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      <DonatedServicesAndUseFcltsAmt>11310</DonatedServicesAndUseFcltsAmt>
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      <RevenueNotReportedFinclStmtAmt>183232</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>555683</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesSubtotalAmt>544373</ExpensesSubtotalAmt>
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      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>183232</ExpensesNotRptFinclStmtAmt>
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        <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>
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      <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Split Interest - 321</ExplanationTxt>
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          <CityNm>Fredericksburg</CityNm>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GRANTS ARE ADMINISTERED THROUGH CREATE HEALTHY MANAGEMENT.</ExplanationTxt>
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          <BusinessNameLine1Txt>AMANDA STEVENS</BusinessNameLine1Txt>
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        <ExplanationTxt>CREATE HEALTHY MANAGEMENT, A RELATED ORGANIZATION, DETERMINES COMPENSATION OF THE EXECUTIVE DIRECTOR THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Change-of-Control Payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope $410,000 Amanda Stevens $92,498</ExplanationTxt>
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        <ExplanationTxt>Pursuant to the sale of Hill Country Memorial Hospital to Methodist Hospital on 3/31/23, Create Healthy Foundation ceased fundraising efforts. Current assets are now used to support Create Healthy Management Health initiatives.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Number of Employees on Form W-3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM W-2S ARE ISSUED BY A RELATED ORGANIZATION, CREATE HEALTHY MANAGEMENT, AND COSTS ARE ALLOCATED TO THE FOUNDATION. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A IS THE NUMBER OF EMPLOYEES WHO SPENT TIME WORKING FOR THE FILING ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegation Of Authority</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE PRESIDENT, VICE PRESIDENT, SECRETARY, TREASURER AND FOUR DIRECTORS ELECTED AT LARGE BYTHE BOARD. WHEN THE BOARD IS NOT IN SESSION, EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS SHALL BE SUBMITTED TO THE BOARD, AND ITS ACTIONS SHALL BE SUBJECT TO RATIFICATION BY THE BOARD AT THE NEXT REGULAR BOARD MEETING.</ExplanationTxt>
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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 those same individuals who serve on the executive committee of create healthy management. the chair of the board shall serve as the chair of executive committee. the committee shall have power to transact business of the corporation subject to any prior limitations imposed by the board of directors. the primary functions of the executive committee are to (i) assist the board of directors in the development of policies and procedures and (ii) oversee best practices and compliance. the executive committee shall have such additional duties and responsibilities as may be set forth in the bylaws or as the board of directors assigns to the committee from time to time. 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 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>Create Healthy Management board of directors obtained control of the board of directors of create healthy foundation. This is accounted for as an acquisition and resulted in CHF becoming a type I supporting organization that is operated, supervised, or controlled by its supported organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Board of directors shall each be appointed from the Board of Directors of Create Healthy Management and shall serve a term conterminous with their term on the Create Healthy Management Board of Directors.</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 FOUNDATION 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED BY BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, and HIGHLY COMPENSATED EMPLOYEES ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REVIEWED BY THE BOARD GOVERNANCE COMMITTEE AND REPORTED TO THE BOARD. BOARD MEMBERS MUST RECUSE THEMSELVES FROM VOTING ON ISSUES RELATED TO THEIR CONFLICT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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 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. LEADERSHIP COMPENSATION IS REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS INCLUDING BYLAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON REQUEST. FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER CERTAIN SUMMARY FINANCIAL INFORMATION MAY BE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Split Interest - 321;</ExplanationTxt>
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