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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cathy Holmes-Giles</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bertha Williams</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vanessa Johnson</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sandra Daigre</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Willie Robinson Sr</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3445486</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>140074</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Chauvin Lane Enterprises LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>409 Chauvin Lane</AddressLine1Txt>
            <CityNm>Monroe</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Director</ServicesDesc>
        <CompensationAmt>147000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Jan Randolph</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 2434</AddressLine1Txt>
            <CityNm>Corrales</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87048</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Grant Consulting</ServicesDesc>
        <CompensationAmt>159500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5706742</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>51900</AllOtherContributionsAmt>
      <TotalContributionsAmt>5758642</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Services</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>7572417</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7572417</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medical Records Income</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>7747</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7747</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7580164</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>195406</TotalRevenueColumnAmt>
        <ExclusionAmt>195406</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>4500</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>4500</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>4500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4500</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Income</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>18644</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18644</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Insurance Recoveries</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>175831</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>175831</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>194475</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13733187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7779139</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>195406</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2836173</TotalAmt>
        <ProgramServicesAmt>2410747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>425426</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6680135</TotalAmt>
        <ProgramServicesAmt>5678115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1002020</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>172168</TotalAmt>
        <ProgramServicesAmt>146343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25825</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>278378</TotalAmt>
        <ProgramServicesAmt>253621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24757</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>24380</TotalAmt>
        <ProgramServicesAmt>14472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9908</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37589</TotalAmt>
        <ProgramServicesAmt>22312</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15277</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>487921</TotalAmt>
        <ProgramServicesAmt>27254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>460667</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>20613</TotalAmt>
        <ProgramServicesAmt>20613</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>289623</TotalAmt>
        <ProgramServicesAmt>139335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150288</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>73848</TotalAmt>
        <ProgramServicesAmt>29539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44309</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>259298</TotalAmt>
        <ProgramServicesAmt>220403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38895</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>44554</TotalAmt>
        <ManagementAndGeneralAmt>44554</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>147806</TotalAmt>
        <ProgramServicesAmt>125635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22171</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>318558</TotalAmt>
        <ProgramServicesAmt>270774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47784</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>195984</TotalAmt>
        <ProgramServicesAmt>166586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29398</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supply and Services</Desc>
        <TotalAmt>400566</TotalAmt>
        <ProgramServicesAmt>400566</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>319238</TotalAmt>
        <ProgramServicesAmt>271352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47886</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Rental Expense</Desc>
        <TotalAmt>188512</TotalAmt>
        <ProgramServicesAmt>160235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28277</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and Permits</Desc>
        <TotalAmt>53434</TotalAmt>
        <ManagementAndGeneralAmt>53434</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>111774</TotalAmt>
        <ProgramServicesAmt>37675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74099</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>12940552</TotalAmt>
        <ProgramServicesAmt>10395577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2544975</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>52153</BOYAmt>
        <EOYAmt>1654282</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1238344</BOYAmt>
        <EOYAmt>1459236</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1519896</BOYAmt>
        <EOYAmt>1403418</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>276907</BOYAmt>
        <EOYAmt>215286</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>9433394</BOYAmt>
        <EOYAmt>9433394</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>76548</BOYAmt>
        <EOYAmt>99102</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7304790</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4054661</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2943926</BOYAmt>
        <EOYAmt>3250129</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>10000</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>14171</BOYAmt>
        <EOYAmt>14171</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15565339</BOYAmt>
        <EOYAmt>17539018</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>496089</BOYAmt>
        <EOYAmt>459402</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3980857</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>29272</BOYAmt>
        <EOYAmt>722</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3259937</BOYAmt>
        <EOYAmt>4440981</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10785506</BOYAmt>
        <EOYAmt>11694619</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1519896</BOYAmt>
        <EOYAmt>1403418</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12305402</BOYAmt>
        <EOYAmt>13098037</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15565339</BOYAmt>
        <EOYAmt>17539018</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>792635</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3467285</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3797514</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4291834</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4406885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5758642</CurrentTaxYearAmt>
        <TotalAmt>21722160</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>6083902</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6226474</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6866705</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7580164</CurrentTaxYearAmt>
        <TotalAmt>32053484</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>8763524</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9881416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10518308</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11273590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13338806</CurrentTaxYearAmt>
        <TotalAmt>53775644</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>53775644</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>98366</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>105275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>123145</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195406</CurrentTaxYearAmt>
        <TotalAmt>617556</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>95364</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>105275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>123145</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195406</CurrentTaxYearAmt>
        <TotalAmt>617556</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearAmt>198975</CurrentTaxYearAmt>
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      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>9979782</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10623583</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11418971</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13733187</CurrentTaxYearAmt>
        <TotalAmt>54614411</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98460</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98580</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other income includes: Property Rental Income $4,500, Other Income $18,644, and Insurance Reimbursement Proceeds $175,831.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
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        <BookValueAmt>436999</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2092223</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>644222</DepreciationAmt>
        <BookValueAmt>1448001</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3410439</DepreciationAmt>
        <BookValueAmt>1365129</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3250129</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>10000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>10000</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Utility Deposits</Desc>
        <BookValueAmt>14171</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>14171</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Interest Payable</Desc>
        <Amt>722</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>722</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13733187</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>13733187</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13733187</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12940552</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>12940552</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>12940552</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ginny Norris PhD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>252470</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>81711</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11109</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11266</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>362556</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Tonore</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>487580</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>208700</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19165</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33729</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11266</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>760440</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Minh Le</PersonNm>
        <TitleTxt>Dental</TitleTxt>
        <BaseCompensationFilingOrgAmt>159327</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16423</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5935</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5633</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187318</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Treshan Williams Jr</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>131538</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>70310</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4985</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5633</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212466</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pamela Chisley</PersonNm>
        <TitleTxt>Grant Management</TitleTxt>
        <BaseCompensationFilingOrgAmt>166154</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>73079</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8700</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5982</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5633</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259548</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Byron Hammer</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>167250</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167250</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cynthia Paige</PersonNm>
        <TitleTxt>Quality Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>134769</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20231</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>155000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Meredith</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>207692</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19230</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8308</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>235230</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adrian Washington</PersonNm>
        <TitleTxt>Family Nurse Practitioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>135000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5400</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>152900</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Long Truong</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>178846</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20827</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6462</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3631</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209766</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Coats</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>260577</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24038</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>1984</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>286599</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda Reid</PersonNm>
        <TitleTxt>Womens Health Nurse Practitioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>134000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5360</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>151860</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victoria Elliott</PersonNm>
        <TitleTxt>Operations Manager</TitleTxt>
        <BaseCompensationFilingOrgAmt>95885</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>52692</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3738</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3636</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155951</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other non-fixed payments (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Employees receive bonus compensation based on positive annual evaluations. Bonuses are approved by management and the Board of Directors. Also, employees received COVID related hazard bonus pay during 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Randy Morgan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Brother of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>79305</TransactionAmt>
        <TransactionDesc>Employee Wages - Security Director</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dr Ginny Tonore PhD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>362556</TransactionAmt>
        <TransactionDesc>Employee Wages - COO</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Belinda Morgan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister-in-Law of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>60453</TransactionAmt>
        <TransactionDesc>Employee Wages - KidMed Coordinator</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Gerald Tonore</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Husband of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>92900</TransactionAmt>
        <TransactionDesc>Employee Wages - Pharmacy Director</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Catherine E Tonore</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>44625</TransactionAmt>
        <TransactionDesc>Employee Wages - COVID-19 Director</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>Randy Morgan is employed by Primary Health Services Center, Inc. and serves the Organization as Security Officer.Dr. Ginny Tonore is employed by Primary Health Services Center, Inc. and serves the Organization as Chief Operating Officer.Belinda Morgan is employed by Primary Health Services Center, Inc. and servces the Organization as KidMed Corrdinator.Gerald Tonore is employed by Primary Health Services Center, Inc. and servces the Organization as the Pharmacy Director.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Officer directors etc family relationship Part VI line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The brother of the Chief Executive Officer serves as the Security Director for the organization. The daughter of the Chief Executive Officer serves as the Behavioral Health Program Director and Chief Operating Officer for the organization. The sister-in-law of the Chief Executive Officer serves as the KidMed Coordinator for the organization. The husband of the Chief Executive Officer serves as the Pharmacy Director for the organization. The daughter of the Chief Executive Officer serves as the COVID-19 Director during the peak of the COVID-19 pandemic.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed and approved by the Board of Directors prior to issuance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization reviews conflict of interest issues as they arise and takes appropriate action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors performs a comparability study of similar organizations to determine all salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors performs a comparability study of similar organizations to determine all salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Centers governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Healthcare Vision Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2913 Bentin Avenue</AddressLine1Txt>
          <CityNm>Monroe</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71201</ZIPCd>
        </USAddress>
        <EIN>471697044</EIN>
        <PrimaryActivitiesTxt>New Market Tax Credit trans to develop healthcare building</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c 3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Primary Health Services Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of information on Schedule R</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare Vision, Inc., Transaction Type 1k, $113,680 (Annual), Cost Basis</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>