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        <Fundraising>0</Fundraising>
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      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
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        <ManagementAndGeneral>26214</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Travel>
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        <ManagementAndGeneral>15373</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>30704</ProgramServices>
        <ManagementAndGeneral>14172</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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        <ManagementAndGeneral>67670</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>30561</ProgramServices>
        <ManagementAndGeneral>14106</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <Description>MEDICAL SUPPLIES</Description>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>257441</Total>
        <ProgramServices>257441</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>EMPLOYEE RECRUITMENT</Description>
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        <ProgramServices>103883</ProgramServices>
        <ManagementAndGeneral>47950</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>LICENSES &amp; FEES</Description>
        <Total>18701</Total>
        <ProgramServices>12795</ProgramServices>
        <ManagementAndGeneral>5906</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>175239</Total>
        <ProgramServices>119896</ProgramServices>
        <ManagementAndGeneral>55343</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TotalFunctionalExpenses>
        <Total>6508142</Total>
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        <ManagementAndGeneral>1867770</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>113005</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>357587</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
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        <EOY>1370933</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>1893012</BOY>
        <EOY>1728520</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>2923298</EOY>
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      <TotalNetAssetsFundBalances>
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      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4437035</BOY>
        <EOY>4651818</EOY>
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      <ReconcilationRevenueExpenses>379275</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>3451755</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3408882</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3952908</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4814669</CurrentTaxYear>
        <Total>19011450</Total>
      </GiftsGrantsContribReceived170>
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        <CurrentTaxYearMinus3Years>3451755</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3408882</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3952908</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4814669</CurrentTaxYear>
        <Total>19011450</Total>
      </Total170>
      <AmountsSubstContributorsTotal>3912845</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>15098605</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>7342</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus1Year>1873</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2930</CurrentTaxYear>
        <Total>16085</Total>
      </GrossInvestmentIncome170>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>41</Total>
      </OtherIncome170>
      <TotalSupport>19027576</TotalSupport>
      <PublicSupportPertcentage170>0.79351</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.76774</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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      <HeldWorksOfArtAmts />
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        <OtherCostOrOtherBasis>2785175</OtherCostOrOtherBasis>
        <Depreciation>769864</Depreciation>
        <BookValue>2015311</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
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        <OtherCostOrOtherBasis>1589699</OtherCostOrOtherBasis>
        <Depreciation>733771</Depreciation>
        <BookValue>855928</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>2871239</TotalOfBookValueLandBuildings>
      <TotalRevenue>6887417</TotalRevenue>
      <TotalExpenses>6508142</TotalExpenses>
      <ExcessOrDeficitForYear>379275</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>379275</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>6887417</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>6887417</RevenueSubtotal>
      <TotalRevenuePerForm990>6887417</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6508142</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>6508142</ExpensesSubtotal>
      <TotalExpensesPerForm990>6508142</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCH. D, PART X, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>FAUZIA QADIR</NamePerson>
        <BaseCompensationFilingOrg>200157</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8731</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6466</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4508</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>SCH. J, PART 1, LINE 7</ReturnReference>
        <Explanation>INCENTIVE PAY IS OFFERED FOR PROVIDERS WHO MEET 100% OF THEIR OFFICE AND HOSPITAL VISIT GOALS. THEY RECEIVE 5% OF THE AMOUNT OF COLLECTIONS OF ACCOUNTS RECEIVABLE FROM THEIR PATIENTS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
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      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>654058</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12(C)</ReturnReference>
        <Explanation>MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION AS NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIP AMONG DIRECTORS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>RICHARD STOCK AND RON MILLER ARE DIRECTORS AT BOTH MAINLINE HEALTH SYSTEMS AND BAYOU GRAIN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINATION OF COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15(A) AND 15(B)</ReturnReference>
        <Explanation>15(A): COMPENSATION COMMITTEE BASES EXECUTIVE DIRECTOR'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. 15(B): THE EXECUTIVE DIRECTOR DETERMINES THE CFO'S SALARY. THE LAST REVIEW WAS IN 2007.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>