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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>216498</ProgramServicesAmt>
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        <ProgramServicesAmt>38928</ProgramServicesAmt>
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        <Desc>Maintenance/Repairs</Desc>
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        <ProgramServicesAmt>92103</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
        <Desc>Patient Care Services</Desc>
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        <ProgramServicesAmt>361996</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3283528</EOYAmt>
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        <EOYAmt>8051413</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>294872</EOYAmt>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
        <BOYAmt>206064</BOYAmt>
        <EOYAmt>429102</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6777055</BOYAmt>
        <EOYAmt>7622311</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>7622311</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6983119</BOYAmt>
        <EOYAmt>8051413</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1122010</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-199061</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-77693</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
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      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3766964</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4039664</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5155395</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4909517</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5159512</CurrentTaxYearAmt>
        <TotalAmt>23031052</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>1775757</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1383917</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1742326</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1729169</CurrentTaxYearAmt>
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      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft509Grp>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>5815421</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6539312</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6651843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6888681</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>9052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2177</CurrentTaxYearMinus2YearsAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>9052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2177</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1581</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6833</CurrentTaxYearAmt>
        <TotalAmt>25205</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>28563</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>111749</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>209177</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>138604</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>645344</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <TotalAmt>32075418</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97910</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98090</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: Other Income 2018: 28563. 2019: 111749. 2020: 209177. 2021: 138604. 2022: 157251.</ExplanationTxt>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>21292</OtherCostOrOtherBasisAmt>
        <BookValueAmt>21292</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3790232</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1986532</DepreciationAmt>
        <BookValueAmt>1803700</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>5176</DepreciationAmt>
        <BookValueAmt>98339</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>767621</DepreciationAmt>
        <BookValueAmt>1360197</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3283528</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Construction In Progress</Desc>
        <BookValueAmt>265385</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>265385</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability - operating, net of current portion</Desc>
        <Amt>116798</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability - finance, net of current portion</Desc>
        <Amt>17432</Amt>
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      <TotalRevEtcAuditedFinclStmtAmt>7052765</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>7052765</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>7052765</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5930755</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>5930755</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5930755</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="22015534">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Chief Financial Officer reviews the Form 990 in its entirety before signing. The Form 990 will be presented to the Board of Directors as well for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Through training, emails, letters, and disciplinary measures when violations occur.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Through the National Association of Community Health Centers benefits and yearly surveys in the area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Through Board of Directors meetings which are open to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has Board Members are the governing body that provides oversight of management decisions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Through the National Association of Community Health Centers benefits and yearly surveys in the area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 8 Prior Period Adjustment: ($199,061)reduction to Patient Receivable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 9 Other changes in net assets: ($77,693)loss of disposition of property and equipment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has an audit committee that assumes responsibility for oversight of the audit and financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
