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        <ExplanationTxt>ON NOVEMBER 20, 2024, THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS. CHANGES INCLUDED: REVISING OFFICER STRUCTURE (PRESIDENT &amp; CEO AS EXOFFICIO, NONVOTING); EXPANDING ACTIONS REQUIRING A TWOTHIRDS BOARD VOTE (INCLUDING SUBSIDIARIES/JVS, DEBT, AND BOARDDESIGNATED FUNDS); REVISING OFFICER TERM LIMITS AND DIRECTOR ATTENDANCE; AND UPDATING THE BYLAW AMENDMENT PROCEDURE.</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN SPLIT INTEREST - -16321; TOTAL - -16321;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, BOX B AMENDED RETURN DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING CHANGES WERE MADE TO FORM 990: FORM 990, SCHEDULE A, PART I, LINE 12G(A)(III) CHANGED FROM "3. HOSPITAL. SECTION 170(B)(1)(A)(III)." TO "10. AN ORG. FOLLOWING SUPPORT/INVESTMENT INCOME TEST. SECTION 509(A)(2)." FORM 990, SCHEDULE R, PART II, LINE (1)(B) CHANGED FROM "HOSPITAL" TO "HEALTH AND WELLNESS". FORM 990, SCHEDULE R, PART II, LINE (1)(E) CHANGED FROM "3" TO "10".</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020961" softwareVersionNum="2024v5.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CREATE HEALTHY MANAGEMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1339</AddressLine1Txt>
          <CityNm>FREDERICKSBURG</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
        </USAddress>
        <EIN>746083124</EIN>
        <PrimaryActivitiesTxt>HEALTH AND WELLNESS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NONE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FREDERICKSBURG HOSPICE NO 1</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1339</AddressLine1Txt>
          <CityNm>FREDERICKSBURG</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
        </USAddress>
        <EIN>742557105</EIN>
        <PrimaryActivitiesTxt>HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FREDERICKSBURG PHYSICIANS NO 2</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 1339</AddressLine1Txt>
          <CityNm>FREDERICKSBURG</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78624</ZIPCd>
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        <EIN>226255319</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CHM</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FREDERICKSBURG PHYSICIANS NO 1</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER ANNUITY TRUST (2)</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>FUNDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NONE</BusinessNameLine1Txt>
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        <EntityTypeTxt>TRUST</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>