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        <EOYAmt>90171</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>4078312</BOYAmt>
        <EOYAmt>4057416</EOYAmt>
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      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>1962337</BOYAmt>
        <EOYAmt>2202805</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1962337</BOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6260221</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>240468</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus2YearsAmt>216461</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>1085432</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>5931434</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4615189</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5871341</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6175792</CurrentTaxYearAmt>
        <TotalAmt>29214510</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6620754</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6800405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4831650</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5871341</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6175792</CurrentTaxYearAmt>
        <TotalAmt>30299942</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>30299942</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>15247</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15026</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8672</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34155</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48917</CurrentTaxYearAmt>
        <TotalAmt>122017</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>15026</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>34155</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48917</CurrentTaxYearAmt>
        <TotalAmt>122017</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
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        <TotalAmt>5897</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>6815431</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4840322</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5911393</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6224709</CurrentTaxYearAmt>
        <TotalAmt>30427856</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99580</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99740</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1040090</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>975445</DepreciationAmt>
        <BookValueAmt>64645</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>64645</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBBIE CARROLL</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>192789</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>192789</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HEALTH DIRECTIONS INC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>JOYCE LEWIS,JA50N LEWIS</RelationshipDescriptionTxt>
        <TransactionDesc>CONTRACT MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>COMPLETE MEDICAL SUPPLY INC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>JOYCE 100% SHAREHOLDER</RelationshipDescriptionTxt>
        <TransactionDesc>MEDICAL SUPPLIES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JWL DEVELOPMENT LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>JOYCE LEWIS, JASON LEWIS</RelationshipDescriptionTxt>
        <TransactionDesc>RENTAL OF REAL ESTATE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ECO TECH USA LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>JIMMY LEWIS, JASON LEWIS</RelationshipDescriptionTxt>
        <TransactionDesc>CONTRACTED MAINTENANCE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Officer directors etc family relationship Part VI line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JIMMY AND JOYCE LEWIS ARE HUSBAND AND WIFE, JASON LEWIS IS SON OF JIMMY ANDD JOYCE LEWIS AND THEY ALSO OWN OTHER FOR PROFIT BUSINESS WHICH PROVIDE GOODS AND SERVICES TO PHHCA. WILLIAM COOK IS THE CPA FOR JIMMY AND JOYCE LEWIS AND JASON LEWIS PERSONNALY AS WELL AS FOR THE FOR PROFIT COMPANIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or stockholder classes and rights Part VI line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>JIMMY LEWIS, JOYCE LEWIS, JASON LEWIS AND WILLIAM COOK ARE MEMBERS OF THE CORPORATION AND ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION ELECT THE MEMBERS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 AND SUPPORTING WORKPAPERS ARE REVIEWED WITH THE PRESIDENT AND AT LEAST TWO BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS ALL BUSINESS RELATIONSHIPS IN WHICH THERE COULD BE A POTENTIAL CONFLICT OF INTEREST AND VERIFIES THROUGH EXTERNAL SOURCES THAT ALL CHARGES FROM INTERESTED ORGANIZATIONS OR PERSONS ARE AT OR BELOW MARKET RATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION IS THE ADMINISTRATOR. THE COMPENSATION IS BASED UPON AN ANNUAL PERFORMANCE REVIEW AND IS APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER OFFICER AND KEY EMPLOYEE COMPENSATION IS BASED UPON ANNUAL PERFORMANCE REVIEWS AND IS APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RESPONDS TO WRITTEN REQUESTS FOR DOCUMENTS BY EITHER SCHEDULING A TIME FOR THE REQUISTIONER TO REVIEW THE DOCUMENTS ON SITE OR PROVIDING COPIES AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>