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        <RelatedOrExemptFuncIncomeAmt>407063</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>118670</RelatedOrExemptFuncIncomeAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>24498</ExclusionAmt>
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      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>415023</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>39136</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ManagementAndGeneralAmt>387073</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>8725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11676</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>546293</TotalAmt>
        <ProgramServicesAmt>404101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142192</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>39151</TotalAmt>
        <ManagementAndGeneralAmt>39151</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>114782</TotalAmt>
        <ProgramServicesAmt>86729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28053</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>426393</TotalAmt>
        <ProgramServicesAmt>315322</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111071</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>34123</TotalAmt>
        <ProgramServicesAmt>19475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14648</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>10223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14286</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
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        <TotalAmt>1731</TotalAmt>
        <ProgramServicesAmt>1402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>329</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>132628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31110</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>18062</TotalAmt>
        <ProgramServicesAmt>14811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3251</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>272143</TotalAmt>
        <ProgramServicesAmt>272143</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>92546</TotalAmt>
        <ProgramServicesAmt>51516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41030</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES AND LICENSES</Desc>
        <TotalAmt>36590</TotalAmt>
        <ProgramServicesAmt>36111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>27339</TotalAmt>
        <ProgramServicesAmt>11605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15734</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>13244</TotalAmt>
        <ManagementAndGeneralAmt>13244</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>4711654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1213179</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1241667</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>8831</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>74576</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>824006</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>433021</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>3683485</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>812971</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>769117</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>911923</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1269117</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>5343397</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>2588451</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3610140</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4941797</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5719858</CurrentTaxYearAmt>
        <TotalAmt>19601050</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>6210914</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportTotal509Amt>24944447</PublicSupportTotal509Amt>
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      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <EquipmentGrp>
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        <BookValueAmt>245906</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>480553</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6766834</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>29030</DonatedServicesAndUseFcltsAmt>
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      <RevenueSubtotalAmt>6737804</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6737804</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5953863</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>29030</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>29030</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5924833</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5924833</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc5">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVES ON THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD RECEIVES IT ELECTRONICALLY PRIOR TO THE BOARD MEETING FOR THEM TO REVIEW. ANY QUESTIONS ARE ANSWERED AT THE BOARD MEETING AND IF NECESSARY THE APPROPRIATE CHANGES ARE MADE. THE BOARD VOTES ON THE APPROVAL OF THE FROM 990 AT THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS, DIRECTORS, MANAGERS AND KEY EMPLOYEES. THE DISCLOSURE STATEMENT AND CONFLICT OF INTEREST ARE SIGNED BY EACH PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IS ASSESSED AND THE SALARIES ARE BASED ON SURVEYS OF COMMUNITY HEALTH CENTERS IN REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IS ASSESSED AND THE SALARIES ARE BASED ON SURVEYS OF COMMUNITY HEALTH CENTERS IN REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVALIABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>