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        <ProgramServices>104294</ProgramServices>
        <ManagementAndGeneral>14348</ManagementAndGeneral>
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        <Description>OUTSIDE SERVICES/CONSUL</Description>
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        <ProgramServices>521619</ProgramServices>
        <ManagementAndGeneral>214624</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CONTRACT LABOR-PHYSICIA</Description>
        <Total>650538</Total>
        <ProgramServices>650538</ProgramServices>
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      <OtherExpenses>
        <Description>OUTREACH ACTIVITIES &amp; M</Description>
        <Total>379150</Total>
        <ProgramServices>378650</ProgramServices>
        <ManagementAndGeneral>500</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBTS EXPENSE</Description>
        <Total>283677</Total>
        <ProgramServices>283677</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACY SUPPLIES</Description>
        <Total>215225</Total>
        <ProgramServices>215225</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>988605</Total>
        <ProgramServices>799592</ProgramServices>
        <ManagementAndGeneral>189013</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>7680115</Total>
        <ProgramServices>6157315</ProgramServices>
        <ManagementAndGeneral>1522800</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>372264</BOY>
        <EOY>741238</EOY>
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        <EOY>1024406</EOY>
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        <EOY>7027</EOY>
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      <LandBuildingsEquipmentBasis>3136835</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>153515</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1595758</BOY>
        <EOY>2983320</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <BOY>3323303</BOY>
        <EOY>4755991</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>392897</BOY>
        <EOY>451746</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>811374</BOY>
        <EOY>671141</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>478413</BOY>
        <EOY>266103</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1682684</BOY>
        <EOY>1388990</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1640619</BOY>
        <EOY>2757001</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <EOY>610000</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1640619</BOY>
        <EOY>3367001</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3323303</BOY>
        <EOY>4755991</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>0</FSAudited>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>2292639</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3503650</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5949957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2202122</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3523751</CurrentTaxYear>
        <Total>17472119</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>2292639</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3503650</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5949957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2202122</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3523751</CurrentTaxYear>
        <Total>17472119</Total>
      </Total170>
      <PublicSupportTotal170>17472119</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus3Years>1921</CurrentTaxYearMinus3Years>
        <Total>1921</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus1Year>20724</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33318</CurrentTaxYear>
        <Total>54042</Total>
      </OtherIncome170>
      <TotalSupport>17528082</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>10500051</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99680</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99980</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValue>332474</BookValue>
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      <Buildings>
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        <BookValue>675048</BookValue>
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      <LeaseholdImprovements>
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        <Depreciation>153515</Depreciation>
        <BookValue>1618458</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>357340</OtherCostOrOtherBasis>
        <BookValue>357340</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2983320</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ACCRUES SALARIES &amp; TAXES</Description>
        <Amount>159677</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED VACATION</Description>
        <Amount>106426</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>266103</TotalOfAmounts>
      <TotalRevenue>8783630</TotalRevenue>
      <TotalExpenses>7680115</TotalExpenses>
      <ExcessOrDeficitForYear>1103515</ExcessOrDeficitForYear>
      <OtherAmount>622867</OtherAmount>
      <TotalAdjustments>622867</TotalAdjustments>
      <ExcessOrDeficitPerFS>1726382</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>RECLASS DEFERRED INCOME TO TEMPORARILY RESTRICTED FUND: 610000. UNRELATED INCOME: 12867.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>GILBERT VARELA MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>312000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>312000</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NameOfInterestedPerson>
          <NamePerson>GILBERT VARELA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>EXECUTIVE DIRECTOR</Relationship>
        <DescriptionOfTransaction>100% OWNED BY EXECUTIVE DIRECTOR, THE ENTITY SERVED AS A CONSULTANT IN PRIOR YEARS BEFORE GILBERT VARELA BECAME A CHIEF EXECUTIVE OFFICER.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>THE ORGANIZATIONS HAS A HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>EACH BOARD OF DIRECTOR IS GIVEN A COMPLETE COPY OF THE DRAFTED TAX FORM 990 TO BE REVIEWED AND DISCUSSED AT THEIR BOARD MEETING AND VOTED FOR APPROVAL BEFORE THE DUE DATE OF THE TAX RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>ONCE A YEAR DURING A BOARD MEETING, EACH BOARD MEMBER IS GIVEN A STATEMENT TO SIGN STATING THERE ARE NO CONFLICTS OF INTEREST HAVE OCCURRED OR WILL OCCURRE DURING THE PAST AND SUBSEQUENT TIME REMAINING AS A BOARD MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>FOR ALL KEY POSITIONS OF THE ORGANIZATION, THE BOARD OF DIRECTORS OBTAIN AND DOCUMENTS THE SALARY SURVEYS THAT HAVE BEEN PREPARED BY INDEPENDENT ORGANIZATIONS. IN ADDITION THE BOARD OF DIRECTORS OBTAIN SALARY INFORMATION FROM COMPARABLE ORGANIZATIONS TO PROVIDE GUIDANCE IN SETTING THE COMPENSATION OF EACH OF THE POSITIONS. TAKEN INTO CONSIDERATION IN MAKING THE PROPER COMPARISONS ARE THE SIZE AND REVENUES OF THE ORGANIZATIONS. UPON COMPLETE SATISFACTION OF THE COMPARISONS AND SALARY RANGES, THE BOARD MOTIONS TO APPROVE THE COMPENSATION AT THEIR MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>UPON REQUEST VIA PHONE OR WRITTEN REQUEST, THESE DOCUMENTS ARE MADE AVAILABLE AT ORGANIZATION ADMINISTRATIVE OFFICE WITH APPOINTMENT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>