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        <PersonNm>GHULAM KHAN</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29062</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TARA WAGNER</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>242095</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37568</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2232368</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>279846</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SETON SHOAL CREEK HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3501 MILLS AVE</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78731</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIC SERVICES</ServicesDesc>
        <CompensationAmt>4326701</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BARTLETT COCKE GENERAL CONRACTORS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8706 LOCKWAY</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78217</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>2051839</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUSTIN LAKES HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TWG INVESTMENTS LTD (WOOD GROUP)</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>76310</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>34</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>72166293</GovernmentGrantsAmt>
      <TotalContributionsAmt>72166293</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623990</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>10860776</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>623990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>99437</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>165752</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>165752</RelatedOrExemptFuncIncomeAmt>
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      <GrossRentsGrp>
        <RealAmt>700011</RealAmt>
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        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>700011</RealAmt>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>700011</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>102287631</TotalRevenueColumnAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>5626162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>746188</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2963003</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>23</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15587</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>53981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95845</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>23935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52118</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>5724897</TotalAmt>
        <ProgramServicesAmt>4690391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1034506</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>884163</TotalAmt>
        <ProgramServicesAmt>828393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55770</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>33526</TotalAmt>
        <ProgramServicesAmt>1872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31654</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1770968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133306</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>403237</TotalAmt>
        <ProgramServicesAmt>343308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59929</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTS AND CONSULTAT</Desc>
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        <ProgramServicesAmt>19105103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>499700</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING COSTS</Desc>
        <TotalAmt>2275904</TotalAmt>
        <ProgramServicesAmt>1765499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>510405</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT SUPPORT COSTS</Desc>
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        <ProgramServicesAmt>1818595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1666</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FURNITURE AND SMALL EQU</Desc>
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        <ProgramServicesAmt>431426</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53860</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>856119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73704</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>93015988</TotalAmt>
        <ProgramServicesAmt>82833770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10182218</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>14775045</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2265862</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>794319</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>35698</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>68493302</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>9271643</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-58596</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearAmt>64660081</CurrentTaxYearAmt>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED COMPENSATION</Desc>
        <Amt>1904486</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1904486</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ATCIC SERVES AS CUSTODIAN FOR SEVERAL CONSUMERS WHO ARE OTHERWISE UNABLE TO HANDLE THEIR FINANCIAL AFFAIRS. ATCIC RECEIVES AND DEPOSITS INCOME AND PAYS THEIR BILLS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DAVID WEDEN</PersonNm>
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        <DeferredCompensationFlngOrgAmt>7247</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN HANDLEY</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <ExplanationTxt>THE FORM 990 IS REVIEWED BY FINANCIAL SERVICES PERSONNEL AS WELL AS THE CHIEF ADMINISTRATIVE OFFICER/CHIEF FINANCIAL OFFICER PRIOR TO SIGNING AND FILING THE ANNUAL FORM 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD TRUSTEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICTS DISCLOSURE DOCUMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE STATE OF TEXAS CLASSIFICATION SYSTEM AND MARKET SURVEYS FOR SPECIFIC POSITIONS ARE REVIEWED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE ON GUIDESTAR AND UPON REQUEST.</ExplanationTxt>
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