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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHELVIA KOONTZ</PersonNm>
        <TitleTxt>DIRECTOR END</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHELLEY SPIRES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>184470</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27060</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MILTON JORDAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>145395</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4132</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFTON BUSH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>124193</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11685</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN VANCE MD</PersonNm>
        <TitleTxt>CHIEF MEDICA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>289224</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES HOTZ MD</PersonNm>
        <TitleTxt>CLINICAL SVC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>253611</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS KWARTENG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>359530</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21497</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANESHA MAXWELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>295099</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7641</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MISHANTA REYES MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>281339</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8049</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP POULOS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>263715</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18678</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MCPETERS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>256609</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31596</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2453185</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>160116</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>47</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEOS TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 71712</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317081712</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT</ServicesDesc>
        <CompensationAmt>282000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIAMOND JANITORIAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 70532</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317080532</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SVC</ServicesDesc>
        <CompensationAmt>268721</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>8782</FundraisingAmt>
      <GovernmentGrantsAmt>5982137</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>978670</AllOtherContributionsAmt>
      <TotalContributionsAmt>6969589</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>18559669</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18559669</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>10424191</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10424191</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>993797</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>993797</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>708829</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>708829</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EHR INCENTIVE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>140250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>140250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1692</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>1692</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>30828428</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>17190</TotalRevenueColumnAmt>
        <ExclusionAmt>17190</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>29409</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>25365</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>4044</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>4044</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-9244</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>13288</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>14508</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>3607</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3607</TotalRevenueColumnAmt>
        <ExclusionAmt>3607</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>13034</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>8782</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>12492</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>542</TotalRevenueColumnAmt>
        <ExclusionAmt>542</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>30826736</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-7552</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>34627</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>572613</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>271626</ProgramServicesAmt>
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        <ProgramServicesAmt>1162463</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1290993</TotalAmt>
        <ProgramServicesAmt>943653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>347340</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>60320</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>20559</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>72016</TotalAmt>
        <ManagementAndGeneralAmt>72016</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>127864</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>702128</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>27249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58800</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>328622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101158</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>67436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180229</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>185656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111263</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>39108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21227</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>461033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147817</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>96292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26790</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>7081684</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>654890</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111033</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>101042</TotalAmt>
        <ManagementAndGeneralAmt>101042</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE/BOARD EXPENSE</Desc>
        <TotalAmt>89207</TotalAmt>
        <ManagementAndGeneralAmt>89207</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>241213</TotalAmt>
        <ProgramServicesAmt>173009</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>29481261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8116601</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>911570</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3891646</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>2293631</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>520131</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>95908</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>13975979</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5882058</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>8093921</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>4686968</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>20493775</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2846585</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>100441</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1597848</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3217601</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>8182380</BOYAmt>
        <EOYAmt>7762475</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>11798431</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>932869</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>12731300</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>20493775</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>225538</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleD documentId="RetDoc4">
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        <BeginningYearBalanceAmt>984899</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>52030</OtherExpendituresAmt>
        <EndYearBalanceAmt>932869</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
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        <ContributionsAmt>12500</ContributionsAmt>
        <OtherExpendituresAmt>67285</OtherExpendituresAmt>
        <EndYearBalanceAmt>984899</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <OtherExpendituresAmt>72158</OtherExpendituresAmt>
        <EndYearBalanceAmt>1039684</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
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        <OtherExpendituresAmt>52888</OtherExpendituresAmt>
        <EndYearBalanceAmt>1074342</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <ContributionsAmt>50000</ContributionsAmt>
        <EndYearBalanceAmt>50000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>658292</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>3497149</DepreciationAmt>
        <BookValueAmt>6236788</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2384909</DepreciationAmt>
        <BookValueAmt>1101054</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>97787</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8093921</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>457(B) PLAN ASSETS</Desc>
        <BookValueAmt>3217601</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>203312</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>4686968</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>457(B) PLAN LIABILITY</Desc>
        <Amt>3217601</Amt>
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      <TotalLiabilityAmt>3217601</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>37923229</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>28325</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>64523</OtherRevenueAmt>
      <RevenueNotReportedAmt>92848</RevenueNotReportedAmt>
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      <OtherRevenuesNotIncludedAmt>-6981</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-6981</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>37823400</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>37645660</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>28325</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>19473</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>47798</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>37597862</ExpensesSubtotalAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR USE OF WOMEN'S HEALTH BUILDING AND OTHER HEALTH CARE SERVICES. IN APRIL 2015, THE ORGANIZATION ENTERED INTO A 30-YEAR LEASE WITH PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.(PPMH)IN WHICH THE ORGANIZATION WILL NOT PAY ANY VALUE FOR RENT FOR THE USE OF THE MEDICAL FACILITY (WOMEN'S HEALTH BUILDING). THE TITLE OF THE ASSET REMAINS WITH PPMH. THIS TRANSACTION IS CONSIDERED TO BE A CONTRIBUTION OF USE OF A LONG-LIVED ASSET. THIS CONTRIBUTION IS DESCRIBED IN THE FINANCIAL STATEMENTS AS A BUILDING INSTEAD OF A CONTRIBUTION RECEIVABLE. THE ORGANIZATION RECORDED 1,039,703 IN BUILDINGS WHICH REPRESENTS TEMPORARILY RESTRICTED ASSETS UNDER THIS LEASE AGREEMENT. THE ASSET WILL BE AMORTIZED OVER THE ESTIMATED USEFUL LIFE OF 30 YEARS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 12,492 NET ASSETS RELEASED FROM RESTRICTIONS 52,031</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE OFFSET TO REVENUE -6,981</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 12,492 RENTAL EXPENSE OFFSET TO REVENUE 6,981</ExplanationTxt>
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        <Event1Nm>RUN FOR HOPE</Event1Nm>
        <GrossReceiptsEvent1Amt>21816</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>8782</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>13034</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>5382</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>4234</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>269</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1475</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1132</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>21816</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>8782</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>13034</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>5382</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>4234</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>269</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1475</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1132</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>12492</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>542</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <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>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>SHELLEY SPIRES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>172149</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>12321</OtherCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN VANCE MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFCR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES HOTZ MD</PersonNm>
        <TitleTxt>CLINICAL SVCS DCTR</TitleTxt>
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        <OtherCompensationFilingOrgAmt>20744</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCIS KWARTENG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANESHA MAXWELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>232</OtherCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MISHANTA REYES MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>261</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8049</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289388</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILLIP POULOS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>262289</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1426</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8028</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10650</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>282393</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM MCPETERS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>2726</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6448</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25148</NontaxableBenefitsFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS AWARDS: AAPHC'S ANNUAL INCENTIVE PROGRAM WAS ESTABLISHED TO REWARD EMPLOYEES FOR MEETING BOTH INDIVIDUAL AND CORPORATE GOALS. TO BE ELIGIBLE TO PARTICIPATE, EMPLOYEES MUST HAVE COMPLETED ONE FULL YEAR OF SERVICE AS OF THE END OF THE FISCAL YEAR; PART-TIME EMPLOYEES ARE PAID ONE-HALF OF FULL-TIME EMPLOYEE AMOUNT. ANNUAL AWARDS WILL NOT EXCEED 150,000 FOR THE ORGANIZATION. AAPHC ALSO AWARDS INCENTIVES TO MEDICAL PROVIDERS FOR MEETING CERTAIN PREESTABLISHED GOALS FOR PRODUCTIVITY AND QUALITY OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSES OF THIS CORPORATION ARE AS FOLLOWS: (A) TO MAKE HEALTH CARE DELIVERY AND ITS SUPPORTING ACTIVITIES A COMMON RESOURCE; (B) TO CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH, THAT IN THE OPINION OF THE BOARD OF DIRECTORS MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS, AND OTHER REQUIREMENTS THAT ARE, OR CAN BE, MADE AVAILABLE; (C) TO PARTICIPATE, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (D) TO DEVELOP HEALTH SERVICES WHICH WILL MAKE QUALITY HEALTH CARE DELIVERY AVAILABLE, ACCESSIBLE AND ACCEPTABLE TO THE RESIDENTS OF THE AREAS SERVED; (E) TO PROVIDE PRIMARY HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: (1) DIAGNOSTIC, TREATMENT, CONSULTATIVE, REFERRAL AND OTHER SERVICES RENDERED BY PHYSICIANS, AND, WHERE FEASIBLE, BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE CLINICIANS AND NURSE PRACTITIONERS; (2) DIAGNOSTIC LABORATORY SERVICES; AND (3) PREVENTIVE HEALTH SERVICES, INCLUDING CHILDREN EYE AND EAR EXAMINATIONS, PRENATAL AND POSTPARTUM CARE, PRENATAL SERVICES, WELL CHILD CARE, AND VOLUNTARY FAMILY PLANNING SERVICES; (F) TO COOPERATE AND COORDINATE WITH ORGANIZATIONS, AGENCIES, AND INSTITUTIONS, WHETHER THE SAME BE PUBLIC, PRIVATE OR GOVERNMENTAL, WHICH HAVE AS THEIR OBJECTIVE IMPROVEMENT OF HEALTH AND GENERAL WELFARE; (G) TO IMPROVE AND DISSEMINATE UPON RESIDENTS EDUCATIONAL INFORMATION PERTAINING TO GOOD HEALTH PRACTICES; AND (H) TO ENCOURAGE AND FOSTER THROUGH COMMUNITY EDUCATION THE IMPROVEMENT OF HEALTH CONDITIONS IN THE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, LINE 4, LOBBYING A PORTION OF DUES PAID IN FY 2018 TO THE NACHC AND GAPHC MAY BE ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO WILL REVIEW IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM, THEN THE CFO WILL REVIEW WITH THE FINANCE COMMITTEE. A COPY OF THE 990 AND AN EXECUTIVE SUMMARY WILL BE PRESENTED TO THE FULL BOARD PRIOR TO THE RETURN BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES WRITTEN DISCLOSURE CONFIRMATIONS TO BE SUBMITTED AND REVIEWED ANNUALLY WITH RESPECT TO CONFLICTS OF INTEREST. NO BOARD MEMBER MAY BE IN ANY MANNER INTERESTED, EITHER DIRECTLY OR INDIRECTLY, IN HIS OWN NAME OR ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO ACT OR VOTE. NO SUCH BOARD MEMBER MAY REPRESENT EITHER AS AGENT OR OTHERWISE ANY PERSON, ASSOCIATION, TRUST, OR CORPORATION, WITH RESPECT TO ANY APPLICATION OR BID FOR ANY CONTRACT OR WORK IN REGARD TO WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO VOTE. NOR MAY ANY SUCH BOARD MEMBER TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS VOTE OR ACTION IN HIS OFFICIAL CHARACTER. ANY CONTRACT MADE AND PROCURED IN VIOLATION HEREOF IS VOID. NO EMPLOYEE SHALL TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS ACTION IN HIS OFFICIAL CHARACTER AND NO EMPLOYEE MAY BE IN ANY MANNER INTERESTED EITHER DIRECTLY OR INDIRECTLY IN HIS OWN NAME OR IN THE NAME OF ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH EMPLOYEE MAY BE CALLED UPON TO ACT. VIOLATION OF THIS RESOLUTION BY ANY EMPLOYEE WILL RESULT IN THE TERMINATION OF SAID PARTY'S EMPLOYMENT BY AAPHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY SURVEYS FROM NACHC, MGMA, AND OTHER ONLINE RESOURCES ARE EVALUATED FOR ALL KEY POSITIONS ANNUALLY BY THE CEO. IF THERE IS A RECOMMENDATION THE PAY SCALE BE ADJUSTED TO FALL WITHIN THE RANGE SET BY THE MARKET, THE RECOMMENDATION IS TAKEN BEFORE THE BOARD. THE BOARD DOES NOT APPROVE THE PAY SCALE ANNUALLY, ONLY WHEN ADJUSTMENTS ARE MADE. THE BOARD DOCUMENTS THE REVIEW AND APPROVAL OF ALL ADJUSTMENTS. THE MOST RECENT CEO SALARY REVIEW WAS TAKEN BEFORE THE BOARD IN 2018. AFTER THE MEETING, THE BOARD HELD AN EXECUTIVE SESSION WHERE THEY APPROVED THE ADJUSTMENT OF THE CEO PAY SCALE. THE PROCESS IS DOCUMENTED IN THE PERSONNEL COMMITTEE MEETING MINUTES. CEO, SHELLEY SPIRES, REVIEWS COO AND CFO ANNUALLY. THEY WERE LAST REVIEWED IN CALENDAR YEAR 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15A ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE FOR VIEWING ON-SITE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>