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      <RevenueNotReportedAmt>93436</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15675053</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>15675053</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15653908</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>93436</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>93436</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15560472</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15560472</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>The endowment fund was established to support the organization's ongoing operations, upon the board's discretion annual earnings are either distributed or reinvested in the fund.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. The Organization is not a private foundation. Accordingly, no provision has been made for income taxes in the accompanying financial statements. The Organization applies guidance issued by the FASB on accounting for uncertainty in tax positions. Management believes the Organization has no material uncertain tax positions, including any potential loss of its tax exempt status. The Organization has no ongoing federal, state or local tax audits; however, the Organizations tax returns for the previous three fiscal years remain open to examination.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="15000324" softwareVersionNum="2015v3.0">
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Frederic L Monosiet</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>205385</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7108</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212493</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Gleydys Salgado Cardoso</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>153846</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>277</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154123</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Kenneth Greenwood</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>177115</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5000</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>380</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>182495</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Majd Alsamman</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>152900</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152900</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Maria Santos</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>6892</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Mario Oliva</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <TotalCompensationFilingOrgAmt>333442</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>493</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John H Minge III</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>12632</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>176131</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000324" softwareVersionNum="2015v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 9: Officer, Director, Trustee, Key Employee Mailing Address</FormAndLineReferenceDesc>
        <ExplanationTxt>James C. Allan 1321 Burgos DriveSarasota, FL 34238Tim Gissal1960 Landings Blvd. Sarasota, FL 34231</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the return will be furnished to the finance and audit committee members prior to filing. Upon review and approval from both committees, the return will be filed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON HIRING NEW EMPLOYEES OR CONSIDERATION OF NEW BOARD MEMBERS, EMPLOYEES AND BOARD MEMBERS ARE ASKED TO DISCLOSE WHETHER THEY CONDUCT BUSINESS WITH THE ORGANIZATION IN ANOTHER CAPACITY AND/OR HAVE ANY RELATIVES EMPLOYED WITH THE ORGANIZATION. EXISTING EMPLOYEES AND BOARD MEMBERS ARE RESPONSIBLE FOR DISCLOSING ALL POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE COURSE OF THEIR EMPLOYMENT OR TENURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization utilizes market analysis and compensation surveys to determine compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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