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        <ExclusionAmt>0</ExclusionAmt>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>163040</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>87335</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Patient Care Services</Desc>
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        <EOYAmt>2231050</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>460879</EOYAmt>
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        <EOYAmt>460879</EOYAmt>
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        <EOYAmt>5674887</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1019050</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
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        <CurrentTaxYearMinus3YearsAmt>3641532</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3766964</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>6539312</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>9052</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>24451</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>71201</CurrentTaxYearMinus3YearsAmt>
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      <PublicSupportCY509Pct>0.98170</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98440</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: Other Income 2016: 90121. 2017: 71201. 2018: 28563. 2019: 111749. 2020: 209177.</ExplanationTxt>
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    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
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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>
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        <OtherCostOrOtherBasisAmt>21292</OtherCostOrOtherBasisAmt>
        <BookValueAmt>21292</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1783275</DepreciationAmt>
        <BookValueAmt>1785180</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>424578</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>43121</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2231050</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6750666</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>2295</OtherRevenueAmt>
      <RevenueNotReportedAmt>2295</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6748371</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6748371</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5729321</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>5729321</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5729321</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on Disposition of Vehicle</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="20011577">
      <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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
