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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM L VAZQUEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA WIMBUSH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA DEITCH</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>A SCOTT MCNEAL</PersonNm>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19704</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE D O'NEIL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CLINTON TURNER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GRETA STEWART</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY SU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TODD STEARNS</PersonNm>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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        <ExclusionAmt>10717</ExclusionAmt>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2067748</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2067748</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL INCENTIVE</Desc>
        <BusinessCd>900000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>195500</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>VENDING MACHINE</Desc>
        <BusinessCd>900000</BusinessCd>
        <TotalRevenueColumnAmt>22187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22187</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>5109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5109</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>2290544</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35876081</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>151517</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>891767</TotalAmt>
        <ProgramServicesAmt>731610</ProgramServicesAmt>
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        <TotalAmt>18339860</TotalAmt>
        <ProgramServicesAmt>15040991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3298869</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>829292</ProgramServicesAmt>
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        <ProgramServicesAmt>2494810</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1456912</TotalAmt>
        <ProgramServicesAmt>1199091</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>23598</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>76485</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>26138</ManagementAndGeneralAmt>
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        <TotalAmt>1567418</TotalAmt>
        <ProgramServicesAmt>942587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>624831</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>89970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41584</ManagementAndGeneralAmt>
        <FundraisingAmt>200</FundraisingAmt>
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        <ProgramServicesAmt>470802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39276</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>42565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92157</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>6664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14428</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>111023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68377</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>822878</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169020</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>14277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93840</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DONATED VACCINES</Desc>
        <TotalAmt>1605862</TotalAmt>
        <ProgramServicesAmt>1605862</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>1495721</TotalAmt>
        <ProgramServicesAmt>1452456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43236</ManagementAndGeneralAmt>
        <FundraisingAmt>29</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>1353152</TotalAmt>
        <ProgramServicesAmt>1353152</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DETBS</Desc>
        <TotalAmt>599240</TotalAmt>
        <ProgramServicesAmt>599240</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>845637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>406917</ManagementAndGeneralAmt>
        <FundraisingAmt>922</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>28652907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6151463</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>5924</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>10576463</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>382911</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1060368</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>44604</BOYAmt>
        <EOYAmt>51411</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>219979</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>25353173</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12710597</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12315604</BOYAmt>
        <EOYAmt>12642576</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>4663382</BOYAmt>
        <EOYAmt>667737</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>160861</BOYAmt>
        <EOYAmt>51719</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>27800842</BOYAmt>
        <EOYAmt>25659088</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3758136</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>3195543</BOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1674689</BOYAmt>
        <EOYAmt>742699</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>7719949</BOYAmt>
        <EOYAmt>4500835</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>21158253</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>20080893</BOYAmt>
        <EOYAmt>21158253</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27800842</BOYAmt>
        <EOYAmt>25659088</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>6800</NetUnrlzdGainsLossesInvstAmt>
      <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>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>68018</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>7891407</DepreciationAmt>
        <BookValueAmt>10932641</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>59304</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>1551789</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>19677</DepreciationAmt>
        <BookValueAmt>30824</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12642576</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY</Desc>
        <Amt>742699</Amt>
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      <TotalLiabilityAmt>742699</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>6800</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>19136</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-599240</OtherRevenueAmt>
      <RevenueNotReportedAmt>-573304</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35849943</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>26138</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>26138</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>35876081</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34199279</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>19136</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>19136</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34180143</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>26138</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>599240</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>625378</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>34805521</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2018 AND 2017. THE CENTER'S FEDERAL, STATE AND CITY INCOME TAX RETURNS PRIOR TO 2015 ARE CLOSED. THE BOARD OF DIRECTORS CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF OTHER THAN PERSONNEL SERVICES IN THE STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS AND INCLUDE ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. THE CENTER DID NOT RECOGNIZE ANY INTEREST OR PENALTIES ASSOCIATED WITH TAX MATTERS FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE -599,240.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 599,240.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLA WIMBUSH</PersonNm>
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        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>138</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16630</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20376</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272630</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA DEITCH</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>762</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19512</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9417</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309663</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>A SCOTT MCNEAL</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CMO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>258</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19704</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309474</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNETTE D O'NEIL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>212006</BaseCompensationFilingOrgAmt>
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        <OtherCompensationFilingOrgAmt>258</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15456</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32688</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266158</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLINTON TURNER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>295979</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>762</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20094</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20377</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>342962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRETA STEWART</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>224074</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>258</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16630</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266830</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HENRY SU</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>257070</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>90</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18836</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32856</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>314602</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD STEARNS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>222852</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>90</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16001</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11190</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255883</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED ON PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S 2018 W-2S.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1605862</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART 1, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS COMPLETE TIME SHEETS. WE COUNTED THE NUMBER OF PEOPLE WHO COMPLETED TIME SHEETS. THEY PROVIDED FILING, CALLING APPOINTMENT REMINDERS, MAIL SORTING, CLEANING, AND GREETING SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 20:</FormAndLineReferenceDesc>
        <ExplanationTxt>DVCH IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON THE AUDITORS COMPLETION OF THE TAX RETURN THE CFO REVIEWS THE RETURN. THE AUDITORS THEN MAKE ANY CORRECTIONS AND/OR ADJUSTMENTS. AT THE NEXT FINANCE COMMITTEE MEETING, THE AUDITORS MAKE A DETAILED PRESENTATION. THIS PRESENTATION IS FOLLOWED BY A PRESENTATION TO THE FULL BOARD OF DIRECTORS. ALL THESE STEPS ARE CONDUCTED PRIOR TO THE FILING OF THE TAX RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS AND DIRECTORS OR TRUSTEES SIGN A CONFLICT OF INTEREST CERTIFICATION AND DISCLOSURE FORM WHEN THEY FIRST JOIN THE BOARD OF DIRECTORS, AND ANNUALLY THEREAFTER. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST IMMEDIATELY TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE CEO. ALL COMPENSATION IS APPROVED AS A PART OF THE ANNUAL BUDGET PROCESS. THE BOARD HAS FINAL APPROVAL OF THE ANNUAL BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WE MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>