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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>4469316</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>236575</CurrentTaxYearMinus3YearsAmt>
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        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>1540347</BookValueAmt>
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      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>13691759</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT TO USE ASSETS-OPERATING LEASES</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT TO USE ASSETS-FINANCING LEASES</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN EGASS</Desc>
        <BookValueAmt>250000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ACCTS. RECEIVABLE</Desc>
        <BookValueAmt>79058</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5720246</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM OBLIGATION-OPERATING LESES</Desc>
        <Amt>3345752</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM OBLIGATION-FINANCING LEASE</Desc>
        <Amt>640214</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3985966</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>73667950</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>73667950</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>73667950</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>71610652</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>71610652</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc4">
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENDA WARE</PersonNm>
        <TitleTxt>CHIEF EXEC.OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>352608</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM CHESSER</PersonNm>
        <TitleTxt>CHIEF MEDICALOFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>314911</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLIE VEST</PersonNm>
        <TitleTxt>EXEC. VICE PRESIDENT</TitleTxt>
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        <TotalCompensationFilingOrgAmt>268077</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE MEEKS</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>265930</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAILEY WELLINGTON</PersonNm>
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        <TotalCompensationFilingOrgAmt>207050</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LIZ MASSEY</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY POTTER</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, TOP MANAGEMENT WILL REVIEW A DRAFT OF THE 990. AFTER ANY CHANGES ARE MADE, A FINAL DRAFT WILL BE PRESENTED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A STRICT CODE OF ETHICS SHALL EXIST AMONG THE BOARD MEMBERS. NO ONE MAY BECOME A MEMBER SOLELY FOR THE PURPOSE OF FURTHERING HIS OR HER INDIVIDUAL BUSINESS INTEREST. IN ORDER TO AVOID ANY APPEARANCE OF CONFLICTING INTERESTS, NO MEMBER WILL BE PERMITTED TO VOTE OR INFLUENCE THE REMAINDER OF THE MEMBERSHIP VOTE IN HIS OR HER BEHALF, ON ANY MATTER WHICH WOULD SERVE THEIR INDIVIDUAL INTEREST. IN AN EFFORT TO MONITOR POTENTIAL CONFLICTS, AS BOARD MEMBERS ARE APPOINTED OR APPROVED, THEY ARE REQUIRED TO SIGN A STATEMENT STATING NO CONFLICTS EXIST. IN ADDITION, CORPORATE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE OKPCA AND NACHC SALARY SURVEYS FOR GUIDANCE IN DETERMINING APPROPRIATE SALARIES. FINAL COMPENSATION DECISIONS ARE VOTED ON BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE OKPCA AND NACHC SALARY SURVEYS FOR GUIDANCE IN DETERMINING APPROPRIATE SALARIES. FINAL COMPENSATION DECISIONS ARE VOTED ON BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE LOCATED IN THE ADMINISTRATION OFFICE OF THE CENTER AND ARE AVAILABLE TO THE PUBLIC DURING REGULAR BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>