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        <City>Bilox</City>
        <State>MS</State>
        <ZIPCode>39533</ZIPCode>
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      <Name>Steve Chiepalich</Name>
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        <ExclusionAmount>0</ExclusionAmount>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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        <Personal>0</Personal>
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        <Other>250000</Other>
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      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
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        <Description>Miscelaneous</Description>
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        <RelatedOrExemptFunctionIncome>27923</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>27923</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>15135499</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>185858</ExclusionAmount>
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      <CompCurrentOfficersDirectors>
        <Total>136800</Total>
        <ManagementAndGeneral>136800</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>7561289</Total>
        <ProgramServices>6877205</ProgramServices>
        <ManagementAndGeneral>684084</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>359124</Total>
        <ProgramServices>317694</ProgramServices>
        <ManagementAndGeneral>41430</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>880755</Total>
        <ProgramServices>769862</ProgramServices>
        <ManagementAndGeneral>110893</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>575914</Total>
        <ProgramServices>511676</ProgramServices>
        <ManagementAndGeneral>64238</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>1165</Total>
        <ManagementAndGeneral>1165</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>19645</Total>
        <ManagementAndGeneral>19645</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <OfficeExpenses>
        <Total>44564</Total>
        <ManagementAndGeneral>44564</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>826827</Total>
        <ProgramServices>564675</ProgramServices>
        <ManagementAndGeneral>262152</ManagementAndGeneral>
      </Occupancy>
      <Travel>
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        <ProgramServices>34633</ProgramServices>
        <ManagementAndGeneral>17154</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>3946</Total>
        <ManagementAndGeneral>3946</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>648335</Total>
        <ProgramServices>533618</ProgramServices>
        <ManagementAndGeneral>114717</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>126485</Total>
        <ProgramServices>91816</ProgramServices>
        <ManagementAndGeneral>34669</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Med., dental &amp; lab suppls</Description>
        <Total>895895</Total>
        <ProgramServices>895895</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Contract lab &amp; med. servs.</Description>
        <Total>1252540</Total>
        <ProgramServices>1252540</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Licenses &amp; dues</Description>
        <Total>2203494</Total>
        <ProgramServices>2143562</ProgramServices>
        <ManagementAndGeneral>59932</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Education, dues &amp; publs.</Description>
        <Total>97782</Total>
        <ProgramServices>89467</ProgramServices>
        <ManagementAndGeneral>8315</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Printed med. &amp; educ. mats.</Description>
        <Total>38352</Total>
        <ProgramServices>38352</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>116624</Total>
        <ProgramServices>78852</ProgramServices>
        <ManagementAndGeneral>37772</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>15841323</Total>
        <ProgramServices>14199847</ProgramServices>
        <ManagementAndGeneral>1641476</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>1814978</BOY>
        <EOY>1765112</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2670025</BOY>
        <EOY>2208948</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>45085</BOY>
        <EOY>37871</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>130219</BOY>
        <EOY>88608</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>12766471</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3097323</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>9694437</BOY>
        <EOY>9669148</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>3215</BOY>
        <EOY>3715</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>14357959</BOY>
        <EOY>13824027</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>605436</BOY>
        <EOY>972185</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>51500</BOY>
        <EOY>25713</EOY>
      </DeferredRevenue>
      <UnsecuredNotesLoansPayable>
        <BOY>169070</BOY>
      </UnsecuredNotesLoansPayable>
      <TotalLiabilities>
        <BOY>826006</BOY>
        <EOY>997898</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>13531953</BOY>
        <EOY>12826129</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13531953</BOY>
        <EOY>12826129</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14357959</BOY>
        <EOY>13824027</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-705824</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="10000077" softwareVersion="v1.00">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>9892051</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17068057</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10110515</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9216936</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10282880</CurrentTaxYear>
        <Total>56570439</Total>
      </GiftsGrantsContribReceived170>
      <ValueSrvcFcltsFurnishedByGovt>
        <CurrentTaxYearMinus4Years>15321</CurrentTaxYearMinus4Years>
        <Total>15321</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>9907372</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17068057</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10110515</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9216936</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10282880</CurrentTaxYear>
        <Total>56585760</Total>
      </Total170>
      <PublicSupportTotal170>56585760</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>39855</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>59508</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>42640</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>35068</CurrentTaxYearMinus1Year>
        <Total>177071</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus3Years>22605</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>43604</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5121</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27923</CurrentTaxYear>
        <Total>99253</Total>
      </OtherIncome170>
      <TotalSupport>56862084</TotalSupport>
      <PublicSupportPertcentage170>0.99514</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.9946</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>Small, inconsequential cash receipts throughout the year.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="10000077" softwareVersion="v1.00">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="R000004" softwareId="10000077" softwareVersion="v1.00">
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        <OtherCostOrOtherBasis>352951</OtherCostOrOtherBasis>
        <BookValue>352951</BookValue>
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      <Buildings>
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        <OtherCostOrOtherBasis>9185115</OtherCostOrOtherBasis>
        <Depreciation>1548949</Depreciation>
        <BookValue>7636166</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <OtherCostOrOtherBasis>758285</OtherCostOrOtherBasis>
        <Depreciation>2106</Depreciation>
        <BookValue>756179</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2452938</OtherCostOrOtherBasis>
        <Depreciation>1546268</Depreciation>
        <BookValue>906670</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>17182</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>17182</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9669148</TotalOfBookValueLandBuildings>
      <TotalRevenue>15135499</TotalRevenue>
      <TotalExpenses>15841323</TotalExpenses>
      <ExcessOrDeficitForYear>-705824</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>77460</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>77460</TotalAdjustments>
      <ExcessOrDeficitPerFS>-628364</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>15212959</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>77460</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>77460</RevenueNotRptdF990>
      <RevenueSubtotal>15135499</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>15135499</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>15918783</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>77460</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>77460</ExpensesNotRptdF990>
      <ExpensesSubtotal>15841323</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>15841323</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="R000005" softwareId="10000077" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P03_S00_L04d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d</ReturnReference>
        <Explanation>In addition to the above services, our organization provides mental health, lab, nutrition, patient transportation, OB/GYN, pharmacy, and other ancillary services. Our pharmacy fills over 150 prescriptions per day and our total patient count is over 30,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11a</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11a</ReturnReference>
        <Explanation>The Form 990 is reviewed in detail with the Chief Financial Officer before filing. The Form 990 is reviewed and signed by the Chief Executive Officer. It is subsequently discussed on a cursory basis with the Board by the organization's auditor.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The conflict of interest policy is monitored and enforced by management through close oversight of, and frequent interaction with, department heads and the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>A comprehensive market survey was performed in 2008 by the Board's Personnel Committee to evaluate and adjust the Chief Executive Officer's compensation package to reflect the current local market.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>The organization is not required to, and does not, make its governing documents or conflict of interest policy available to the public. Its Form 990, however, is prepared from its annual audited financial statements and, as such, its annual financial statements are available to the public through review of its annual tax return.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>