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        <ProgramServicesAmt>90549</ProgramServicesAmt>
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        <ProgramServicesAmt>23524</ProgramServicesAmt>
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        <EOYAmt>2167703</EOYAmt>
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        <EOYAmt>2167703</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>795511</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-100037</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>881543</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1270305</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1743051</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1437726</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>423152</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>600432</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>905446</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1795777</CurrentTaxYearAmt>
        <TotalAmt>4076360</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1360584</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1304695</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1870737</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2648497</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3233503</CurrentTaxYearAmt>
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      <PublicSupportTotal509Amt>10418016</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>509</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>245</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>245</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3885</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>3163</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4392</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>491</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4714</CurrentTaxYearAmt>
        <TotalAmt>14402</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1362735</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1308153</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1875374</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2652873</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3238217</CurrentTaxYearAmt>
        <TotalAmt>10437352</TotalAmt>
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      <PublicSupportCY509Pct>0.99810</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99810</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00050</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00060</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>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>228915</DepreciationAmt>
        <BookValueAmt>51980</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>72005</DepreciationAmt>
        <BookValueAmt>41746</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>26002</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>119728</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED CASH</Desc>
        <BookValueAmt>19963</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE</Desc>
        <BookValueAmt>186365</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CERTIFICATES OF DEPOSIT</Desc>
        <BookValueAmt>20728</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PLEDGES RECEIVABLE, LESS CURRENT PORTION</Desc>
        <BookValueAmt>258129</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>485185</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE CURRENT PORTION</Desc>
        <Amt>28518</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE NON-CURRENT PORTION</Desc>
        <Amt>157847</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>186365</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3291555</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>52030</OtherRevenueAmt>
      <RevenueNotReportedAmt>52030</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3239525</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3239525</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2444014</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2444014</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION 52,030.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VANESSA MACHADO AND FRANKLIN MACHADO ARE MARRIED. CESAR MACHADO AND FRANKLIN MACHADO ARE BROTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. THE BOARD CHAIR AND THE TREASURER ARE BOTH PRESENT ON THIS COMMITTEE. EACH MEMBER OF THIS COMMITTEE WILL RECEIVE THE FORM 990 AND WILL REQUIRE THEIR APPROVAL. AT THE FOLLOWING BOARD MEETING THE MEMBERS OF THE BOARD WILL RECEIVE A COPY AND FEEDBACK FROM THE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE, AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER THE CORPORATION'S CONFLICT OF INTEREST POLICY ADEQUATELY ADDRESSES THE NEEDS OT THE CORPORATION AND IS BEING SUFFICIENTLY COMPLIED WITH BY THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD REVIEWS TOP MANAGEMENT COMPENSATION ANNUALLY IT IS UP TO THEIR DISCRETION AS TO WHAT METHODS TO USE WHICH MAY INCLUDE BUT ARE NOT LIMITED TO AN INDEPENDENT REVIEW, COMPENSATION COMPARISONS, PERFORMANCE REVIEW, ETC. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 232,685. MANAGEMENT AND GENERAL EXPENSES 51,845. FUNDRAISING EXPENSES 18,080. TOTAL EXPENSES 302,610.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTATEMENT OF PRIOR PERIOD ACCUMULATED DEPRECIATION ADJUSTMENT -100,037.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>