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    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
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        <ReportableCompFromOrgAmt>172712</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20402</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KUSHATHA WEST</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176587</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26736</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUCY GOH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169888</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19560</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1283576</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>110654</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Melvin Trotter</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8333 Goodwood Blvd</AddressLine1Txt>
            <CityNm>Baton Rouge</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pediatry Services</ServicesDesc>
        <CompensationAmt>111000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARSHALL SIMIEN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE LAKESHORE DRIVE SUITE 1110</AddressLine1Txt>
            <CityNm>Lake Charles</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70629</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ATTORNEY SERVICES</ServicesDesc>
        <CompensationAmt>135000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EKALAV</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>311 MURIEL AVENUE</AddressLine1Txt>
            <CityNm>Plainfield</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>070604484</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT</ServicesDesc>
        <CompensationAmt>152000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>STAFF CARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6767 OLD MADISON PIKE</AddressLine1Txt>
            <CityNm>Huntsville</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MED STAFF SERVICES</ServicesDesc>
        <CompensationAmt>139031</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TRENT FOGLEMAN MD LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2602 NORTH DRIVE</AddressLine1Txt>
            <CityNm>Abbeville</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70510</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>227707</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>7293</FundraisingAmt>
      <GovernmentGrantsAmt>4891354</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>200</AllOtherContributionsAmt>
      <NoncashContributionsAmt>459709</NoncashContributionsAmt>
      <TotalContributionsAmt>4898847</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8717469</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8717469</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>132301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>132301</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>8849770</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1510</TotalRevenueColumnAmt>
        <ExclusionAmt>1510</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>39980</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-39980</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-39980</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-39980</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>13769</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>7293</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>13769</FundraisingDirectExpensesAmt>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>439723</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>439723</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>439723</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14149870</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9249513</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1510</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>352155</TotalAmt>
        <ProgramServicesAmt>271159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80996</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7274588</TotalAmt>
        <ProgramServicesAmt>5538893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1735695</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1077378</TotalAmt>
        <ProgramServicesAmt>774366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>303012</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>564457</TotalAmt>
        <ProgramServicesAmt>389141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175316</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>163513</TotalAmt>
        <ProgramServicesAmt>17550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145963</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>45717</TotalAmt>
        <ProgramServicesAmt>4572</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41145</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1574913</TotalAmt>
        <ProgramServicesAmt>1049325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>525588</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>243593</TotalAmt>
        <ProgramServicesAmt>105308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138285</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>222488</TotalAmt>
        <ProgramServicesAmt>149067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73421</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>296816</TotalAmt>
        <ProgramServicesAmt>3692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293124</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>124515</TotalAmt>
        <ProgramServicesAmt>94631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29884</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>53087</TotalAmt>
        <ProgramServicesAmt>17189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35898</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>24522</TotalAmt>
        <ProgramServicesAmt>35</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24487</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>790525</TotalAmt>
        <ProgramServicesAmt>139845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>650680</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>91158</TotalAmt>
        <ProgramServicesAmt>13113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78045</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>195912</TotalAmt>
        <ProgramServicesAmt>46055</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149857</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT COST</Desc>
        <TotalAmt>75064</TotalAmt>
        <ProgramServicesAmt>38852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36212</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1430876</TotalAmt>
        <ProgramServicesAmt>1318154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112722</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAXES AND LICENSES</Desc>
        <TotalAmt>25401</TotalAmt>
        <ProgramServicesAmt>15946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9455</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>167249</TotalAmt>
        <ProgramServicesAmt>48042</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119207</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14793927</TotalAmt>
        <ProgramServicesAmt>10034935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4758992</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>640662</BOYAmt>
        <EOYAmt>160068</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1881128</BOYAmt>
        <EOYAmt>1649120</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>1610528</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>63454</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>135733</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>18017127</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6846597</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11847740</BOYAmt>
        <EOYAmt>11170530</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>14880035</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>355641</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>125000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1618399</BOYAmt>
        <EOYAmt>1266548</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>14257544</BOYAmt>
        <EOYAmt>13613487</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14257544</BOYAmt>
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      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15875943</BOYAmt>
        <EOYAmt>14880035</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-644057</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
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        <CurrentTaxYearMinus4YearsAmt>3843641</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3073447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3632565</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4909720</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4898847</CurrentTaxYearAmt>
        <TotalAmt>20358220</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>6196889</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7744486</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7277254</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8141958</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8849770</CurrentTaxYearAmt>
        <TotalAmt>38210357</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>10040530</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10817933</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10909819</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13051678</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13748617</CurrentTaxYearAmt>
        <TotalAmt>58568577</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>58568577</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>-18023</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>17377</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3851</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-38470</CurrentTaxYearAmt>
        <TotalAmt>1237340</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearAmt>-38470</CurrentTaxYearAmt>
        <TotalAmt>1237340</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus1YearAmt>189074</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>439723</CurrentTaxYearAmt>
        <TotalAmt>1142169</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>12107116</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10950635</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13244603</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14149870</CurrentTaxYearAmt>
        <TotalAmt>60948086</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96100</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>735748</OtherCostOrOtherBasisAmt>
        <BookValueAmt>735748</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>12718619</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3052723</DepreciationAmt>
        <BookValueAmt>9665896</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4452194</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3793874</DepreciationAmt>
        <BookValueAmt>658320</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>110566</OtherCostOrOtherBasisAmt>
        <BookValueAmt>110566</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11170530</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14163639</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>13769</OtherRevenueAmt>
      <RevenueNotReportedAmt>13769</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14149870</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>14149870</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14807696</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>13769</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>13769</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14793927</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>14793927</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues not included on Form 990 (Part XI, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses of $13,769 included in audited financial statement expenses were reported on Form 990, Page 9, Part VIII, Line 8b.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses of $13,769 included in audited financial statement expenses were reported on Form 990, Page 9, Part VIII, Line 8b.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal and state income taxes is included in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>Gala</Event1Nm>
        <GrossReceiptsEvent1Amt>21262</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>7293</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>13969</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>13769</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>21262</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>7293</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>13969</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>13769</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>13769</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>200</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="990J">
      <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>LISA VAUGHN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>187029</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14758</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6960</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208747</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HORATIO MILLIN JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>225205</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13908</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>239113</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISHNAKUMARI KANESAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>172712</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13442</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6960</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193114</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KUSHATHA WEST MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>176587</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13812</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12924</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>203323</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN COLLIGAN MD</PersonNm>
        <TitleTxt>CHIEF HEALTH OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>185722</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185722</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUCY GOH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>169888</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12600</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6960</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>9000</ContributionCnt>
        <NoncashContributionsRptF990Amt>459709</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <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, CEO, AND CONTROLLER PRIOR TO ITS ISSUANACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>SWLA CENTER FOR HEALTH SERVICES DESCRIBES THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND ALSO INFORMS EMPLOYEES OF THE POLICY ON SIGNS AT VARIOUS LOCATIONS IN THE BUILDING. ANY INSTANCES OF NONCOMPLIANCE ARE TO BE REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SWLA CENTER FOR HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual - Provider $914,432Contractual - Lab $139,608Contractual - Security $28,539Contractual - Temp Labor $30,863Contractual - Waste Control $18,033Contractual - Hazard Control $15,305Contractual - Office $22,438Contractual - Other $116,238Consulting Services $199,284Contractual - Administration $90,173Total - $1,574,913</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>