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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ali Villia Navigar</PersonNm>
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        <OtherCompensationAmt>11261</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rachael Armistead</PersonNm>
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      <TotalOtherCompensationAmt>64893</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Nextgen</BusinessNameLine1Txt>
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        <ContractorAddress>
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      <GovernmentGrantsAmt>2310543</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
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      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8893</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <LessRentalExpensesGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <RelatedOrExemptFuncIncomeAmt>747435</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>107261</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>1041993</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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        <FundraisingAmt>1010</FundraisingAmt>
      </AdvertisingGrp>
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        <ManagementAndGeneralAmt>48654</ManagementAndGeneralAmt>
        <FundraisingAmt>2346</FundraisingAmt>
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        <ManagementAndGeneralAmt>83743</ManagementAndGeneralAmt>
        <FundraisingAmt>4037</FundraisingAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>1856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1853</ManagementAndGeneralAmt>
        <FundraisingAmt>89</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>2359712</ProgramServicesAmt>
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        <FundraisingAmt>65574</FundraisingAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>39329</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2063404</EOYAmt>
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        <EOYAmt>42250</EOYAmt>
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        <EOYAmt>4481843</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>380207</EOYAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 INCOME TAXES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN47 (ASC 740). 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 XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ACCOUNTANT AND PRESIDENT. THE BOARD WILL RECEIVE AN ELECTRONIC COPY OF THE 990 FOR REVIEW PRIOR TO FILING THE RETURN. THE BOARD APPROVED THE FINAL FORM 990 INCLUDING THE REQUESTED SCHEDULES.</ExplanationTxt>
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        <ExplanationTxt>RECOGNIZING THAT DIRECTORS AND OFFICERS HAVE A DUTY OF LOYALTY AND FIDELITY TO THE CORPORATION AND THAT THEY MUST GOVERN THE CORPORATION'S AFFAIRS HONESTLY AND ECONOMICALLY, EXERCISING THEIR BEST CARE, SKILL AND JUDGMENT FOR THE BENEFIT OF THE CORPORATION, AND TO AVOID EVEN THE APPEARANCE OF IMPROPRIETY, THE DIRECTORS AND OFFICERS OF THE CORPORATION SHALL: A. DISCLOSE TO THE BOARD ANY SITUATION WHEREIN THE DIRECTOR OR OFFICER HAS A KNOWN, DIRECT AND PRESENT CONFLICTING INTEREST OR DUALITY OF INTEREST THAT COULD POSSIBLY CAUSE THAT PERSON TO ACT IN OTHER THAN THE BEST INTEREST OF THE CORPORATION AND B. FOLLOW THE PROCEDURES STATED IN SECTION 2 OF THIS ARTICLE GOVERNING THE PARTICIPATION ON BEHALF OF THE CORPORATION IN ANY TRANSACTION IN WHICH THE PERSON HAS, OR MAY HAVE, A CONFLICT OF INTEREST. SECTION 2. PROCEDURE. ANY DIRECTOR HAVING A KNOWN DUALITY OF INTEREST WHEN A CONFLICT OCCURS OR A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD MAKE A DISCLOSURE OF SUCH CONFLICT TO THE OTHER DIRECTORS. SUCH DIRECTOR SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, BUT SUCH DIRECTOR MAY BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHOULD REFLECT THE MAKING OF THE DISCLOSURE, THE ABSTENTION FROM VOTING AND THE QUORUM SITUATION. ANY OFFICER HAVING A KNOWN DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER BEFORE SUCH OFFICER FOR ADMINISTRATIVE ACTION SHALL REPORT THE CONFLICT TO THE PRESIDENT. SUCH OFFICER SHALL ABSTAIN FROM TAKING ANY ADMINISTRATIVE ACTION ON SUCH MATTER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR CEO AND CFO WERE DETERMINED BASED ON MARKET AREA AND SIMILAR SIZE HEALTHCARE CENTERS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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