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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Jeffrey Garner</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Martin Jenkins</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Maximus Zand</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Josh Morrow</PersonNm>
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      <ContractorCompensationGrp>
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        </ContractorName>
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            <City>Alva</City>
            <State>FL</State>
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      <ContractorCompensationGrp>
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        </ContractorName>
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            <City>Fort Myers</City>
            <State>FL</State>
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          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>428692</RelatedOrExemptFuncIncomeAmt>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>260793</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>74035</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2944550</TotalAmt>
        <ProgramServicesAmt>2761063</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>146311</TotalAmt>
        <ManagementAndGeneralAmt>146311</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36452</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
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        <ManagementAndGeneralAmt>78191</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>63325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92063</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>77578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54364</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ManagementAndGeneralAmt>34275</ManagementAndGeneralAmt>
      </InterestGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>125737</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47337</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>1744254</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>782386</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Capital Items less than 5k</Desc>
        <TotalAmt>461505</TotalAmt>
        <ProgramServicesAmt>426411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35094</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>126766</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1221394</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>27758960</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3744</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>15604079</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>430457</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2605450</EOYAmt>
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        <EOYAmt>27214</EOYAmt>
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        <EOYAmt>117563</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>605440</EOYAmt>
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        <EOYAmt>324148</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>6125181</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <ReconcilationRevenueExpnssAmt>6236761</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>31272781</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>39427727</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>38795839</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39427727</CurrentTaxYearAmt>
        <TotalAmt>174568056</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>174568056</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>42919</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearAmt>51152</CurrentTaxYearAmt>
        <TotalAmt>319333</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>174887389</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99820</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99800</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="990D">
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      <OtherSecuritiesGrp>
        <Desc>Prestige Health Choice LLC</Desc>
        <BookValueAmt>280440</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Health Choice Care LLC</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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        <Desc>457b Deferred Compensation Plan</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalExpensesPerForm990Amt>33796855</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>Family Health Centers is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Family Health Centers is not classified as a private foundation within the meaning of Section 509(a) of the Code.The Internal Revenue Code provides for taxation of unrelated business income under certain circumstances. Family Health Centers reports no unrelated business taxable income; however, such status is subject to final determination upon examination of the related tax returns by the appropriate taxing authorities. The informational tax returns (Form 990) for the prior three fiscal years remain open for examination.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Frank Mazzeo Jr</PersonNm>
        <TitleTxt>PresCeo &amp; Chief</TitleTxt>
        <BaseCompensationFilingOrgAmt>429207</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>90000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>972</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>70156</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jorge Quinonez</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <OtherCompensationFilingOrgAmt>225</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31677</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18728</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>392549</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Roger Ward</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>131900</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>466</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17227</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16455</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186048</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Koehler</PersonNm>
        <TitleTxt>Chief HR Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>143934</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>352</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26430</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16762</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187478</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marie Andress</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>148123</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>35000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>253</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20124</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7256</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210756</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Carlos Alvarado</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>309306</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>49</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17936</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14278</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>341569</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jeffrey Garner</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>305830</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>101550</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>990</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16107</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>442227</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Martin Jenkins</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>296263</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>76</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17887</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6267</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>320493</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Maximus Zand</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>281521</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>38</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17884</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6267</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305710</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Josh Morrow</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>296586</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5006</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>301621</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Finance Committee reviews the tax return. The tax return is then reviewed and approved by the full Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization annually reaffirms the written conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors gather data from similar organizations and salary surveys to determine comparable executive compensation for the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Board gathers data from similar organizations and salary surveys to determine comparable executive compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available upon request. The financial statements are also available to the public (via Form 990) on a third-party website.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>