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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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        <ManagementAndGeneral>61025</ManagementAndGeneral>
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        <ManagementAndGeneral>17801</ManagementAndGeneral>
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        <ManagementAndGeneral>162020</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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      <FeesForServicesOther>
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      <Advertising>
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        <ProgramServices>677</ProgramServices>
        <ManagementAndGeneral>5566</ManagementAndGeneral>
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        <ProgramServices>49071</ProgramServices>
        <ManagementAndGeneral>53248</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>0</Total>
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      <Royalties>
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      <Occupancy>
        <Total>478218</Total>
        <ProgramServices>418204</ProgramServices>
        <ManagementAndGeneral>55081</ManagementAndGeneral>
        <Fundraising>4933</Fundraising>
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      <Travel>
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        <ProgramServices>44114</ProgramServices>
        <ManagementAndGeneral>10951</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
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      <ConferencesMeetings>
        <Total>0</Total>
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      <Interest>
        <Total>1287</Total>
        <ManagementAndGeneral>1287</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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      <DepreciationDepletion>
        <Total>165349</Total>
        <ProgramServices>110545</ProgramServices>
        <ManagementAndGeneral>54804</ManagementAndGeneral>
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      <Insurance>
        <Total>35910</Total>
        <ProgramServices>15347</ProgramServices>
        <ManagementAndGeneral>20563</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>373865</Total>
        <ProgramServices>373865</ProgramServices>
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      <OtherExpenses>
        <Description>CONTRACTED services</Description>
        <Total>329945</Total>
        <ProgramServices>309624</ProgramServices>
        <ManagementAndGeneral>20321</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CONSULTING FEES</Description>
        <Total>155485</Total>
        <ManagementAndGeneral>155485</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>COmputer supplies &amp; support</Description>
        <Total>437292</Total>
        <ProgramServices>34483</ProgramServices>
        <ManagementAndGeneral>402809</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAd Debts</Description>
        <Total>296761</Total>
        <ManagementAndGeneral>296761</ManagementAndGeneral>
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        <Total>838266</Total>
        <ProgramServices>432960</ProgramServices>
        <ManagementAndGeneral>401761</ManagementAndGeneral>
        <Fundraising>3545</Fundraising>
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        <ProgramServices>8874832</ProgramServices>
        <ManagementAndGeneral>2683524</ManagementAndGeneral>
        <Fundraising>114358</Fundraising>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <InventoriesForSaleOrUse>
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      <PrepaidExpensesDeferredCharges>
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      <LandBuildingsEquipmentBasis>2040787</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1370014</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>608986</BOY>
        <EOY>670773</EOY>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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        <EOY>0</EOY>
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      <OtherAssetsTotal>
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        <EOY>101786</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
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        <EOY>9808</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
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      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>503982</BOY>
        <EOY>461822</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4894295</BOY>
        <EOY>4089012</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>915414</BOY>
        <EOY>673836</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5809709</BOY>
        <EOY>4762848</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6313691</BOY>
        <EOY>5224670</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="09000047" softwareVersion="2009v1.7">
      <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="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>594014</OtherCostOrOtherBasis>
        <Depreciation>328855</Depreciation>
        <BookValue>265159</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1103394</OtherCostOrOtherBasis>
        <Depreciation>714236</Depreciation>
        <BookValue>389158</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>343379</OtherCostOrOtherBasis>
        <Depreciation>326923</Depreciation>
        <BookValue>16456</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>670773</TotalOfBookValueLandBuildings>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <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>robert moore</NamePerson>
        <BaseCompensationFilingOrg>185787</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>185787</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GABRIELA M BERMUDEZ</NamePerson>
        <BaseCompensationFilingOrg>153709</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>153709</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>colleen townsend</NamePerson>
        <BaseCompensationFilingOrg>157304</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>157304</TotalCompensationFilingOrg>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>UPON REQUEST.</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>COMPENSATION OF KEY EMPLOYEES IS REVIEWED BY THE FULL BOARD OF DIRECTORS.</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>CONFLICT OF INTEREST STATEMENTS ARE UPDATED AND REVIEWED PERIODICALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES AND STATEMENTS WAS PROVIDED TO THE BOARD TWO WEEKS BEFORE FILING IN ORDER TO ALLOW SUFFICIENT TIME FOR REVIEW AND COMMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>ALL PROPOSED MEMBERS TO THE BOARD OF DIRECTORS ARE APPROVED BY A VOTE OF THE ENTIRE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>THE ORGANIZATION HAS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: COMMUNITY HEALTH CLINIC OLE PROVIDES HEALTH EDUCATION VIA OUTREACH PROGRAMS TO THE COUNTY'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>