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      <TotalOtherCompensationAmt>243107</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMIEN LAW FIRM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2129 FITZENREITER ROAD</AddressLine1Txt>
            <CityNm>Lake Charles</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>108000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5265216</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>234222</AllOtherContributionsAmt>
      <NoncashContributionsAmt>132759</NoncashContributionsAmt>
      <TotalContributionsAmt>5499438</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19570665</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19570665</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>22276</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID APPLICATION</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>126</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>126</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FITNESS CENTER REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>31426</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEANINGFUL USE INCENTIV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>115377</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115377</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19739870</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>142765</TotalRevenueColumnAmt>
        <ExclusionAmt>142765</ExclusionAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>881452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>881452</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>881452</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26263525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20621322</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>142765</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14065563</TotalAmt>
        <ProgramServicesAmt>9994297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4071266</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>245035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192528</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1435944</TotalAmt>
        <ProgramServicesAmt>839399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>596545</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1048989</TotalAmt>
        <ProgramServicesAmt>732037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316952</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>108935</TotalAmt>
        <ManagementAndGeneralAmt>108935</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>67150</TotalAmt>
        <ManagementAndGeneralAmt>67150</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1903987</TotalAmt>
        <ProgramServicesAmt>118056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1785931</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>47230</TotalAmt>
        <ManagementAndGeneralAmt>47230</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>317731</TotalAmt>
        <ManagementAndGeneralAmt>317731</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>283514</TotalAmt>
        <ManagementAndGeneralAmt>283514</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>283088</TotalAmt>
        <ProgramServicesAmt>149780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133308</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>124412</TotalAmt>
        <ManagementAndGeneralAmt>124412</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>952066</TotalAmt>
        <ProgramServicesAmt>85696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>866370</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ManagementAndGeneralAmt>290074</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>54859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188221</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT COST</Desc>
        <TotalAmt>32534</TotalAmt>
        <ProgramServicesAmt>32534</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>3595543</TotalAmt>
        <ProgramServicesAmt>3595543</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>7855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40025</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>132759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>547558</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>15987850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9977750</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>6173711</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>1683985</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>83469</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>161584</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>3544609</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>20941245</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>20941245</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>297925</ReconcilationRevenueExpnssAmt>
      <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>
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      <PublicSupportPY509Pct>0.00000</PublicSupportPY509Pct>
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    <IRS990ScheduleB documentId="990B">
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        </ContributorBusinessName>
        <ContributorUSAddress>
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      <OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
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      <RevenueSubtotalAmt>26263525</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>26263525</TotalRevenuePerForm990Amt>
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    <IRS990ScheduleJ documentId="990J">
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMMY MITCHELL MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>JASON NG</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175443</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12421</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29306</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219170</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULETTE LOFTON</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>204647</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13656</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8013</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238316</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other non-fixed payments (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization provides non-fixed payments in the form of bonuses when certan employees meet specific annual performance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1000</ContributionCnt>
        <NoncashContributionsRptF990Amt>132759</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
    </IRS990ScheduleM>
    <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, CEO, AND CONTROLLER PRIOR TO ITS ISSUANACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>SWLA CENTER FOR HEALTH SERVICES DESCRIBES THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND ALSO INFORMS EMPLOYEES OF THE POLICY ON SIGNS AT VARIOUS LOCATIONS IN THE BUILDING. ANY INSTANCES OF NONCOMPLIANCE ARE TO BE REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SWLA CENTER FOR HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, 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>Contractual - Provider $76,980Contractual - Lab $3,306Contractual - Security $153,230Contractual - Temp Labor $53,475Contractual - Waste Control $43,955Contractual - Office $42,923Contractual - MIS support $1,040,288Consulting Services $324,447Contractual - Other $82,553Contractual - Lawn service $82,830Total - $1,903,987</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>