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      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>0</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>0</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 ASC 740 FOOTNOTE:</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Create Healthy Foundation holds and maintains Endowment funds for the benefit of certain community needs. Certain endowments are Board directed, while others are donor restricted. Endowment funds are designated for equipment and technology, nurse stipends, scholarships, health related professional certifications, and stroke education and awareness. Additionally there are several unrestricted endowment funds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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          <AddressLine1Txt>110 W Austin Street</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
        </USAddress>
        <RecipientEIN>741246245</RecipientEIN>
        <CashGrantAmt>1600000</CashGrantAmt>
        <PurposeOfGrantTxt>Construction of Childcare facility</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Little Hearts Child Development Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 2107</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
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          <ZIPCd>78624</ZIPCd>
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        <RecipientEIN>920825896</RecipientEIN>
        <CashGrantAmt>771786</CashGrantAmt>
        <PurposeOfGrantTxt>General Support of Op Ex costs at Startup</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Fredericksburg Community Health Ctr</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>140 Industrial Loop</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>786245459</ZIPCd>
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        <RecipientEIN>912129853</RecipientEIN>
        <CashGrantAmt>545000</CashGrantAmt>
        <PurposeOfGrantTxt>Construction of Expansion and General Support</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>Fredericksburg Independent School District</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>234 Friendship Lane</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
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          <ZIPCd>78624</ZIPCd>
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        <RecipientEIN>746000876</RecipientEIN>
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        <PurposeOfGrantTxt>Playground Equipment</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Hill Country Community MHMR Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>819 Water Street</AddressLine1Txt>
          <CityNm>Kerrville</CityNm>
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          <ZIPCd>78028</ZIPCd>
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        <RecipientEIN>742822017</RecipientEIN>
        <CashGrantAmt>195269</CashGrantAmt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Texas Wine Auction Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>PO Box 3404</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
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          <ZIPCd>78624</ZIPCd>
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        <RecipientEIN>873707415</RecipientEIN>
        <CashGrantAmt>175000</CashGrantAmt>
        <PurposeOfGrantTxt>Support - Healthcare for Workers</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Llano Independent School District</BusinessNameLine1Txt>
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          <CityNm>Llano</CityNm>
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          <ZIPCd>78643</ZIPCd>
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          <BusinessNameLine1Txt>Johnson City Community Education Foundation</BusinessNameLine1Txt>
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          <CityNm>Johnson City</CityNm>
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          <ZIPCd>786361248</ZIPCd>
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          <BusinessNameLine1Txt>Mason ISD Scholarship Foundation</BusinessNameLine1Txt>
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          <CityNm>Mason</CityNm>
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          <ZIPCd>76856</ZIPCd>
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        <CashGrantAmt>22900</CashGrantAmt>
        <PurposeOfGrantTxt>Scholarships in Healthcare Fields</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Fredericksburg Parks Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 3066</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
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        <RecipientEIN>923170790</RecipientEIN>
        <CashGrantAmt>19100</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>786241006</ZIPCd>
        </USAddress>
        <RecipientEIN>272502522</RecipientEIN>
        <CashGrantAmt>19000</CashGrantAmt>
        <PurposeOfGrantTxt>Scholarships in Healthcare Fields and General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Heritage Family School</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>310 Smokehouse Rd</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
        </USAddress>
        <RecipientEIN>742709925</RecipientEIN>
        <CashGrantAmt>22000</CashGrantAmt>
        <PurposeOfGrantTxt>Playground Equipment</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Ambleside School of Fredericksburg</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>406 Post Oak Rd</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
        </USAddress>
        <RecipientEIN>203315666</RecipientEIN>
        <CashGrantAmt>17000</CashGrantAmt>
        <PurposeOfGrantTxt>Playground Equipment</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>Hill Country CASA Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 290965</AddressLine1Txt>
          <CityNm>Kerrville</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78209</ZIPCd>
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        <RecipientEIN>742551029</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NAMI Texas Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 300817</AddressLine1Txt>
          <CityNm>Austin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78703</ZIPCd>
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        <RecipientEIN>742380175</RecipientEIN>
        <CashGrantAmt>11801</CashGrantAmt>
        <PurposeOfGrantTxt>General Support - Mental Health</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Friends Of The Written Word Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>PO Box 841</AddressLine1Txt>
          <CityNm>Fredericksburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
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        <RecipientEIN>992603451</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Lights Spectacular Hill Country Style Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>PO Box 254</AddressLine1Txt>
          <CityNm>Johnson City</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>786360254</ZIPCd>
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        <RecipientEIN>311608935</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>General Support - Healthy Living</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Texas Ramp Project</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 832065</AddressLine1Txt>
          <CityNm>Richardson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75083</ZIPCd>
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        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Support - Elderly Access</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Morning Hope Ministries</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 1611</AddressLine1Txt>
          <CityNm>Mason</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76856</ZIPCd>
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        <CashGrantAmt>9270</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Undue Medical Debt</BusinessNameLine1Txt>
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          <AddressLine1Txt>28-07 Jackson Ave</AddressLine1Txt>
          <CityNm>Long Island City</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11101</ZIPCd>
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        <RecipientEIN>471442997</RecipientEIN>
        <CashGrantAmt>6200</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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        <GrantTypeTxt>Health improvement program</GrantTypeTxt>
        <RecipientCnt>173</RecipientCnt>
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        <ValuationMethodUsedDesc>COST OF STAFF, LABS AND VALUE OF MEMBERSHIPS</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FREE MEMBERSHIP IN HYPERTENSION MANAGEMENT PROGRAM</NonCashAssistanceDesc>
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        <ExplanationTxt>Health improvement program : ACTUAL NUMBER OF REGISTERED PARTICIPANTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part III, Column (b) Estimated Number Of Recipients</FormAndLineReferenceDesc>
        <ExplanationTxt>Gym Club Membership : ACTUAL NUMBER OF REGISTERED PARTICIPANTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Create Healthy partners with organizations which receive grant funding to review reports outlining how they used the grant funds received. These reports include key data points and are provided to Create Healthy at least annually and at the conclusion of their grant period. These reports are reviewed by the Create Healthy Councils and leadership and in aggregate by the Create Healthy Board.</ExplanationTxt>
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        <PersonNm>Chris Semmler</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall consist of the chairman, vice chairman, secretary. The CEO shall be ex-officio, non-voting member of the Executive Committee. The Committee shall have the power to transact business of the corporation and the organization subject to any prior limitation imposed by the Board. The Executive Committee shall have such additional duties and responsibilities as may be set forth in the bylaws. Minutes of the Executive Committee meetings shall be submitted to the Board and its actions shall be brought to the Board at the next regular meeting for ratification.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Create Healthy Management Board Members are provided electronic access to the form 990 in advance of a Board meeting. Formal review is then held at a meeting prior to filing.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The independent Board reviews relevant wage survey and data to determine CEO compensation. Data and surveys are supplied by a national compensation firm that specializes in compensation consulting. The compensation evaluation process is as follows: The CEO compensation is set by the Independent Board of Directors. Salary is accounted for the size and complexity of the organization and the knowledge and experience of the employee. All salaries are reflective of the market data utilized. Leadership compensation is reviewed annually by the audit and finance committee and the board of directors. The most recent review was approved in December 2024 and was documented through board meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>All leadership positions were evaluated utilizing data from a national compensation consulting firm to ensure all salaries are reflective of the market and the complexity of the organization as well as the knowledge and experience of the employee. The budgets are then approved by the independent Audit &amp; Finance Committe and the Board of Directors. which was documented through board meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization values transparency and accountability. Upon request, copies of key governing documents are available to the public. Additionally, anyone can request our IRS Form 990, exemption application, and IRS determination letter, helping community members understand our mission and finances. While full financial reports are not publicly distributed, highlights and summary financial information can always be found in our annual report to the community, so supporters and stakeholders can see our impact.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Interest in Net Assets of Create Healthy Foundation - -40934766; Total - -40934766;</ExplanationTxt>
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