxYearAmt>42595</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.97640</PublicSupportPY170Pct>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <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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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
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        <BookValueAmt>1959354</BookValueAmt>
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      <BuildingsGrp />
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        <OtherCostOrOtherBasisAmt>2714884</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1448562</DepreciationAmt>
        <BookValueAmt>1266322</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>762973</DepreciationAmt>
        <BookValueAmt>634704</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>240635</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37267</DepreciationAmt>
        <BookValueAmt>203368</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4063748</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>19113752</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>142783</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>813508</OtherRevenueAmt>
      <RevenueNotReportedAmt>956291</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18157461</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>4485322</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4485322</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22642783</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18581158</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>142783</DonatedServicesUseFcltsAmt>
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      <ExpensesNotReportedAmt>186672</ExpensesNotReportedAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 813,508 NET ASSETS RELEASED FROM RESTRICTION</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON FORM 990 PART VIII, LINE 12, BUT NOT ON LINE 1: $ 4,529,211 TEMPORARILY RESTRICTED CONTRIBUTIONS (24,884) RECLASS FUNDRAISING EXPENSES (19,005) LOSS ON DISPOSAL -------------- $ 4,485,322</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 24,884 RECLASS FUNDRAISING EXPENSES 19,005 LOSS ON DISPOSAL ------------ $ 43,889</ExplanationTxt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <TotalRetainedByContractorsAmt>192000</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>1808000</TotalNetToOrganizationAmt>
      <LicensedStatesCd>TX</LicensedStatesCd>
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        <Event1Nm>LUNCHEON</Event1Nm>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1266</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181081</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ROMANY GAWARGIOUS</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>368372</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321042</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR HILLARY BROOK BOSWELL</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201257</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR SHEILA SASIETA</PersonNm>
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        <BaseCompensationFilingOrgAmt>195142</BaseCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>4858</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>200000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>1296087</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B, LINE 20</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTORS: THE AMOUNT LISTED IN COLUMN B IS THE NUMBER OF CONTRIBUTORS WHO DONATED VACCINES DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEW PROCESS: THIS FORM IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS FIRST REVIEWED BY THE CFO AND THE CEO OF THE ORGANIZATION. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE MEETING FOR REVIEW. FINALLY, IT IS PRESENTED DURING A BOARD MEETING FOR FURTHER REVIEW BY THE BOARD MEMBERS BEFORE FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: THE GOVERNING BOARD, BY RESOLUTION, SHALL ESTABLISH, ADOPT, AND PERIODICALLY UPDATE A WRITTEN STANDARDS OF CONDUCT APPLICABLE TO MEMBERS OF THE BOARD THAT ESTABLISHES PROCEDURES FOR, AMONG OTHER THINGS: (I) DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST, (II) MAINTAINING THE CONFIDENTIALITY OF INFORMATION (WHETHER WRITTEN, ORAL, OR CONTAINED IN VIDEO TAPES, AUDIO TAPES OR COMPUTER DISKETTES) OBTAINED BY A BOARD MEMBER BY VIRTUE OF HIS OR HER POSITION, DIRECTLY OR INDIRECTLY RELATED TO THE CORPORATION?S ADMINISTRATIVE, MANAGERIAL AND CLINICAL OPERATIONS, (III) PROHIBITING THE ACCEPTANCE OR SOLICITATION OF GIFTS, GRATUITIES OR FAVORS OF SUBSTANTIAL MONETARY VALUE, AND (IV) DISCIPLINARY ACTIONS FOR VIOLATIONS OF THE STANDARDS OF CONDUCT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF THE ORGANIZATION'S CEO AND THE BOARD OF DIRECTORS APPROVE THE FINAL COMPENSATION THAT THE COMMITTEE PROPOSES. THE PROCESS TO DETERMINE CEO COMPENSATION IS RECORDED IN THE BOARD MINUTES. THE COMPENSATION REVIEW PROCESS FOR THE CEO OCCURRED IN DECEMBER 2019 (FOR 2020 COMPENSATION). THE COMPENSATIONS FOR OTHER MANAGEMENT POSITIONS, INCLUDING CFO, COO, MEDICAL DIRECTOR, IT DIRECTOR, AND DIRECTOR OF CLINICAL SERVICES AND QUALITY IMPROVEMENT ARE DETERMINED BY THE CEO. THAT PROCESS LAST OCCURRED IN DECEMBER 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION IS REVIEWED AND DETERMINED BY THE CEO. THAT PROCESS LAST OCCURED IN DECEMBER 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC, UNLESS EXECUTIVE MEETING IS CALLED. MINUTES ARE PUBLISHED MONTHLY AND DISTRIBUTED TO BOARD MEMBERS AND OPEN TO PUBLIC FOR APPROPRIATE REASON, UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAB FEES TOTAL FEES:285946</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:1213755</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:EHR TOTAL FEES:362638</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BILLING SERVICES TOTAL FEES:39209</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>