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        <TotalRevenueColumnAmt>1600021</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1480119</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>17839</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>38145</ManagementAndGeneralAmt>
        <FundraisingAmt>12715</FundraisingAmt>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>651993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76705</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>4505</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>23714</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <InsuranceGrp>
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        <ProgramServicesAmt>41465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9265</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>164373</TotalAmt>
        <ProgramServicesAmt>164373</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
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        <ProgramServicesAmt>93528</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LAB SUPPLIES</Desc>
        <TotalAmt>34922</TotalAmt>
        <ProgramServicesAmt>34922</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>401K MATCH</Desc>
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        <ManagementAndGeneralAmt>7093</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>15474</ManagementAndGeneralAmt>
        <FundraisingAmt>3709</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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      <ReceivablesFromOfficersEtcGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>600886</LandBldgEquipAccumDeprecAmt>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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      <IntangibleAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>32061</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>119614</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>196599</BOYAmt>
        <EOYAmt>151675</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>553951</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>497869</BOYAmt>
        <EOYAmt>553951</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>705626</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>56082</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="14000265" softwareVersionNum="2014v5.0">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>99805</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>97943</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>114588</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>102063</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>1170365</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1203577</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1308714</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1480175</CurrentTaxYearAmt>
        <TotalAmt>6321577</TotalAmt>
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      <GrossReceiptsNonUnrltBusGrp>
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      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
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      <Total509Grp>
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      <PublicSupportTotal509Amt>6453850</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>22</CurrentTaxYearMinus2YearsAmt>
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      <Post1975UBTIGrp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>5</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-20</CurrentTaxYearAmt>
        <TotalAmt>167</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
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      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1229115</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1270175</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1301542</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1423317</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1582218</CurrentTaxYearAmt>
        <TotalAmt>6806367</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94820</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94710</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="14000265" softwareVersionNum="2014v5.0">
      <ContributorInformationGrp>
        <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>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="14000265" softwareVersionNum="2014v5.0">
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        <OtherCostOrOtherBasisAmt>79989</OtherCostOrOtherBasisAmt>
        <BookValueAmt>79989</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>833370</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>407078</DepreciationAmt>
        <BookValueAmt>426292</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>209245</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>190033</DepreciationAmt>
        <BookValueAmt>19212</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3775</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3775</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>525493</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
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      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <FundraisingEventInformationGrp>
        <Event1Nm>OFF THE RACK</Event1Nm>
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        <GrossRevenueEvent1Amt>30246</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>2471</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>1058</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8914</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>30246</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>30246</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2471</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1058</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8914</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>12443</DirectExpenseSummaryEventsAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000265" softwareVersionNum="2014v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT BOARD TREASURER REVIEWS THE 990 IN DETAIL WITH THE EXECUTIVE DIRECTOR. A DRAFT OF THE 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE. ANY CHANGES AND/OR SIGNIFICANT INFORMATION THAT IS RELEVANT TO BOARD MEMBERS IS PASSED ON TO THE BOARD FOR DISCUSSION PURPOSES VIA THE TREASURER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND KEY STAFF MEMBERS ARE ASKED TO DIVULGE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO JOINING THE BOARD OR COMMENCING EMPLOYMENT AT THE CLINIC. BOTH BOARD AND STAFF MEMBERS UNDERGO A THOROUGH APPLICATION PROCESS DESIGNED TO PREVENT AND AVOID ANY POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE EXECUTIVE DIRECTOR AND THE MEDICAL DIRECTOR IS SUBJECTED TO ANNUAL REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. CHANGES TO COMPENSATION BASED ON PERFORMANCE EVALUATIONS, COST OF LIVING INCREASE, OR ANNUAL BUDGET CONSTRAINTS ARE REVIEWED AND VOTED ON BY THE BOARD AS A WHOLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY OF THESE DOCUMENTS ARE READILY AVAILIBLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>