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        <PersonNm>SANDRA REINHART</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON WILLIAMS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATHANIEL MITCHELL</PersonNm>
        <TitleTxt>VICE-PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEMARQUIS HAMILTON</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2404265</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>244606</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EDGARDO CONCEPCION MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3912</AddressLine1Txt>
            <CityNm>LAFAYETTE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIST</ServicesDesc>
        <CompensationAmt>288820</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CYNTHIA LIBICHE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>623 WIND HAVEN LANE</AddressLine1Txt>
            <CityNm>LAFAYETTE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70506</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCH NURSE PRACT</ServicesDesc>
        <CompensationAmt>148125</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IBERIA MEDICAL CENTER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 13338</AddressLine1Txt>
            <CityNm>New Iberia</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70562</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE PRACTICIONER</ServicesDesc>
        <CompensationAmt>104335</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4037652</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>629967</AllOtherContributionsAmt>
      <TotalContributionsAmt>4667619</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>30789741</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30789741</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>44425</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44425</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>30834166</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1293939</TotalRevenueColumnAmt>
        <ExclusionAmt>1293939</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1200</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1200</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1200</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1328359</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1328359</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1328359</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>38125283</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32163725</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1293939</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1130956</TotalAmt>
        <ProgramServicesAmt>825598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305358</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13933501</TotalAmt>
        <ProgramServicesAmt>10171455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3762046</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>968606</TotalAmt>
        <ProgramServicesAmt>707082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>261524</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1492394</TotalAmt>
        <ProgramServicesAmt>1089448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402946</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1073797</TotalAmt>
        <ProgramServicesAmt>783872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289925</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>82763</TotalAmt>
        <ManagementAndGeneralAmt>82763</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48500</TotalAmt>
        <ManagementAndGeneralAmt>48500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1439413</TotalAmt>
        <ManagementAndGeneralAmt>1439413</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>362436</TotalAmt>
        <ProgramServicesAmt>362436</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>607046</TotalAmt>
        <ProgramServicesAmt>464564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142482</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>411096</TotalAmt>
        <ManagementAndGeneralAmt>411096</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>198349</TotalAmt>
        <ProgramServicesAmt>144795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53554</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>242318</TotalAmt>
        <ProgramServicesAmt>242318</ProgramServicesAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>989620</TotalAmt>
        <ProgramServicesAmt>722423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>267197</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>289688</TotalAmt>
        <ManagementAndGeneralAmt>289688</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SERVICE CHARGES</Desc>
        <TotalAmt>67634</TotalAmt>
        <ManagementAndGeneralAmt>67634</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>6197606</TotalAmt>
        <ProgramServicesAmt>6197606</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT COST</Desc>
        <TotalAmt>8962</TotalAmt>
        <ManagementAndGeneralAmt>8962</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
        <TotalAmt>661369</TotalAmt>
        <ProgramServicesAmt>482799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178570</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>374248</TotalAmt>
        <ManagementAndGeneralAmt>374248</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>30580302</TotalAmt>
        <ProgramServicesAmt>22194396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8385906</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>29773364</BOYAmt>
        <EOYAmt>34966032</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>244698</BOYAmt>
        <EOYAmt>247567</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>992538</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>773386</BOYAmt>
        <EOYAmt>1294665</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>152772</BOYAmt>
        <EOYAmt>183863</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>187379</BOYAmt>
        <EOYAmt>215945</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>25469341</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11295581</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14060510</BOYAmt>
        <EOYAmt>14173760</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>11647284</BOYAmt>
        <EOYAmt>12313066</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1441</BOYAmt>
        <EOYAmt>1441</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>56840834</BOYAmt>
        <EOYAmt>64388877</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1380207</BOYAmt>
        <EOYAmt>1290950</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1380207</BOYAmt>
        <EOYAmt>1290950</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>55460627</BOYAmt>
        <EOYAmt>63097927</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>55460627</BOYAmt>
        <EOYAmt>63097927</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>56840834</BOYAmt>
        <EOYAmt>64388877</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7544981</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>92319</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>4431532</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5633996</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8782898</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6657188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4667619</CurrentTaxYearAmt>
        <TotalAmt>30173233</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4431532</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5633996</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8782898</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6657188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4667619</CurrentTaxYearAmt>
        <TotalAmt>30173233</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>30173233</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>148518</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>541838</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>365628</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>389026</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1293939</CurrentTaxYearAmt>
        <TotalAmt>2738949</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>2942451</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1329559</CurrentTaxYearAmt>
        <TotalAmt>4272010</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>37184192</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>30834166</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.81150</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.83830</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - $1,328,359RENTAL INCOME - $ 1,200TOTAL - $1,329,559</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>2435714</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2435714</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15386288</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5596966</DepreciationAmt>
        <BookValueAmt>9789322</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6602096</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5698615</DepreciationAmt>
        <BookValueAmt>903481</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1045243</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1045243</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14173760</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>38217602</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>92319</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>92319</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>38125283</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>38125283</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30580302</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>30580302</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>30580302</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <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>RODERICK CAMPBELL</PersonNm>
        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>286509</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19931</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12556</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8243</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>327239</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDMOND BERGERON MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>215000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12313</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>237205</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH RAMSEY MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>321000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6120</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>25200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>362212</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICHOLE DORSEY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>158074</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>550</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12646</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181162</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AVINASH DESHPANDE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>234643</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4657</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>19127</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>268319</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH RITO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>225332</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1807</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18026</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255057</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDISON ONG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>231753</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>209</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18540</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260394</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH LAURENTE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>235000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>208</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12742</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257842</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DWAYNE KINCADE MD</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>215117</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23321</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12013</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260343</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON VALLS MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>209126</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3595</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16485</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>239098</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other non-fixed payments (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provides non-fixed payments in the form of bonuses when certain employees meet specific annual performance goals.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <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 PRIOR TO ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS PERFORMS A COMPARABILITY STUDY OF SIMILAR ORGANIZATIONS TO DETERMINE THE CHIEF EXECUTIVE OFFICERS SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS PERFORMS A COMPARABILITY STUDY OF SIMILAR ORGANIZATIONS TO DETERMINE THE SALARY LEVELS OF KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>JANITORIAL SERVICES - $222,109BILLING SERVICES - 298,712CONSULTING - 31,935CONTRACTS - 585,710PAYROLL SERVICES - 49,140MEDICAL LAB SERVICES - 164,564DENTAL LAB SERVICES - 16,846IMAGING SERVICES (X-RAY) - 70,397TOTAL - $1,439,413</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>