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        <ProgramServicesAmt>519498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95511</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT COST</Desc>
        <TotalAmt>161257</TotalAmt>
        <ProgramServicesAmt>151214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10043</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>39716</TotalAmt>
        <ProgramServicesAmt>91767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-52051</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3357852</TotalAmt>
        <ProgramServicesAmt>2895908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>461944</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>324175</BOYAmt>
        <EOYAmt>759080</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>539958</BOYAmt>
        <EOYAmt>495184</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>138453</BOYAmt>
        <EOYAmt>90205</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>10911</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>235118</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>81303</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>165762</BOYAmt>
        <EOYAmt>153815</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>1168348</BOYAmt>
        <EOYAmt>1509195</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>34603</BOYAmt>
        <EOYAmt>150652</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>523607</BOYAmt>
        <EOYAmt>435045</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>136630</BOYAmt>
        <EOYAmt>181112</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>694840</BOYAmt>
        <EOYAmt>766809</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>473508</BOYAmt>
        <EOYAmt>742386</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>473508</BOYAmt>
        <EOYAmt>742386</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1168348</BOYAmt>
        <EOYAmt>1509195</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>268878</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1750818</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2250435</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2704037</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3360671</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3626730</CurrentTaxYearAmt>
        <TotalAmt>13692691</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1750818</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2250435</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2704037</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3360671</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3626730</CurrentTaxYearAmt>
        <TotalAmt>13692691</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>2119014</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11573677</PublicSupportTotal170Amt>
      <TotalSupportAmt>13692691</TotalSupportAmt>
      <PublicSupportCY170Pct>0.84520</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.80070</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>45365</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9898</DepreciationAmt>
        <BookValueAmt>35467</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>25402</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9873</DepreciationAmt>
        <BookValueAmt>15529</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>32332</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23606</DepreciationAmt>
        <BookValueAmt>8726</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>132019</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37926</DepreciationAmt>
        <BookValueAmt>94093</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>153815</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>181112</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>181112</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3626730</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3626730</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3626730</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3357852</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3357852</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3357852</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEDRA SPEARS-JOHNSON</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>161957</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>161957</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT DELAPENHA</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>206185</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>206185</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAHLETTA MONTGOMERY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CHAIRPERSON</RelationshipDescriptionTxt>
        <TransactionAmt>21600</TransactionAmt>
        <TransactionDesc>IT CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MEET AT LEAST BIANNUALLY TO DISCUSS FISCAL, PROGRAMMATIC AND ORGANIZATIONAL ISSUES OF THE ORGANIZATION. THE TAX RETURN FORM 990 ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE GOVERNING BOARD PRIOR TO FILING. ALL CHANGES ARE PROVIDED TO THE TAX PREPARER FOR CORRECTION AND THE FINAL IS REVIEWED AND SIGNED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY DOCUMENT. THE POLICY REQUIRES ALL CONFLICT OF INTEREST TO BE REPORTED AS SOON AS IT IS KNOWN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF ALL OFFICERS ARE DISCUSSED AND DETERMINED BY THE BOARD OF DIRECTORS ANNUALLY DURING ITS MEETINGS,IF NECESSARY TO DETERMINE PAY INCREMENT OR STARTING SALARY OF TOP MANAGEMENT. THE BOARD USES THE ECONOMIC ENVIRONMENT AND MARKET FORCES TO DETERMINE THE APPROPRIATE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF ALL OFFICERS ARE DISCUSSED AND DETERMINED BY THE BOARD OF DIRECTORS ANNUALLY DURING ITS MEETINGS, IF NECESSARY TO DETERMINE PAY INCREMENT OR STARTING SALARY OF TOP MANAGEMENT. THE BOARD USES THE ECONOMIC ENVIRONMENT AND MARKET FORCES TO DETERMINE THE APPROPRIATE 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. ALL REQUEST MUST BE IN WRITING AND SENT TO THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OTHER CHANGES IN NET ASSETS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>