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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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      <TotalContributionsAmt>932449</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENU</Desc>
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        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>101809</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>138893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18644</ManagementAndGeneralAmt>
        <FundraisingAmt>577</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1243502</TotalAmt>
        <ProgramServicesAmt>1092338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146629</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>35104</TotalAmt>
        <ProgramServicesAmt>34794</ProgramServicesAmt>
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        <FundraisingAmt>155</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5516</TotalAmt>
        <ProgramServicesAmt>4901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597</ManagementAndGeneralAmt>
        <FundraisingAmt>18</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>126538</TotalAmt>
        <ProgramServicesAmt>112190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13918</ManagementAndGeneralAmt>
        <FundraisingAmt>430</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>87402</TotalAmt>
        <ManagementAndGeneralAmt>87402</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <AdvertisingGrp>
        <TotalAmt>12200</TotalAmt>
        <ProgramServicesAmt>3384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8816</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>94254</TotalAmt>
        <ProgramServicesAmt>81733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12521</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>7086</TotalAmt>
        <ProgramServicesAmt>921</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6165</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>71432</TotalAmt>
        <ProgramServicesAmt>16843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54589</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>7100</TotalAmt>
        <ManagementAndGeneralAmt>7100</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14725</TotalAmt>
        <ManagementAndGeneralAmt>14725</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>137022</TotalAmt>
        <ProgramServicesAmt>113936</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23086</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL BILLING</Desc>
        <TotalAmt>48322</TotalAmt>
        <ProgramServicesAmt>48322</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LAB EXPENSE</Desc>
        <TotalAmt>22037</TotalAmt>
        <ProgramServicesAmt>22037</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RADIOLOGY</Desc>
        <TotalAmt>10872</TotalAmt>
        <ProgramServicesAmt>10872</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>123202</TotalAmt>
        <ProgramServicesAmt>77797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45405</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1758961</ProgramServicesAmt>
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        <FundraisingAmt>5715</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>26044</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>109476</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>83707</EOYAmt>
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        <EOYAmt>373930</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>1639893</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>372147</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1124138</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>670715</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>1639893</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-2355</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3950</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-365786</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>191880</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>207090</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>209168</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>514349</CurrentTaxYearAmt>
        <TotalAmt>1312143</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>191880</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>207090</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>209168</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>514349</CurrentTaxYearAmt>
        <TotalAmt>1312143</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>143203</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1168940</PublicSupportTotal170Amt>
      <TotalSupportAmt>1312143</TotalSupportAmt>
      <PublicSupportCY170Pct>0.89090</PublicSupportCY170Pct>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
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        <BookValueAmt>67278</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSET</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>3950</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>3950</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2202073</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>2204428</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2204428</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2020 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO, TREASURER AND FINANCE COMMITTEE AND IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL SUBMISSION OF INFORMATION AND NOTED CONFLICTS OR DISCREPENCIES ARE DISCUSSED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE TO THE PROCESS IN THE CURRENT YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>