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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS DARDAR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD CASTAY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARRELL JUPITER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE PITTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEROY WILLIS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSE SUSAN DORSEY</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA HILLS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIE RACK</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3170977</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>191682</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEM POWERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>119 SAN DOMINGO DR</AddressLine1Txt>
            <CityNm>Youngsville</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70592</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL RISK MGMT</ServicesDesc>
        <CompensationAmt>130000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THOMPSON BROUSSARD CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>204 ENGLISH GARDENS PARKWAY</AddressLine1Txt>
            <CityNm>Lafayette</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CHIEF ADMIN OFFICR</ServicesDesc>
        <CompensationAmt>130000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7465014</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6355</AllOtherContributionsAmt>
      <TotalContributionsAmt>7471369</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>17929109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17929109</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY 340B INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>917849</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>917849</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE PAYMENTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1140525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1140525</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1096214</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1096214</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21083697</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>158</TotalRevenueColumnAmt>
        <ExclusionAmt>158</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>39768</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-39768</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-39768</TotalRevenueColumnAmt>
        <ExclusionAmt>-39768</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>EMPLOYEE RETENTION CRED</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1711764</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1711764</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>85997</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>85997</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1797761</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30313217</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22881458</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-39610</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2152442</TotalAmt>
        <ProgramServicesAmt>1615299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>537143</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11373905</TotalAmt>
        <ProgramServicesAmt>8553836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2820069</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>238181</TotalAmt>
        <ProgramServicesAmt>159549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78632</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2161410</TotalAmt>
        <ProgramServicesAmt>1447847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>713563</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2945600</TotalAmt>
        <ProgramServicesAmt>685029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2260571</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>215056</TotalAmt>
        <ProgramServicesAmt>6452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208604</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>557331</TotalAmt>
        <ProgramServicesAmt>381059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176272</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>61702</TotalAmt>
        <ProgramServicesAmt>52447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9255</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>610235</TotalAmt>
        <ProgramServicesAmt>475983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134252</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>222610</TotalAmt>
        <ProgramServicesAmt>153601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69009</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>64219</TotalAmt>
        <ProgramServicesAmt>5780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58439</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>265592</TotalAmt>
        <ProgramServicesAmt>69054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196538</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>782137</TotalAmt>
        <ProgramServicesAmt>164200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>617937</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>409512</TotalAmt>
        <ProgramServicesAmt>8190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>401322</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RENTAL AND LEASE EXPENSES</Desc>
        <TotalAmt>76757</TotalAmt>
        <ProgramServicesAmt>31470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45287</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>53322</TotalAmt>
        <ProgramServicesAmt>24528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28794</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL AND DENTAL SUPPLIES</Desc>
        <TotalAmt>4789594</TotalAmt>
        <ProgramServicesAmt>4071155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>718439</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>542677</TotalAmt>
        <ProgramServicesAmt>439569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103108</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>292411</TotalAmt>
        <ProgramServicesAmt>49709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242702</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27814693</TotalAmt>
        <ProgramServicesAmt>18394757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9419936</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2056513</BOYAmt>
        <EOYAmt>2635814</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>202040</BOYAmt>
        <EOYAmt>145385</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>185785</BOYAmt>
        <EOYAmt>577938</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1612641</BOYAmt>
        <EOYAmt>1426239</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>375000</BOYAmt>
        <EOYAmt>375000</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>366425</BOYAmt>
        <EOYAmt>419430</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>363002</BOYAmt>
        <EOYAmt>423799</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23678338</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7467893</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16046293</BOYAmt>
        <EOYAmt>16210445</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5563558</BOYAmt>
        <EOYAmt>6078038</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>128041</BOYAmt>
        <EOYAmt>122542</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>15145</BOYAmt>
        <EOYAmt>1585555</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26914443</BOYAmt>
        <EOYAmt>30000185</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1492147</BOYAmt>
        <EOYAmt>1928548</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>151933</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3593149</BOYAmt>
        <EOYAmt>3487121</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>372504</BOYAmt>
        <EOYAmt>289189</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5609733</BOYAmt>
        <EOYAmt>5704858</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>21206269</BOYAmt>
        <EOYAmt>24295327</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>98441</BOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21304710</BOYAmt>
        <EOYAmt>24295327</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26914443</BOYAmt>
        <EOYAmt>30000185</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2498524</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>492093</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>8983173</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8461940</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10499901</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8924829</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7471369</CurrentTaxYearAmt>
        <TotalAmt>44341212</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>8983173</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8461940</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10499901</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8924829</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7471369</CurrentTaxYearAmt>
        <TotalAmt>44341212</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>44341212</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>89552</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>100711</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>-228718</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-32843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-39610</CurrentTaxYearAmt>
        <TotalAmt>-110908</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>500</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4905456</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearAmt>1797761</CurrentTaxYearAmt>
        <TotalAmt>6703717</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>50934021</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>40321406</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.87060</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.89270</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Employee Retention Credit - $1,711,764Other Revenue - 85,997Total Other Revenue - $1,797,761</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>
        <OtherCostOrOtherBasisAmt>1994188</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1994188</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>17342851</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4826897</DepreciationAmt>
        <BookValueAmt>12515954</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>10433</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5737</DepreciationAmt>
        <BookValueAmt>4696</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2120091</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1455461</DepreciationAmt>
        <BookValueAmt>664630</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2210775</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1179798</DepreciationAmt>
        <BookValueAmt>1030977</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16210445</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>EMPLOYEE RETENTION CREDIT RECEIVABL</Desc>
        <BookValueAmt>1355620</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLE</Desc>
        <BookValueAmt>229935</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1585555</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>289189</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>289189</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>30805310</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>492093</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>492093</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30313217</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>30313217</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27814693</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>27814693</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>27814693</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>DR GARY WILTZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>491813</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>224121</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10250</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>726184</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER FABRE</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>175191</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7769</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5904</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189364</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NIKINA VILCAN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>198299</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5250</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>5904</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209453</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ATHAN OLIVIER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>180003</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>180103</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD BERGERON NP</PersonNm>
        <TitleTxt>PYSCH NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168206</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7689</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16383</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197528</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD MARTS MD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>172865</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>4790</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>177905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICTOR JACKSON MD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>236327</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9288</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>245715</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AUSTIN BER DDS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>141748</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19650</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6229</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16383</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>184010</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL HOANG</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>161861</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>1807</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5748</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>171916</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY PELLEGRIN</PersonNm>
        <TitleTxt>PNP CLINICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>221557</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9524</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>248328</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICHOLE KERLEY-MCGUIRE MD</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>213671</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8191</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232632</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA OUBRE DPM</PersonNm>
        <TitleTxt>PODIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>169246</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>188393</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERRYL BROUSSARD</PersonNm>
        <TitleTxt>GENERAL COUNSELOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>192693</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8295</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10635</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211873</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANELLE LUQUETTE</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>179776</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2846</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16383</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199255</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>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BERRYL BROUSSARD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>130000</TransactionAmt>
        <TransactionDesc>CONTRACT FEE THOMPSON-BROUSSARD CONSULTING</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JENNIFER FABRE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>130000</TransactionAmt>
        <TransactionDesc>CONTRACT FEE JEMPOWERS INC</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>THOMPSON-BROUSSARD CONSULTING, LLC PROVIDES INTERIM CHIEF ADMINISTRATION OFFICER AND OPERATIONS GRANTS MANAGEMENT SERVICES TO TECHE ACTION BOARD, INC. BERRYL BROUSSARD IS A MEMBER THOMPSON-BROUSSARD CONSULTING, LLC.JEMPOWERS, INC. PROVIDES JOIN COMMISSION ACCREDITATION CONSULTING SERVICES AND CLINICAL RISK MANAGEMENT SERVICES TO TECHE ACTION BOARD, INC. JENNIFER FABRE IS A SHAREHOLDER OF JEMPOWERS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, CFO, AND CEO PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS COMPARE CEO AND KEY EMPLOYEE COMPENSATION TO SIMILAR (SIZE, REVENUES) NONPROFIT HEALTH CENTERS TO DETERMINE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL CONTRACT EXPENSE - $ 475,471340B DISPENSE FEE - 29,731340B ADMIN FEE - 116,320NON-MEDICAL CONTRACT EXPENSE - 1,676,483PROFESSIONAL FEES - 515,180PURCHASE SERVICES - 132,415TOTAL - $2,945,600</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>