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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <OtherCostOrOtherBasisAmt>5796196</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5796196</BookValueAmt>
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        <BookValueAmt>3672702</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>29394739</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>ISHARES CORE S&amp;P 500 ETF</Desc>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <TotalRevEtcAuditedFinclStmtAmt>73313268</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>1257301</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>72055967</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-1647611</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-1647611</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>70408356</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>65709324</ExpensesSubtotalAmt>
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        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <TotalCompensationFilingOrgAmt>412731</TotalCompensationFilingOrgAmt>
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        <PersonNm>JEFF COX</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARSHALL COTHRAN</PersonNm>
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        <OtherCompensationFilingOrgAmt>4038</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>15676</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>259548</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN CROW</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH LOPEZ</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUR OFFICERS OF TRAVIS COUNTY MEDICAL SOCIETY (TCMS) ARE SLOTTED POSITIONS ON THE ORGANIZATION'S BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>A COPY OF FORM 990 IS GIVEN TO THE CEO, CFO AND EACH MEMBER OF THE EXECUTIVE COMMITTEE PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWS THE ANNUAL DISCLOSURES REQUIRED OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES FOR INTERESTS THAT COULD GIVE RISE TO CONFLICT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF PEOPLE OFFICER PERFORMS ANNUAL SALARY SURVEY REVIEWS AND PRESENTS THE FINDINGS TO THE CEO, WHO DETERMINES THE SALARIES FOR ALL KEY EMPLOYEES EXCEPT HIMSELF. THE BOARD DETERMINES SALARY FOR THE CEO BASED ON THE FINDINGS AND THE CEO'S WORK.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON A CASE BY CASE BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT POLICIES AND SELECTION OF AN INDEPENDENT ACCOUNTANT BY THE FINANCE COMMITTEE HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVITY OF UNITED TISSUE RESOURCES LLC (EIN #81-3791341), AND 251 WRB HOLDINGS LLC (EIN #87-1216187), WE ARE BLOOD DISREGARDED ENTITIES, ARE INCLUDED IN THIS FORM 990.</ExplanationTxt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <EndOfYearAssetsAmt>8137945</EndOfYearAssetsAmt>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        </USAddress>
        <EIN>746017762</EIN>
        <PrimaryActivitiesTxt>REPRESENTING THE MEDICAL PROFESSION IN MATTERS IMPORTANT TO THE PROFESSION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4679</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78765</ZIPCd>
        </USAddress>
        <EIN>741720086</EIN>
        <PrimaryActivitiesTxt>PROVIDING ACCESS TO HEALTH CARE SERVICES FOR LOW-INCOME, UNINSURED PEOPLE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIANCE FOR COMMUNITY TRANSFUSION SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2205 HIGHWAY 121</AddressLine1Txt>
          <CityNm>BEDFORD</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76021</ZIPCd>
        </USAddress>
        <EIN>454624346</EIN>
        <PrimaryActivitiesTxt>TO DRIVE EFFICIENCIES OF STANDARDIZATION AMONG ITS MEMBERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE MEDICAL SERVICE BUREAU INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4300 NORTH LAMAR</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78756</ZIPCd>
        </USAddress>
        <EIN>741268591</EIN>
        <PrimaryActivitiesTxt>RECORDS STORAGE AND OTHER DOCUMENT AND DATA SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TRAVIS COUNTY MEDICAL SOCIETY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TRAVIS COUNTY MEDICAL SOCIETY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>129048</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>