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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABIGAIL JONES</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100105</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>740352</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>8702</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3293152</GovernmentGrantsAmt>
      <TotalContributionsAmt>3293152</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV</Desc>
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        <TotalRevenueColumnAmt>4421060</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4421060</RelatedOrExemptFuncIncomeAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <FeesForServicesAccountingGrp>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>89993</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>182489</TotalAmt>
        <ProgramServicesAmt>90538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91951</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>480556</TotalAmt>
        <ProgramServicesAmt>53755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>426801</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>248848</TotalAmt>
        <ProgramServicesAmt>240963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7885</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>111599</TotalAmt>
        <ProgramServicesAmt>70766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40833</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>111076</TotalAmt>
        <ManagementAndGeneralAmt>111076</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>363448</TotalAmt>
        <ProgramServicesAmt>363402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
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        <ProgramServicesAmt>164333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9827</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITING &amp; RETENTION</Desc>
        <TotalAmt>116912</TotalAmt>
        <ProgramServicesAmt>8729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108183</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>78283</TotalAmt>
        <ProgramServicesAmt>67867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10416</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>38072</TotalAmt>
        <ProgramServicesAmt>33250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4822</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7681934</TotalAmt>
        <ProgramServicesAmt>5259200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2422734</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>741268</BOYAmt>
        <EOYAmt>798080</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>949222</BOYAmt>
        <EOYAmt>892313</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>308852</BOYAmt>
        <EOYAmt>277074</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>1029208</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>106898</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2944817</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2375793</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>569024</EOYAmt>
      </LandBldgEquipBasisNetGrp>
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        <BOYAmt>0</BOYAmt>
        <EOYAmt>210406</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>3883003</EOYAmt>
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        <EOYAmt>180000</EOYAmt>
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        <EOYAmt>290514</EOYAmt>
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        <EOYAmt>860575</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>3022428</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2982742</BOYAmt>
        <EOYAmt>3022428</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3571733</BOYAmt>
        <EOYAmt>3883003</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>39686</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>2794623</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4215632</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3812870</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3293152</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>3632480</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3882276</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4421060</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus1YearAmt>1076</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3908</CurrentTaxYearAmt>
        <TotalAmt>6500</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>19292</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>79124</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>6766289</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7909109</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7715514</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7718120</CurrentTaxYearAmt>
        <TotalAmt>36569838</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.60630</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.62980</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00020</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>1485551</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1412768</DepreciationAmt>
        <BookValueAmt>72783</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>770008</DepreciationAmt>
        <BookValueAmt>404876</BookValueAmt>
      </EquipmentGrp>
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        <BookValueAmt>91365</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>569024</TotalBookValueLandBuildingsAmt>
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        <BookValueAmt>210406</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>210406</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
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        <Amt>290514</Amt>
      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>7798514</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>7721620</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7721620</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7758828</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>76894</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>76894</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7681934</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>LBMC PERFORMED CONTROLLER DUTIES INCLUDING FINANCIAL STATEMENT PREPARATION AND VARIANCE EXPLANATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEOS AND CFO REVIEW THE FORM 990. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE CEO DISTRIBUTES THE FORM AND PRESENTS IT TO THE BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES TO REEVALUATE IF THERE AS BEEN A CHANGE TO THEIR CONFLICT OF INTEREST WITH ANY PARTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED BY MARKET FACTORS, EXPERIENCE, JOB DESCRIPTION, PERFORMANCE EVALUATION BY THE BOARD OF DIRECTORS, COMPETENCE, AND GOAL ACCOMPLISHMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
