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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA WASHINGTON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>V BOBBY WILLIAMS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LE'JOI WILLIAMSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1948671</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>150022</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>25</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACE HEALTH CONSULTANT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1015 STELLA VARA DR</AddressLine1Txt>
            <CityNm>LUTZ</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33548</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILL SVC/PHARM</ServicesDesc>
        <CompensationAmt>1323627</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 847950 SUITE 308</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SVC</ServicesDesc>
        <CompensationAmt>270292</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MORGAN THAKORE MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1825 CHAMPIONS CIRCLE</AddressLine1Txt>
            <CityNm>EVANS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30809</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN</ServicesDesc>
        <CompensationAmt>226775</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIMEDOC HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>815 W WEED ST</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60642</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>200823</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUEST DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 740736</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303740736</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SVCS</ServicesDesc>
        <CompensationAmt>111870</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7313567</GovernmentGrantsAmt>
      <TotalContributionsAmt>7313567</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>17116220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17116220</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17116220</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>463</TotalRevenueColumnAmt>
        <ExclusionAmt>463</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>100550</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>89473</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>11077</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>11077</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>11077</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>102</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-102</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-102</TotalRevenueColumnAmt>
        <ExclusionAmt>-102</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEANINGFUL USE/INCENTIVE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>252020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>252020</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICARE COST SETTLEMENT</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>37073</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37073</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8380</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8380</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>297473</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24738698</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17413693</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>11077</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>361</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>694984</TotalAmt>
        <ManagementAndGeneralAmt>694984</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10408939</TotalAmt>
        <ProgramServicesAmt>8262578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2146361</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>53073</TotalAmt>
        <ProgramServicesAmt>42129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10944</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>825719</TotalAmt>
        <ProgramServicesAmt>655456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170263</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>722448</TotalAmt>
        <ProgramServicesAmt>573479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148969</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>24841</TotalAmt>
        <ProgramServicesAmt>19719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5122</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>202530</TotalAmt>
        <ManagementAndGeneralAmt>202530</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2246149</TotalAmt>
        <ProgramServicesAmt>2126693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119456</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>125212</TotalAmt>
        <ProgramServicesAmt>99393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25819</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>531829</TotalAmt>
        <ProgramServicesAmt>352324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179505</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>420964</TotalAmt>
        <ProgramServicesAmt>334161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86803</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>396157</TotalAmt>
        <ProgramServicesAmt>309795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86362</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>23174</TotalAmt>
        <ProgramServicesAmt>18396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4778</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33633</TotalAmt>
        <ProgramServicesAmt>26698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6935</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>100728</TotalAmt>
        <ProgramServicesAmt>78769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21959</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1001840</TotalAmt>
        <ProgramServicesAmt>783439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218401</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>130317</TotalAmt>
        <ProgramServicesAmt>103446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26871</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5804388</TotalAmt>
        <ProgramServicesAmt>5804388</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTION</Desc>
        <TotalAmt>183006</TotalAmt>
        <ProgramServicesAmt>145270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37736</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>145309</TotalAmt>
        <ProgramServicesAmt>113632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31677</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>81169</TotalAmt>
        <ProgramServicesAmt>64432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16737</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>81775</TotalAmt>
        <ProgramServicesAmt>64907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16868</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>24238184</TotalAmt>
        <ProgramServicesAmt>19979104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4259080</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>591949</BOYAmt>
        <EOYAmt>706115</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>322888</BOYAmt>
        <EOYAmt>646312</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>861535</BOYAmt>
        <EOYAmt>1299478</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>141353</BOYAmt>
        <EOYAmt>233644</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13274</BOYAmt>
        <EOYAmt>23206</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12914291</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4332523</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9006416</BOYAmt>
        <EOYAmt>8581768</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>799860</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>685147</BOYAmt>
        <EOYAmt>479778</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>12543650</BOYAmt>
        <EOYAmt>12770161</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1623143</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2630030</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>167675</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4694851</BOYAmt>
        <EOYAmt>4420848</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7848799</BOYAmt>
        <EOYAmt>8349313</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7848799</BOYAmt>
        <EOYAmt>8349313</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12543650</BOYAmt>
        <EOYAmt>12770161</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>500514</ReconcilationRevenueExpnssAmt>
      <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="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3650621</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3595036</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4068437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5243437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7313567</CurrentTaxYearAmt>
        <TotalAmt>23871098</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>4068437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5243437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7313567</CurrentTaxYearAmt>
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      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>23871098</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>560</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1131</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2349</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>828</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>463</CurrentTaxYearAmt>
        <TotalAmt>5331</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus1YearAmt>23369</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7329</CurrentTaxYearAmt>
        <TotalAmt>30698</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>23907127</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>61390400</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99850</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99850</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>495406</OtherCostOrOtherBasisAmt>
        <BookValueAmt>495406</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8948930</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2210632</DepreciationAmt>
        <BookValueAmt>6738298</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>26011</DepreciationAmt>
        <BookValueAmt>79285</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3354397</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2095880</DepreciationAmt>
        <BookValueAmt>1258517</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>10262</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10262</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8581768</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CARES ACT REFUNDABLE ADVANCE</Desc>
        <Amt>167675</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>167675</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>26158556</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>1330385</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>1330385</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24828171</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-89473</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-89473</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24738698</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25658042</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1330385</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>89473</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1419858</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24238184</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>24238184</TotalExpensesPerForm990Amt>
      <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 MANAGEMENT'S 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, 2020 AND 2019 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S 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>RENTAL EXPENSES OFFSET TO REVENUES -89,473</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET TO REVENUES 89,473</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>JAMES FORD MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>269942</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>46000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22983</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>660</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>339585</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEPLER DAVIS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>240603</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16005</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>21200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>277808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACK AUSTIN JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>227723</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6300</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>37556</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2879</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>274458</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EVAN BAHR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>231071</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11105</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15085</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2020</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259281</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HALBERT CAPUY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>245102</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7475</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>252577</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J R RICHARDS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>189854</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>19529</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6171</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236554</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YVONNE JOHNSON</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>193813</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193813</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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
