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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATHANIEL MITCHELL Sr</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JO ANN NIXON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA REINHARDT</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON WILLIAMS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2248965</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>239985</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EDGARDO CONCEPCION MD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3912</AddressLine1Txt>
            <CityNm>LAFAYETTE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIST</ServicesDesc>
        <CompensationAmt>316780</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MD DESCANT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>206 EVERGREEN STREET</AddressLine1Txt>
            <CityNm>Bunkie</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71322</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>417321</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARCHITECTS DESIGN STUDIO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>144 W MAIN ST A</AddressLine1Txt>
            <CityNm>New Iberia</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70560</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECT FEES</ServicesDesc>
        <CompensationAmt>648838</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICAN SECURITY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 3162</AddressLine1Txt>
            <CityNm>Lafayette</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Security Services</ServicesDesc>
        <CompensationAmt>217891</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRIGGS JANITORIAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2309 E MAIN STREET</AddressLine1Txt>
            <CityNm>New Iberia</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70560</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Janitorial Service</ServicesDesc>
        <CompensationAmt>243250</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3970152</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>46753</AllOtherContributionsAmt>
      <TotalContributionsAmt>4016905</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>35251648</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35251648</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>59252</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59252</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>35310900</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>428676</TotalRevenueColumnAmt>
        <ExclusionAmt>428676</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>400</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>400</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>400</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>549000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>549000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>549000</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>40305881</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35860300</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>428676</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1159237</TotalAmt>
        <ProgramServicesAmt>846243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312994</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14793849</TotalAmt>
        <ProgramServicesAmt>10799510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3994339</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>810622</TotalAmt>
        <ProgramServicesAmt>591754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218868</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1817006</TotalAmt>
        <ProgramServicesAmt>1326414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490592</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1152081</TotalAmt>
        <ProgramServicesAmt>841019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311062</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>250984</TotalAmt>
        <ManagementAndGeneralAmt>250984</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>69922</TotalAmt>
        <ManagementAndGeneralAmt>69922</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2336043</TotalAmt>
        <ProgramServicesAmt>2052492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>283551</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>390139</TotalAmt>
        <ProgramServicesAmt>390139</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>581149</TotalAmt>
        <ProgramServicesAmt>435091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146058</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>417551</TotalAmt>
        <ProgramServicesAmt>367445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50106</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>223089</TotalAmt>
        <ProgramServicesAmt>162855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60234</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>196808</TotalAmt>
        <ProgramServicesAmt>128595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68213</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>898807</TotalAmt>
        <ProgramServicesAmt>656129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242678</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>309864</TotalAmt>
        <ProgramServicesAmt>226201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83663</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SERVICE CHARGES</Desc>
        <TotalAmt>118404</TotalAmt>
        <ManagementAndGeneralAmt>118404</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>8103115</TotalAmt>
        <ProgramServicesAmt>7867412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235703</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT COST</Desc>
        <TotalAmt>69120</TotalAmt>
        <ProgramServicesAmt>69120</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
        <TotalAmt>496373</TotalAmt>
        <ProgramServicesAmt>362352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134021</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>165431</TotalAmt>
        <ProgramServicesAmt>51969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113462</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>34359594</TotalAmt>
        <ProgramServicesAmt>27174740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7184854</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>34558080</BOYAmt>
        <EOYAmt>41311360</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>655519</BOYAmt>
        <EOYAmt>374556</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>992538</BOYAmt>
        <EOYAmt>330846</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1294665</BOYAmt>
        <EOYAmt>755544</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>183863</BOYAmt>
        <EOYAmt>246936</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>215945</BOYAmt>
        <EOYAmt>208615</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>27004760</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12169538</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14173760</BOYAmt>
        <EOYAmt>14835222</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12313066</BOYAmt>
        <EOYAmt>13579252</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1441</BOYAmt>
        <EOYAmt>1441</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>64388877</BOYAmt>
        <EOYAmt>71766313</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1290950</BOYAmt>
        <EOYAmt>1877835</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1290950</BOYAmt>
        <EOYAmt>1877835</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>63097927</BOYAmt>
        <EOYAmt>69888478</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>63097927</BOYAmt>
        <EOYAmt>69888478</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>64388877</BOYAmt>
        <EOYAmt>71766313</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>5946287</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>844264</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5633996</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8782898</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6657188</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4667619</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4016915</CurrentTaxYearAmt>
        <TotalAmt>29758616</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5633996</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8782898</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6657188</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4667619</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4016915</CurrentTaxYearAmt>
        <TotalAmt>29758616</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>29758616</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>541838</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>365628</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>389026</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1293939</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>428676</CurrentTaxYearAmt>
        <TotalAmt>3019107</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>2942451</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1329559</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>549400</CurrentTaxYearAmt>
        <TotalAmt>4821410</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>37599133</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>66145066</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.79150</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.81150</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous Income - $549,000Rental Income - 400Total Other Income - $549,400</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LandGrp>
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        <BookValueAmt>2435714</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15955563</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6175577</DepreciationAmt>
        <BookValueAmt>9779986</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6110705</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5993961</DepreciationAmt>
        <BookValueAmt>116744</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2502778</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2502778</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14835222</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>41150145</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>844264</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>844264</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>40305881</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>40305881</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34359594</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>34359594</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>34359594</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <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>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDMOND BERGERON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220385</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15077</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>244919</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH RAMSEY MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>321000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6045</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24231</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>360733</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AVINASH DESHPANDE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>243782</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5898</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>19136</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>278273</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH RITO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>255000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2561</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>287418</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDISON ONG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>231754</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1077</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18540</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260828</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH LAURENTE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>235000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1076</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12742</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258275</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMIN TASHA MD</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>172901</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7625</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10374</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>200357</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEMARQUIS HAMILTON</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>193656</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11808</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15492</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230413</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODERICK CAMPBELL</PersonNm>
        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>109834</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3652</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8787</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4523</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>126796</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLE DORSEY</PersonNm>
        <TitleTxt>FORMER CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>102260</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7528</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4523</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>114311</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other non-fixed payments (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Employee bonuses are based on the achievement of predetermined organizational goals and objectives.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS PERFORMS A COMPARABILITY STUDY OF SIMILAR ORGANIZATIONS TO DETERMINE THE CHIEF EXECUTIVE OFFICERS SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS PERFORMS A COMPARABILITY STUDY OF SIMILAR ORGANIZATIONS TO DETERMINE THE SALARY LEVELS OF KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>JANITORIAL SERVICES - $ 273,742BILLING SERVICES - 432,987CONSULTING - 73,678CONTRACTS - 580,780PAYROLL SERVICES - 59,915MEDICAL LAB SERVICES - 174,968DENTAL LAB SERVICES - 3,693IMAGING SERVICES (X-RAY) - 67,559PHARMACY FEES - WALGREENS - 553,523PHARMACY FEES - WELLPARTNER - 60,231PHARMACY FEES - 340Beyond Maxor - 54,967TOTAL - $2,336,043</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>