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          <TitleTxt>SECRETARY</TitleTxt>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>JEAN M THURSTON</PersonNm>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>ZEILA DE SOUZA</PersonNm>
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        <CompensationHighestPaidEmplGrp>
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          <PersonNm>VIERGEMENE RIPERT</PersonNm>
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      <InvestmentsCorporateBondsGrp>
        <BondNm>MIDAMERICAN ENERGY CO 3.500% DUE 10/15/2024</BondNm>
        <EOYBookValueAmt>48825</EOYBookValueAmt>
        <EOYFMVAmt>48825</EOYFMVAmt>
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      <InvestmentsCorporateBondsGrp>
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        <EOYFMVAmt>48403</EOYFMVAmt>
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        <EOYBookValueAmt>28248</EOYBookValueAmt>
        <EOYFMVAmt>28248</EOYFMVAmt>
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      <InvestmentsCorporateBondsGrp>
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        <EOYBookValueAmt>23731</EOYBookValueAmt>
        <EOYFMVAmt>23731</EOYFMVAmt>
      </InvestmentsCorporateBondsGrp>
      <InvestmentsCorporateBondsGrp>
        <BondNm>BP CAP MARKETS AMERICA 3.633% DUE 4/6/2030</BondNm>
        <EOYBookValueAmt>36055</EOYBookValueAmt>
        <EOYFMVAmt>36055</EOYFMVAmt>
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      <InvestmentsCorporateBondsGrp>
        <BondNm>AMAZON COM INC COM 5.200% DUE 12/3/2025</BondNm>
        <EOYBookValueAmt>25461</EOYBookValueAmt>
        <EOYFMVAmt>25461</EOYFMVAmt>
      </InvestmentsCorporateBondsGrp>
      <InvestmentsCorporateBondsGrp>
        <BondNm>MORGAN STANLEY 3.125% DUE 7/27/2026</BondNm>
        <EOYBookValueAmt>46644</EOYBookValueAmt>
        <EOYFMVAmt>46644</EOYFMVAmt>
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      <InvestmentsCorporateBondsGrp>
        <BondNm>INTERCONTINENTAL EXCHANGE INC 4.350% DUE 6/15/2029</BondNm>
        <EOYBookValueAmt>33860</EOYBookValueAmt>
        <EOYFMVAmt>33860</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ALBEMARLE CORP COM</StockNm>
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        <EOYFMVAmt>31445</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>SHERWIN WILLIAMS CO COM</StockNm>
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        <EOYFMVAmt>41302</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>VERTEX PHARMACEUTICALS COM</StockNm>
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        <EOYFMVAmt>8086</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ZOETIS INC CL A</StockNm>
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      <InvestmentsCorporateStockGrp>
        <StockNm>APPLE INC COM</StockNm>
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        <EOYFMVAmt>149679</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>MICROSOFT CORP COM</StockNm>
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      <InvestmentsCorporateStockGrp>
        <StockNm>TEXAS INSTRS INC COM</StockNm>
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        <EOYFMVAmt>32383</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>AMAZON COM INC COM</StockNm>
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      <InvestmentsCorporateStockGrp>
        <StockNm>D R HORTON INC COM</StockNm>
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        <EOYFMVAmt>33428</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>HOME DEPOT INC COM</StockNm>
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      <InvestmentsCorporateStockGrp>
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        <EOYFMVAmt>47435</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>LVMH MOET HENNESSY LOUIS VUITT</StockNm>
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        <EOYFMVAmt>9417</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>STARBUCKS CORP</StockNm>
        <EOYBookValueAmt>19840</EOYBookValueAmt>
        <EOYFMVAmt>19840</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>COSTCO WHSL CORP NEW COM</StockNm>
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        <EOYFMVAmt>41998</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>PEPSICO INC COM</StockNm>
        <EOYBookValueAmt>18066</EOYBookValueAmt>
        <EOYFMVAmt>18066</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>AMERICAN TOWER CORP NEW COM</StockNm>
        <EOYBookValueAmt>26483</EOYBookValueAmt>
        <EOYFMVAmt>26483</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>LAMAR ADVERTISING CO NEW CL A</StockNm>
        <EOYBookValueAmt>29736</EOYBookValueAmt>
        <EOYFMVAmt>29736</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>HONEYWELL INTL INC COM</StockNm>
        <EOYBookValueAmt>25716</EOYBookValueAmt>
        <EOYFMVAmt>25716</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>RAYTHEON TECHNOLOGIES CORP COM</StockNm>
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        <EOYFMVAmt>37542</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>UNITED PARCEL SERVICE INC CL B</StockNm>
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        <EOYFMVAmt>17210</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>INTERCONTINENTAL EXCHANGE INC COM</StockNm>
        <EOYBookValueAmt>21646</EOYBookValueAmt>
        <EOYFMVAmt>21646</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>SVB FINANCIAL GROUP COM</StockNm>
        <EOYBookValueAmt>18411</EOYBookValueAmt>
        <EOYFMVAmt>18411</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ALPHABET INC CAP STK CL C</StockNm>
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        <EOYFMVAmt>24844</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>DISNEY WALT CO COM</StockNm>
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        <EOYFMVAmt>22849</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>GLOBAL X VIDEOS GAMES &amp; ESPORTS</StockNm>
        <EOYBookValueAmt>22969</EOYBookValueAmt>
        <EOYFMVAmt>22969</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>EQUINIX INC COM</StockNm>
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        <EOYFMVAmt>27511</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>EXXON MOBIL CORP COM</StockNm>
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        <EOYFMVAmt>27575</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>SCHLUMBERGER LTD COM</StockNm>
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        <EOYFMVAmt>14434</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>SELECT SECTOR SPDR TR ENERGY</StockNm>
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        <EOYFMVAmt>30615</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>VULCAN MATLS CO COM</StockNm>
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        <EOYFMVAmt>7880</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>3M CO COM</StockNm>
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        <EOYFMVAmt>9594</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>LOCKHEED MARTIN CORP COM</StockNm>
        <EOYBookValueAmt>14595</EOYBookValueAmt>
        <EOYFMVAmt>14595</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>REPUBLIC SVCS INC COM</StockNm>
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        <EOYFMVAmt>7094</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>XYLEM INC COM</StockNm>
        <EOYBookValueAmt>7187</EOYBookValueAmt>
        <EOYFMVAmt>7187</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>LAUDER ESTEE COS INC CL A</StockNm>
        <EOYBookValueAmt>5458</EOYBookValueAmt>
        <EOYFMVAmt>5458</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>JOHNSON &amp; JOHNSON COM</StockNm>
        <EOYBookValueAmt>19432</EOYBookValueAmt>
        <EOYFMVAmt>19432</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>MERCK &amp; CO. INC COM</StockNm>
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        <EOYFMVAmt>27959</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>BK OF AMERICA CORP COM</StockNm>
        <EOYBookValueAmt>19011</EOYBookValueAmt>
        <EOYFMVAmt>19011</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>BROOKFIELD ASSET MGMT INC CL A LTD VT SH</StockNm>
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        <EOYFMVAmt>3211</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>GOLDMAN SACHS GROUP INC COM</StockNm>
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        <EOYFMVAmt>22320</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>JPMORGAN CHASE &amp; CO COM</StockNm>
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        <EOYFMVAmt>19445</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ADOBE SYSTEMS INCORPORATED COM</StockNm>
        <EOYBookValueAmt>8750</EOYBookValueAmt>
        <EOYFMVAmt>8750</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>VISA INC COM CL A</StockNm>
        <EOYBookValueAmt>13504</EOYBookValueAmt>
        <EOYFMVAmt>13504</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>ACTIVISION BLIZZARD INC COM</StockNm>
        <EOYBookValueAmt>17989</EOYBookValueAmt>
        <EOYFMVAmt>17989</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>MORGAN STANLEY COM</StockNm>
        <EOYBookValueAmt>42170</EOYBookValueAmt>
        <EOYFMVAmt>42170</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>TAIWAN SEMICONDUCTOR MANUFACTU COM</StockNm>
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        <EOYFMVAmt>30094</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ZEBRA TECHNOLOGIES CORP</StockNm>
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        <EOYFMVAmt>20769</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ALEXANDRIA REAL ESTATE EQUITIE</StockNm>
        <EOYBookValueAmt>25492</EOYBookValueAmt>
        <EOYFMVAmt>25492</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>WATSCO INC</StockNm>
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        <EOYFMVAmt>37909</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>BROOKFIELD ASSET MGMT INC RE</StockNm>
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        <EOYFMVAmt>14157</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>INTUIT INC</StockNm>
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        <EOYFMVAmt>10509</EOYFMVAmt>
      </InvestmentsCorporateStockGrp>
      <InvestmentsCorporateStockGrp>
        <StockNm>AT&amp;T INC COM</StockNm>
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        <EOYFMVAmt>9426</EOYFMVAmt>
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      <InvestmentsCorporateStockGrp>
        <StockNm>ELECTRONIC ARTS INC COM</StockNm>
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        <EOYFMVAmt>15883</EOYFMVAmt>
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      <StateLocalSecEOYFMVAmt>0</StateLocalSecEOYFMVAmt>
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        <CategoryOrItemTxt>ISHARES INC CORE MSCI EMKT</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>24517</BookValueAmt>
        <EOYFMVAmt>24517</EOYFMVAmt>
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      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>ISHARES TR MSCI EAFE ETF</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
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        <EOYFMVAmt>23959</EOYFMVAmt>
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      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>ISHARES TR RUS MID CAP ETF</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>69541</BookValueAmt>
        <EOYFMVAmt>69541</EOYFMVAmt>
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      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>ISHARES TR RUSSELL 2000 ETF</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>60329</BookValueAmt>
        <EOYFMVAmt>60329</EOYFMVAmt>
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      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>JP MORGAN EXCHANGE TRADED FD ULTRA SHRT INC</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>240623</BookValueAmt>
        <EOYFMVAmt>240623</EOYFMVAmt>
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      <NotePayableGrp>
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        <BalanceDueAmt>0</BalanceDueAmt>
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      <OtherDecreasesDetail>
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        <Desc>NURSING EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>2205458</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>1862824</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>342634</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <RevenueAndExpensesPerBooksAmt>15813</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>13356</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2457</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>SOCIAL SERVICE EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>6000</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>5068</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>932</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>CONSULTANTS</Desc>
        <RevenueAndExpensesPerBooksAmt>53088</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>44840</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>8248</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>RECREATION EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>40062</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>33838</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>6224</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>ANCILLARY EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>131429</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>111011</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>20418</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>EQUIPMENT RENTAL EXPENSE</Desc>
        <RevenueAndExpensesPerBooksAmt>18948</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>16004</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2944</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>USER FEE</Desc>
        <RevenueAndExpensesPerBooksAmt>479025</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>404605</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>74420</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="RetDoc2001500001">
      <OtherIncomeDetail>
        <Desc>PATIENT RELATED REVENUE</Desc>
        <RevenueAndExpensesPerBooksAmt>10312226</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>10312226</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherLiabilitiesSchedule documentId="RetDoc2065700001">
      <OtherLiabilitiesDetail>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <BOYBookValueAmt>156954</BOYBookValueAmt>
        <EOYBookValueAmt>0</EOYBookValueAmt>
      </OtherLiabilitiesDetail>
    </OtherLiabilitiesSchedule>
    <OtherProfessionalFeesSchedule documentId="RetDoc2002300001">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>MANAGEMENT FEES</CategoryTxt>
        <Amt>510135</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>430882</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>79253</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="RetDoc2002500001">
      <TaxesDetail>
        <CategoryTxt>PAYROLL TAXES</CategoryTxt>
        <Amt>372481</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>314613</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>57868</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>REAL ESTATE TAXES</CategoryTxt>
        <Amt>22000</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>18582</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>3418</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>
