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        <ExclusionAmt>95364</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Income</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2432</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2432</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2432</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8861320</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5298671</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>95364</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1503868</TotalAmt>
        <ProgramServicesAmt>1278287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>225581</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4541832</TotalAmt>
        <ProgramServicesAmt>3860557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>681275</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>456662</TotalAmt>
        <ProgramServicesAmt>388163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68499</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>76590</TotalAmt>
        <ProgramServicesAmt>20586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56004</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21975</TotalAmt>
        <ProgramServicesAmt>8790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13185</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>48642</TotalAmt>
        <ProgramServicesAmt>24496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24146</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>189267</TotalAmt>
        <ProgramServicesAmt>189267</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>353963</TotalAmt>
        <ProgramServicesAmt>164065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189898</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>120195</TotalAmt>
        <ManagementAndGeneralAmt>120195</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>309023</TotalAmt>
        <ProgramServicesAmt>262670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46353</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>101272</TotalAmt>
        <ManagementAndGeneralAmt>101272</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>260370</TotalAmt>
        <ProgramServicesAmt>223823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36547</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>320226</TotalAmt>
        <ProgramServicesAmt>272197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48029</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supply and Services</Desc>
        <TotalAmt>227460</TotalAmt>
        <ProgramServicesAmt>227460</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>197027</TotalAmt>
        <ProgramServicesAmt>167473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29554</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Rental</Desc>
        <TotalAmt>29848</TotalAmt>
        <ProgramServicesAmt>25371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4477</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and Permits</Desc>
        <TotalAmt>24446</TotalAmt>
        <ManagementAndGeneralAmt>24446</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>14335</TotalAmt>
        <ProgramServicesAmt>13190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1145</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8797001</TotalAmt>
        <ProgramServicesAmt>7126395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1670606</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>568269</BOYAmt>
        <EOYAmt>1221374</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>670114</BOYAmt>
        <EOYAmt>671010</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1305067</BOYAmt>
        <EOYAmt>1360480</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>174642</BOYAmt>
        <EOYAmt>145461</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>9433391</BOYAmt>
        <EOYAmt>9433394</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>22589</BOYAmt>
        <EOYAmt>27500</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5335942</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2657898</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2483225</BOYAmt>
        <EOYAmt>2678044</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2475</BOYAmt>
        <EOYAmt>2475</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>713310</BOYAmt>
        <EOYAmt>51493</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15373082</BOYAmt>
        <EOYAmt>15591231</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>550597</BOYAmt>
        <EOYAmt>420510</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2042265</BOYAmt>
        <EOYAmt>2326182</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9167</BOYAmt>
        <EOYAmt>9167</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2602029</BOYAmt>
        <EOYAmt>2755859</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>11700988</BOYAmt>
        <EOYAmt>11474892</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>1070065</BOYAmt>
        <EOYAmt>1360480</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12771053</BOYAmt>
        <EOYAmt>12835372</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15373082</BOYAmt>
        <EOYAmt>15591231</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>64319</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">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3735123</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4436938</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5492915</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3253822</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3467285</CurrentTaxYearAmt>
        <TotalAmt>20386083</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3344477</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3324390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3850511</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5207398</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5296239</CurrentTaxYearAmt>
        <TotalAmt>21023015</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>7079600</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7761328</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9343426</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8461220</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8763524</CurrentTaxYearAmt>
        <TotalAmt>41409098</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>41409098</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>513870</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4130</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1372796</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>96300</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95364</CurrentTaxYearAmt>
        <TotalAmt>2082460</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>513870</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4130</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1372796</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>96300</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95364</CurrentTaxYearAmt>
        <TotalAmt>2082460</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>58340</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>39974</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>55756</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>163423</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>317493</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>7651810</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7805432</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10771978</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8720943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8858888</CurrentTaxYearAmt>
        <TotalAmt>43809051</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94520</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94390</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.05000</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>436999</OtherCostOrOtherBasisAmt>
        <BookValueAmt>436999</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1240095</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>479673</DepreciationAmt>
        <BookValueAmt>760422</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3658848</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2178225</DepreciationAmt>
        <BookValueAmt>1480623</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2678044</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>2475</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>2475</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Other Receivable</Desc>
        <BookValueAmt>37148</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>14345</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>51493</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Interest Payable</Desc>
        <Amt>9167</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>9167</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <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 and applicable state codes. Accordingly, no provision for federal and state income taxes is included in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </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>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ginny Tonore PhD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>117030</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>51222</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13302</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8475</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196029</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Tonore</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>242713</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>114947</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19762</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30561</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16951</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>424934</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Fekri Abdulla</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>125850</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>17000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7441</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24155</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174446</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tobe Momah</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>188565</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16951</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221516</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tywanna Chisley</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>160189</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8623</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15680</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189492</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Akram Munasar</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>108446</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6574</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24155</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154175</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Randy Morgan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Brother of CEO</RelationshipDescriptionTxt>
        <TransactionDesc>Employee Wages</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dr Ginny Tonore PhD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of CEO</RelationshipDescriptionTxt>
        <TransactionDesc>Employee Wages</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Vallery Chaney</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Niece of CEO</RelationshipDescriptionTxt>
        <TransactionDesc>Employee Wages</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 Director.Dr. Ginny Tonore is employed by Primary Health Services Center, Inc. and serves the organization as Behavioral Health Program Director and Chief Operating Officer.Vallery Chaney is employed by Primary Health Services Center, Inc. and serves the organization as the Director of Nursing.</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 services as the Behavioral Health Program Director and Chief Operating Officer for the organization.</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>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Primary Health Services Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of information on Schedule R</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Line 1d - As part of a New Markets Tax Credit financing transaction, Primary Health Services Center, Inc. issued a $464,290 loan to Healthcare Vision, Inc.Part V, Line 1g - As part of a New Markets Tax Credit financing transaction, Primary Health Services Center, Inc. sold a building and land to Healthcare Vision, Inc. for $12,723,484.Part V, Line 1k - As part of a New Markets Tax Credit financing transaciton, Primary Health Services Center, Inc. leases their previously owned facilities from Healthcare Vision, Inc.Part II, Identification of Related Tax-Exempt Organizations:Name, Address, and EIN of Related Organization:Healthcare Vision, Inc. EIN: 47-16970442913 Betin Avenue Monroe, LA 71201Primary Activity: Facilitate New Market Tax Credit financing for PHSC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>