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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANNY DOWNS</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>161590</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>44387</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8055</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>214032</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A DRAFT OF THE ORGANIZATION'S FORM 990 WAS DISTRIBUTED TO THE FINANCE COMMITTEE FOR APPROVAL PRIOR TO FILING OF THE FORM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE GOVERNING BOARD REVIEWS ALL TRANSACTIONS WITH KNOWN RELTATED PARTIES. IN ADDITION, ANY CONFLICTED PERSON IS REMOVED FROM ANY DECISION MAKING WITH REGARD TO THAT TRANSACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE GOVERNING BOARD APPROVES THE EXECUTIVE COMPENSATION THROUGH DELIBERATION AND COMPARISON TO EQUIVALENT POSITIONS AT OTHER ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ALL OF ITS GOVERNING DOCUMENTS AVAILABLE TO ANYONE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>OTHER SERVICES (LESS IN-KIND) : PROGRAM SERVICE EXPENSES 2,447,259. MANAGEMENT AND GENERAL EXPENSES 196,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,643,579.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE BOARD HAS A FINANCE/AUDIT COMMITTEE WHICH MEETS WITH THE AUDITORS REGULARLY AND OVERSEES AND APPROVES THE AUDIT PROCESS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>