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      <Form990PartVIISectionAGrp>
        <PersonNm>JACK AUSTIN JR MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA WRIGHT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN WILLIFORD MD</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33647</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>2349</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>89136</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEANINGFUL USE/INCENTIVE REV</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUES</Desc>
        <BusinessCd>621400</BusinessCd>
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        <TotalRevenueColumnAmt>16339175</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12281509</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-10771</ExclusionAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>50211</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>84587</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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    <IRS990ScheduleB documentId="RetDoc1" />
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        <Desc>OTHER RECEIVABLES</Desc>
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        <Desc>GRANT RECEIVABLE</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS -13,120</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J R RICHARDS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>180711</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12978</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3086</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199775</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES FORD MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>311822</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22917</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6358</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>344317</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACK AUSTIN JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220141</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13988</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2982</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4953</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>242064</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA WRIGHT</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>207512</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6060</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3892</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217464</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN WILLIFORD MD</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>171478</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5579</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15580</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194137</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDMUND BYNE JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>157895</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9628</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169023</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 FOR CONTENT AND COMPLETENESS AND DISTRIBUTE COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND OFFICERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AN INDEPENDENT COMMITTEE REVIEWS THE STATEMENTS AND DETERMINES WHETHER OR NOT ANY CONFLICTS EXIST. SHOULD A CONFLICT RESULT FROM A POTENTIAL TRANSACTION, THE CONFLICTED INDIVIDUAL IS RECUSED FROM VOTING OR DISCUSSION OF THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION FOR THE CEO IS PERFORMED, REVIEWED, AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES 1,499,443 0 0 PURCHASED SERVICES 137,428 66,285 0 TOTAL 1,636,871 66,285 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>