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        <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>Torrey Harris</PersonNm>
        <TitleTxt>Board Chair</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>Frank Goodman</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>762728</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Tier One Services LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2170 Malibu Lake Circle 1434</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34119</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Accounting</ServicesDesc>
        <CompensationAmt>116880</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>3978792</AllOtherContributionsAmt>
      <TotalContributionsAmt>3978792</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Clinic</Desc>
        <BusinessCd>900001</BusinessCd>
        <TotalRevenueColumnAmt>472169</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>472169</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>472169</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>11915</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Passthrough Grant Incom</Desc>
        <BusinessCd>900001</BusinessCd>
        <TotalRevenueColumnAmt>21175</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21175</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Management Fees</Desc>
        <BusinessCd>900001</BusinessCd>
        <TotalRevenueColumnAmt>1380000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1380000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900001</BusinessCd>
        <TotalRevenueColumnAmt>158674</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>158674</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>15</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1559864</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6022740</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2043948</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3004490</TotalAmt>
        <ProgramServicesAmt>2606634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195340</ManagementAndGeneralAmt>
        <FundraisingAmt>202516</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>19074</TotalAmt>
        <ProgramServicesAmt>19074</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>97048</TotalAmt>
        <ProgramServicesAmt>72451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6460</ManagementAndGeneralAmt>
        <FundraisingAmt>18137</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>53792</TotalAmt>
        <ProgramServicesAmt>24604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14244</ManagementAndGeneralAmt>
        <FundraisingAmt>14944</FundraisingAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>72287</TotalAmt>
        <ProgramServicesAmt>49114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18620</ManagementAndGeneralAmt>
        <FundraisingAmt>4553</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2706</TotalAmt>
        <ManagementAndGeneralAmt>2706</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>112058</TotalAmt>
        <ManagementAndGeneralAmt>112058</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>233342</TotalAmt>
        <ProgramServicesAmt>114882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112889</ManagementAndGeneralAmt>
        <FundraisingAmt>5571</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>383900</TotalAmt>
        <ProgramServicesAmt>383900</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
        <TotalAmt>167000</TotalAmt>
        <ProgramServicesAmt>144042</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8492</ManagementAndGeneralAmt>
        <FundraisingAmt>14466</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Professional Fees</Desc>
        <TotalAmt>352048</TotalAmt>
        <ProgramServicesAmt>227983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95633</ManagementAndGeneralAmt>
        <FundraisingAmt>28432</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Waste</Desc>
        <TotalAmt>50690</TotalAmt>
        <ProgramServicesAmt>50690</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>921645</TotalAmt>
        <ProgramServicesAmt>665390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92734</ManagementAndGeneralAmt>
        <FundraisingAmt>163521</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5470080</TotalAmt>
        <ProgramServicesAmt>4358764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>659176</ManagementAndGeneralAmt>
        <FundraisingAmt>452140</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>529000</BOYAmt>
        <EOYAmt>478631</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>275959</BOYAmt>
        <EOYAmt>176868</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>17797</BOYAmt>
        <EOYAmt>536273</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>49994</BOYAmt>
        <EOYAmt>49994</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>64529</BOYAmt>
        <EOYAmt>51405</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>946690</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>446773</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>599092</BOYAmt>
        <EOYAmt>499917</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>17422</BOYAmt>
        <EOYAmt>16125</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6804503</BOYAmt>
        <EOYAmt>6753123</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>8358296</BOYAmt>
        <EOYAmt>8562336</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>54479</BOYAmt>
        <EOYAmt>70242</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>38775</BOYAmt>
        <EOYAmt>41914</EOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>6753123</BOYAmt>
        <EOYAmt>6606917</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>443644</BOYAmt>
        <EOYAmt>228628</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7290021</BOYAmt>
        <EOYAmt>6947701</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-995517</BOYAmt>
        <EOYAmt>1231380</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2063792</BOYAmt>
        <EOYAmt>383255</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1068275</BOYAmt>
        <EOYAmt>1614635</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8358296</BOYAmt>
        <EOYAmt>8562336</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>552660</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-6300</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <HospitalInd>X</HospitalInd>
    </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">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>340671</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18046</DepreciationAmt>
        <BookValueAmt>322625</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>606019</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>428727</DepreciationAmt>
        <BookValueAmt>177292</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>499917</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-use asset - Finance Lease</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-use assets operating le</Desc>
        <BookValueAmt>6753123</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6753123</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other accrued liabilities</Desc>
        <Amt>67691</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current portion of note payable</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current portion of lease liability</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current portion of lease liability</Desc>
        <Amt>146207</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current Liabilities</Desc>
        <Amt>8686</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Note receivable</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Credit Cards</Desc>
        <Amt>6044</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>228628</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6022740</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>6022740</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6022740</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5470080</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>5470080</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5470080</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Pepper</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>162373</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162373</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is emailed to the board for review prior to the filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers, directors and key employees are required to dislose any conflicts of interest. Dislosure forms are required to be filed annually and are reviewed by the board chair person and CEO. Inquiry is made by the board into contracts and other business dealings with organization to ensure that conflicts of interest do not exist.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors determines compensation for the president and the CEO. The Board is composed of persons who do not have a conflict of interest with the compensation arrangement. The Board relies on appropriate comparable data gathered by an independent source to determine compensation and documents its actions at the time they were taken and prior to payment of the compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and top management of MRCH determine the compensation of other officer and key employees. The CEO and top management officials of MCRH do not have a conflict of interest with the compensation arrangement. They rely on appropriate comparable data gathered by an independent source to determine the compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustments Due to Opening Balance</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Meals &amp; Entertainment, Security, Continuing education, Licenses &amp; Permits, Rental expenses, Repairs &amp; Maintenance, Utilities, Contributions to non-profits, events and registrations</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>