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        <ProgramServices>1638169</ProgramServices>
        <ManagementAndGeneral>400795</ManagementAndGeneral>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>16074</Total>
        <ManagementAndGeneral>16074</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>19786</Total>
        <ManagementAndGeneral>19786</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>68220</Total>
        <ProgramServices>34110</ProgramServices>
        <ManagementAndGeneral>34110</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>113332</Total>
        <ProgramServices>84999</ProgramServices>
        <ManagementAndGeneral>28333</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>81392</Total>
        <ProgramServices>36712</ProgramServices>
        <ManagementAndGeneral>44680</ManagementAndGeneral>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>70031</Total>
        <ManagementAndGeneral>70031</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>56160</Total>
        <ProgramServices>33721</ProgramServices>
        <ManagementAndGeneral>22439</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>TELEPHONE AND COMMUNICATIONS</Description>
        <Total>55501</Total>
        <ProgramServices>11100</ProgramServices>
        <ManagementAndGeneral>44401</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MEDICAL AND DENTAL CONTRACTS</Description>
        <Total>61115</Total>
        <ProgramServices>61115</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONSULTING &amp; PROFESSIONAL</Description>
        <Total>136557</Total>
        <ProgramServices>80845</ProgramServices>
        <ManagementAndGeneral>55712</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>164112</Total>
        <ProgramServices>164112</ProgramServices>
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      <AllOtherExpenses>
        <Total>156586</Total>
        <ProgramServices>77246</ProgramServices>
        <ManagementAndGeneral>79340</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>3314903</Total>
        <ProgramServices>2222129</ProgramServices>
        <ManagementAndGeneral>1092774</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>549711</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>168627</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>76785</BOY>
        <EOY>109306</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>5288</EOY>
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      <LandBuildingsEquipmentBasis>628288</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>272121</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>356167</EOY>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
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      <TotalAssets>
        <BOY>965114</BOY>
        <EOY>1022013</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>148237</EOY>
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      <MortNotesPyblSecuredInvestProp>
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      <OtherLiabilities>
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        <EOY>1</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>164123</BOY>
        <EOY>169552</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>852461</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>852461</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>1022013</EOY>
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      <ReconcilationRevenueExpenses>51470</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.5">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
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        <CurrentTaxYearMinus3Years>1292975</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1515363</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1498638</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1238145</CurrentTaxYear>
        <Total>6764429</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
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      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>1219308</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1292975</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1515363</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1498638</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1238145</CurrentTaxYear>
        <Total>6764429</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>6764429</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>112720</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>98326</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>104455</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>113325</CurrentTaxYearMinus1Year>
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        <Total>708599</Total>
      </OtherIncome170>
      <TotalSupport>7473028</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>6441990</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.90520</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.93130</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.5">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.5">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>203946</OtherCostOrOtherBasis>
        <Depreciation>36359</Depreciation>
        <BookValue>167587</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>32288</OtherCostOrOtherBasis>
        <Depreciation>4843</Depreciation>
        <BookValue>27445</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>392054</OtherCostOrOtherBasis>
        <Depreciation>230919</Depreciation>
        <BookValue>161135</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>356167</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Rounding</Description>
        <Amount>1</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.5">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>DR LUIS MURRAIN</NamePerson>
        <BaseCompensationFilingOrg>179166</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>49572</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>228738</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR JAMES BROWN</NamePerson>
        <BaseCompensationFilingOrg>190385</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>190385</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR CATHERINE PETERS-JAMES</NamePerson>
        <BaseCompensationFilingOrg>195000</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>195000</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="11000144" softwareVersion="2011v1.5">
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>No documents available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>THE HEALTH CENTER UTILIZES COMPARABLE COMPENSATION DATA FROM THE NACHC SALARY SURVEY AS WELL AS THE GAPHC SALARY SURVEY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>EVERY YEAR, DURING THE ANNUAL BOARD STRATEGIC MEETING, THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>REVIEWED BY CEO &amp; CFO &amp; PRESENTED TO BOARD OF DIRECTORS BEFORE FILING.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>